My understanding is this:
Universal or government-controlled health care: everyone is insured, but tax costs for the insurance are astronomical, and level of care is mediocre, with long waiting lists for even the most simple procedures.
Free-market health care: only those who can afford insurance are insured, but several claims float around about how (a) insurance will be less expensive because of competition, (b) healthcare itself will be less expensive because of competition and so the need for insurance will be less critical, and (c) those who can't afford insurance will be better cared for by individuals and society, who have the capacity to care about them as persons and individuals, than by the State, which as a State can only care about them as cogs in the machine of labor or as potential voters.
I hope and want to believe that these optimistic claims are true, which is why I tentatively support free-market health care. But I have questions, such as: What's to prevent other economic factors, outside the realm of health care, from driving up the cost even of free-market health care? Or: What's to say that people who have more to spend because of decreased insurance costs WILL choose to use it to help others? And if they don't, are those others just screwed? Or: Why not just take these things out of the hands of federal government, but allow for aid programs or fpr some kind of vouchers at the state and local level, if folks at those levels choose to have them? Would there be anything the matter with that in an otherwise free market?
I'm not naive enough to believe that humanity will ever eliminate the problem of suffering -- and even if we could, it certainly wouldn't be the government that would do it! I guess my question is: are these the only two viable options? And how can we be sure that the free-market system will work as well in reality as it does on paper?