Ugh... you keep saying that "no nation is working to return"... while ignoring that many of the nations that adopted these plans are actually beginning to return to more private practice. In Canada these clinics began to appear years ago, while of questionable legality, they are a beginning to alleviating the overcrowded national system...
As we start driving towards nationalized health care in many places where there is nationalized health care they have begun driving towards more private care.
Are there issues with the costs of health care? Yes. There are.
This does not mean we should willingly jump into "solutions" that do not resolve those issues.
For instance, in Florida one simple step allowing people to seek out price differences in pharmacies on the internet and shop for savings saves a ton of cash for both government and private insurance as well as people simply purchasing the necessary drugs directly. This didn't make pharmacies that had low prices raise theirs, it caused (because of competition) lowering in the cost of many drugs at the pharmacies that had higher prices...
Safeway, a local Supermarket chain, gave direct control over health insurance by creating a system whereby a certain amount is set aside for it, and the employee selects how to spend it. What isn't used at the end of the year is kept by the employee. While everybody gets care, there again was shown to be a huge savings as people were able to select care levels. All the employees also have catastrophic coverage for the terminal or chronic, or disabilities...
They get covered but it costs them and the employer less...
But we are supposed to applaud ANY program and never look at any solution that may be found to actually rude costs because nobody in Canada wants the system to go away, even though they are paying an illegal private clinic directly so they can get treated...
I have no problem with private clinics. An analogy could be the toll highway in Toronto or the Sawgrass Expressway in Florida. While people can pay for better service the 401 and the I-95 are still available for those who can't afford to pay.
I'm not suggesting doing away with private clinics, free enterprise or limiting choices in any way. A government run plan could be set into place as is done in Quebec for drugs. The patient co-pays to a certain amount and then the drugs are free. One is free to choose any insurance plan (employer based, private, government run) but they must be enrolled in one.
EXCERPT:
July 11, 2005
Although there are no differences in clinical outcome, the in-hospital cost of coronary bypass surgery in the U.S. is 82.5 percent higher in the U.S. than in Canada, according to a study in the July 11 issue of Archives of Internal Medicine.
This cost differential primarily reflects higher resource prices for products and labor and higher overhead costs in the United States
resulting from a nonsocialized medical system.
http://www.consumeraffairs.com/news04/2005/bypass.html
As for nations returning to private practice you summed it up when you wrote, "But we are supposed to applaud ANY program and never look at any solution that may be found to actually rude costs because nobody in Canada wants the system to go away, even though they are paying an illegal private clinic directly so they can get treated.."
Exactly. No one wants to get rid of the system because while the baby boomers have a lot of cash and can afford to spend a few thousand here and there on medical needs they know that the cost of one major illness can completely change their lifestyle. They'll spend 15 or 20 thousand on medical needs and bitch about not wanting to wait but if the bill was 100 thousand they'd shut their mouth and happily wait.
The ones doing the bitching are the ones who can afford private care. Great. Let them use private care.
I was reading an article saying this is the first time in history the successive generation will not do as well as the preceding one. Many boomers have lots of cash. Regarding Canada, now that they have the money and can afford medical care their attitude has changed.
They used the universal system while making their money, while raising their family, while padding their nest egg. Now they have the gall to complain about waiting for a hip operation so they can hit the golf course while some 30 year old is struggling with a mortgage payment and raising two kids.
They'll tell you how they budgeted and did without and scraped together their hard earned money but they won't tell you how many times they took their kids to the doctor and paid nothing.
Know what the problem is? They think of themselves as self-made men but they used the roads and the electricity and all the other conveniences past generations put into place. Self-made, my ass! HAHAHAHAHA
They were fortunate enough to live during boom times just as I was. The majority of people who are against universal care are not that way because of the expected cost or the delays. They think they have enough money to cover any emergency or pay for a private plan so to hell with everyone else. Now that they have their money let everyone else struggle and scrape along. The more difficult it is for the succeeding generation the wealthier the boomers are in comparison.
Now that they have made their money let's cut social services. Nothing better than seeing ones neighbor struggling to make ends meet. Maybe they'll cut my lawn for a few extra bucks while I sit on my ass drinking a beer and make up some bullshit story about how hard I struggled because I couldn't tell them I simply flipped a few revenue buildings.
If countries much poorer than the US can have a universal plan it just doesn't make sense to say the US can not afford one. It's simply a matter of priorities, of allocating the necessary funds.
The quickest way would be to tie medical expenses to ones income. Also, by being able to check on a person's income filings that would go a long way towards detecting illegal aliens as they probably didn't file a tax return.
If someone wants free medical they have to allow the hospital/doctor to check on their income. It's not the perfect way but it's a start. The most needy will receive medical care. Then bicker about the fine points.
(Gets off soap box and heads to kitchen for a coffee.)