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> In practice, it's based on [...] man power.

Of course it's based on manpower, prioritization can only happen based on available resources, if there are no resources prioritization can not do anything. And it couldn't do any more if the prioritization scheme was different.




> UHC systems is prioritization based on needs (rather than money)

You seem to be confused. The reality is based on manpower, but you seem to think that manpower is the same regardless of the system used. That isn't true. Manpower is defined by funding, pure and simple. Lack of funding? Lack of manpower. This is the current problem in Canada.

So, you can prioritize treatment, but it's meaningless if you don't backup that treatment with proper funding.

Essentially, you want prioritization based on needs and manpower, but you don't discuss funding in anyway. You also ignore who sets prioritization.

Now, collecting funding is relatively easy to discuss: taxes. Of course, the flip side is paying. The government can put requirements on the cost for various services. But unless you are suggesting all doctors must accept government insurance, this doesn't affect private costs. Those costs will go up. Essentially, if you want more money, go private (again, same thing you see in Canada). This pulls workers from the public sector, and swamps the system. That's when you get 3 years waits for services, sub-standard workers, etc.

By ignoring who sets prioritization, you also skip past a sticking point. Who controls that? Government or doctors? Well, regardless of who you'd want, it's the government. After all, they are defining what they will pay for, and the costs. Even if the doctors say one thing, say something is needed, the government doesn't fund it? So sad, too bad. Your paying for something that isn't covered. And don't think for a minute it will make sense, either, what they cover. I'm not talking about rare diseases or conditions.

No. It's easy to suggest how you think things should be done, and make simple remarks like "Just base it on need." It's akin to me saying "Don't get sick." or "Save money for your health care." It's like if I say to a poor person "Get a better job."

"Just base it off need."




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