If I may…
I am from Czechia. A small, 10-million people country in the heart of Europe. Communists seized power in 1948. By 1958, they were already so deep in trouble that they were executing many opponents of the regime just to keep at power. In 1965, a sort of a meltdown was going on, reform-communists were rising through the communist-party structure and people were slowly rejoicing that the terror might end and that we might start building something “social” (as in societial). Then, in spring of 1968, these reform communists came to power and started liberating people, but during the night of 20th-21st of August, 1968, armies of 5 surrounding socialistic countries under the command of Red Army (Soviet Union’s army) invaded us, officially “to help the poor nation from usurpers infected with capitalistic thoughts” and ended all reform attempts. Many intelligent people fled the country on the day of 21st of August (and the few days after, before the “curtain fell” and the borders were locked).
For the next 21 years, the hard communist rule (of 1948-65) was back at power.
When the Berlin Wall fell and the Communist regime in Russia start falling apart because it has starved itself to death economically, there was another slow meltdown in our country as well. In November 1989, it was students who started protesting while they were recollecting the self-immolation of Jan Palach who ultimately brought the regime down.
But for the topic of healthcare: During the communism era as well as after it, we do have the “system of public healthcare”, financed from mandatory health insurance (it’s automatically deducted from your salary/wage, unless you are self-employed, in which case it is your duty to pay this).
If you are officially unemployed, pregnant, on maternity leave, a day-time student, or a child, the state pays the insurance for you.
From this insurance, our healthcare is paid for.
Now, there is a allegorical story about healthcare that goes like this:
[i]3 witches gathered around the infant healthcare and started having visions about its future.
One says: You will be “for free”.
Second says: You will be of high quality.
Third one says: You will be available (promptly) for everyone.
While they were happy with their premonitions, a fourth, evil witch approached, and cursed the infant: “I curse you with this – of those three wishes they gave you, only two will ever be true at the same time.”
Everyone was shocked, but there was nothing they could do with it.
And so, the curse lasts from that day onward.
There are countries with high quality healthcare for everyone, but you have to pay for it.
There are countries with high quality healthcare for free, but only select few get it, all others have to wait endlessly for it.
And finally, there are countries where you don’t have to wait, and it’s free, but it’s so poor, without newest technologies and medicaments, that you are usually better off just drinking warm tea and staying in bed.[/i]
We have the second case – the waiting lists for difficult surgeries are so long that many die before they get it.
The thing is, if something is free and good, people want more and more of it. It’s a human nature to stockpile what is stockpileable and abuse charity as much as possible. We have old people who just go to the doctor even when they have no problems, simply because there is a chance he will prescribe some vitamins to them and then they will get them cheaper than if they had to buy them for full commercial price. There are people who intentionally harm themselves or get sick, so that they can lie in hospital beds for free and be cared about, because they are perhaps lonely or unemployed and don’t want to pay for everything themselves.
Etc.