I want a world where doctors are incentivized to keep all people as healthy as possible with the budget society is willing to spend on healthcare. It should also be a world where people would like to work in healthcare and which ensures a proper standard of living for those who choose to. Let's assume that there is the political will to create whatever system is necessary to achieve that goal.
If the medical care system of my world is a free market, then doctors will only take care of those who can afford it while poor people will suffer from curable diseases.
If doctors in my world receive fixed payments per procedure, they are incentivized to provide quantity over quality. They would rather treat symptoms instead of curing or preventing diseases, because that means more long-term income for them.
If all doctors are fixed salary employees, then there needs to be some incentive for them to do more work than strictly necessary to avoid getting fired.
If their salary is performance-dependent, then my world would need some system to measure their performance. But how could one measure their success in a way which is objective, fair and not vulnerable to attempts to game the system?
If the government would regulate medicine so strongly that doctors have no choice regarding what treatment to provide to whom, then they become too restricted in their decision making and might have to provide suboptimal health care because the rules don't allow them to do what they actually should be doing. Or is there a way to make it plausible that such a centralized decision making system makes only good decisions?
Do you have any idea how one of these strategies could be executed to make it successful? Or any ideas for alternative strategies?
Tech level: Near future.