Medicare is a fraction of the population and pays providers a mere pittance. I've seen state run hospitals and how dirty and shitty the care is there. All of the regulations and malpractice insurance have run most private practice physicians out of business as it is. Everything the govt touches is crappy and that's because there is no incentive for quality as they have no competition. Just a steady siphoning of taxpayer money. No need to be the best as they can't ever go out of business.
Hyperbole, and not true. Are you claiming that most physicians now work for the govt.? What is a "private physician"? Of course there is competition for govt. funds -- that's what the whole bid system is. We already have contractors who bid for govt. contracts to build bridges and highways, dams, defense materiel, etc. They have very specific guidelines just to qualify to bid. We can extend that to hospitals and other health providers. You're assuming that in the event we enact a national health care system that all current providers will suddenly go out of business. Nope. It can be structured so that they will have to bid to be able to accept patients using the national health care plan. Private insurance companies will continue to exist. As someone else pointed out, employers can offer supplemental plans as hiring incentives to their employees.
Utilization management is NOT the same as rationing care as the gubmint would have to do due to a lack of money. As long as a doctor can provide clinical proof of medical necessity, the insurance will pay, with exceptions for things such as experimental or investigational. A health insurance contract is a legal document with specific language as to what is and isn't covered so no, "bean counters" are not deciding a plan of medical care or determining you will not get it based on a chart designed to ration care to the unwashed masses.
You have no idea what you are talking about. My husband's career was spent in IT, building databases for the very large health insurance company he worked for, for decades. You've heard of CIGNA? These databases are used by insurers to determine risk management, cost effectiveness of various treatments/medications, and how to structure better outcomes both for profitability and for patients. I deliberately listed them in that order because they are beholden to their shareholders first, and to you second. Have you ever wondered why, some years ago, most health insurers decided that they would cover preventative care for free or with very low co-pays? It's because the bean counters showed that "an ounce of prevention is worth a pound of cure." It doesn't matter whether it's a corporation overseeing the payment part of your care, or the govt. through a Medicare or Medicaid plan -- in the end it's the bean counters who decide what and if and how much. This is "rationing" care.
Utilization personnel are given written guidelines to use in deciding whether a proposed treatment plan can be authorized. Physicians and other providers have access to these guidelines as well. States regulate insurance companies doing business in their jurisdictions, which adds another whole layer of complexity to the current system. Look at rates for health insurance across the U.S. and how they differ. Now imagine if all that was wiped away and under one umbrella. Employers would no longer be on hook for offering health insurance unless they choose to as an incentive. Employees would pay smaller or no premiums, and would be free to choose a supplemental private plan if they want. The savings would nearly offset the cost to taxpayers.
I do mine online but my experience in government offices is the service is poor, slow with no sense of urgency or quality. That's the gubmint way.
Insurance companies do not ration or decide on a plan for your health, doctors and the family do that now. If you have insurance and the policy covers the procedure, Rx, etc. and you meet the medical requirements as documented by a participating physician, they will pay the allowed rate for the services.
Bingo. If. Who decides the "if" part? Bean counters.
If Socialist medicine was so wonderful, the heads of state from Canada, etc. would not come to the US for health procedures, they would stay right where they are. You are really naive and have bought into another hoax.
I'm sure that you can document all the times heads of state have come here instead of being treated in their own countries. The hoax joke is on you! BTW, are you aware of how many ppl go to Mexico and other countries for medication, dentistry, joint replacements, and cosmetic surgery? If our current system is so wonderful, why is this happening?
https://www.newsweek.com/thousands-...ico-affordable-medical-treatment-each-1426943
and
"Patients who travel to another country to seek health care are referred to as medical tourists. The term arose because many Americans seek less expensive elective surgical, dental, or cosmetic procedures while vacationing abroad. Of course, US hospitals and physicians have also long cared for medical tourists from other countries. Now, many medical tourists are going the other way—from the United States to other countries to receive health care. In 2007, it is estimated that 750,000 Americans traveled to other countries for health care.1
In 2017, more than 1.4 million Americans sought health care in a variety of countries around the world."
https://www.amjmed.com/article/S0002-9343(18)30620-X/fulltext