Was just thinking that there should be doctor clubs, where a bunch of people pool their money to hire a dedicated general physician. Or to have a shared tailor, or group cafeteria, or whatever.
The ratio of people covered to specialists would probably determine whether it’s feasible. You’d want the specialist to still get paid a healthy (and guaranteed) salary and to have a more satisfying relationship with customers. And the members of the club to get better service / product than they would otherwise with middlemen taking a cut.
Not saying it would work, but what I’m describing is more bite size than a full health system. So if a group only committed to “everyone gets to see a general practitioner” then people are on their own for MRIs and chemo. Figure out how many patients a type of practitioner can handle in a year, then pool that many people to hire one. Same idea for any other role, like how many cars can one mechanic fix a year?
I’m not married to the idea, but more thinking about how could we take concrete steps towards universal health care, other common services, democratic workplaces. If people see a micro version working then it may inspire more ideas, attract more effort.