Great example of the danger of the passive voice. Why is the public "brought to think that more = better"? Who is bringing them to think that, and what do they gain? The answer is that, in a fee-for-service system, providers are heavily incentivized to teach them that. A big part of why the medical industry doesn't work in the free market in the first place is because almost nobody is actually an informed consumer -- if they ask for chemotherapy or for extra antibiotics or whatever, it's because somewhere along the line some doctor convinced them or somebody they knew that it was a good idea. They don't come up with these things themselves.
Many developed countries have a fee for service system. Canada is 83% FFS reimbursement.
In the US the purest form of fee for service is offered by Medicare.
Major insurance plans, at least here in the Northeast usually have plans that are provider group level capped or network capped but fee for service on individual physian level. Heck, reimbursement of many physicians here is a mix not unlike what you will see in the UK system - a mix of FFS, capitation, salary and pay for performance metric based reimbursement (usually a withold from the network cap pool).
Why does the public think that more=better? Partially because of FFS model but partially because natural line of thinking is to assume that more test and more studies is better.
Also when people are dealing with life and death, rational thinking is often not easy.
You're simply jumping to conclusions here and attributing things to me I never suggested -- but this is a pretty dumb response in any case. As Cyan has pointed out before (along with actual pundits, I guess, but Cyan came to mind first), somebody is ALREADY doing this rationing. Tomorrow it might be a bureaucrat, sure, but today it's an actuary. The difference is that the bureaucrat is employed to produce positive outcomes (or, worst-case scenario, they're employed to be employed by the government and have no particular motivation in any direction), and the actuary is employed to spend as little money as possible on patient care. I think the difference is pretty clear.
Here is are my arguements:
1. Americans have to either accept insane costs of healthcare or accept rationing.
2. Rationing only makes sense if done the British way - namely when you use quality of life test and put an actual cost cutoff number for any major and expensive intervention.
3. Medicare cannot apply quality-of-life tests in determining the cost-effectiveness of treatment - they can only pay the bills, no matter the size - and end of life medicare expenses is where you get the most unneeded care.
4. Currently rationing is only done by private insurances and done in a haphazard way based on finding some kind of loophole in the policy. It does not save much money because of the opportunistic nature as opposed to the using the quality of life tests. Once again, Medicare does not ration, and it is Medicare expenses that need to be cut.
5. Trying to adopt the UK model of rationing will be political suicide for quite some time.
Usually when I present these arguments, I get catcalls "you bastard, you want to kill grandma" - from both sides of the aisle.