This is the problem. We have great HI in some states, even counties within those states are different. And terrible HC in other states/counties. The question is should all states be equal and offer the same benefits to everyone.Unfortunately, it really varies by state and even county. I've heard and read the stories about areas with one plan only available, or one provider. But where I live I have a choice of several providers, dozens of plans at all levels. I had to switch docs when I started but I've been very pleased with my new choices, as as DH. I can definitely say if I can keep this plan for 15 years I'll be very happy.
Would I go to a small town, local hospital that serves a limited population? Or would I go to Northwestern, U of Chicago, Rush...for the best surgeons, best HC? What could I afford? And how important is the procedure to my future health? Some people are happy to have an MD in their area who will see them. I check background, resume, med school attended and even want to know how many surgeries or procedures that Doc has done.
Medicare would unify our care to an extent. To those Docs that accept Medicare. And for those who can afford the best will pay for the best.
We're a divided country on this issue.