I think the right solution is the middle - private primary care and public chronic & advanced care. India does this but loses out on effectiveness because of capacity problems and simply the huge scale it needs to work at.
Primary care is provided by private doctors and hospitals, so it is almost like a business. Doctors offices have websites, and get reviews from general public. You choose where you go to. All health insurances cover almost all of them. The doctor's offices are "competing" to provide a good service - being clean, solving problems correctly, not charging too much etc.
The government spends what ever money it allocates for healthcare on Public hospitals that focus on expensive medical equipment(labs, diagnostic machines etc), and treating chronically ill patients.
In an ideal world, you go to private doctors to figure out what is wrong, and then use the public facility if you can wait, and get the surgery/medicine/treatment for free. Often times, the private doctor refers you to a public doctor with a specific note that says this person needs this particular surgery using this particular medical device.
However, this systems leaves a big hole in catering to the poor who cannot afford to go to a private doctor for primary care owing to costs. No system is perfect. I think this model has the most potential for better healthcare.
I think a good entry point for making public healthcare better would be making each doctor visit require a small amount of money.
E.g. $1 or $5. This way people that go to doctor just to have a talk (because they are bored - yes that happens in public healthcare, because it is free so people abuse it) would free up the queue for people that really need the visit.
AFAIR there was such proposition in France some time ago, I don't know how they solved that.
Primary care is provided by private doctors and hospitals, so it is almost like a business. Doctors offices have websites, and get reviews from general public. You choose where you go to. All health insurances cover almost all of them. The doctor's offices are "competing" to provide a good service - being clean, solving problems correctly, not charging too much etc.
The government spends what ever money it allocates for healthcare on Public hospitals that focus on expensive medical equipment(labs, diagnostic machines etc), and treating chronically ill patients.
In an ideal world, you go to private doctors to figure out what is wrong, and then use the public facility if you can wait, and get the surgery/medicine/treatment for free. Often times, the private doctor refers you to a public doctor with a specific note that says this person needs this particular surgery using this particular medical device.
However, this systems leaves a big hole in catering to the poor who cannot afford to go to a private doctor for primary care owing to costs. No system is perfect. I think this model has the most potential for better healthcare.