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A full single payer system will get rid of these tax incentives and the employer based care which screws with healthcare econ.
Yep, the link between employment and health insurance needs to be broken once and for all. It's a relic of the time when employers -- subject to wage controls -- couldn't raise wages so they started offering benefits instead. It's little more than 21st-century feudalism IMHO.
Eliminating that linkage will unleash a flood of entrepreneurial energy the likes of which we've never seen, as people will no longer be shackled to jobs they hate just because they need health insurance.
The perfect is the enemy of the good. The ACA is better than what we had but not perfect.
I agree.
Talk about the financial burdens of redundancy. Unlike anywhere else, the U.S. has the politics of 50 state insurance commissions that are being protected in all this.
I used to be onboard for a way to reform our system to a more market centered approach, but the proposals I keep hearing won't address the primary issues. We need a long term answer to health reform and I believe that a single-payer (medicare type) system is the way to address this. I believe that the GOP needs to get on board with this. Conservatives in Canada and Europe acknowledge this system has broard positive results and the GOP needs to do the same.
The Australian system seems to be one of the most effective. Listed below is some information from their system.
Life Expectancy: 81.4
Infant Mortality: 4.2
Physicians per 1000 people: 2.8
Per capita expenditure per person: 3353
Healthcare cost as a % of GDP: 8.5
% of government revenue spent on healthcare: 17.7
And now...the same categoties for the United States:
Life Expectancy: 78.1
Infant Mortality: 6.8
Physicians per 1000 people: 2.4
Per capita expenditure per person: 7437
Healthcare cost as a % of GDP: 16
% of government revenue spent on healthcare: 18.5
As you can see...the numbers are certainly skewed in the Aussies favor. At this time I see no viable way that is being advocated by the GOP to resolve this issue. All the answers still result in a convoluted public/private amalgamation that has proven itself to be remarkably inefficient.
Are there other moderates, or center right folk that support a single payer system or am I the only one?
I see no other viable way forward than to implement a national single-payer system; otherwise it's going to be chaos and economic catastrophe as the baby boomers move into their golden (and very expensive) years.
Unlike anywhere else, the U.S. has the politics of 50 state insurance commissions.
Given the enthusiasm with which certain ideologically-motivated governors have been declaring their intent to "nullify" certain aspects of the ACA, it's hard to imagine that all 50 states would go along with single-payer, at least at first.
I am conservative and i am ok with single payer if its done like this.
Done at state level with a sales tax or property tax to cover preventable and generic drugs only.
Federal level for hospital for the poor. All others can buy a umbrella plan.
So the universal health care is for drs visits and preventable stuff. You can go to a specialist if referred by your primary but no hospitalzation on this coverage.
Any fiscal conservative should support this, imo. Every country that has a single-payer system manages it in a more cost effective way than we manage our crap system. I'm confident that we can do this as well.
You already pay single-payer coverage. But can not use it until you retire and or become disabled--medicare. So, not only do we pay for for-profit independent insurance coverage and or contribute to group coverage, we also pay for the single payer medicare at the same time. Yes, we can afford it by far.
I used to be onboard for a way to reform our system to a more market centered approach, but the proposals I keep hearing won't address the primary issues. We need a long term answer to health reform and I believe that a single-payer (medicare type) system is the way to address this. I believe that the GOP needs to get on board with this. Conservatives in Canada and Europe acknowledge this system has broard positive results and the GOP needs to do the same.
The Australian system seems to be one of the most effective. Listed below is some information from their system.
Life Expectancy: 81.4
Infant Mortality: 4.2
Physicians per 1000 people: 2.8
Per capita expenditure per person: 3353
Healthcare cost as a % of GDP: 8.5 % of government revenue spent on healthcare: 17.7
And now...the same categoties for the United States:
Life Expectancy: 78.1
Infant Mortality: 6.8
Physicians per 1000 people: 2.4
Per capita expenditure per person: 7437
Healthcare cost as a % of GDP: 16 % of government revenue spent on healthcare: 18.5
As you can see...the numbers are certainly skewed in the Aussies favor. At this time I see no viable way that is being advocated by the GOP to resolve this issue. All the answers still result in a convoluted public/private amalgamation that has proven itself to be remarkably inefficient.
Are there other moderates, or center right folk that support a single payer system or am I the only one?
You might be an extremely rare one who also chooses to be open to discuss this. BTW, a reason I highlighted the above is to point out that the difference there might be dramatically understated. Nearly 40% of health care spending in the US is public (Medicare/Medicaid/Veterans affairs account for most of that).
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