if you want to make health service as expensive as ;possible you do want americans do- you get every expert to lobby for more and mote cost - from lawyers to professional qualifications to big pharma to insurance agencies whose bureaucracy spreads like weeds- you end up with the most expensive health care in the world and one where life expectancy has stared to go go down because more and more people cant afford it
alternatively you can maximise a community's self sufficiency - segmenting service where expertise is really needed (eg 98% of hospice care doesnt need over-qualified professionals)
banagldesh vulagers built the most extraoirdinary health service i have ever come across - they lived in vilages without electricity- the few qualified doctors that bangladesh had as a new nation in the 1970s didnt want to go and live in villages- so at $100 bRAC worked out how to train vilagers to seve the most common linfant ife threatening illnesses such as dehydration and lank of njutrituin and the moist common maternal chalenges; of course this helath service didnt ofer major surger but then with no electricity in the vilages that wants possible anyhow; by focising on the basics - vilage life epectancy was raised from hiugh 30s to mid 60s; with most infants surviving vilage mothers werent required by the culture to give birth to so many children; over time other specific services were matched by disesease- for example infectious diseases like tiberciulosis are most safely and so economically sevred by people who have had teh disaease and survived- moreover basic health can be taught at schopls or throuogh peer to per adoielscent clubs and tiday online apps bring more and more local sufficiency
you cant ,legislate for more economic health service- you can market match it f you are prepared to clarify how to segment service solutoions
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