I came across this NPR Human Brain podcast about US health care,
https://www.npr.org/2020/09/02/908728981/slaying-the-fee-for-service-monster-of-american-healthcare.
It is a generalized discussion but does veer off into Covid topics from time to time so I hope it's appropriate for this thread. I remember that the topic of health care and how it is run in the US has come up from time to time in several threads. There is a fair amount of discussion in it that is really public policy so I think it fits into this place best.
It's a wide-ranging discussion about fee for service and how it has evolved over time. The person being interviewed maintains that the current system no longer fulfills people's needs very well, that incentives are not well aligned with desired outcomes. And health outcomes are becoming worse in the US, while costs keep going up, not an encouraging trend. One piece of info that she mentioned was the pervasive belief that having insurance companies compete against each other lowers costs, something for which she does not find evidence. On the contrary, she says, the adversarial overhead adds a large percentage to the final cost of health care, higher than in comparable modern economies with single payer systems (or similar). She seems to be saying that the free market competition implementation of US health care increases overhead, which is opposite to what its proponents maintain. (I could be cynical here and repeat the pretentious mantra "follow the money" as to why that would be, but I'll refrain.)
It's a long complex discussion, about an hour long, fairly dense, reasoned, driven by data not ideology. This goes against current-day norms but hey, let's be radical.