Its a hyperbolic argument, which derives from an archtype we see as a result of systemic failures. Again, i'm not negating the systems of healthcare or centralization itself. I'm not reimagining anything, I'm stating observations verbosely "to the room" to lay out my stance. My argument is not "we need better healthcare systems", if "better healthcare systems" means more organizers at the top placing more rules and more beauracratic systems to enforce said rules.

We need more individuals at the low level navigating the intricacies of the situation. We also need the organizers at the top to be receptive of these local needs. If it was the norm we wouldn't be seeing such disparities of violence and homelessness that already exist.

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In practice, the American health system is larger, more beauracratic and more expensive than any of ours.

I think it's also fair to say we're a significantly less established country, span over a very large landmass. It's quite expensive to do a lot over here in comparison, regardless of how much red tape is involved, which is a lot. I still don't think these are fair arguments though. I can't imagine how cheap it would be to live where yall are at where a majority of your infrastructure has already been built for centuries. Like where is the expense?

Germany was a wasteland after two world wars, and Eastern Europe was Soviet.

Our infrastructure is newer, not older.

I don't know if this is the best video i could pick, but it is from a guy that used to be a marine in USA army. And he is saying something

https://youtube.com/watch?v=VDWRzxf0g1g&pp=0gcJCRsBo7VqN5tD

Youtube blocks me, so i'll take your word for it.

Just keep in mind that the state cannot cover everything or give often the best personalised solutions, thus the private sector and initiative can fill some or many gaps. I guess the rules you are talking about, are the rules that the state in USA tries to apply in the healthcare system in USA for reasons i have no idea about. I have heard something like that before. I don't know what it is all about, but it is specifically related to USA.

In general you go to a public healthcare facility,hospital or else, and you receive a satisfying treatment according to established medical practises. You want something more or something different and you have the money to support it? You go to the private sector. That's it...