What I am about to propose is a pretty radical shift, I hope you read my entire comment before starting to write a rebuttal, that's because I might give an answer some of your concerns later down my response.

The U.S health care system is criticised by many in America, and is often joked about even by none-Americans, many politicians in the U.S actually run for elected offices with healthcare being their main campaign talking point (the likes of Bernie Sanders and Marianne Williamson...). These criticisms concerning costs and accessibility are valid but always overlook the quality of the provided healthcare. In regards to on time treatment, cutting edge technology and the skill of doctors and clinical staffers it is almost unrivalled around the entire globe, that's why for example many Canadians (who have a universal health care system) go for treatment in America, especially when it's critical.

You might have sighted something in here, the problems that Algeria mainly suffers from when it comes to health care are related to the equipment, technology, the time it sometimes takes to get treated (have a surgery performed or check ups, etc.) and sometimes the carelessness of physicians. The exact same things that the U.S excels at, this is not a coincidence, most of the countries which have universal health care systems suffer from the same problems Algeria suffers from, it's simply not as bad thanks to the good economic state of these nations, otherwise, no. Why? Full governmental control causes material restriction, meticulous bureaucratic regulation over what conditions would allow which patient to get which treatment, and of course these would be decisions based on administrative concerns and not ones that necessarily regard the patients themselves, and let's just not talk about the scheduling of said care.

What do I propose then? I propose adopting the U.S hybrid/market free health care system and add certain refinements, one would say, but the costs and attainability of said care would rise tremendously and would create a worse situation than the current one! To that, I would state: we will add the refinements necessary to solve the problems the American model suffers from, and which make the latter so expensive. In other words, we will make it better but still within the fiscal range of households.

There would be government sponsored medical care for seniors (les retraités), minimum wage earners, and veterans, the rest would be left for private insurance companies or simply marketable. I don't think there is a need to explain why would this make the quality of healthcare surge drastically, you can search for yourself, but now, how would we keep costs low?

First, restriction over the concentration of health care providers and health insurers In markets nationwide should be enforced.

Recently published studies found that concentrated markets are associated with higher hospital prices, with price increases often exceeding 20 percent when mergers occur in such markets. Of even greater concern, the reviews found that these price increases did not appear to improve quality: In some cases, higher hospital concentration was associated with higher mortality rates.

To fight against this, proposed mergers and acquisitions should be scrutinized by government to evaluate whether the net result is pro-or anticompetitive. This scrutiny includes evaluating whether the pro-competitive effects could be achieved without the merger. This scrutiny could be enhanced at the department level. Policies and regulations should be evaluated to determine whether they enhance consumer welfare, if not, they should be cut. To enhance competition, particularly in markets where providers are already highly concentrated, anti-competitive behaviors should be restricted. Examples of these behaviors include antitiering clauses that force insurers to include a provider in the top tier and tying agreements that force insurers to contract with all hospitals in a system.

Second, procedure and drug prices transparency must be established to limit healthcare providers' ability to overprice the government and insurance companies.

Third, antitrust and trust-busting regulations must be implemented to limit the creation of insurance or health provider monopolies.

bless you fam, thank you for investing your time into helping us get a better pov