In the US, for decades, Medicare has been known as a miserable nightmare of cost-driven inefficiency and denied service.
The reasons for that are many, and all of those are completely artificial - there are almost no political incentives to make it work well (and compete with private healthcare), and plenty of incentives to make it not work at all (because private healthcare donates a lot to politicians).
and in the other direction "freedom of speech" gets heard as "permission to promote literal Nazis."
That's one feature of absolute freedom of speech - and that makes the freedom of speech a complicated issue with a lot of grey in the middle. OTOH, agencies such as the FCC and the FDA exist that could be a model for one that prevents the soviet-doctor-hell scenario.
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The reasons for that are many, and all of those are completely artificial - there are almost no political incentives to make it work well (and compete with private healthcare), and plenty of incentives to make it not work at all (because private healthcare donates a lot to politicians).
That's one feature of absolute freedom of speech - and that makes the freedom of speech a complicated issue with a lot of grey in the middle. OTOH, agencies such as the FCC and the FDA exist that could be a model for one that prevents the soviet-doctor-hell scenario.