Queuing is one of only a few ways of rationing a scarce resource. Assuming the supply of angioplastys is not infinite, then a public health care system can ration angioplastys in only a few ways:
- Queuing
- Favoritism
- Bribery
- Market pricing
- Central planning
It seems that Canada uses queuing and favoritism (as Frum alleges), and central planning of course was the original idea of a single-payer health care system. But bribery and market pricing are illegal. Of course if queuing becomes bad enough, it becomes impossible to prevent bribery, as shown in any centrally-planned country after enough years. That leaves market pricing as the only tool not used -- which seems vastly unfair.
But as Frum says, as long as I was healthy I was perfectly happy living in the Canadian system.
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