I've already said what I think.
I can't defend the current morality of my country any more than you can defend your country's actions when you were the most powerful country in the world. Not trying to start more trouble here, just saying that neither of the two of US is perfect for sure.
I defend the noble history of my country, do not appreciate having it endlessly insulted here.
I am leaving you now in peace to say whatever you will. I don't know which of us is more boring.
I don't take criticism of my country on a specific point as being personally insulting. My country has good things, and bad. Sometimes the difference between the two varies from person to person. I have stated, more than once, my undying love of the US and its people. But that doesn't mean I won't point out areas that I think are wrong or could be improved. I don't perceive the US as "endlessly insulted" here, but I don't read every thread. I actually welcome opposing views about the UK, because sometimes we live in a bubble based on personal experience.
When it comes to the commercial side of healthcare, I do think the link between business and practitioners is both blatant and obvious. This isn't the case here in the UK. So you have to look at why that is, and speculate. I believe the truth is, the primary concern of a healthcare system that is predicated on profit from start to finish is more likely to be affected by profit motives. The US system isn't about giving the very best treatments to all - it's about giving the very best treatments to those that can afford it. It can be a criticism, but it's also simply how it is.
Again I refer to the Oxycontin issue. Many people were so let down by the system. A drug company was able to release a drug, to package it as a
product rather than simply a treatment, and to incentivize doctors to prescribe it, for profit. This has had a highly destructive outcome. Without the element of profit - and they were considerable - it's likely the situation wouldn't have happened. I'm sure you know about the societal damage that was, and is, being done by the entire scandal.
I recall working for US companies and being offered multiple healthcare plans, with different financial costs. People have a choice, and that's a good thing. In the UK, it's different. We all get a base set of healthcare. If you decide you want more than the base set, you are free to buy private healthcare. Most people settle for the standard, because the standard covers most eventualities. We don't have to make a decision based on personal costs. Although it must be said, there is a misnomer that healthcare here is "free". It is not free, it is paid for through taxes and National Insurance contributions.
Is the UK system better? I'm not arguing one way or the other. However, I do think a system that incentivizes certain doctors to deal only with patients in a particular healthcare plan (and to a level within that plan), or to prescribe specific drugs with financial incentives attached, is more open to putting profit motives above the very best healthcare treatments.
My experience is that at the high end, there is no healthcare that betters the US experience. At the low end, I'd much prefer the NHS. Healthcare in the US, is a product, in keeping with its ideals. Others will disagree, and perfection is nowhere.
It's difficult, because without any profit, there would be no drug companies. On the other hand, you have questionable practices (IMO) that are interesting to to note. There are some notable cases, but this article covers the subject in general terms:
DOSE OF REALITY: BREAKING DOWN BIG PHARMA’S YEAR OF BAD BEHAVIOR IN 2023: PART I: BIG PHARMA’S EGREGIOUS PRICING PRACTICES
The article includes a number of supporting documentation.
I'll end by stating again, I love the US, it's people, and it's ideals. But I also believe controls, regulation, and rules simply must be in place to control things.