No, it’s the epitome of centralized INSURANCE, not medicine.
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In practice, centralized insurance IS centralized medicine. DRGs, anyone? Clinical care guidelines, pay for performance. The list goes on...

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The German system attracted him perhaps.
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I actually like the German system.
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In practice, centralized insurance IS centralized medicine. Think CMS. The insurance companies mostly take their cues based on what Medicare decides.
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The UK is single *provider*. (Practically) all doctors and hospitals are part of one bureaucratic entity, the NHS. Canada is single *payer*. Healthcare providers are independently run, publicly funded.
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In practice, centralized insurance IS centralized medicine. DRGs, anyone? Clinical care guidelines, pay for performance. I could go on and on. Also, in Canada, unlike a M4A system proposed for the US, the provinces are responsible for administering the plan, correct?
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This is awesome. A thoughtful discourse about a topic where we dont put other ppl in display for asking a research question and call them a quack. I would genuinely like to bury the hatchet and discuss the data, as I have been asking repeatedly
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The Germans have probably the best system and most easily integratable into our system but no one has put anything like that forward.
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