One of the greatest challenges any national health coverage plan will have is managing care for the elderly when the "baby boom" reaches its senior years. The vast majority of people require relatively little care throughout most of their lives. We are all likely to require massive amounts of care in the last 1 to 2 years of our existence. At that point it is much more likely that a catastrophic illness (something like cancer, or a cardio-pulmonary disease) will require a much greater amount of interaction with the doctors, clinicians, surgeons, therapists and hospitals than at any other point in our life. That is when the greatest costs accrue.
Health care costs are rising faster than governments or private health insurance companies can keep up, and that is going to continue as the greatest mass of the world's population ages. It has the effect of shifting the bell curve in health care costs to unprecedented heights.
This reality has to be addressed in any management plan whether public (or as Americans tend to say - socialist
) or private (insurance companies). Medicaid covers senior citizens in the USA (correct?) and the only probable way of continuing to fund it is with a government insurance PLUS private insurance system that has the healthy citizens doing their part funding it.
The other option is inhumane misery and bankruptcy on a massive scale.
We should be known by how we care for our elderly. Unless we want to legalize and encourage euthanasia — constructing a health care system that
actually works should be the goal.