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Medicare for All can't function well as a single payer system - single payer doesn't work because it kills off the benefit of market-competitive forces; in sing
by loceng 4y ago
Medicare for All can't function well as a single payer system - single payer doesn't work because it kills off the benefit of market-competitive forces; in single payer systems there are gatekeepers who decide what's covered, what's not covered, who might be eligible and what the criteria for them to be eligible is - which all acts as a single point of failure.
I like Andre Yang's proposal - where you allow private insurance but you also have a government offering to compete - both the government option and private options acting as counterweights against the other in terms of competitive forces.
- avidiax 4y agoThis has the unfortunate failure mode where the well-off, powerful or influential get much better private insurance, which means that no one with means is advocating for the quality of the public option, so it declines or becomes uncompetitive in marketplace bidding. Private insurance alongside public could work if it followed a strict "school-voucher" model, i.e. it gets the same funding per-head that the public option does and the customers have to show means to self-insure for any coverage shortfalls vs. the public option.