Even in a society as tightly controlled as Singapore’s, the market creates certain forces which perhaps in the long run may lead to democracy.
“The Singapore Health Care system costs in Singapore costs less than 25% of that in the USA and results are better. In Singapore everyone has 6-8% deducted from your income for a Medicate account that is used for hospitalized medical expenses. The government subsidizes the health care system but the system is based significantly on the consumers paying (from their Medicate account or cash) and therefore making economic decisions.”
How do Singaporeans do it?
Apparently they rely on a national public system where most get their care. But authorities allow patients to use the private system as much as they wish and practitioners to charge what they wish as long as consumers use their own money out-of-pocket and out of their medical savings accounts. The Singaporeans have three interdigitating systems: Medischield, Medisavings, and Mediservices, -the interrelationships which I do not fully understand.