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In reply to the discussion: Urban Institute analysis of Sanders Single Payer Plan: May 2016 [View all]ehrnst
(32,640 posts)89. Disruption means disruption of delivery of care
which is never a good thing. Is that clearer?
Actually, those conclusions are supported.
And insurance companies are way, way larger and more baked in to the economy than VCRs were.
The majority of nations with Universal Health Coverage use multi-payer systems, and are not single payer. Even Medicare requires private insurance to pay for prescriptions, hearing aids and vision aids.
About 30 percent of all Canadian health care is financed through the private sector.
Most countries with single-payer systems rely on some combination of public insurance, various mixes of mandatory and voluntary private insurance (usually tightly regulated), and out-of-pocket expenditures (often with a cap). They offer free coverage for those who cant afford it, but the exact benefits vary from country-to-country.
Germanys single-payer system has 124 not-for-profit insurers participating in one national exchange. About 10 percent of Germansthe wealthiest onesopt out of the national system and go fully private, and most of them buy plans from for-profit insurers.
The Dutch system is somewhat like Obamacare in that everyone must purchase insurance for basic services from private insurers. But the similarities end there: Insurers are barred from distributing profits to their shareholders, and a separate, entirely public scheme covers long-term care and other costly services. Premiums are subsidized, but most Dutch people purchase supplemental insurance to cover things like dental care, alternative medicine, contraceptives, and their co-payments.
The French system is often cited as the best in the world, and about a quarter of it is financed through the private sector. The French are mostly covered through nonprofit insurers in a single national pool, but most working people get their policies through their employers. Almost all French citizens either purchase government vouchers to cover things like vision and dental care, or are provided with them gratis if necessary. The system is financed through a complicated mix of general revenues, employer contributions, payroll taxes and taxes on drugs, tobacco, and alcohol.
................................................................................
We shouldnt make promises that we arent going to be able to keep. Its not going to be easy to do, Jacob Hacker says, and anyone who tells you that the most expensive health-care system in the world is going to undergo a sudden shift to highly efficient and low-price medicine has not been studying American medicine.
Most countries with single-payer systems rely on some combination of public insurance, various mixes of mandatory and voluntary private insurance (usually tightly regulated), and out-of-pocket expenditures (often with a cap). They offer free coverage for those who cant afford it, but the exact benefits vary from country-to-country.
Germanys single-payer system has 124 not-for-profit insurers participating in one national exchange. About 10 percent of Germansthe wealthiest onesopt out of the national system and go fully private, and most of them buy plans from for-profit insurers.
The Dutch system is somewhat like Obamacare in that everyone must purchase insurance for basic services from private insurers. But the similarities end there: Insurers are barred from distributing profits to their shareholders, and a separate, entirely public scheme covers long-term care and other costly services. Premiums are subsidized, but most Dutch people purchase supplemental insurance to cover things like dental care, alternative medicine, contraceptives, and their co-payments.
The French system is often cited as the best in the world, and about a quarter of it is financed through the private sector. The French are mostly covered through nonprofit insurers in a single national pool, but most working people get their policies through their employers. Almost all French citizens either purchase government vouchers to cover things like vision and dental care, or are provided with them gratis if necessary. The system is financed through a complicated mix of general revenues, employer contributions, payroll taxes and taxes on drugs, tobacco, and alcohol.
................................................................................
We shouldnt make promises that we arent going to be able to keep. Its not going to be easy to do, Jacob Hacker says, and anyone who tells you that the most expensive health-care system in the world is going to undergo a sudden shift to highly efficient and low-price medicine has not been studying American medicine.
https://www.thenation.com/article/medicare-for-all-isnt-the-solution-for-universal-health-care/
What Ive often said is we could have done this in the 1940s when Harry Truman proposed it, said Starr, who has written at length on the history of American health politics. Health care at that point was probably about 4 percent of [gross domestic product] and there existed at that time a relatively small private insurance industry. Today health care spending in the U.S. is approaching 18 percent of the nations GDP and the private health insurance industry accounts for half a trillion dollars per year.
Both Starr and Pollack, however, said it would be possible to make a switch, although it would have to be carried out over a very long period of time.
You could imagine some kind of long transition, where you gradually expanded Medicare, said Starr, for example moving it down to age 55 and then in later years continue to lower the age threshold.
Both Starr and Pollack, however, said it would be possible to make a switch, although it would have to be carried out over a very long period of time.
You could imagine some kind of long transition, where you gradually expanded Medicare, said Starr, for example moving it down to age 55 and then in later years continue to lower the age threshold.
http://khn.org/news/democrats-unite-but-what-happened-to-medicare-for-all/
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The Urban Institute is a creditable organization. They did much of the work establishing Medicare's
Hoyt
Sep 2017
#1
what? fuck that. You say some shit as if ..."it can't be all these 3 things" and you say that for
JCanete
Sep 2017
#67
It can't. This is an axiom of project management. A big & complicated project cannot be all three.
stevenleser
Sep 2017
#76
I did not see where the poster indicated that the bill was going for fast and cheap, only that it
JCanete
Sep 2017
#78
So insurance as it stands, which is gouging the fuck out of people, and granted, often has massive
JCanete
Sep 2017
#96
I am not going to read the whole thing, does it relieve employers buying health insurance
Eliot Rosewater
Sep 2017
#4
Taxes being much higher than anticipated were part of why VT single payer failed.(n)
ehrnst
Sep 2017
#8
That was the problem with the California proposal, and the Democratic Speaker....
George II
Sep 2017
#22
"The increases in federal spending that we estimated ($32 trillion between 2017 and 2026)"
TCJ70
Sep 2017
#24
I'm basing that on the fact that we currently spend around $3.8 Trillion annually...
TCJ70
Sep 2017
#30
Don't worry Sanders is only the sponsor/visionary-he did his part in moving the needle
andym
Sep 2017
#46
MFA would radically change things, could happen quickly and would be disruptive in a good way
andym
Sep 2017
#62
Delivery of care will not be disrupted if universal healthcare is engineered carefully
andym
Sep 2017
#94
We are jumping on board based on the principle of achieving universal health care
andym
Sep 2017
#95
America is the only industrialized nation in the world incapable of implementing universal coverage.
Orsino
Sep 2017
#20
Sanders has a say in what goes into the bill, but no more than any other co-sponsor.
Orsino
Sep 2017
#109
Bernie is not known for drumming up support among his colleagues to write a bill.
ehrnst
Sep 2017
#122
Your statement that he is tweaking it with other Senators has the burden of proof
ehrnst
Sep 2017
#124
So now you say who wrote and edits the bill isn't important but it DEFINITELY isn't just Bernie...
ehrnst
Sep 2017
#135
They would have been more trustworthy had they revealed their conflict of interest in the analysis
Major Nikon
Sep 2017
#48
People have been saying that on DU over and over again - anyone know if they REALLY....
George II
Sep 2017
#70
Do you also tell your students that a source that presents a barely edited Wikipedia copy/paste
ehrnst
Sep 2017
#80
You keep bringing up Sourcewatch and their inaccurate comment about Cigna and Pfizer. Why?
George II
Sep 2017
#51
Because it means they don't have to read or learn something they don't wanna. (nt)
ehrnst
Sep 2017
#56
According to the Urban League's annual report only 1.4% of their funding comes from....
George II
Sep 2017
#50
They have four or five annual reports and also audited financial statements on their site....
George II
Sep 2017
#63
More evidence why I think we should be working to architect a two-tier or dual-tier system from the
stevenleser
Sep 2017
#77