robtex said:
If you give the government a monopoly on the insurance industry everyone loses.
It seems that most of the nations of the world disagree with you:
Public systems around the world
In Australia the current system, known as Medicare, was instituted in 1984. It coexists with a private health system. Currently, the tax levy system of funding Medicare has led to a severe revenue shortfall, with increased costs to patients. This has triggered reforms to the scheme by the Howard government. Many critics claim that these reforms are in fact a move away from the principle of universal health care.
Canada has a federally-sponsored, publicly funded Medicare system. Each province may opt out, though none currently do. Canada's system is known as a single payer system, where basic services are provided by private doctors, with the entire fee paid for by the government at the same rate. Other areas of health care, such as dentistry and optometry, are wholly private. (As a side note, I live near Canada and visit there often, and am told by Canadians that they are very happy with their medical system over all.)
Cuba has a wholly government-controlled system that consumes a large proportion of the nation's GDP. The system does work on a for profit basis in treating patients from abroad. Cuba attracts patients mostly from Latin America and Eastern Europe by offering care of comparable quality to a developed nation but at much lower prices. While the government system is free to all, patients frequently pay out of pocket for drugs that are in short supply in the public system.
In Finland, the publicly funded medical system is funded by taxation and every citizen has state-funded health insurance. The system is comprehensive and compulsory, like in Sweden, and a small patient fee is also taken.
In France, most doctors remain in private practice; there are both private and public hospitals. Social Security consists of several public organizations, distinct from the state government, with separate budgets that refunds patients for care in both private and public facilities. It generally refunds patients 70% of most health care costs, and 100% in case of costly or long-term ailments. Supplemental coverage may be bought from private insurers, most of them nonprofit, mutual insurers. Until recently, social security coverage was restricted to those who contributed to social security (generally, workers or retirees), excluding some poor segments of the population; the government of Lionel Jospin put into place the "universal health coverage". The majority of French doctors are in private practice. In some systems, patients can also take private health insurance, but choose to receive care at public hospitals, if allowed by the private insurer.
In Ghana, most health care is provided by the government, but hospitals and clinics run by religious groups also play an important role. Some for profit clinics exist, but they provide less than 2% of health services. Health care is very variable through the country. The major urban centers are well served, but rural areas often have no modern health care. Patients in these areas either rely on traditional medicine or travel great distances for care.
In Hong Kong, both private and public clinics are common, while public hospitals account for the majority of the market.
In Israel, the publicly funded medical system is universal and compulsory. Payment for the services are shared by labor unions and the government.
In the Netherlands, a system of standardized and mandatory health insurance is in place, meant to encourage competition between healthcare providers and insurers. The insurance policies are paid for through a system of levies and subsidies as well as a premium paid by the insured, from which children under 18 are exempt.
In New Zealand hospitals are public and treat citizens or permanent residents free of charge and are managed by District Health Boards. Under the current Labour coalition governments, 1999 - present, there are plans to make primary health care available free of charge. At present government subsidies exist in health care. This system is funded by taxes. The New Zealand government agency PHARMAC subsides certain pharmaceuticals depending upon their category. Co-payments exist however these are ignored if the user has a community health services card or high user health card.
In South Africa, parallel private and public systems exist. The public system serves the vast majority of the population, but is chronically underfunded and understaffed. The wealthiest 20% of the population uses the private system and are far better served.
In Sweden, the publicly funded medical system is comprehensive and compulsory. Physician and hospital services take a small patient fee, but their services are funded through the taxation scheme of the County Councils of Sweden.
In 1948, the United Kingdom passed the National Health Service Act that provided free physician and hospital services to all people resident in the United Kingdom. Most doctors and nurses are on contracts, and receive salaries, a fixed fee for each patient assigned, and enhanced payments for specialized treatments or skills. The National Health Service has been amended from time to time, but is largely intact. Around 86% of prescriptions are provided free. Prescriptions are provided free to people who satisfy certain criteria such as low income or permanent disabilities. People that pay for prescriptions do not pay the full cost. For example, in 2004 most people in will pay a flat fee of £6.40 (9.64, US$11.76) for a single drug prescription regardless of the cost (average cost to the health service was £11.10--about 16.70, US$20.40--in 2002). (Charges are lower in Wales, and the administration there is committed to their eventual elimination.) Funding comes from a hypothecated health insurance tax and from general taxation. Private health services are also available.
The United States has been virtually alone among developed nations in not implementing a universal healthcare system. However, the U.S. health system does have significant publicly funded components. Medicare and Medicaid coverage is financed from taxation, but care is generally provided by privately owned hospitals or physicians in private practice. Medicare is a federal government program providing coverage to people age 65 or older. Medicaid is a federal and state program providing coverage to low-income and disabled persons. The Department of Veterans Affairs directly provides health care to U.S. military veterans through a nationwide network of government hospitals. However, a significant number of people exist who do not obtain health insurance through their employer, are unable to afford individual coverage or elect not to purchase it, and are not elderly or poor enough to qualify for Medicare or Medicaid coverage. Currently, it is estimated that 17% of the U.S. population is uninsured. A few states have taken serious steps toward universal health care coverage, most notably Minnesota and Massachusetts. Other states, while not attempting to insure all of their residents, cover large numbers of people by reimbursing hospitals and other health-care providers using what is generally characterized as a charity care scheme; New Jersey is perhaps the best example of a state that employs the latter strategy.
http://en.wikipedia.org/wiki/Publicly-funded_medicine
"Free enterprise competition" doesn't work with essential necessities, like health care, because the buyer doesn't have the option not to buy. This is why most countries have socialized some goods and services, as has the united states. Unfortunately, the U.S. has gone through a recent fad of "deregulation" of these essential services which have resulted in disaster. Health care is one instance, though it is not fully deregulated, and the privatization of municipal gas and electrical grids is another. And the reason for these disasters is obvious, when the buyer doesn't have the
option not to buy, then the sellers have an automatic monopoly, and know it. In the case of health care there are "competitors", but in an emergency, people don't have the option of shopping around for the best price. And in the case of municipal grids, there are no competitors, because the grids are too expensive to duplicate.
"Free enterprise" works fine for most things, but there are some essential goods and services that can't be left to the whims of the open market. Health care and municipal utilities are an example. Most other nations have recognized this and have taken steps to accommodate this reality.