"The perennial issue will always remain: what proportion of the inevitable costs of accidents and injuries will be borne by individuals and their families? That's the boundary that moves,"
This statement, from an industry insider holds a fairly high political rpm in it's own right.
The political climate hasn't been what's made the biggest change over the last decade. It's been the inclusion of funding for more and more procedures for a widening range of causes, driven by lobbyists and minor political deities on their constituents behalf. All of which costs more. Much more.
So, because it's political suicide to deny cover to a complete class of applicants you have to make savings elsewhere. There's no other room to move, you begin to decline applications across the board, for whatever reason allows you to do so.
It's probably the least fair way to manage the budget, no matter your political leanings. It's far better to simply list what you'll cover and then do it, that way it's clear up front what's funded and what's not, without the patently unjust and random denial of serviced we currently get.
Go soothingly on the grease mud, as there lurks the skid demon
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