Some people object to the concept of the government being the final arbitrator of life and death. If an insurance company refuses to cover something, I can attempt to get funding elsewhere. When the government does so, I have little to no options left- even if it is to have the hospital perform the procedure and take the charges off as part of the charity work needed to keep their tax exempt status which does happen all the time.
Wait, what? So when an insurance company denies you a service, you can "attempt to get funding elsewhere"? Like where, pray-tell? You basically have 4 options:
1. Appeal the denial & hope you can get them to cover it anyway
2. Pay the cost of the procedure in full and figure out how to cover it (debt, fundraiser, etc)
3. Negotiate with the hospital for a self-pay discount or charity care
4. Don't get the procedure.
Those are the same 4 options you have if your plan is provided by the government, and that gov't plan doesn't cover the procedure.
The simple fact of health care is, we can't afford to do all the procedures, for all the people, all the time. We have finite resources - so they HAVE to be allocated. And someone HAS to decide HOW they are allocated, which means someone has to say "we will pay for this" and "we won't pay for that". That's the reality - no getting around it. What "this" and "that" are -- plenty of room for reasonable debate there, with parameters for profitability, ethics & morality, etc.
Personally, the biggest problem that I see with our current system (which is starting to change), is we don't have "health care", we have "disease care". Your doctor is paid to do services for you, not for keeping you healthy. And the impression I get is that many patients are not "partners" in their own health -- they have a problem, they want to go to a doctor and have that problem fixed, and not have to change themselves. "I don't want to change my diet & lifestyle - just give me a pill to pop to make it all better." I think if doctors were reimbursed for keeping you healthy, and patients had a shared stake in that (besides the obvious benefit of living longer, healthier lives), we would have a very different healthcare system (and probably much, much more effective & economical).