[amyfp214]

That is absolutely true, even no matter the government, even a non-capitalist socialist commune must allocate and there's no right answer. It can become insidious in capitalism. We have organizations like Kaiser who say "we'll run the hospital and focus on preventative care, if we spend $50 today that avoids $50,000 a few years from now" - Kaiser notably does hospitals AND insurance in a vertically integrated manner. That's all reasonable. Then a United might see "we can spend $5,000 today and patient will be healthier-ish, or $200 yearly for a medically equivalent treatment". And so they do the actuarial math that the patient will die in a few years, they calculate revenue from that patient based on how long they might stay on the plan, and find the solution that maximizes profit. So the mentality isn't Kaiser-like "i.e. we're on the hook for this patient, let's minimize their health problems to save money", it's more like "we will minimize the cost of this patient full stop, if that means they don't get care then they don't get care"