General Discussion
In reply to the discussion: Establishment Dems Fight to Defeat 'Medicare-for-All' in Colorado [View all]Baobab
(4,667 posts)Single payers' savings don't travel at all into other contexts. For that reason, as the insurers know quite well, a 'public option' is guaranteed to fail, because of adverse selection, or be extremely expensive, as in high risk pool (thats basically what it would become)
in addition to being against our own FTA dogma, very rigid dogma if past positions are any guide,
There are a number of reasons single payer works, some of them revolve around simplicity, others revolve around bargaining power, some revolve around early access to care which only happens when its free. Then people see a doctor when they need to right at the beginning.
You cannot provide a service for free when you need to coddle the need of for profit insurers to make money by never offering a better deal. Thats basically a big problem. They will always cherry pick the profitable healthy people.
But the key issue is the GATS Article I:3 one.
http://www.ciel.org/Publications/PublicServicesScope.pdf
http://www.iatp.org/files/GATS_and_Public_Service_Systems.htm
http://www.ictsd.org/downloads/2008/06/cassim_steuart_part3.pdf
http://www.cesruc.org/uploads/soft/130303/1-130303131949.pdf
https://business.highbeam.com/437406/article-1G1-148417088/service-supplied-exercise-governmental-authority-under