Gosh...that's a hard question...wait...did you say best? Yes. But really, I'm just referencing well known numbers that CoyoteBlog just re-published. RTWT.
It's like there are only two factors you need to count in quality of life. How free-marketeering and how swedish the country is.
Aside:
In order of preference, my health care preference order is:
- Free Market, really. Like Lasik or Plastic Surgery in the US, or Rich Americans traveling to clinics on the Mexican and Canadian borders, and paying cash to get what they want. Especially, free markets in drugs and doctors. Full incentive stack all the way around: Patients and Doctors and pharma and potential players in the markets all properly incentivized.
- Singapore-style mandated HSAs and mandated Catastrophic insurance...and otherwise free-ish markets. Patients at least incentivized properly.
- German/Kaiser Permanente-style HMO/hospital partnerships with doctors paid by solution, not by procedure. Doctors incentivized properly.
- American style pre-Obamacare hideous insurance incentives that push a system that's so bad that even with a 35% tax subsidy, the country is quickly moving towards singapore-style HSA's, rather than the moronic form of employer-provided insurance. Pharma + Medical procedures incentivized properly.
- Euro-style single-payer system. Government incentivized to minimize costs, make interest groups happy...disincented to innovate or make patients happy. This is a cheaper option than 4, but not for long, if HSA's were to remain legal in the USA.
- Shooting everyone who breathes too much. (not sure about the order here, compared to 5).
It's not like I'm actually pro-American health care.
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3 comments:
Where are the cost controls?...
1) Free market: no money, no care, so we get political caterwauling, medicare, emergency room overuse, and the system we have today.
2) Singapore HSA's plus catastrophic insurance: no money, no join HSA, no insurance, so we get political caterwauling, medicare, emergency room overuse, etc, etc.
Singapore's HSAs are required, not optional. 5% of your salary, without consent. Very little to no actual caterwauling.
Under a system where political caterwauling is an effective method for stealing money from some people and giving it to rich people, it will be used, and everyone's screwed no matter what you start with.
My point is that we're screwed in the US under any system since we allow political caterwauling.
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