I am not assuming anything at all, people that attempt to inject affordability into the care debate are doing so for disingenuous reasons.

The question of affordability is different from the question of quality care, we can solve the affordability problem with out having to lower the over all standard of care which is what you are advocating for, the bringing down of the overall quality of care in an attempt to increase accessibility of care. Ironically putting that faith in the US Federal Government will only result in 1 of those happening.

>> people that attempt to inject affordability into the care debate are doing so for disingenuous reasons

What exactly is disingenuous about wanting more people to live longer with higher “quality of life” for less overall spend on healthcare? You can’t achieve this without resolving the affordability issues.

>> which is what you are advocating for, the bringing down of the overall quality of care

With all due respect, you’ve made that up to fit with your world view. It’s certainly not something i’ve advocated for.

Those triple heart bypass operations i started the thread with - the 10x more expensive US procedure results in 3 year shorter life expectency post operation.

It costs more, and it’s not as good a result?

(I am being slightly disingenuous at this point - the reason the US outcomes are poorer despite being 10x more expensive for the same operation are due to differences in the health of the average patient - in the UK because healthcare is free at the point of access, there tend to be earlier interventions, in the US there is a marked difference in severity of presentation - ostensibly people wait longer until they’re really unwell before accessing healthcare)