Just a few possible problems with Universal healthcare.
List of the Cons of Universal Health Care
1. It requires people to pay for services they do not receive.
In the United States, about 5% of people consume about 50% of the health care costs which are generated each year. On the other end of the spectrum, the healthiest 50% of the population consumes just 3% of the health care costs in the country. In a system of universal health care, those who are healthy and wealthy are asked to care for those who are poor and sick. That can be difficult to accept since most chronic diseases can be prevented with simple lifestyle modifications.
2. It may stop people from being careful about their health.
When a system of universal health care is present, the general population may not treat their health as wisely as they would if the direct costs of their choices were their personal responsibility. There is no financial incentive for someone to stay healthy in such a system. That means people might schedule an appointment for any reason at all or not take care of themselves as they probably should.
3. It may limit the accuracy of patient care.
Doctors make a lot of money in a free-market system of health care when they are able to provide needed services to patients who require them. Within a system of universal health care, doctors are often assigned more patients than they can legitimately handle. They rush through the interview and diagnostic process, looking for the most likely explanation of bothersome symptoms instead of offering a thorough exam. In some ways, the costs of universal care could be higher on a personal level than they are in other systems.
4. It may have long wait times.
For elective procedures within a universal health care system, the wait times can be extremely long. Some elective procedures may require 9-12 months of waiting before they can be scheduled. In Canada, the wait times to see a specialist can even be long for some patients, with some people waiting almost 40 weeks to see someone for a health concern. That is because the primary goal of a universal system of care is to provide basic care and emergency care only.
5. It limits the payouts which doctors receive.
Even in the limited universal care options that are available in the U.S., doctors receive a limited compensation amount. That keeps costs for care lower for the patient. It is also a reason why quality services are not always provided. Doctors have their own costs to consider, so they may spend less time with their patients to improve their billable hours or reduce their own personal costs of providing care.
6. It can limit new technologies.
Because there is such a drive to keep costs down, innovation can fall behind in a universal system of health care compare to a free-market system. That is because there is less funding available to research new technologies within the field. Over time, the lack of funding in research and development could actually cost more lives than are saved by the expanded access to care.
7. It requires significant budgeting skills.
In Canada, the costs of health care can be as much as 40% of the government’s annual budget at the provincial level. Without strong management skills, the high costs associated with providing universal care can quickly overrun the budget, which reduces services in other areas. That often puts infrastructure and education funding at risk if health care costs are higher than anticipated.
8. It may limit services.
As another cost-savings measure, a system of universal care may restrict access to certain procedures or medications if the chances of patient success are minimal. These systems might choose palliative care over life-saving measures. They might choose to require patients with rare conditions to privately pay for expensive medications. About 25% of the costs found in the Medicare budget each year are directed toward people in the last 6 years of their life. One easy way to save money would be to limit the care that group of people receives.
9. It may offer multiple systems of coverage, which increase patient costs.
Most countries still try to keep competition in the field of medicine, so they introduce various structures to complement their system of universal care. There may be pre-pay options, private insurance models, supplemental insurance plans, or expanded choice opportunities available. If families are stuck paying taxes on basic health and emergency care, then pay a private insurer for specialist or elective procedures, they may find themselves paying more for their health care than in a standard free-market setup.