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(32,640 posts)
Fri Sep 22, 2017, 10:58 AM Sep 2017

How single payer helps Republicans change the subject [View all]

The big picture: Politically, single payer — the idea of having the government pay for health care rather than private insurers — can help rally the left much like the prospect of repealing the ACA rallied the right. But it could also help Republicans, who own the problems in health care now, switch the target to the Democrats and their sweeping new health reform plan.

The pros for Democrats:

As the chart shows, single payer is popular among Democrats, with about two thirds in favor. But it has also gained popularity among independents in recent years, with over half supporting it. Republicans, not surprisingly, aren't so crazy about it.

Single payer is a big idea many Democrats can rally around. It excites the base and party activists by establishing health care as a right, achieving universal coverage, and eliminating insurance companies. This analysis is about politics, but most advocates of single payer advance the idea because they believe in it, not as a political calculation.

The cons for Democrats:

They could lose a one-time opportunity to tar Republicans with the damage their ACA replacement plan would have done to millions of people, according to the multiple analyses that showed lost coverage and higher premiums for vulnerable people.

By campaigning on their own sweeping health reform plan, Democrats could give Republicans a fighting chance to change the subject.

More targeted policy ideas, such as Medicaid buy-in options for the ACA marketplaces and a Medicare buy-in for 50-64 year olds, could also be popular on the left and the center, while offering far smaller targets than a sweeping single-payer plan would.

Reality check: Single payer is popular, but polling today doesn't tell us much about where the public will be if there is a national debate about actual single-payer legislation in the Congress. ACA repeal had the support of about half the public in Kaiser Family Foundation polling in late 2016 and early 2017, but fell to closer to 30 percent once there was an replacement plan under the microscope.

Support for single-payer falls by 10 to 20 percentage points when people are read common criticisms, such as that it will increase taxes or give the government too much control over health care. Arguments in favor, including that single payer will make health a basic right or reduce administrative costs, increase support by similar amounts.


About Drew Altman, and the Kaiser Family Foundation (not affiliated with Kaiser Permanente):

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K&R Gothmog Sep 2017 #1
K AND R FOR EXPOSURE AND DEBATE DemocratSinceBirth Sep 2017 #2
We should never talk about it. theaocp Sep 2017 #3
I didn't see that at all from the post ehrnst Sep 2017 #5
It is the wrong time now. Save the ACA. Demsrule86 Sep 2017 #20
K&R sheshe2 Sep 2017 #4
Truth. nt LexVegas Sep 2017 #6
I wish everyone would call it Medicare For All, as it's named n/t leftstreet Sep 2017 #7
That is the name of a specific bill, not the term for the system. ehrnst Sep 2017 #9
It's what Sanders and the co-sponsors call it leftstreet Sep 2017 #26
I know exactly why Sanders chose it. Medicare is popular. That's good marketing. Good politics. ehrnst Sep 2017 #27
No matter what you call it... Demsrule86 Sep 2017 #12
It's what Sanders and the co-sponsors call it n/t leftstreet Sep 2017 #25
Honestly, I am very angry with all of them. Demsrule86 Sep 2017 #28
The article uses correct terminology, as would be applied to any such bill. ehrnst Sep 2017 #32
Thank You Me. Sep 2017 #8
It is very (very) hard to take away benefits once they are established, Expecting Rain Sep 2017 #10
But that's not a post that will get applause. ehrnst Sep 2017 #13
I'd make a very lousy populist demagogue. Expecting Rain Sep 2017 #15
Why do you hate progress? ehrnst Sep 2017 #16
nonsense. you don't decide that. Demsrule86 Sep 2017 #21
I agree. brer cat Sep 2017 #17
True. And the "Medicare for All" bill as proposed is different than Medicare as it is. ehrnst Sep 2017 #24
K&R Demsrule86 Sep 2017 #11
The ACA is the farthest down the road we have ever been to UHC. ehrnst Sep 2017 #14
Home now...can type better...hubs had last interview today...and they knew he had an offer so Demsrule86 Sep 2017 #29
Just heard pundit say debate bad idea. On cell Demsrule86 Sep 2017 #18
Good article, ehrnst. brer cat Sep 2017 #19
The ACA is/was market oriented. kentuck Sep 2017 #22
Actually, it's a series of regulations that limits and directs the market in many ways ehrnst Sep 2017 #23
It could work with some tweaks and it is all we have and if goes it is all we ever had. There is no Demsrule86 Sep 2017 #30
The vast majority of countries with universal health care have Public/private hybrids ehrnst Sep 2017 #31
Exactly. Germany has a similar system to the ACA...we would need strong price controls on Demsrule86 Sep 2017 #33
And where did campaigning on a popular idea at the time get the rethugs? LostOne4Ever Sep 2017 #34
They campaigned to get rid of something...they found a common enemy. Demsrule86 Sep 2017 #37
K&R Gothmog Sep 2017 #35
A lot of stupid people are still opposed to one big government plan. A Public Option Hoyt Sep 2017 #36
That is a good idea...let people buy into Medicare. Demsrule86 Sep 2017 #38
This is playing right into Republican hands CherokeeFiddle Sep 2017 #39
No one is stopping discussion of Single Payer & we should NOT be censoring health policy experts ehrnst Sep 2017 #40
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