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Old 08-03-2009, 02:46 AM  
Christophe
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Join Date: May 2005
Location: London
Posts: 335
There is probably no perfect health system but there are certainly some better than others.

In my opinion Health is a too important issue to be left alone to an unregulated private sector which is in our current system exclusively driven by profits with barely no social contribution in mind. This is where the government representing the country citizens and their interest MUST step in. Whether to regulate the private health system or to create a regulated public system.

Strong pharmaceutical, medical, insurance lobbies will fight any such regulation cause it would mean less profits. On the other hand the public who needs health care (and everybody needs it) is divided in three classes of revenues : low-class, middle-class and high-class.

High class probably isn't much interested in public health care as it would mean more financial contribution on their end. However regulation of the private sector (price capping, policy minimum coverage,....) is in their interest since like the whole population they would be covered for a lower price.

For the middle-class the public health care system may be cheaper or more expensive than the current private system depending on the state they live in and the level of income. However there will be a median and I believe the public health care won't globally change much for them im terms of health expenses. The difference lays where the money goes... in a public system most of the money contributes to pay the health expenses of the poorer people rather than paying the dividends of he already wealthy. Regarding a regulated private health sector, they would definately benefit from it. But who will pay for the poor people health expenses then?

The low-class is winning in both cases whether the government regulates the private sector or create a regulated public health care system. The ladder being the best option for them though.

To conclude:

- the STATUS QUO benefits to powerful lobbies only
- a regulated private sector benefits to the whole population except the powerful lobbies
- a public health system benefits essentially the low-class, middle-class in some serious illness, to the community in general at the expenses of the high-class and powerful lobbies.

In any case i believe the STATUS QUO is the worst scenario. Any other two options is a progress.
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