I find it bizarre how many people just trust that insurance companies will actually honor their contracts. In my experience, they likely won't. This is just my anecdote.
https://www.healthcare.gov/appeal-insurance-company-decision...
And in general, anything the insurance company might not want to pay for required a “prior authorization”, which usually happens if the insurance company’s doctors think there is another option for treatment or the proposed option does not have sufficient evidence.
I imagine there is similar processes in taxpayer funded healthcare systems too to properly allocate resources. Although, I am sure there are many cases of problems caused by insurance companies in the US, due to the bureaucracy.
>I imagine there is similar processes in taxpayer funded healthcare systems too to properly allocate resources.
What the doctor orders is what you get. You can typically choose your doctor, as well as get a second opinion. The doctors are generally paid the same.
https://www.reddit.com/r/pharmacy/comments/oekhrp/curious_ab...
I would be surprised if any country gave doctors blank checks for everything since no one has unlimited resources. There most likely is a system for figuring out where waste is happening and avoiding it.