General Discussion
In reply to the discussion: Urban Institute analysis of Sanders Single Payer Plan: May 2016 [View all]ismnotwasm
(42,674 posts)There is a lot to it--notice the analysis uses the term "non-elderly" a lot. Our aging population is already using up Medicare dollars at a high rate, with a smaller younger population paying in. A single payer would not erase that discrepancy. (Bill Clinton did something to keep Medicare solvent, and dubya spent it in his war--I could be wrong I don't remember the details)
Right now government reimbursements are tied to a numbers of factors such as HCAHPS. Government money is used as a stick and carrot for facilities such as nursing homes and rehabs to maintain quality--with various successes and failures
http://www.mghpcs.org/eed_portal/Documents/PatExp/What_is_HCAHPS.pdf
And as I said before, we are not equipped with enough healthcare providers for implementation over 10 years--this really needs to be talked about. The focus on preventative care should of course be maintained. Chronic disability illnesses, mental health dental care-Sanders Bill is covering everything and everybody from what I understand, but costs aside, I'm not sure the infrastructure is going to be ready in 10 years.?
Once government becomes the insurance policy, I'm curious as to where the people in the insurance industry will go--will they be offered a government job?
There are a number of unaddressed issues. Cost isn't the only one