You describe two systems:
1. Government is funding the healthcare.
2. International health corporations provide the healthcare and are probably guaranteed a monopoly by government.
The problem with government funded healthcare is that it is not cheaper over time. You lose the ability to see what healthcare and its alternatives actually cost, since it is funded by somebody else and the price is opaque. This means that the information provided by price brings is lost.
The free market is a profit and loss system where the profits and the losses convey information. This is all lost when the government runs it.
The Netherlands provided mandatory government healthcare for 66% of the population from 1994 to 2002. Due to the cost of running this program, long waiting times and lack of healthcare professionals they were forced to move away from this model.
So the current model in the Netherlands now looks much like your insurance example. You have a minimum insurance for healthcare which can not be denied. Healthcare insurers then have extra options that you pay extra for. This transferred the cost problem from the government to the insurers. The insurers make agreements on cost with hospitals, dentists etc. But due to the agreements on cost it did not solve the lack of healthcare professionals. As an example the investment required to become a dentists is not worth it compared to the projected income based on the fixed pricing. So many people choose other professions. The only way to escape the fixed pricing is to be a specialist, since there is not fixed pricing agreements on those services.
To me the best solution is to mimic what Orania is doing. The town is run as a corporation by the community and everything the town provides must be self-sufficient. They receive no government funding. The local community and other local companies funded the companies that provide them water, electricity, security, banking, healthcare etc. With a community of 3000 people they funded their 24-hour service hospital with a staff of 15 by people.
My point is local is better. The less decisions you make in a far off government building and a far off headquarter building the better.
npub1dy…x2wkx
2026-01-26 12:30:32 UTC
in reply to nevent1q…z95g
Author Public Key
npub1dyw3dr3qzs4estmf5v4hje0z6deweqczuslyjchkak2k5u503y8q2x2wkxPublished at
2026-01-26 12:30:32 UTCEvent JSON
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"content": "You describe two systems:\n1. Government is funding the healthcare.\n2. International health corporations provide the healthcare and are probably guaranteed a monopoly by government.\n\nThe problem with government funded healthcare is that it is not cheaper over time. You lose the ability to see what healthcare and its alternatives actually cost, since it is funded by somebody else and the price is opaque. This means that the information provided by price brings is lost. \n\nThe free market is a profit and loss system where the profits and the losses convey information. This is all lost when the government runs it.\n\nThe Netherlands provided mandatory government healthcare for 66% of the population from 1994 to 2002. Due to the cost of running this program, long waiting times and lack of healthcare professionals they were forced to move away from this model.\n\nSo the current model in the Netherlands now looks much like your insurance example. You have a minimum insurance for healthcare which can not be denied. Healthcare insurers then have extra options that you pay extra for. This transferred the cost problem from the government to the insurers. The insurers make agreements on cost with hospitals, dentists etc. But due to the agreements on cost it did not solve the lack of healthcare professionals. As an example the investment required to become a dentists is not worth it compared to the projected income based on the fixed pricing. So many people choose other professions. The only way to escape the fixed pricing is to be a specialist, since there is not fixed pricing agreements on those services.\n\nTo me the best solution is to mimic what Orania is doing. The town is run as a corporation by the community and everything the town provides must be self-sufficient. They receive no government funding. The local community and other local companies funded the companies that provide them water, electricity, security, banking, healthcare etc. With a community of 3000 people they funded their 24-hour service hospital with a staff of 15 by people.\n\nMy point is local is better. The less decisions you make in a far off government building and a far off headquarter building the better. ",
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