That the Public Health Service charge at least a token amount (compared to actual costs, and in line with private sector charges) to contribute towards the costs of supplying these valuable services).
The Public Health system provides so many more services than it used to, in part because people are living longer, but more importantly, because technology improvements mean that more treatments are able to be made, than when the Public Health System was first implemented – therefore costs have skyrocketed far beyond what had been anticipated. The burden on the tax payer to provide seemingly unlimited medical services for free, is massive. I propose that the Public Health system charge a minimum handling fee for each visit, of (say) $50 each time. I believe this is less than that charged in the private sector for consultation, and that the services received, in the one-stop-shop which a hospital is, exceeds that generally available at the private sector level.
I also feel that it will push some customers to the private sector who only go the the hospital because it is free, when they can afford to go private, thereby increasing the physical burden on the health system
At the same time, the level of services provided by hospitals needs to be capped at a certain benchmark. That is, future developments in technology will be considered, but not necessarily guaranteed. Those services which exceed the Public Health System platform of delivered services, will need to be insured for, or paid for privately