A socialized system is based on the idea that people get treatment according to medical need, not their ability to pay for it. Doctors are not financially linked to the treatments they prescribe, so they have no incentive to do excessive tests or consultations nor to turn away poor patients in need, they get no kickbacks from references to specialists and so on. The focus is on effective allocation and use of resources, not what brings in the highest margins. For example there are typically waiting lists for surgery and you only want the patients there who need it, in the order they need it the most. Cost control is often benchmarking and per-patient refunds, that your hospital will deliver as effective as other hospitals. and you benchmark yourself against other countries. The bill is paid directly by the government from taxes, typically hospitals are public and they only hire private companies to deliver systems and services, not manage the hospital. That is, they may take bids for an x-ray system capable of taking 1000 x-rays/day, but the private company doesn't have any say in those gets x-rayed. The government may send patients to private clinics, but the government pays equally regardless of who the patient is and there will be a good medical reason for it.
I consider our current system to be a defacto socialized medical system, because unlike in capitalism, the patient is not the customer, The HMO is. Also like a 'true socialized' system, a patient is guaranteed some right to medical care through the emergency rooms and free clinics regardless of her or his ability to pay. Obviously your medical care will probably be better if you have the means to pay, but isn't that always the case? At any rate it really is just a matter of semantics, and is not worth arguing about.
A few years ago as a member of the military, I was in a real honest to goodness actual Socialized medical system. In some cases the system worked as you described. In those instances (actually instance), I received much better care that I would have received in the market system. The PA who was unencumbered by costs, and could give me the time and care that I needed. However, the majority of the time, it sucked. You had to show up at the clinic during specific hours (sick call) or you would not be seen. You had wait to see a specialist, etc. I would have been better off with an HMO, or just going to the emergency room, as much as I hate to admit it.
If socialized medicine works, why are there so many horror stories about medical care in the UK. Admittedly sometimes socialism does work as you describe, but there seems to be a lot of problems (wait lists, etc) I just feel the U.S. should fix the current system without going to a fully socialized system. I mean didn't we fight a cold war against the communists. 8-). We are taking a step backwards.
The US has picked the worst of both worlds.
I could not agree with you more. Rather than going to a fully socialized system, we are buying into a system where the state is guaranteeing funds to a corporation who's only motivation is to maximize profit. I see a disaster coming.