For pricing being out of control, absolutely it’s worse in the US, I don’t doubt that for a second.
I’ve yet to see a government controlled program that operates efficiently though. Everything is very slow going if you’re in a city here (healthcare wise). Not bad in rural areas though (if you can find a hospital close to you lol)
Part of the slowness (in any regulated sector) is also inherent in running democracy’s - changing policies and redirecting funding every time a new party is elected, all while creating more bureaucracy.
Not that I want a fascist government at all lol, but just wanted to add that there’s probably more issues to it than just being capitalistic. I’m not trying to disagree about your capitalism point though - there’s for sure issues in that too
You should look in to how socialist countries have handled healthcare infrastructure. Cuba and the old GDR are notable for the effectiveness of their healthcare system. There’s a book called “Stasi State or socialist paradise” that has a chapter or two on how the GDR handled medical care. And of course Cuba is famous for training large numbers of doctors and sending them all over the world. iirc the deal in Cuba is that you can go to medical school, and in exchange you basically get posted to a clinic somewhere for a few years. Could be urban, could be rural, could be anywhere. Once you’ve done your period of service your options open up to pursue whatever. It ensures they can train a lot of doctors and also that even the most rural areas will have trained medical professionals near by all the time.
Those doctors don’t really get a choice in much, it seems. A little over 7,000 of them have defected to the US when they were sent abroad.
The idea of decentralization is important, when you bundle everything into one controlling entity, they get to decide everything. Bad actors will fill that position when they can - if it can be exploited, it will.
There may be some infrastructure techniques we could learn, but there still needs to be a better solution than either handing everything over to the government or handing everything over to massive corporations
