zlacker

>>wallfl+(OP)
There are three things a nation needs to accept about universal health care:

(1) It’s expensive (2) Everybody has to pay (3) The government’s gotta run it

>>GnarfG+Th
Computers and software used to be extremely expensive about 30 years ago, yet private industry advanced the state of the art and brought the prices down.

There seems to be very little talk about making medical education cheaper and more accessible. Why wouldn't it be cheaper if we had more MDs and nurses? What if we made it easier to become an MD ?

The insurance system is a cartel and they are greedy. However the regulations (upheld by the government) enable it.

>>gosub1+yp
We've done that to some extent via the legal enablement of nurse practitioner and physician assistant led care. Of course, largely speaking all they do is supervise the recording of patient metrics and prescribe drugs in label-consistent ways, but that often works out reasonably well for the patient. When the patient needs specialty care then the NP or PA simply punts them into the winds of referrals and insurance justifications.

I'm not sure there's any realistic way to enhance the availability of specialists. You can't 'stub' your way through providing the care of a skilled gastroenterologist by substitution with a NP, though PAs in specialty care are becoming common.