briantrumpet
Pharaoh
I'm a great believer in the NHS "free at the point of care" so certainly not arguing for atlernatives but I agree about analysing more that NHS vs US.
When I lived in France I had too much involvement with their state provided healthcare system (ultimately false alarms but caused fair involvement) and it was certainly interesting. nb my experience was several years ago so maybe things have changed. But, when I moved there you didn't have a registered GP and that caused issues as many French would visit one GP get a prescription then visit another next day and get a prescription and their one condition would mean duplicate visits (and they'd end-up with 3 sets of anti-biotics and only use 1). So it changed and you paid €20 to see your registered GP but got €19 refunded (through a very slick fast easy system).
If you needed more serious care there were set rates for different treatments eg (hypothetical numbers) kidney stones €1234 and you chose your hospital and pay what the hospital charged eg €2345 and claimed back only €1234 (Gov. set rate) from the state. Most of these set rates were below what most hospitals charged so you made-up the difference unless you took out "top-up" insurance and with that you decided what %age of the rate you want cover for (can't remember bandings as I never took it out) but eg you'd take private insurance to top-up to 120% of official rate.
But there were exemptions from this when Gov. covered entire cost eg many cancers.
So not genuinely "Free at point of care" but also a long way from the US model.
Remembering that I'm not proposing such a scheme for the UK, just noting how it works in France so we are not comparing like with like for NHS vs CPAM.)
I think that sounds as if it's pretty much the same now, from what one of my French neighbours has said: she's had a number of operations/treatments over the past few years, and the costs of some have certainly been an concern for her.
The GP system is a bit broken, I think. There's no appointment system, AFAIK, at least with the local GP (and yes, it's just one), and there's a national shortage of doctors, with vacancies going unfilled for months, though that might be because it's the region is generally fairly sparsely populated; it might be better in larger conurbations.