General Discussion
In reply to the discussion: Now change to SINGLE PAYER HEALTHCARE and take it out of the corporations' hands [View all]Distant Quasar
(142 posts)It's possible to have a universal healthcare system, and an excellent one, without true single payer. For example, some of the best national health systems (e.g. France) incorporate both state-provided health insurance and private insurance policies to top off the core government benefit; I believe patients in France also pay for at least a limited share of their expenses out of pocket.
The French model seems to be very successful both in outcomes and cost effectiveness. On the other hand, totally government-run healthcare systems a la Britain's NHS tend to run into problems with quality of care. I also think it is probably desirable for people who are financially able to pay for a share of their routine health expenses to do so; otherwise you are encouraging overuse and thus higher costs.
In short, the devil is in the details, and "single payer" has a very specific meaning. I am all for universal health insurance, but skeptical of a full-on single payer system.