Yes, they balance the equation. NHS in the UK is planning on having their first two proton therapy centers in operation by 2018. Conversely, California at half the population has 3, err maybe 2 since one just filed for bankruptcy. The USA has 22 in operation and 18 under construction.
You can get proton therapy through NHS currently, certain patients deemed necessary are sent overseas for treatment.
The other half is simple too, take Mylan, one client in the UK, they don’t pay that. Mylan can choose, not sell it or take the lower rate. Guess which they do?
That’s the balance.
That’s the reality people don’t want to own up to on insurance and healthcare spending.
IMHO, insurance works best for those things that are rare (home fire, burglary, etc. i.e. your basic home insurance) or catastrophic.
They don’t work well for those things that are routine.