I look at other countries and think that maybe universal healthcare is the way to go. Then I look at our government and the VA and I'm thoroughly convinced otherwise (aside from the constitutional issues). Our government doesn't care enough to even try to fix it.
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Lost in the hyperpartisan vote-hawking is the fact that regulatory capture & systemic cost disease are the crux of all this. Private insurance markets vs. single-payer is a distraction. The pipelines for new providers *and* entrepreneurs in healthcare are fundamentally broken.
As within all broken systems, there are good people doing what they can from within — but w/o a serious systemic look at the regulatory environment we've created and the tradeoffs we're making, it only means that some patients will get lucky & the good docs will be overburdened.
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I agree with much of what you say. However, I don't see a political path forward to fix what actually needs fixing. Those in the decision making process are the ones making money off the brokenness. Doctors and patients are going to have to do the heavy lifting on this imo.
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Doctors & patients have a big role to play, but their leverage is limited vs. the larger system of hospitals, insurers & product/drug manufacturers. There are similar issues in my field (education) — teachers & parents can do more than they're doing now, but the hurdles are high.
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