3 ms·
Just need price controls (at least limited ones, and the credible threat of more) plus a good public fall-back option, and strong standards for what health insu
by hotnfresh 3y ago
Just need price controls (at least limited ones, and the credible threat of more) plus a good public fall-back option, and strong standards for what health insurance has to cover. That seems to be the minimum (Singapore model). Those elements seem to be the common factors in basically all OECD healthcare systems outside the US. Taking it farther can work, and may even help, but those seem to be the things you have to have (though price controls can also be implicit, via monopsony). “Credible threat of more” for the price controls may not work in places less authoritarian than Singapore, so you may have to swing closer to the price-book model of places like Japan, if not just go single-payer.
- spiralx 3y agoYup. The CBO have in the past even estimated a generic public option as being revenue positive due to replacing ACA subsidies for private insurance plans. https://www.cbo.gov/budget-options/2013/44890 https://www.cbo.gov/budget-options/2013/44890 Single-payer is unlikely in the US for many reasons, if you're interested in the topic though the CBO did a thorough look at all of the different things that would be required for such a system: https://www.cbo.gov/system/files/2019-05/55150-singlepayer.pdf https://www.cbo.gov/system/files/2019-05/55150-singlepayer.p...
- Auracle 3y agoThe amount of pushback we'd see from doctors, nurses, pharmacists and the like if they got paid like they get paid in the rest of the world would be immense.