In America, health care is mostly rationed based on your ability to pay. Emergency room triage is one of the only truly meritocratic institutions in the American health system, where your treatment is based on urgency, not cash. Of course, you can buy your way out of that too, with concierge doctors. And the ER system itself has been infested with #PrivateEquity parasites:
https://pluralistic.net/2022/11/17/the-doctor-will-fleece-you-now/#pe-in-full-effect
13/
Wealth-based health-care rationing is bad enough, but when it's combined with the public purse, a bad system becomes a *nightmare*. Take hospice care: private equity funds have rolled up huge numbers of hospices across the USA and turned them into rigged - and lethal - games:
https://pluralistic.net/2023/04/26/death-panels/#what-the-heck-is-going-on-with-CMS
Medicare will pay a hospice $203-$1,462 to care for a dying person, amounting to $22.4b/year in public funds transfered to the private sector.
14/
