It seems pretty obvious that opting into a position where you'll have to do that might make you unpopular with the humans.
I strongly encourage you to think very carefully about this. Once you do, you'll find that there are no simple answers: you'll always have limited resources, and you'll always have to deny care to some people, and in fact it will always include some people personally making the call to deny care to some people. Any system that actually exists, public or private, does this.
You would generally count them. Like, if you have three people in need of a ventilator and you only have two ventilators, then one person is getting denied a ventilator today.
> Any system that actually exists, public or private, does this.
That's true, and I don't have a problem with it. Tradeoffs have to happen. What I have a problem with is incentive structures that attribute greater success for the people at the top when they create outcomes that involve more death for the people at the bottom.
Plenty of systems which actually exist don't congratulate leadership for reducing quality of care.
There's no fundamental reason why they have to be in a position where screwing the people who receive the care would ever be considered the ideal option. But that's how it is when you have a group of shareholders who have no stake in the quality of care. Thompson opted into a conflict of interest which need not exist in order to provide insurance.
Government-organized resource allocation is, more likely than not, bad to very bad.
The same problem does not apply to our social services (including health insurance) as they dont have to make profits at all costs.
In most insurance fields, it would be possible to only deny false claims. Take insurance of your house. The rates could be calculated that they can pay out all real damages to the full amount. Because the maximum damage amount is limited.
That's not true for health insurance, because the total possible damage (cost of treatments) is almost arbitrarily high, so that you cannot pay everything for everyone.
I don't want to defend the US system here. But it's not a problem that any country really solved, and one could argue about advantages and disadvantages of the different systems all day long.