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, 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.