More regulated, I think, and more centralised.
The government generally sets guidelines on how a person can qualify for drugs or treatment, especially if those drugs or treatment are on the subsidised list. If you qualify, you should be able to get the treatment, and no middle party should be able to deny you access.
There are problems with access to hospital & surgical beds, especially in the big cities. mho is that health funding was neglected, even though the population was booming and pressure on the medical system was increasing. And the costs of providing such a supportive medical system are increasing to the point that the govt is thinking about
changing our health system, though they haven't committed to any specific changes yet.
I wouldn't call the NZ man's situation a "horror story". I was in that situation myself, for a very long time, before Rem, Humira etc were approved for use. I do call it horrible, though, and very unfortunate.
Co-Moderator Crohn's Forum. Medications for Crohn's
~~ Diet and Nutritional Therapy for Crohn's
~~ Dealing with Abscesses and Fistulae