• T156@lemmy.world
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    13 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.

    • merc@sh.itjust.works
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      4 hours ago

      Sorry if I wasn’t clear, I meant to say that if the public system and private system were equal but you had to pay for the private system, nobody would use it. Sure, if the private system is faster then people will use it even if the public system is free.

      In places that allow a mix of private and public, the private system basically finds some flaw in the public system and allows people to pay to bypass that flaw. Things like wait times are one of the main issues. But, it’s sometimes something like certain expensive tests being hard to get in the public system (CAT scans or something). In the public system they might only order those when they’re obviously needed. The private system can let you have one whenever you want, so if your doctor says “well… it could help, but it doesn’t meet the threshold the public system sets” some people will pay for it out of pocket. Or it can be more privacy, or more luxurious hospital rooms. Even if the treatment is otherwise identical, some people will pay for that.