[€uroMeinke]

At least the India example is a model that makes sense, a certain quality level at a more competitive price.

The insurance model is whacked, I agree with Prudence that the insurance company incentive is to deny coverage. The gatekeeper role is they play is a huge pain in the ass as anyone whose dealt with it knows. But even the programs intended to mitigate are difficult to deal with. I have a health care reimbursement account, I contribute pretax dollars for health care expenses, but sometimes getting them to pay is like pulling teeth. Or weird things like the Insurance not paying because they didn't receive a bill from the MD office in 90 days - hey if insurance doesn't have to pay under those conditions why should I? For god's sake we're already funding a huge bureaucracy - can we somehow kill that one without building another?

OK, I'm venting now over my own frustrations with the existing system. I don't know what the solution is, but this can't be the best way of doing things.