Every time I read about how insurance works in the US medical system it's pretty plain to see that it's distorting both costs and patient care (neither for the better). How are people in the US still putting up with this garbage? How is any of this more efficient than single-payer or some other form of socialized medicine? It's absurd.
There are similar mechanisms in taxpayer funded healthcare countries also. The government does not simply pay doctors for any and all services they provide. At some point, there will be a person or group of persons deciding if certain services are warranted and/or to monitor for fraud.
In taxpayer funded countries they mostly aren't getting paid by the procedure, and in the cases that they are it's not enough to incentive very much fraud. Socialized medicine healthcare salaries are actual salaries and far lower than earnings in the US.
