In countries with "universal healthcare", there is a big incentive from the organization paying the costs of exams to emphasis preventive care because ultimately, they won't run a deficit every year.
And usually, it has a big bargaining power because its decide if if will reimburse the medicine or not.
Similarly, there is a big incentive to reduce tobacco, alcohol consumption and obesity, because it has a big cost shared by everyone paying to the common fund.
So I would say that universal health care has the same incentive to reduce the overall cost, that a multi payer system.
> In countries with "universal healthcare", there is a big incentive from the organization paying the costs of exams to emphasis preventive care because ultimately, they won't run a deficit every year.
Does medicare do that? They stand to profit the most out of preventative care.
There isn't really. In this case, the organization paying the cost has the power to confiscate whatever it needs from the citizens to fund its expenses. They are not operating with the financial motivational pressures of a business or even a non-profit organization.
All of government is a big cost shared by everyone paying into the common fund. That doesn't seem to have created any incentive at all to control spending. Quite the opposite in fact.
And usually, it has a big bargaining power because its decide if if will reimburse the medicine or not.
See for example : http://www.pmlive.com/pharma_news/france_agrees_lowest_soval...
Similarly, there is a big incentive to reduce tobacco, alcohol consumption and obesity, because it has a big cost shared by everyone paying to the common fund.
So I would say that universal health care has the same incentive to reduce the overall cost, that a multi payer system.