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Originally Posted by Yeledaf
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Health CARE costs continue to rise..
this is not just about insurance...btw insurance is not care
singlepayer??? you (if you pay taxes), cant afford it
and if you are meaning medicare for all...that's NOT singlepayer
many if not most conservatives/republicans would be all for singlepayer....if, if two questions could be answered
1. can you guarantee the level/quality of care...because we have seen the "Dept of Health horror clinics", and the all too many times we are reminded of the lack of quality from the VA
2. and the second, but probably most important question....How will we pay for it???
TRUE singplepayer...100% paid by the federal government, no copays, no deductibles.. to cover 323 million people will cost over 5.75-6.25 trillion for the first year, with each and every years the cost increasing with inflation
non-singlepayer "medicare for all", which is a 75/25 government insurance, which you not only have to buy supplemental insurance (or just pay the remainder out of pocket), but you also have copays will cost about 3.2 trillion
our current budget is about 3.5 trillion but our current revenue is about 3 trillion...about a half a trillion deficit.....of that 3.5 trillion dollar budget the federal government budgets about 1.2 trillion for mandatory health care (medicare,medicaid, va)
so where are you going to get the additional 2 to 5 trillion dollars to pay for some kind of singlepayer or medicare for all????
taxing the rich to death....well that will cover the first year...then what, when there are no more rich to tax.....
we have 323 million people here in the USA, yet less than 1/4 are tax payers
2. we (the taxpayer) cant afford any type of singlepayer or even medicare for all
singlepayer is NOT sustainable at any level when you are talking about 320 million patients, and less than 70 million taxpayers
they (the government) cant lower much..the best the government could do is lower some prescription medicines
how are you going to control the cost of medical equipment(mri or x-ray machines, etc)??????most xray machine are made in Denmark
how are you going to control the cost of the rising electric bills the doctors/hospitals are facing????
how are you going to control the rising property tax/rent/mortgage that doctors face?????
how are you going to control the cost of supplies(gauze, plaster, silk, rubber, polystyrene( a oil product)?????especially some supplies that aren't even American
how are you going to control the cost of people salaries???? a maximum wage???
how they are going to control the employment costs for Doctors, nurses, technicians, hospital food operators, hospital linen cleaning service, custodial services, medical transcribers........are you going to 'nationalize' every profession that is even remotely connected to medicine????
how are they going to control malpractice INSURANCE COSTS?????
things are expensive
for example the average hospital uses a lot of electricity...about 500,000 a month...that's over 6 million dollars in electric costs yearly.....you are not going to cut that piece of overhead
when you go to the local doctor and pay him/her 100..its not 100 dollars going into his pocket...there are lots of other COSTS
they have lots of overhead costs:
rent/lease/mortgage
property taxes
electric costs
equipment costs(and many pieces of equipment are not even made here)
cleaning costs
supply costs
personnel costs
etc
singlepayer will not control these costs
medicine (like anyother SERVICE) costs money,,(,money that our government doesn't have)
want to know A BIG REASON why its lower in those other countries.??? salaries.....a nurse in France(actually most of europe) makes about 1500-1800 a month(in us dollars)..that's 18-22,000 a year.....meanwhile according to payscale.com the average Rn makes 40-68,000 in the usa
FranceRegistered Nurse (RN) Salary (France) .....average 22,000 euro (about 25,000 dollars us)
USARegistered Nurse (RN), Emergency Room Salary ....average 63,000 dollars
Professional Nurse Average Salary Income - International Comparison
so what is it that singlepayer supporters 'think' or 'believe' we will be able to negotiate ??? medicines maybe....salaries not likely...other supply costs not likely.....property taxes and overhead...not a chance
UHC (medicare for all) which is not a singlplayer , or actual singlepayer would cost between 3.5 TRILLION and 6.5 trillion ANNUALLY.....and will INCREASE everyyear...the taxpayers cant afford that