3 ms·

Single payer cuts out an entire tier of administrative costs from health care delivery. This is not insignficant. It also provide more control over wages, drug

Single payer cuts out an entire tier of administrative costs from health care delivery. This is not insignficant. It also provide more control over wages, drug costs etc. For example, Canadian doctors make less than their US counterparts. https://nationalpost.com/news/canada/canadian-doctors-still-make-dramatically-less-than-u-s-counterparts-study https://nationalpost.com/news/canada/canadian-doctors-still-...

pfisch 8y ago
Here is the main problem with this line of reasoning. Canada is not captured by a huge pharma/medical industry like the US is. If we do this we will have even less recourse and there will be even less accountability when regulatory capture happens and prices are driven up even higher because all the lobbying money can be focused like a laser now on this one board that we are going to create to manage everything. The current system is totally fucked, but once the price concerns are made a tragedy of the commons through taxes the medical industry will be able to drive prices even higher just like how the government isn't allowed to negotiate drug prices for medicare right now. How can you not see the insane level of corruption already baked into the system when we have a policy currently where the government can't negotiate drug prices? How fucked up must the system be for that to have ever even gotten to the stage of being considered as a serious proposal, much less implemented? Without attacking the corruption in the system I just don't think sweeping it under the rug and throwing it on the deficit is a reasonable plan.
- wstrange 8y ago
  > Canada is not captured by a huge pharma/medical industry like the US is I think you are making the case for single payer. The government has much more power to reign in the pharma/medical industry. See the linked article on Doctor salaries.
  - pfisch 8y ago
    Government's have power to reign in industries until those industries get too large and entrench themselves within the government. Look at the biggest industries in any free country and you can see it replay over and over again around the world. Our problem unlike the rest of the world is that pharma and medical is our industry. That is the main reason our prices are crazy compared to everyone else.

pfisch 8y ago

Here is the main problem with this line of reasoning. Canada is not captured by a huge pharma/medical industry like the US is. If we do this we will have even less recourse and there will be even less accountability when regulatory capture happens and prices are driven up even higher because all the lobbying money can be focused like a laser now on this one board that we are going to create to manage everything. The current system is totally fucked, but once the price concerns are made a tragedy of the commons through taxes the medical industry will be able to drive prices even higher just like how the government isn't allowed to negotiate drug prices for medicare right now. How can you not see the insane level of corruption already baked into the system when we have a policy currently where the government can't negotiate drug prices? How fucked up must the system be for that to have ever even gotten to the stage of being considered as a serious proposal, much less implemented? Without attacking the corruption in the system I just don't think sweeping it under the rug and throwing it on the deficit is a reasonable plan.

wstrange 8y ago
> Canada is not captured by a huge pharma/medical industry like the US is I think you are making the case for single payer. The government has much more power to reign in the pharma/medical industry. See the linked article on Doctor salaries.
- pfisch 8y ago
  Government's have power to reign in industries until those industries get too large and entrench themselves within the government. Look at the biggest industries in any free country and you can see it replay over and over again around the world. Our problem unlike the rest of the world is that pharma and medical is our industry. That is the main reason our prices are crazy compared to everyone else.