Good one. It sucks. Most of all, of all wealthy western countries, it sucks most in America. Because it's the way i sense it is, i googled "most countries with a national healthcare for all still have a private component. It seems the most viable way." Among the results:
Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System
Comparing Performance in 10 Nations
Authors David Blumenthal, Evan D. Gumas, Arnav Shah, Munira Z. Gunja, Reginald D. Williams II
Abstract
* Goal: Compare health system performance in 10 countries, including the United States, to glean insights for U.S. improvement.
* Methods: Analysis of 70 health system performance measures in five areas: access to care, care process, administrative efficiency, equity, and health outcomes.
* Key Findings: The top three countries are Australia, the Netherlands, and the United Kingdom, although differences in overall performance between most countries are relatively small. The only clear outlier is the U.S., where health system performance is dramatically lower.
* Conclusion:The U.S. continues to be in a class by itself in the underperformance of its health care sector. While the other nine countries differ in the details of their systems and in their performance on domains, unlike the U.S., they all have found a way to meet their residents’ most basic health care needs, including universal coverage. [...] Introduction
Mirror, Mirror 2024 is the Commonwealth Fund’s eighth report comparing the performance of health systems in selected countries. Since the first edition in 2004, our goal has remained the same: to highlight lessons from the experiences of these nations, with special attention to how they might inform health system improvement in the United States.
While each country’s health system is unique — evolving over decades, sometimes centuries, in tandem with shifts in political culture, history, and resources — comparisons can offer rich insights to inform policy thinking. Perhaps above all, they can demonstrate the profound impact of national policy choices on a country’s health and well-being.
In this edition of Mirror, Mirror, we compare the health systems of 10 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom, and the United States. We examine five key domains of health system performance: access to care, care process, administrative efficiency, equity, and health outcomes (each is defined below).
Despite their overall rankings, all the countries have strengths and weaknesses, ranking high on some dimensions and lower on others. No country is at the top or bottom on all areas of performance. Even the top-ranked country — Australia — does less well, for example, on measures of access to care and care process. And even the U.S., with the lowest-ranked health system, ranks second in the care process domain.
Nevertheless, in the aggregate, the nine nations we examined are more alike than different with respect to their higher and lower performance in various domains. But there is one glaring exception — the U.S. (see “How We Conducted This Study”). Especially concerning is the U.S. record on health outcomes, particularly in relation to how much the U.S. spends on health care. The ability to keep people healthy is a critical indicator of a nation’s capacity to achieve equitable growth. In fulfilling this fundamental obligation, the U.S. continues to fail.
In Australia if you live near a clinic or dr. who bulk bills your access is good. And free. If you live in a more isolated country area your access is not so good. And could cost. Oh, and guessing this could be one factor in our low access score, in Australia to get to a specialist, i think, you must always be referred by a GP first.
Slip in this on bulk billing, it wasn't in my search result.
Upcoming Changes to Bulk Billing Incentives in General Practice Strengthening Medicare with more bulk billing from 1 Nov 2025. The Australian Government is investing $7.9 billion to expand eligibility for bulk billing incentives to all Australians and establish the Bulk Billing Practice Incentive Program to support general practices to bulk bill all patients https://www.health.gov.au/our-work/upcoming-changes-to-bulk-billing-incentives-in-general-practice
To argue for no private involvement at all, i think is a bit off the mark. Seems some sort of a private public mix works best. Maybe i'm wrong to think that. I personally pay for private insurance basically for two reasons: To support my personal safety net and to do my little bit to help take some pressure off the public system. All my operations have been done in the same public hospital .. https://slhd.health.nsw.gov.au/rpa . After the new knee op and about 10 days in the RPA, then simply because i had private insurance, and because i live alone in a house with steps i was able to get about 10 days in a private rehabilitation hospital at no cost to me. A friend who lives at home with no stairs, and whose wife is a nurse, went home within two days of getting his new knee. Then he had to go from home to rehab sessions at the hospital. Both of us had the op done at the RPA.
Market Data 
Markets 
AI
