And the difference is, bottom line.doctors can choose to accept that, or not. japan is different, because there is only one system, and only one fee that can be charged. here, the government or insurance company either has to adapt to the realities of the market, or fail to provide the services. so you've got two different systems, each with its own dynamics.
We pay twice as much for our system as the Japanese do for theirs.
Why should healthcare be for profit?
In order to balance the profit motive, you need heavy regulation. Single payer is the most efficient system.
Ours is a government of the people and by the people.
I sometimes wonder if those with an inordinate amount of distrust for the government are projecting.