• Kommeavsted@lemmy.dbzer0.com
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    1 day ago

    Yes but if taxes are paying for the system then preventing tax exemption and building a competitive standard of care system heavily disincentivizes use of the private system.

    • merc@sh.itjust.works
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      15 hours ago

      If the private system is allowed to exist, it will always exist. Someone will find something that isn’t done quite as efficiently as the public medical system and charge privately for doing it. Anywhere the private system exists will be better than the public system by definition. Nobody would pay to use the private system if they could get their needs met for free in the public system.

      Because of that, if there is a private system, some people will use it. Those same people will vote to try to limit the taxes they pay for the public system, because they’re not using that system. People who can pay for the private system are going to be the richer people, and so their decisions about where their tax money goes has more of an impact. So, eventually, the public system starts to crumble. When that happens, more people use the private system, and the problem gets worse.

      • T156@lemmy.world
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        9 hours ago

        Nobody would pay to use the private system if they could get their needs met for free in the public system.

        They might, if they thought there was an advantage to it. Like being seen more quickly, or getting a discount for something else.

      • Kommeavsted@lemmy.dbzer0.com
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        13 hours ago

        Well you’d need a strategy to defeat that mechanism to develop a high standard universal care in the first place. On one hand, that makes the entire argument moot, but on the other hand the same or similar strategy aught to function both for development and maintenance of the system.

        Maybe that strategy is widely nuanced in finding an answer to each of the thousands of concerns and organizing for change through protocol. Alternatively there’s revolution and reboot.