Selling off the profitable part of the system (cosmetic surgery, simple testing)
If a part of the system isn’t profitable, contract it out to a buddy at two to three times the cost it would cost to do so publicly. Nursing, for example: why pay a nurse via payroll at $x when you can contract nursing to am agency who will charge the government three times $x.
If there’s no way to make the service profitable, just let it rot. Family medicine? Cancer screening? Screw’em.
Thought you guys had single payer up there?
We have single payer, but not single provider:
Our governments are hell-bent on: