Comment by KaiserPro

Sorry but this not actually true.

THe most appropriate treatment is required, not "step therapy". For antibiotics this makes sense, as last mile, powerful antibiotics need to be used sparingly.

The same with cancer, it'll be treated according to the requirements of the cancer, with guidance from nice about the most effective therapy.

Is it perfect? no.

Does it lead to mistakes? yes.

It is better than american style insurance denying care based entirely on price? 100%