I take issue with ‘needs a lot of work’, though it is common phrasing. It promotes the false idea that ‘business is more efficient’ by making it sound like the public administrators are too dumb to know how to do their job.
The real issue, in most jurisdictions, is that it needs more and stable funding, and less political interference.
I don’t mean it to imply lack of competence, and both issues you mentioned sound like they’d qualify as that “work” for me, notably would probably need legislations drafted and passed. Bureaucracy is slow, but hopefully things will steadily improve.
Notably, public institutions are gonna be inherently tied into politics, having to deal with bureaucracy to get things done and subject to the whims of politicians playing their games for influence. It’s not that public administrators are dumb, but they’re part of a much bigger system that is funded by public money, and that presumably makes everything harder.
One big issue is that, to my knowledge, there simply aren’t enough doctors. That’s not something that can be fixed just by working more on it, but hopefully it could improve with better technology and more funding!
I will also say, I think one issue that can be improved rather directly is coordination - some private institutions can give you a list of timeslots available to sign up for and receive you in your allotted time, but in other places (both private and public) you might be waiting an hour for the doctor to show up, with no information on what’s going on and three people ahead of you. Shit happens, but it seems like the systems in place are severely lacking, if present at all.
In several countries the mainstream party politicians (who are Neoliberals) have been slowly privatising healthcare by forcing the Public Healthcare System to outsource more and more of the work to the Private Sector and using the same technique as Thatcher in the UK used to privatise railroads (of which now, decades later, you can see the horrible results) - defund the Public Service and when the quality falls because of it claim that the Public Sector is always incompetent and the the Private is always competent so that’s why that Public Service had problems hence it needs to be privatised to improve.
On top of that there is the actual genuine problem (rather than artificial meddling with the Public Healthcare System to send more money into the hands of politician’s mates) that populations are aging and older people require much more Healthcare Services in average.
Well that and not to mention that politicians abroad do the exact same thing they do in the US. I know the British for instance have a Conservative Party that have repeatedly attacked their healthcare system in order to make privatized insurance seem better.
And then the issues caused by a lack of funding get used in the US to say “SEE! This system doesn’t work!”
Which is the logical equivalent of watching your friend baking pies with not enough filling and deciding to instead pay 4x the price for a pie that you won’t even get your promised slice of. Oh and the pie you get occasionally is made with the meat of other people who were also promised a pie and paid for it.
Pedant rant:
I take issue with ‘needs a lot of work’, though it is common phrasing. It promotes the false idea that ‘business is more efficient’ by making it sound like the public administrators are too dumb to know how to do their job.
The real issue, in most jurisdictions, is that it needs more and stable funding, and less political interference.
That sounds entirely reasonable, and pedantic ;D
I don’t mean it to imply lack of competence, and both issues you mentioned sound like they’d qualify as that “work” for me, notably would probably need legislations drafted and passed. Bureaucracy is slow, but hopefully things will steadily improve.
Notably, public institutions are gonna be inherently tied into politics, having to deal with bureaucracy to get things done and subject to the whims of politicians playing their games for influence. It’s not that public administrators are dumb, but they’re part of a much bigger system that is funded by public money, and that presumably makes everything harder.
One big issue is that, to my knowledge, there simply aren’t enough doctors. That’s not something that can be fixed just by working more on it, but hopefully it could improve with better technology and more funding!
I will also say, I think one issue that can be improved rather directly is coordination - some private institutions can give you a list of timeslots available to sign up for and receive you in your allotted time, but in other places (both private and public) you might be waiting an hour for the doctor to show up, with no information on what’s going on and three people ahead of you. Shit happens, but it seems like the systems in place are severely lacking, if present at all.
In several countries the mainstream party politicians (who are Neoliberals) have been slowly privatising healthcare by forcing the Public Healthcare System to outsource more and more of the work to the Private Sector and using the same technique as Thatcher in the UK used to privatise railroads (of which now, decades later, you can see the horrible results) - defund the Public Service and when the quality falls because of it claim that the Public Sector is always incompetent and the the Private is always competent so that’s why that Public Service had problems hence it needs to be privatised to improve.
On top of that there is the actual genuine problem (rather than artificial meddling with the Public Healthcare System to send more money into the hands of politician’s mates) that populations are aging and older people require much more Healthcare Services in average.
Well that and not to mention that politicians abroad do the exact same thing they do in the US. I know the British for instance have a Conservative Party that have repeatedly attacked their healthcare system in order to make privatized insurance seem better.
And then the issues caused by a lack of funding get used in the US to say “SEE! This system doesn’t work!”
Which is the logical equivalent of watching your friend baking pies with not enough filling and deciding to instead pay 4x the price for a pie that you won’t even get your promised slice of. Oh and the pie you get occasionally is made with the meat of other people who were also promised a pie and paid for it.
yes, and the latest “conservative” assailants on UK (maybe mostly English) health system wear red roses on their lapels.
They all see a giant unmilked cash cow wandering around in a short skirt.