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I'm from Germany. Once I was hit by a car on my bicycle. The driver wasn't looking and hit me. My hospitalization was paid for by a nationalized system of public and private insurers. A short trial was held for fault. I was awarded money that would cover replacing my bike and a few hundred more dollars for my troubles.

In the US, I probably would have gotten a large cash settlement out of the deal. But a nationalized system like that in most other first-world countries does not require tort-reform because effectively the commitment to your health, cradle to grave, is a given.

Paying doctors piece-meal, like assembly-line workers or auto mechanics, creates perverse incentives and only tangentially works towards good outcomes.



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