“Small countries” like… every other country aside from China and India? Japan is has over 100 million people and is the third largest economy.
I didn’t say “small,” I said “smaller,” and I think 1/3 of the population counts as “smaller.”
Also from all I’ve heard, it works much better in Canada (pop. 35.6 million) than in the UK (pop. 64.1 million). I’ve only experienced the UK system (where I couldn’t so much as get on a doctor’s list, despite being eligible), but I’ve heard it works better in Canada.
Moreover, you think the United States government is less susceptible to hacking than a given insurance company?
No, I think that if you put all of the health information for 320 million people in one place, it is a much more tempting target than however many people would have records in the database for a single (even a large) insurance company. I also think that potential foreign info-terrorists get more emotional about the US government than about a single insurance company, and would be willing to expend more effort into hacking the government.
I also think that if an insurance company gets hacked, they lose a lot of money, so they put a lot of effort into not being hacked.
If health records at the federal government get hacked, they lose some credibility for a while, but as the recent past has shown, anyone who remembers about some scandal all the way to the next election will be viewed as some sort of nut-job, and anyway, there’s always someone unelected who can carry the bag. So their incentive to avoid hacking is less.
I also think that if an insurance company doesn’t like your “lifestyle choices,” they can’t put you in jail for it.
Furthermore, I think that ever since the government has gotten so involved in healthcare, lots more people think that one’s lifestyle choices (I mean like beer and doughnuts, not like cocaine) are their business, and therefore they can give people unwanted advice at all times, and can get mad if the advice is not followed, because after all, it’s their money that’s being wasted on “those people” who are living unhealthy lifestyles. (Funnily enough, I have found that last sentiment to be voiced even by people who don’t actually pay any federal income taxes.)
We’re spending more than on healthcare at the federal level than Canada- we’re already, effectively, overpaying paying for universal healthcare, but we still need massive private spending because the private model is inherently economically inefficient.
IMO, we still need massive private spending because the government wastes so much of the money it gets. (Also because we need some sort of tort reform to bring malpractice insurance costs to a more reasonable level.)
–Jen