Original post by BornblueThe problem is that the free market, private sector approach does not work for healthcare, certainly not as well as a nationalized service.
I am not against the private sector as a whole. In fact some things it does far better than the state could do but others, it does far worse. The problem is that there seem to be people who put ideology ahead of evidence. They assume that the private sector is always best, no matter how much contrary evidence there is and when they are proved wrong, like with healthcare or the railways, they go 'ah but the problem is that it isn't free market enough' etc. It's a policy of diversion, akin to those on the left who claim Labour weren't left wing enough every time they lose an election.
The free market model simply doesn't work for healthcare, both on an individual and economic level. Healthcare is vitally important. If you buy a cheap computer and it turns out to be rubbish, you've only lost a little bit of money, most of the time it will not have serious negative consequences. However, if you buy dodgy healthcare, or a cheap xray or cheap treatment, the consequences can be disastrous and potentially fatal.
We can never have a truly free market for healthcare because it demands regulations as an industry, constituting government interference. Do you think the state is wrong to ban the provision of medicines which have not been clinically tested? If the free market is always best then surely we should allow non-licensed doctors to perform medical operations? After all, demanding a license constitutes interference. The reality is that we do not want companies trying to undercut each other and cut corners with healthcare, it's too important and too risky. Cancer treatment can cost hundreds of thousands, if someone is fairly poor and can't afford such treatment, what's to stop some sham 'doctor' offering super cheap, but ineffective treatment? Unless of course you think there should be regulations to prevent unlicensed doctors, which contradicts your free market position.
Secondly, there is no real evidence that it reduces prices. Rail fares have increased enormously when the rail companies became privatised, same with the price of gas and electricity. Your justification that 'oh well the problem is that they aren't privatized enough' seems opportunistic and again, akin to saying Labour isn't left wing enough every time it loses an election for being too left wing.
Finally, it makes complete economic sense to invest in a Nationalized Health Service. Investing in health is a fiscal multiplier. If you have a nationalized, easily accessible health service then you have a healthier population. A healthier population is a more productive population. People spend less time off work and can work longer. They are also more unlikely to encounter huge health bills which again raises morale, reduces stress and results in higher levels of productivity. In addition, when people pay less for health, they have far more money to invest in other markets, increasing economic activity.
People say that a nationalist health service is inefficient, and it may be, but far less so than privatized services. Japan spends about a half of what the USA does on healthcare, as a proportion of GDP and people live longer and are more productive. Far more money is spent and wasted in the American system for an overall lower standard of service.
The NHS is more efficient, safe and better economically than having only a privatized health service.
To argue otherwise is to put ideology ahead of evidence.