I just did. He visits his doctor regularly, at the clinic - you know, where Western medical doctors work most of the time? - and follows that doc 's recommendations for medicine and hospital treatment and so forth. He pays for it as in Medicare or other single payer setups, by having a percentage deducted from his taxable income or added to his taxable purchases, which is then billed by the doc, hospital, etc. The doctors are graduates of Western top equality medical schools, who graduated with little or no debt (that was billed to the single payer also).
If we presume a continuation of the current flat tax structure in America, rather than a progressive one, it costs him about 11% of an income about 2/3 of an American's, or about 8% of his taxable income per year - a little less than Americans pay in taxes alone for medical care and schooling now, and completely replacing whatever they pay in health insurance on top of their taxes.
OK, so he visits a Clinic.
(1) How is that Clinic paid for? (flat tax yes?)
(2) How are the people in the Clinic paid for? (flat tax yes?)
(3) How does he know the people at this Clinic are competent? (State ran medical school yes?)
(4) Who chooses who works at that Clinic? (State agency?)
(5) Who chooses how many people work at that Clinic? (State agency?)
(6) How is the price of the medical service determined? (State agency?)
(7) How are incompetent medical practitioners found and removed? (State agency?)
(8) If yes, who pays for the State agency? (flat tax?)
(9) Who chooses who works within the State agency? (State agency oversight committee?)
(10) Who elects the oversight committee? (politicians?)
You said the doctors are graduates of medical schools?
(1) Who pays for the medical schools? (flat tax)
(2) Who chooses who gets to go to medical school? (State agency?)
(3) Who chooses the numbers that are admitted to medical school? (State agency?)
You say "top quality" medical schools?
(1) How is that assessment made? (State agency? There obviously isn't a 'top' quality is there - it's all equal quality [
good enough for Government work quality in actuality])
(2) Who works at these schools? (State certified doctors?)
(3) How are they paid? (flat tax?)
You state that there's a flat tax.
(1) What if patient A doesn't want to work? (in essence, what do you plan to do with the people who really couldn't give two shits - which, in my experience, can easily suck through a million dollars a person in resources, even though they themselves have never, and never plant to, work - ever).
(2) Who levies the tax? (IRS?)
(3) How is the tax collected? (IRS collection agency?)
(4) What happens to people who refuse to pay the Flat Tax (is there an opt out?) (State police forced? Also, how do you know who hasn't paid, if they paid enough, how much they should pay, what their assets are, ALL of their details - how do you know that iceaura? How much privacy do we have to give up? How many agency are needed? How much control does the State have here - to ensure everyone 'Pays their "Fair" share'?)
(5) Who pays for the police force (another flat tax? Who oversees these police? Another agency? Who hires the police? Who oversees their role in society to ensure the IRS isn't used again - say, political opponents? I mean, now that you've grown the State so FAT off bureaucracy, It itself will need policing - hows that going to be paid for? More 'flat tax' more "Progressive Tax"?)
(6) Are there prisons for those who refuse to pay flat tax (how are your prisons paid for? Who oversees them? Who determines how many people work in them? Who sets their wages? How do you determine if they're fairly used? Let me guess - more State? Another tax? Less privacy? Less freedom?)
(7) Who pays for litigation? I mean, when a Public Doctor is sued for incompetence, negligence, etc... who pays? Does the State also have a legal agency? How is this paid for? (more tax? more agencies? more State?)
Am I to assume there's no role for private (voluntary) health insurance? How about for those who want to use non-State regulated medicine? And non-State regulated private insurance? Is that going to be allowed in your Utopian society iceaura?
Also, here in the real world, I'm wondering:
Do you think Americans should have the legal right to leave the USA as a private Citizen, enter another country, and use unregulated healthcare?