People who have opinions in between the two extremes . . . 

Some say

What we need is a plan in which patients would be allowed to see whomever they choose and get quality care.  Doctors and patients must unite.  Together, they may stop themselves from being taken advantage of by the managed care organizations, and return the integrity to the health profession.  Private practices should be appreciated, encouraged, and allowed to thrive.  Citizens would also be guaranteed some level of insurance.  Preventative and emergency care would be guaranteed to every citizen, and the public would be educated about health maintenance.  Not only would this keep people who tend to make themselves prone to illness or go to the doctor for minutia in good health without drugs or doctors, but it will also sooner treat those who might have otherwise waited until the illness becomes very grave.  This would therefore reduce the amount of people in need of more expensive, more intense treatment.  It will also keep the workers healthy and more productive, benefiting society and leaving money and attention to those who really need it.  As for those beyond preventative care, Medicare and Medicade currently take care of those who already suffer conditions.  The best approach would not be an all-or-nothing deal, but a plan that will unite both sides and give the best of both worlds.

 

"Where health services and health insurance are treated as market goods, as in the United States, demand is rationed either through fees and various limits on private health insurance or by willingness and ability to pay. Where health care is considered a right, as in the United Kingdom, demand is rationed through supply; the system is directly budgeted and sometimes managed by the state."

"The public and policy makers have been unhappy with both systems. Complaints range from a lack of equity and loss of control over the cost of care in countries with "market-oriented" systems, to the lack of responsiveness to consumers and inefficiency in provision or production of care in "state-oriented" systems. Reforms have endeavored to address these issues by combining the relative advantages of both systems"

 

http://special.northernlight.com/managedcare/paradigm.htm#doc

Health System Reforms in Industrialized Nations: An Emerging Paradigm