CAC1001 said:
Just wondering if you have a source for this? Not saying it isn't true at all, I'd just be curious to read about it some, because I think there would be some more to it if costs are exploding with privatization.
I think the best option is a system that combines the best elements of the market and government.
No sorry. The Dutch don't have a taxed system but a system where medical insurance is mandatory. Now, some insurance companies compete in it. It is a highly complex regulated system where more and more is privatized since the old 'stalinistic' system led to long waiting queues for treatment and there wasn't a lot of room for private clinics. Privatization seems to include that more and more treatments, or care, is outsourced to professional parties, contracts are made between healthcare offerers and the insurers. People are worried about that the quality of care seems to degrade.
I think by now you'ld probably need to be a financial wizard to understand the system.
The only thing I know is that costs are exploding for the government as it was broadcast on the news. It is somewhat blamed on our increasingly old population, personally think the privatizations are also to be blamed.
As far as I understood, the old manner was a predominantly 'communistic' style of implementing health-care. (Say, in essence, one doctor every 5k, one hospital every 100k, etc.) It wasn't a nice system in the sense that doctors, for example, probably could earn more abroad and were filled with work, leading to long waiting queues. But it was also a system where nobody really needed to care about costs, only about health.
Now everything is about money, and the number of treatments. I think that system is just likely to degenerate into a system where a maximum of treatments are offered at a maximum of cost, which can be high since everybody is willing to pay a lot for healthcare.
I.e., say the costs for the original system is 10% of your wallet, but you're willing to pay 20%, than a deregulated pure-capitalistic system must float to that 20%.
It's an opinion. I really think a 'communist' style, given the fact that it mostly concerns a monopoly and supply defines the demand, just is cheaper in the long run. Also, the US seems to spend a lot more on healthcare, which I find a troubling sign since I think it is more deregulated there.
There is a report, but it is in Dutch. http://www.rivm.nl/bibliotheek/rapporten/270751013.html" (Wrong paste, fixed the link.) Main conclusion:
In the period 1994-1999 spending increased on care by an average 5.1% per year. In the period 1999-2003 it increased 9.7%. Much of it was because of price and wage developments. In the two periods volume grew from 2.3 to 4.0%.
But, as I said, it's a highly complex system by now. It just seems to me that the cheapest is to throw away all the insurances and other stuff, directly tax it, and plan the needed healthcare in a 'communist' fashion.
[ Anyway, I also think that that leads to better healthcare. I don't believe that there is an 'angel' overhanging the markets which makes sure that capital is distributed in a just manner, or that a capitalist system will automatically insure that the best health arrives at the people who need it. This is better planned, IMO. ]
[ Also, in the stated report it is claimed that we switched from a supply to a demand driven healthcare. IMO, that just means that, say, where you needed one surgeon for bone operations, but if you count all the total demand of people you can sell a new hip, you end up with three surgeons and lots of people who didn't really need a new hip, but a cane. ]