<oembed><type>rich</type><version>1.0</version><title>scudofinanziario wrote</title><author_name>scudofinanziario (npub1th…04pa8)</author_name><author_url>https://yabu.me/npub1th6efq80q0w5huy7rzg9mxyw23pxauefeg4nsr7mdywj3qpqlgdsy04pa8</author_url><provider_name>njump</provider_name><provider_url>https://yabu.me</provider_url><html>Great analysis on the system&#39;s incentives, but it&#39;s worth noting that US seniors on Medicare don&#39;t actually get it completely &#39;free.&#39; Most still pay monthly premiums for Part B (out of their Social Security), deductibles, and private supplemental insurance for drugs and copays. However, the heavy government subsidies definitely distort the market prices as you described.&#xA;&#xA;Regarding the solution, it highlights a fundamental philosophical divide. Coming from an Italian/European perspective, our system is built on a different social contract: if a retiree gets sick and their pension isn&#39;t enough to afford treatment, we believe it&#39;s the state&#39;s moral duty to ensure they don&#39;t die or go broke, treating healthcare as a fundamental right.&#xA;&#xA;The real challenge seems to be finding the balance. How do we prevent the &#39;Sickness Industrial Complex&#39; from extracting endless wealth through bad incentives, without completely abandoning the most vulnerable citizens to the raw forces of the market?&#34;</html></oembed>