Peter Crisp wrote:I think maybe part of it is a feeling that if it's free at the point of service people will abuse it.
The problem with that idea is most people are honest and more than that I'm unsure who would want to make themselves feel unwell just so they can go and see a doctor.
I suppose it depends on GP capacity. I'm guessing the entire US system is private GPs. So there is an element of control, in that people will only have to go to the doctors if they really genuinely need it (and even then many don't as they can't afford it).
Over here, most people would tend to visit the doctors more I guess, as it is free at the point of service. Now obviously, that's how I think it should be, but I'm guessing it will be very costly for the US to try and switch to that kind of system. They likely wouldn't have the capacity to cope with more people using the grassroots healthcare, which would lead to a knock on as more people start using the healthcare system and get referred to hospital etc.
So I do think there is probably an aspect of capacity that hasn't really been explored. More doctors will be needed, and probably a whole lot more hospitals. Basically, the US healthcare service would need to be entirely revised, and I doubt they would be able to train the doctors needed. That would mean needing to import doctors, and that won't go down well in a month of Sundays.
So even if the left win the healthcare argument, they will then lose the battle to create the capacity as republicans won't want to spend on infrastructure or increase immigration.
It all makes me very glad to be from a European system. I guess in some ways we were very lucky when the NHS was set up, infrastructure was already on its knees and we had a massive labour shortage as it was. If we had a US style system now, I don't think we'd stand a chance of setting up an NHS in this day and age.
Just want to clarify that this isn't an endorsement of the US system at all, or a justification for those in the US that don't want to provide healthcare for all. Its more just a thought, that like with gun control, the US could well be past the point of no return.