The problem with US healthcare isnt the payer, its the supply of workers/red tape.
Physicians are clearly the worst with their complete control through the ACGME/AMA, but pharmacists were a huge lobbyist in 2008 when it mattered. The various owners, hospitals, pharma manufacturing, pharmacies, all make sure they keep the red tape strong and the medicaid + medicare payments coming.
Nah, the payer system is fundamentally broken. Inability to negotiate and set proper price controls on aspirin for example ends up in a huge fight over who makes the most money out of the system.
While there are other areas that can be improved (supply of professionals) the reality is that the payer model, at its core, is really the big issue.
All the other successful healthcare models across the world have no concept of the American Payer system.
Physicians are clearly the worst with their complete control through the ACGME/AMA, but pharmacists were a huge lobbyist in 2008 when it mattered. The various owners, hospitals, pharma manufacturing, pharmacies, all make sure they keep the red tape strong and the medicaid + medicare payments coming.