But... most places that could have emulated the NHS didn't, and don't want to. France is probably closest, but Germany and the Netherlands (for example) chose "manged competition" by private insurers, and show no interest in further centralization or direct provision.
And the country that has moved in the most "Libertarian" direction in recent years (New Zeeland) opted to provide government insurance for catastrophic expense only.
So something ,like the NHS is *far* from inevitable, even in societies far more receptive to "Big Government" than our own.
In fact, most of these health care systems evolved out of preexisting arrangements and in accordance with "national temperament", and the US system is going to be the same - so IMO it's *far* more likely to look like the Dutch system than the English or even the French.
“opted to provide government insurance for catastrophic expense only”
That is insane to me, since it is exactly the sort of thing insurance (as an actual purchase) is good for.
“National temperament” is a funny thing. We are only a wobbly toddler socialisticly speaking. Germany may be one way now, but I bet they had nationalized healthcare in the 30s, didn’t they? We never had that, but we’ve been rushing downhill headlong since 08, and I’ve seen ni significant turnaround overall since the New Deal.
By the way, when I say inevitable nationalized healthcare, I don’t necessarily mean the NHS. There’s more than one way to skin an economy. We have a central bank, you know, which controls our money supply and effectively runs the banking industry. Do most people even realize? Certainly it wasn’t sold that way, and how many fell for its subtle dodges of fake privateness and dissolution. Listening to the evening news I’d think they were all wildcats on some frontier.
Healthcare will be managed nationally, as is transportation, finance, and energy now, only moreso. It needn’t all be located in one big building marked in recognizable letters.
But perhaps I’m abusing the term “nationalize.” What do you call the desultory public-private monstrosity known as the US economy now? I’d say fascism, if it didn’t have misleading connotations. That’s nationalistic enough.