I'd rather emulate
by AquinasDomer (2023-03-25 14:48:27)

In reply to: I'm 100% with you. Single payer is the only answer at this  posted by dulac89

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Germany, France, or Switzerland than the UK. They've shown what happens when the government has the option of slowly gutting the system to balance the budget.

JAMA put out a policy editorial proposing we create a regulated exchange that rationalizes/places rules about how insurance companies and hospitals interact (basically take away the incentive to overbill on one end and blanket deny on the other).

I'm not sure if the public realizes that medical funding is close to 50% government funded. We haven't had a "free market" system in a long time.

Single payer is not nationalized healthcare *
by dulac89  (2023-03-25 16:10:01)     cannot delete  |  Edit  |  Return to Board  |  Ignore Poster   |   Highlight Poster  |   Reply to Post

That's true
by AquinasDomer  (2023-03-25 16:38:49)     cannot delete  |  Edit  |  Return to Board  |  Ignore Poster   |   Highlight Poster  |   Reply to Post

I was contrasting the Bismsrk model with that. I think that

A) it's more likely to get to through gradual reform/evolution and

B) Harder to screw up in the long run (more actors to stop you from arbitrarily freezing benefits) and

C) easier to incorporate supplementary insurance/split off things that are able to be priced in a more free market manner.

I think proposing single payer gives insurance companies something to run against (big gov taking your docs away) vs attacking insurance companies for distorting the market and regulating them.

Granted, the new way to attack reform seems to be calling anything that reduces spending cutting Medicare, so this probably won't get resolved until we're staring at the edge of the fiscal cliff.