Basically, a country's health and care system can be one of sixteen types:
- one public healthcare provider or many private providers; and
- one public, national insurance or many different insurers; and
- completely free at the point of use or only partially paid for by an insurer, possibly distinguishing between primary and secondary care; and
- mandatory insurance or optional insurance.
Which type of system would you prefer and why?
I do think one, public provider is best, but the type of organisation is key: it should be lean, basically many public, small providers which work the same way, but without any self-reporting/-assessment, just regular inspections done by talking to patients. No private subcontractors providing care.
More importantly still, I think there should be one, public insurance. It is the best way to use most of the money while avoiding too much risk. It also ensures there is solidarity between as many people as possible.
Also to ensure solidarity, there should be no extra costs at point of use.
I think insurance should be mandatory to ensure solidarity and to avoid risk.
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