If Obamacare fails, then what?

[Mr Khan]

Kasz216 said:

Mr Khan said:

Because the "persons" in this case (likely a panel of medical experts from all over the world administering how a centrally deposited research fund would be spent) will make sure that the advances are for the good of everyone from the start rather than merely the wealthy.

In what world would that actually succeed?

It'd most likely just end up like how US road system fudning goes.   Each expert just trying to get money for his own country... leading to tons of shitty research projects.

Not really, because unlike roads, a medical innovation can be used anywhere, by anyone, especially if its an international non-profit fund. There would likely be tugs in different directions to try to focus research in an area where your country needs the help or where a firm in your country has comparative advantage, but since the point would be to focus on innovation for innovations sake (implementation being the matter of the countries' health systems individually) it would all work out in the end. Cold-war style "let's put money towards this idea and see where it goes even if it's not going to help soldiers in the field today" research and development, but for the purposes of peace.

The politics of it would be insanely difficult to implement, but neither can America sacrifice health care access for its citizens just to keep research going.