American Elephants


America Already Has Single-Payer Health Care and It’s a Catastrophe! by The Elephant's Child

There are very few things that are better done by a large central bureaucracy, that is why folks on the right speak about “draining the swamp.” Bureaucrats don’t like to give up power, and, convinced of their own wisdom, usually fight any effort for reform. In particular, the federal bureaucracy cannot do health care, The case of the Veterans Administration is only the most visible failure.The Indian Health Service is reportedly a disaster. Medicaid promises much but few physicians are willing to see Medicaid patients. Medicare has always been a Ponzi scheme, and as the Baby Boomers are rapidly reaching retirement age, there are not enough members of the Baby Bust to support them. Medicare is due to go broke in short order.

 

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7 Comments so far
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The video confuses healthcare delivery with health insurance. VA is an example of socialized medicine like NHS in the UK. In those cases government runs the facilities and employees the caregivers, with the noted problems.
Single payer refers to universal health insurance in places like Canada or Taiwan. Hospitals, clinics and doctor’s practices are all privately managed as in the US.

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Comment by Ron Clutz

I believe that NHS employs the doctors and owns and operates the hospitals. There is some private health care for those who can afford it.

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Comment by The Elephant's Child

That is why I compared VA and NHS as examples of socialized medicine where government delivers health care with its own employees and facilities. You are making the same point. And in one sense VA is a single payer in purchasing medicines. VA gets a greater volume discount than Canadian provinces do because of VA’s size.

Health insurance is a separate matter, and IMO is the heart of the US problem.

As you point out, each nation has a mix of healthcare systems, and in Canada increasingly there are private services not paid by the public plans. In addition, there are other payers, like Blue Cross, in cases where companies provide additional coverages as an employee benefit to encourage retention of personnel. Those additions are on top of basic care through the universal insurance.

The latest effort to undo ACA foundered for lack of a way to separate basic and “cadillac” coverages.

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Comment by Ron Clutz

Right now it looks as though I’ll get the cash I put into Social Security and Medicare back about the time I die. That includes the employer payment, but no interest or investment returns. If I had been able to keep the money and invest it I’d be a millionaire with no healthcare worries.

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Comment by philohippous

If you had been able to put all the Social Security payments into your own account instead of paying for others, it would be a rather different situation. Democrats keep trying to do nice things with other people’s money.

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Comment by The Elephant's Child

Neither NHS nor the Canadian system are working. For Canada the wait times are so long people can die waiting to see a doctor. In Britain, old people are dying from dehydration and neglect because budgets are too tight and hospitals have to cut corners. Bureaucrats don’t know how to run a health care system. You need free market Capitalism, competition, and the forces of the market will bring costs down. Look up the Oklahoma Surgical Center. Just substituting a Republican version for the Democrat version would just end up switching back and forth with each change of elections. Get the government bureaucracy out of the issue.

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Comment by The Elephant's Child

BS on people dying in Canada from wait times. Yes wait times are longer than they should be, but that is a problem all nations face with aging populations needing chronic care while the system has been built for critical care.
Going off on a free market rant is not going to help. No health care system can put up resources for zero wait times and full participation. You have to ration. Canada has wait times, while US excludes people from any care. What you call free market could be good if patients get consumer power, but not good if it just means people with the gold rule.

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Comment by Ron Clutz




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