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You might like to read up on the Dutch system. Everyone is compelled to have private insurance, but insurance is tightly regulated so that the basic level is more or less comprehensive. Insurers compete on the perks...specific hospital compatibility, vision, physical therapy, etc; you can buy nicer perks, but the basics are always covered.

Sometimes employers reimburse employees for health coverage, and sometimes they negotiate a nicer rate package that any employee is free to use; but it’s not tied to employment like it is in the US.

If you’re under 18 it doesn’t cost anything. If you can’t afford it you receive a government subsidy. GP visits are part of the basic insurance, and the system functions with the GP as a gatekeeper.

It’s certainly not a perfect system...for example, a non-urgent surgery might take months to be scheduled if demand is high.

But, overall, I’m convinced this is a vastly better system for society than what exists in America.

Edit: it’s funded through taxes, insurance premiums that are about €110-130 per month, and deductibles which are at least €385 per year




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