I’m in Australia, which is supposed to have universal health care, that system has been eroded into dysfunction by decades of neglect and downsizing by subsequent conservative governments. Right wingers slash and burn budgets, and then “left leaning” centrist governments come in with the weakest possible reform agenda, never returning things to where they were but preventing others from fixing it either.

I’m not sure where Canada, NZ and other English speaking nations are at, but I assumed that their health systems are negatively affected by neo liberalism and similarly face problems that didn’t exist 10-25 years ago. Even if they have universal healthcare on paper, shenanigans by lobbyists, slashing of budgets and other institutional neglect has led to a breakdown in the care people can access.

The UK has an even worse issue with the NHS. It was already as bad as Australia before Brexit, now it’s been a prolonged period of people on public waiting lists where patients wait for over 2 years, unable to see specialists or book in surgeries. Untold amount of misery, and even death, that was preventable.

Countries like Sweden, Norway and Finland seem to have done a better job protecting the interests of the public from greed. But then there’s western countries that have huge social issues like Spain, France, etc.

My perception is that western democracies are not good at protecting their citizens because law makers, the media and other mechanisms in a western democracy allow for abuse by greed and self interest. It seems like despite strong laws and traditions existing, ongoing campaigning by those with money and allowing those people to earn a profit from essential services results in those services being eroded.

And on that score, I often muse if we should be grateful that MAGA and Trump are accelerating the timetable as they have… Capitalism, world economics and geopolitical problems as they were 20 years ago could have been sustained well into the 22nd century. We are so good at avoiding change at all costs!

Now we are headed for a societal collapse, once the ruffians who instigated it are out of the way I think the future for humanity looks quite bright indeed. We may even beat climate change, so long as we… beat all the nasty billionaires, nazis, dictators and oligarchy first… holds head in hands

I don’t know if and am not saying there are enough to cover the gap… But there are certainly plenty of unused resources in the private hospital system. Doctors, nurses, beds, medicines that could be put to use saving lives, preventing trauma and improving the livelihoods of people in the public system.

The private medical system has siphoned too much from the public for too long. It should always have been a premium tier for the wealthy to enjoy caviar and have cable TV in a private room after surgery. Instead, people who go to a public hospital for urgent emergency care are being sent home to die in error, instead of the ICU, because public emergency rooms are catastrophically overloaded.

In Australia we’ve taken the disadvantage of the poor a step further, like we often do, and have propped up the private system advantaging it even further, e.g. by forcing people to pay a tax for not having private insurance, labyrinthian bureaucracy of referrals that rack up consultation fees and achieve nothing for patients, etc.

Western democracy is at risk until this is done. We literally don’t deserve to exist if we can’t figure this basic stuff out - i.e. when our own people are dying, maybe the empty private hospital beds and ample staff resources should be used to save those lives. Because people are… gonna die otherwise. The fact that anything else needs to be said is the problem.