4 ms·

This is due to not having a single payer. In this situation we all loose. Lack of being single payer also poses risks to us all regardless of coverage with our

This is due to not having a single payer. In this situation we all loose. Lack of being single payer also poses risks to us all regardless of coverage with our emergency rooms all over crowded.

redwall_hp 3y ago
Even without single payer, insurers should never be able to stand in the way of a doctor practicing medicine. They should be strictly required to cover any procedure or medication a doctor deems necessary, and the practice of pre-approvals should be forbidden.
- refurb 3y ago
  That’s ridiculous because in a single per system the government stands in front anyways. There are plenty of drugs in Europe doctor might want to prescribe but the government says “nope, not going to pay for it”
  - ejstronge 3y ago
    > That’s ridiculous because in a single per system the government stands in front anyways. > There are plenty of drugs in Europe doctor might want to prescribe but the government says “nope, not going to pay for it” Not only does this happen with the current system, it’s worse, because there aren’t always explicit instructions about what will be covered - so your care depends on whether your doctor is willing to beg the insurer to provide a drug to you
    - Wytwwww 3y ago
      Insurance companies can always hike premiums to compensate though. State run system could/would be a lot stricter with their funding and have less wiggle room.
    - vinay427 3y ago
      One major difference is that most people, at some financial burden, can choose to change insurance providers whereas in many countries with universal systems (single-payer or otherwise) the government guidelines for what the national service or insurance providers must pay for or not tends to be more consistent across the board. For instance, this is a struggle for people in many European countries who would benefit from access to specific psychiatric prescriptions which are either not prescribed except after trying various cheaper options or are not even approved because of the potential cost to the government, while the same drug is often available in the US (ranging from $10-hundreds a month, as is typical in the US). Public healthcare in at least California sounds more comparable to the universal single-payer systems I’ve seen in its relative inflexibility.
      - Projectiboga 3y ago
        No system would be perfect, but by cutting out most of the administrative overhead more gets to be spent on actual care. And by having everyone getting the same or similar coverage decisions it could easier to sort out. Also another benefit of single payer is that all or at least most out outcomes can be collected and compared to the treatments. This should enable improved outcomes and cut through the B$ we have here where 70,000 people can die needless from Vioxx before it even got a review. https://www.jci.org/articles/view/38430#:~:text=Some%20consider%20the%20voluntary%20removal,loss%20of%20a%20valuable%20drug https://www.jci.org/articles/view/38430#:~:text=Some%20consi....
- deleted 3y ago
  [deleted]

This is due to not having a single payer. In this situation we all loose. Lack of being single payer also poses risks to us all regardless of coverage with our emergency rooms all over crowded.

redwall_hp 3y ago

Even without single payer, insurers should never be able to stand in the way of a doctor practicing medicine. They should be strictly required to cover any procedure or medication a doctor deems necessary, and the practice of pre-approvals should be forbidden.

refurb 3y ago
That’s ridiculous because in a single per system the government stands in front anyways. There are plenty of drugs in Europe doctor might want to prescribe but the government says “nope, not going to pay for it”
- ejstronge 3y ago
  > That’s ridiculous because in a single per system the government stands in front anyways. > There are plenty of drugs in Europe doctor might want to prescribe but the government says “nope, not going to pay for it” Not only does this happen with the current system, it’s worse, because there aren’t always explicit instructions about what will be covered - so your care depends on whether your doctor is willing to beg the insurer to provide a drug to you
  - Wytwwww 3y ago
    Insurance companies can always hike premiums to compensate though. State run system could/would be a lot stricter with their funding and have less wiggle room.
  - vinay427 3y ago
    One major difference is that most people, at some financial burden, can choose to change insurance providers whereas in many countries with universal systems (single-payer or otherwise) the government guidelines for what the national service or insurance providers must pay for or not tends to be more consistent across the board. For instance, this is a struggle for people in many European countries who would benefit from access to specific psychiatric prescriptions which are either not prescribed except after trying various cheaper options or are not even approved because of the potential cost to the government, while the same drug is often available in the US (ranging from $10-hundreds a month, as is typical in the US). Public healthcare in at least California sounds more comparable to the universal single-payer systems I’ve seen in its relative inflexibility.
    - Projectiboga 3y ago
      No system would be perfect, but by cutting out most of the administrative overhead more gets to be spent on actual care. And by having everyone getting the same or similar coverage decisions it could easier to sort out. Also another benefit of single payer is that all or at least most out outcomes can be collected and compared to the treatments. This should enable improved outcomes and cut through the B$ we have here where 70,000 people can die needless from Vioxx before it even got a review. https://www.jci.org/articles/view/38430#:~:text=Some%20consider%20the%20voluntary%20removal,loss%20of%20a%20valuable%20drug https://www.jci.org/articles/view/38430#:~:text=Some%20consi....
deleted 3y ago
[deleted]