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It's not worth it to solve any of the problems, let alone the biggest problem, if we can't solve all of the problems immediately, after all.
by underlipton 5d ago
It's not worth it to solve any of the problems, let alone the biggest problem, if we can't solve all of the problems immediately, after all.
- AnthonyMouse 5d agoYou're still assuming that the insurance companies are the biggest problem, and on top of that that single-payer is the best way to improve even that part of the system. For example, why do we have insurance companies "negotiating" with providers and having "in-network" nonsense instead of requiring universal price transparency? Instead of the insurance company setting the price, have them set how much they cover, e.g. they pay 90% of the second lowest price that service is available for within 100 miles of the patient. Then the patient chooses where to go and pays whatever the insurance doesn't cover. Meanwhile the providers are all required to publish transparent pricing so there is a public database of everyone who can perform a service and how much they charge. Then a patient receiving non-emergency care (which is the large majority of medical expenses) can decide whether they want to travel 50 minutes to get the lowest price, or pay a little more of their own money because another provider is closer or provides optional amenities. Which in turn makes the providers actually compete with each other, which is the thing single-payer doesn't get you.