2 ms·
The greatest drawback, as I see it, to the US system is this: Currently, 160M Americans are covered by employer sponsored coverage. The people most in need of
by simonblack 7y ago
The greatest drawback, as I see it, to the US system is this: Currently, 160M Americans are covered by employer sponsored coverage.
The people most in need of 'single-payer' are the unfortunates who don't have employer-sponsored health cover (160M is less than half the US population); those out of work, whether 'retired' or 'not employed just right now'; those who are physically unable to work because of bad health or past injuries; etc.
Single-payer covers everybody, and removes the cause of bankruptcies because of tens (or hundreds) of thousands of dollar hospital debts. There's no way I could have afforded my triple bypass surgery including 2 days in ICU on my 22-hours-a-week employment classified as 'casual work' if I was under the US health scheme. That surgery came with a mere two-week warning, I went to have an angiogram 'just to check things' and was told "We're not sure if we'll let you go home today!"
- js2 7y agoThat 160M is vulnerable to having a health issue crop up which prevents them from working, then they lose their job, 18 months later lose their COBRA coverage (if they could afford it in the first place), then go bankrupt at which point they can qualify for Medicaid. It's terrible and it happens. BTW, a big point in favor of single-payer even for those 160M is that it increases consumer choice of provider since you no longer have to worry about provider networks. In theory anyway. There's just so much inertia and powerful vested interests behind the current system, it's really hard to change. This isn't a new fight: https://www.healthcare-now.org/legislation/national-timeline/ https://www.healthcare-now.org/legislation/national-timeline...