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I support Medicare for all but I’m also realistic that it will result in a two-tiered public/private system, similar to what the UK has with the NHS and separat
by nugget 7y ago
I support Medicare for all but I’m also realistic that it will result in a two-tiered public/private system, similar to what the UK has with the NHS and separate cash pay services and private insurance. The key is to disconnect the private system from employment where the costs and purchase decisions are obfuscated from the end consumer. When a critical mass of consumers pay out of pocket for services, the market will drive down prices and increase transparency. At least that’s the best shot at it, based on what I’ve seen.
- sharemywin 7y agoHere's a couple list of top healthcare systems in the world: https://fr.april-international.com/en/healthcare-expatriates/which-countries-have-best-healthcare-systems https://fr.april-international.com/en/healthcare-expatriates...
- ameister14 7y agoI would be careful likening that system to the NHS - the NHS is much more fully nationalized than a medicare for all system would be
- nugget 7y agoIt would be at first. But if almost all of a hospital’s revenue comes from CMS, why wouldn’t CMS simply run the hospital? If it can run provider networks more efficiently, why not hospitals? At least that’s how I predict the political discussion will evolve.
- colinmhayes 7y agoGovernment programs will never be as efficient as private ones unless they utilize market power to make themselves price setters. Nationalized health insurance is a great idea, but nationalized health care would be much more difficult to implement, and would likely not be as good as the system we currently have.