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Single-Payer Option for Health Insurance Reform

Published: Monday, September 21, 2009

Updated: Monday, September 21, 2009 14:09

“I’m scared of Obama! He’s a socialist.” “Keep the government out of my Medicare!” These are some of the countless cries from town hall meetings this past August.

Since the start of the health care debate, many citizens have expressed their concerns and exposed several misconceptions about the current bill, as well as the idea of universal health care.

Given President Barack Obama’s weak role in the debate and trash media scare tactics, it’s not surprising that many are confused or scared.

Hopefully, these three definitions can help clear things up:

1. Government-Run Health Care System: Hospitals are government-owned institutions. Doctors are government employees.

2. The Public Option: The government funds one insurance plan that competes with the private plans in the marketplace.

3. Single-Payer: Everybody is covered regardless of income, job, or age. Hospitals and doctors remain private. No premiums or co-pays are necessary.

The U.S. is home to many of the world’s best doctors and hospitals. Maybe you’ve heard of Canadians coming to the U.S. to receive care and treatment. The quality of our hospitals and doctors is something of which we should be proud.

The health care reform debate is not about drastically changing any of that. No one’s proposing an actual government-run health care system.

If anybody (Fox News) is mentioning such a system, they are obviously not talking about the same issue and are further confusing people.

The reform that’s currently being argued over is the “public option,” which is a government-run insurance plan that competes with private plans, starting in the year 2013. Both a public plan and a private plan would allow you to choose your doctor.

As opposed to current insurance plans, the public option does not discriminate against pre-existing conditions, and it allows almost everyone to have health care coverage while aiming to control costs.

However, I don’t believe the public option warrants unconditional support. Despite the mentioned benefits, it will be unable to compete with the private insurance plans and unable to effectively control costs. Administrative costs will still exist, estimated to cost taxpayers billions over the years.

From here, we could say that we just shouldn’t support a public option and remain with the system we have now. I propose we go in a different direction: Let’s abolish all private insurance plans.

Ask yourself this question: What value does private insurance bring to our health care system? Private insurance companies have failed to care for Americans because their profit comes when they deny citizens health care.

On the other hand, the single-payer health care option takes the profit-driven insurance companies out of the picture entirely and puts health care into the hands of the people.

Instead of insurance companies paying for health care, the government pays through taxes.

This isn’t socialized medicine because hospitals and doctors would remain independent and private, and Americans would still be able to choose their doctors. Single-payer health care just eliminates the insurance companies; without private insurance, our money would no longer go to wasteful company advertisements, CEO and manager bonuses, or to their investors. Instead, it goes back to the health care system, to patients and taxpayers. It will improve our health care and save Americans money.

How much would a single-payer health care system save? An estimated $387 billion annually, according to H.R. 676.

The progressive tax proposed for single-payer would be less than the cost of private insurance premiums for 95 percent of Americans.

Economist Dean Baker, co-founder and co-director of the Center for Economic and Policy Research, found that single-payer would require a family of three that makes $40,000 annually to spend $1,900 for health coverage through taxes, instead of $11,000 through average premiums.

Several more studies conducted by Lewin Group have consistently found that a single-payer system would reduce administrative costs and save Americans money.

Doctors care, insurance companies don’t.

Reuters polls have shown that 59 percent of American physicians support a single-payer plan.

A single-payer system is the only way to stop private insurance company bureaucrats coming between you and your doctor. It’s also the only ethical, efficient, and democratic stance in the health care debate.

The aggressive PR campaign from insurance companies, lack of media coverage, and the fact that many Democrats receive contributions from insurance companies make it difficult for single-payer health care to gain public support.

However, a single-payer bill, H.R. 676 has been proposed by Representative John Conyers, D-Mich., and will be brought to a vote in the House of Representatives later this month.

You can read the single-payer bill by visiting www.pnhp.org (don’t worry, it’s only 30 pages). You can also visit www.healthcare-now.org for more information.

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2 comments Log in to Comment

John Fitzgerald
Wed Sep 23 2009 03:26
It is unfortunate that so many have deep misunderstandings of the psychology , the economics of the "free-market", and the economics of our health care system and government. And it is the deep misunderstandings, the basic misconceptions, the things we know that just ain't so that is at the core of much the debate.There is a reason that each working individual accounts for an average of $85,000 of the GDP while the average income is about $45,000. And part of it is how the money flows in the economy. And part of that is in the incredibly convoluted and inefficient manner that the health care and insurance industries function. We couldn't have created a worse system if we had tried. It only exists as it does out of neglect and misunderstandings of some basics. Government inefficiency pales in comparison to the health care and insurance system which provides products which simply do not fit the natural laws that make the ideal free market efficient. In reality, there is not ideal free market system or product. No master or student of economics every claimed that all markets fit the ideal of a free market. Not Adam Smith or any economist since. In reality, everything that the free market depends on to function efficiently simply does not exist with health care insurance and healthcare product. This would be true if they were entirely unregulated, it would be true if they were properly regulated, it would be true no matter how you designed a competitive free market system. It is simply the nature of the forces of supply and demand, the forces of willingness to pay and costs to produce, that make it so. The economics of health care insurance and products are no more like the economics of bell peppers (an ideal free market product ) than the biology of a cork is like that of a mouse.Currently, there are 7000 to 14000 healthcare lobbyists in Washington. They spend 1.4 million a day in pursuit of one single thing, convincing legistures of their viewpoint. Rockefeller, in an interview, put it in perspective. If a congressman isn't very well versed and prepared to argue with them, eventually they will sway him. It really isn't the contributions. Few congressman vote because their campaign was contributed to. Rather, lobbyists contribute to the congressman that they are best able to convince. While this difference may seem subtle and insignificant, I suggest that it is these little things that often lead us off in the wrong direction later. A simple thought on this is the difference it can make in our belief that our legislatures will listen to what we say. After all, if you believe that they follow the money exclusively, your email means nothing. If you understand that it is your vote, not the money that puts them in office and that your words mean as much as any lobbiest, then that would be different.In the same regard, the misunderstanding of little things, no economist ever said that the free-market reduces prices and cost to a minimum. And it is clearly understood by any student of economics that the market is not fair. Fair means nothing. That so many believe that the free market results in fair distribution, lower prices, or a system that gives them the best "choice" is unfortunate. What economics tells us is that the free-market tends to efficiently distributes goods and services. That means, as long as the free-market exists, the goods and services will tend to go to the place where it can produce what there is more demand for. But the word "tends" doesn't mean always.Nor is there a natural law that says that free-markets are stable. To be stable a free-market would have to continue to sustain itself as a free market, not turn into something else like a monopoly.The monopoly is the exact case of a product where the free market is not stable. Product where there is an efficiency of scale lead to a monopoly. Insurance is a fine example of efficiency of scale where the more they produce, the less it costs per piece. In fact, insurance which relies on a large pool of customers to share the risk requires efficiency of scale. And once a monopoly forms, there is no competition and no free market. Even duopolies and ologopies have market power that allows them to hold prices higher than they would be in a true free market.The second factor that allows monopolies to keep market power is that the market is not easy to enter. Farm products, like bell peppers, are an easy entry market. Farm product also tend to have efficiency of scale but if farmers were to raise the price high enough, every one with a back yard would start growing bell peppers and selling them on the street corner. Insurance, on the other hand, requires a large pool of customers before it can even begin to be possible as a business.As well, both insurance and medical products are highly regulated. Anyone cannot decide to manufacture drugs, devices, or perform surgery in their kitchen. They are simply not easy...
Vanguard,sirald66+USAVanguard@gmail.com
Tue Sep 22 2009 01:13
TinyURL.com/PKB8ZH - is a Single-Payer primer/resource guide I maintain. Good place to start.

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