Originally Posted by
majurey
But the comparison is not that simple. NHS provision is driven by non-profit motives. The problem (in my opinion) of the US-type system is that everything is driven by profit motive. It's all private sector. So how would I, as a medic for example, maximise my profit? Why, I'd simply offer the most expensive treatments, and manage care by maximising the amount of my time and expertise required. The outcome seems to be levels of treatment inappropriately OTT.
This profit motive in healthcare supports everything from the newest most expensive drugs (pharmas cheer) to unnecessary interventions (medics cheer) to peolpes' need to protect themselves against these inflated costs (insurers cheer).
At some point, the motive for profit comes crashing headlong into the interests of the patient. That is, if you believe in access to good treatment for all. If you believe that health (and other social basics like education) should be tiered like commerce, effectively blocking the poor's access to good treatment (or education), then an entirely privatised health system is as good as any I suppose.