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Socialized healthcare seems to kind of work in many developed economies - where does it struggle and by what metrics regarding the health outcomes?



I would love to see a good proof that it works, all the discussions, rumors and anecdotal evidence suggest the contrary. I am open to learn the truth, with hard numbers.

Very long waiting times are the first thing that comes to mind regarding such failures, with UK and Canada at the top spot. It is not uncommon to die waiting for a consultation to be diagnosed in 1-2 years.


What do you wanna good proof of? Life expectancy? What population health metrics do you want?

Almost all EU countries with socialized healthcare beat US and even UK. Canada is more near EU level.

Do you also want US anedoctal evidence? What’s the consultation time for diagnose in the US for people without insurance/ insurance doesn’t cover/insurance says it doesn’t cover/no money?? Never? How does that affect the average/mean?

Life Expectancy:

Italy 83.7; Spain 83.7; France 83.3; Sweden 83.3; Canada 82.6; Portugal 82.4; Germany 81.4; United Kingdom 81.3; United States 79.3; Poland 78.6;

https://ourworldindata.org/grapher/life-expectancy-unwpp?tab...


I don't think you'd see that kind of waiting times in Germany, for example (but Germnay also is at the high end of healthcare as %GDP).

Edit: I would also add that it is probably better to look at health outcomes, e.g., survival rates for cancer.


Sometimes insufficient capacity and long wait times can be the result of a government's agenda.

Here in BC, we have (mandatory) auto insurance provided by a crown corporation with a monopoly. The neo-liberal government before the current more socialist leadership hated it and wanted desperately to privatize car insurance. The problem is that ICBC is dearly loved by most residents here. There is a playbook for this problem.

They appointed a fairly incompetent civil servant to run things, and also started raiding the fund, to the tune of billions of dollars.

After about a decade of this, the company was a mess and nearly broke. They were forced to raise rates. The premier characterized the situation as a "dumpster fire" and editorials started popping up arguing for privatization.

That government was defeated, and the new leadership sorted it all out. Within a couple of years, drivers in BC were getting cheques in the mail because ICBC was making too much profit.

There are powerful interests very interested in getting a piece of healthcare in Canada, and some of the shenanigans you see here smell a lot like a set-up to make things become broken enough that the voters will demand privatization.

Just for one example, in the last few years staffing agencies have been hiring away nurses by offering higher wages and then contracting them back to the health authorities at ~$130/hr. This has cost billions to taxpayers and lead to great resentment within the regular staff.

Some folks somewhere allowed this to happen. Why?




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