> IMO, the most fascinating thing about this report is that it exposes a fight between two groups: 1) traditional health insurance companies 2) private equity b

> IMO, the most fascinating thing about this report is that it exposes a fight between two groups: 1) traditional health insurance companies 2) private equity backed provider groups, both of whom would be opposed to universal single payer healthcare as a right. As someone who works in a PE backed healthcare provider, I can assure you that we are not opposed to single payer. Some are, but they're mostly in spaces that provide out-of-network coverage or other services that are still "bill what you want and argue about it later" spaces that are rapidly disappearing. OON services are increasingly difficult and are generally covered by single-case-agreements which are negotiated either before service is rendered, or at the very beginning of the treatment process. Single payer is welcomes by a wide swath of PE back healthcare because it would reduce our costs DRAMATICALLY and provide predictability that currently we do not have. It used to be there were small changes in what insurers would cover from year to year, but now the changes are potentially HUGE and we have to adjust much more quickly. We pay gobs of money to departments filled with people who have to manually verify patient benefits, validity of insurance, continually monitor the patient progress to make sure we're fulfilling the various metrics each insurer sets that varies according to the patient's plan, audit each bill to make sure everything is coded correctly to avoid a typo getting an entire claim rejected (which then we have to resubmit), then once we bill it to the insurer there's the game of nagging them to pay claims they approved weeks ago. Single payer would eliminate almost all of that. We'd know everyone was covered. We'd know what is reimbursable and not. We'd have one set of rules for all patients, one set of metrics to adhere to. One source to bill, and one source to track payments from. Literally 20% of my company's staff is just for those things. Not to mention how much time our medical staff would save by having a single set of rules to work under. PE firms are in healthcare to try to leverage economies of scale to make the money side more efficient, and thus increase margins. A stable environment is good for any business. We work hard to make things as efficient as we can, and reducing the massive overhead attached to just making money would be a great efficiency. Single payer would be great news for the industry.