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I don't see how we can switch to a universal healthcare system when the existing system in place today rips off the government for untold billions of dollars.
About the only way I can see is that the accounting for the system is 100% transparent.
Transparency is important. But the problem is that we don't live in a world where everybody has perfect information, so if a doctor tells you you need something more expesive (like a proton beam thearpy? from the $100 million particle accelerator) when you don't need it, all the transparcency in the world won't change that.
In the US:
http://www.centerjd.org/MB_2007medmal.htm#_edn31
And yet, it it illegal to set up a database of the doctors and their malpractice rates and sell access to the public.
So yea - far from ANY 'perfect information'. Having information is needed for "the market" to work - yet the jabbering fools call for more of 'the market' as 'the solution'.
Kinda like how Creekstone farms can't advertise how they have tested their meat for BSE.
http://firedoglake.com/2007/05/31/cognitive-dissonance/#comments