Well I guess I will make quite a few unhappy maybe even angry. Anyway it’s not a personal attack it’s an attack on the absurdity of the “system”
Now in Germany there is a conflict about the payments of doctors. Well for that to really appreciate you have to know, that here in Germany there is a mandatory health care insurance and there are private insurances. Only the later get an invoice for health care services. It’s one fact that all the prices for private insured patients are 2.3 led. That means you get an position of 10 € and with 2.3 multiplied you get 23 €. The private insured persons have to bear the costs first and can then send them to their insurance company.
This does not happen for the public insured person. And as you might guess, that is the majority. So in fact they never see how expensive health services really are. And now starts the problem. If you do not have a market available the costs must be fixes by means of some direction. And who are in there? Well the government and large unions. And so the horror starts. It does not matter where you offer your services and under what conditions. If you have to go to your patient, you still just can charge the same price as if the patient comes into your doctors office. Well yes you get some money to get there but you can see it as you like this money can not bear the costs. And so it comes as it has to come. The doctors on the “land” give up and won’t find a successor.
That means of course you have to accept longer and longer driving to the doctor’s office. And you can bet the offices are alway full. If you’re unlucky you’ve to spend a few hours there. It’s getting worse in hospitals. It’s not really to help the patient what’s driving the hospital, but to fulfill all obligations you have been given by bureaucrats. There a catalog of health services. To get an idea visit: http://www.e-bis.de/goae/defaultFrame.htm Just see the first three points and you know that 1 will never happen and it will surely not happen for private insured patients.
All your offerings must be squeezed into the given scheme. There is not much space left for “free” decisions. So I come back to the beginning doctors are not businessmen any more just bureaucrats. So how big is the incentive to offer favorable terms? Well none. Exactly. And so we have a system which combines the worst of anything. No markets and no information for patients.
The other jobs completly under state control is the educational system. It’s nearly unavoidable. What you learn is kept in some register. The payment of teacher is completely unaffected by the success or heavens forbid satisfaction of the children and their parents. And so it comes as it must come. Some pupils are grown up in intact families which think education is important and are requested to work for it. Others are not and so they are falling back, this is now “unjust” and the usual answer is “we need more teacher, more support”.. you know it. Still the easiest route with would honor good either good teaching and bad teaching is not gone. If the teacher is bad or not, tries to “really” teach children is unimportant. The laws and regulations count. That’s it. And so our complete educational system is more or less against free entrepreneurship. And so what leaves our school are smoothed children, with a certain kind of hate for entrepreneurs and with an attitude like. “It’s my right that I got what I want and the “state” has to pay for it”.
This kind of nationalization is bad for every one and it shows more and more that this does not work. If there is a problem around it’s not “let’s solve it” but “this must be solved by the state”. You see and feel the difference immediately .