I mean, Neuralink is just gonna end up with a whole lot of dead people. Not a lot to surveil from corpses.

American Healthcare has been fucked up since insurance became standard and expected

Insurance is what allowed greed to explode in the industry. Its why you get charged 90 dollars for an a single asprin. Its why everything is fucked up, and its ruined the entire medical field for anyone who has no insurance or bad insurance.

Also why ambulance rides went from always free to costing thousands of dollars. Localities figured out they could bill insurance for them.

As long as there are multipler suppliers, as a single large purchaser the Government would have (and the Military already has) way more leverage to negotiate far better prices from suppliers than individuals ever could, since no one supplier wants to lose such a massive customer to their competition.

Even in a purelly rightwing 100% financial logic, it makes sense to have centralized procurement of medicines such as insuline because it's the most efficient use of resources.

Or at least it would make sense if the rightwing (which means both Democracts and Republicans since the Overtoon Window in the US is well to the Right of most of the developed world, so it's really just hard neoliberals vs quasi-fascists) weren't complete total hypocrites whose main objective is not at all managing the country as best as possible.

We could do that on a national scale for cheaper than what we collectively pay now for healthcare.

I completely agree with you, it is absolutely technically possible. We could direct all of our resources with more care.

It will never happen in the real world. It would require at least half the population to be willing to sacrifice their own self-interest in the short term in order to benefit society as a whole in the long term. One is immediate and tangible, the other is abstract and ephemeral.

It can absolutely be privatised as long as some government body handles negotiations.

Letting the private sector compete for public contracts can often reduce prices and make production more efficient. It needs to be handled well of course.

It works pretty well here. The government negotiate the prices for medication to reasonable levels and every individual has a medication price cap that gradually reduces the price for medication until they are completely free (fully subsidised). After 12 months the price cap resets and the prices go up to normal. The price cap is set at ≈230 EUR.

Apparently insulin is always free and so are some other stuff.

Obviously this only applies to prescriptions.

IMO a great system is a mix of both a strong private sector and a strong public sector with non corrupt governmental oversight.

You didn't read the article did you?

They cite multiple factors but the largest seems to be a change to the way Medicare rebates are paid. Starting Jan 1st, this move allows them to pay less rebates to Medicare based on how they're calculated and will save the companies millions. So yes... it's actually directly based on the Biden administration changes.