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In a single payer system, there wouldn't be an insurance company sitting between a patient and the medical provider, extracting rent. The middleman and associa
by goodells 10y ago
In a single payer system, there wouldn't be an insurance company sitting between a patient and the medical provider, extracting rent. The middleman and associated overhead would not exist (or be centralized), which could make the market more efficient.
- AnimalMuppet 10y agoOK, let's talk about overhead. Every doctor's office has one or two people per doctor who fight with insurance companies to see that the doctor gets paid. Every insurance company has people who fight with the doctors' people, trying to find ways to not pay them. Those people - on both sides - are a total waste to the business of actually delivering healthcare to people. Yes, we could cut a lot of overhead by getting rid of them. That works... right up until the healthcare scheme is underfunded by the legislature, and then the single payer tries to find ways to reduce payments to the doctors, and then the overhead comes right back. So to reduce the overhead, the rules have to be really rules, not something the single payer tries to play with in order to control expenses. Is that enough to get old-gregg's 50-60% reduction in expenses? I don't know. I'm a bit skeptical. It will get a large chunk of the way there, though.
- mythrwy 10y agoI'm entirely in favor of a single payer system as it makes the most sense in my mind, but there is still a middleman. Bureaucrats don't work for free.