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palou said:

Yeah, I think the essential lies in making sure none die, (or get ruined by necessary operations), while discouraging excessive use.

You've just struck the nail on the head. The issue with "insurance" model healthcare systems, whether public (like the UK), or private (like the US), is that there's no marginal cost of use, and so it encourages over-consumption, resulting in exploding costs.

It's why I prefer health-savings-accounts models. Read up on Singapore's system. The US could transition its medicaid and medicare programs over to HSAs. No expansion of Gov't power or costs (actually, both are reduced). Injects marginal cost, keeping demand reasonable, and brings about more savings which makes more a healthier finance industry.

Other potential fixes to America's system which would make both Repubs and Democrats happy: