As for the higher taxes… how much are you ready to pay so that, the day you catch some horrible disease, the public entity will be able to afford diverting enough of its resources to save you?
Well, maybe if it wasn’t for the taxes I would be able to afford to pay for treatment myself. (Taxes are a zero-sum process, actually negative sum because of the inefficiencies.) If the idea is risk mitigation, then why not use a private insurance company?
Well, given that the government’s allledged goal is to provide the service while the private organization’s alledged goal is to make a profit, one would expect the State (I like to call the organization the State or the Adminsitration: the Government should simply mean whoever the current team of politically appointed president/minister/cabinet are, rather than the entire bureaucracy) to be less likely to “weasel out of” paying for your treatment, a risk I (in complete and utter subjectivity and in the here and now) deem more frightening (and frustrating) than the disease itself.
And yes, risk mitigation is always negative sum, that’s kind of a thermodynamic requisite.
one would expect the State (...) to be less likely to “weasel out of” paying for your treatment,
Well, since the ministry of health’s budget is finite, whereas the potential amount of money that could be spent on everyone’s treatment isn’t, the state very quickly discovers that is too needs to find ways to weasel out of paying for treatment.
And yes, risk mitigation is always negative sum, that’s kind of a thermodynamic requisite.
And the more layers of bureaucracy involved, the more negative sum it is.
1.You mean they incur in the exact same kind of legal practices as private groups, with the same frequency? Given the difference in position, methodolgy and resourses, I doubt it, but I don’t have any evidence pointing to either side about the behavior of Universal Health Coverage systems. I’d need time to ask a few people and find a few sources.
2.I don’t think it’s a matter of “layers” so much as one of how those layers are organized. The exact same amount of people can have productivity outputs that are radically different in function of the algorythms used to organize their work. Your post seems to imply that State services have more bureaucratic layers than public ones. I’d think that’d be something to decide case by case, but I wouldn’t say it’s a foregone conclusion: private insurances are infamous for being bureauratic hells too. Ones deliberately designed to mislead and confuse unhappy clients, at that.
Well, maybe if it wasn’t for the taxes I would be able to afford to pay for treatment myself. (Taxes are a zero-sum process, actually negative sum because of the inefficiencies.) If the idea is risk mitigation, then why not use a private insurance company?
Well, given that the government’s allledged goal is to provide the service while the private organization’s alledged goal is to make a profit, one would expect the State (I like to call the organization the State or the Adminsitration: the Government should simply mean whoever the current team of politically appointed president/minister/cabinet are, rather than the entire bureaucracy) to be less likely to “weasel out of” paying for your treatment, a risk I (in complete and utter subjectivity and in the here and now) deem more frightening (and frustrating) than the disease itself.
And yes, risk mitigation is always negative sum, that’s kind of a thermodynamic requisite.
Well, since the ministry of health’s budget is finite, whereas the potential amount of money that could be spent on everyone’s treatment isn’t, the state very quickly discovers that is too needs to find ways to weasel out of paying for treatment.
And the more layers of bureaucracy involved, the more negative sum it is.
1.You mean they incur in the exact same kind of legal practices as private groups, with the same frequency? Given the difference in position, methodolgy and resourses, I doubt it, but I don’t have any evidence pointing to either side about the behavior of Universal Health Coverage systems. I’d need time to ask a few people and find a few sources.
2.I don’t think it’s a matter of “layers” so much as one of how those layers are organized. The exact same amount of people can have productivity outputs that are radically different in function of the algorythms used to organize their work. Your post seems to imply that State services have more bureaucratic layers than public ones. I’d think that’d be something to decide case by case, but I wouldn’t say it’s a foregone conclusion: private insurances are infamous for being bureauratic hells too. Ones deliberately designed to mislead and confuse unhappy clients, at that.