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There are really bad things with the current system, but you asked a question.

People are exposed on a regular basis to the DMV, the SBA, to Social Security or to Medicare. Then they compare that experience with the avg experience with a commercial insurer, and it does feel like a better experience (of course, if their employer can afford it)

Worse, there are stories of friends in places like CAN, where insider doctors hurriedly email their friends about a new doctor X that is available for appointments, in order to skip a 6 month wait...

The system in the US is a mess, but those people reason that its the least worst option of the available choices.

If they could be given a 3rd or 4th choice, like for example, make take health insurance companies and turn them into public utilities so the "CEO" is not getting his "yatch fund" from taxpayers, that's worth talking about (as longas you don't forget to look to CA, and their wonderful brownouts + utility-enabled wildfires)



> People are exposed on a regular basis to the DMV, the SBA, to Social Security or to Medicare. Then they compare that experience with the avg experience with a commercial insurer, and it does feel like a better experience (of course, if their employer can afford it)

That’s not what surveys show:

> Americans' satisfaction with the way the healthcare system works for them varies by the type of insurance they have. Satisfaction is highest among those with veterans or military health insurance, Medicare and Medicaid, and is lower among those with employer-paid and self-paid insurance. Americans with no health insurance are least satisfied of all.

https://news.gallup.com/poll/186527/americans-government-hea...

CMS also publishes assessments of its own performance:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Res...


Selection effects. The poor and elderly are likely to be on Medicare and other public programs. If you can't afford healthcare and get it for free of course you'll be happy

It's like my charcoal Weber. I found it on the side of the road. Its dirty, dinged, and the wheels are falling off. But it was free and I can grill on it, so I'm extremely happy with it

On the other hand if I paid for a Weber and got that, I'd be pissed.


> People are exposed on a regular basis to the DMV, the SBA, to Social Security or to Medicare. Then they compare that experience with the avg experience with a commercial insurer, and it does feel like a better experience (of course, if their employer can afford it)

And yet, people will also defend SS and Medicare/Medicaid till the ends of the earth. I personally find the only people that endlessly rag on social services, and to a large extent, government services, are people that have money and usually a lot of it. It's fine to argue for stopping inefficiencies, but to argue that the only way to stop inefficiencies is the complete abolishing of a government service is the peak of a particularly American argument. The argument usually comes from a place of "I have money, why do I have to put up with this, why do I deserve this?", which is an odd position to take. Americans usually carry the view that quality of service should scale with how much money you make or have, but that leads to a perverse view where worse off people, or low wage earners "deserve" the care they get in a dog eat dog world. When you have socialized healthcare options, that mindset comes across as bizarre if also irrelevant. "Deserving" never comes into the discussion aside from the idea that everyone deserves healthcare, which is the starting premise/assumption anyway.

> Worse, there are stories of friends in places like CAN...

> The system in the US is a mess, but those people reason that its the least worst option of the available choices.

The odd thing is, Canadians might criticize the Canadian healthcare system, but I have never met a single Canadian who would suggest the American patchwork is the "least worst option". It's that kind of reasoning that a lot of people from outside the US find nearly delusional.


> People are exposed on a regular basis to the DMV, the SBA, to Social Security or to Medicare. Then they compare that experience with the avg experience with a commercial insurer, and it does feel like a better experience (of course, if their employer can afford it)

This probably varies regionally.

My local - upstate NY - DMV is quick, efficient, and the folks there are pleasant and competent.

My private health insurer hasn't been able to fix my website login for four years, routinely denies care for chronic conditions, and fulfills most of the nasty stereotypes about government bureaucracies.




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