this post was submitted on 04 Jul 2026
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Feel like you're missing a ton of context for the system in the NL which I think is the most likely model for folks in the USA to accept if we were picking another healthcare model out.
Things like: there's a public fund that's paid into that covers end of life care and old age care. There's a ton of regulation and laws around how insurance companies operate and what they're allowed to bill for. There is a minimum standard of care and price ceiling all insurance companies must meet. There is a lot of oversight via the government ombudsman. There are subsidies for folks that have under x dollars to help them afford the basic plan (which all insurance companies have to follow).
Basically the competition in the private insurance marketplace in the NL is driven by trying to undercut each other's prices since there is a price ceiling for services. Other ways they can compete are better network integration, apps, ease of use, etc etc. It's also driven by the hospitals themselves and what they can offer.
Very much different than the USA.