Congressional Budget Office Report on Single-Payer Healthcare

[Ronin786]

Economic Effects of Five Illustrative Single-Payer Health Care Systems: Working Paper 2022-02 | Congressional Budget Office

CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.

www.cbo.gov

https://www.cbo.gov/system/files/2022-02/57637-Single-Payer-Systems.pdf

Came across this report by the Congressional Budget Office. It's terrifying that the highest forms of government treat this as a crystal ball when it is based on such terrible assumptions. First and foremost being the idea that savings in health-care would be passed along to employees in the form of higher wages (!). They also have no problem decimating the health care sector with these quotes being key:

• Reduced payment rates to providers would increase productivity and efficiency in providing health care; however, some of the reduction in payment rates would be passed through to workers’ wages in the health care sector and throughout the supply chain.

I don't understand how reduced rates will increase productivity and efficiency. They really bank on physicians just working more hours to make more money with their crappy reimbursement.

Under the options with lower payment rates, some physicians and nurses who were already in the workforce might respond by retiring or working fewer hours. However, under the scenario with higher payment rates, not all physicians and nurses would receive lower payment rates than they do under current law. (For example, general practitioners might see rates similar to or higher than those under current law.) CBO also anticipates that providers would respond to increases in the demand for care by increasing their capacity and adapting practice patterns to accommodate more patients. There is also significant uncertainty about how providers would respond to the changes under the illustrative options. CBO expects that many of the services that would have been provided by physicians who retire would instead be provided by new medical graduates or by other less costly health care professionals, such as nurse practitioners and physician assistants, which would decrease spending. In addition, because the average reduction in payment rates would vary among specialties under both payment scenarios, the differential changes in rates might encourage more medical graduates to go into primary care rather than into medical specialties. The supply effects ultimately depend on the design of the overall health care system, as well as its implementation and regulation.

A fascinating statement since NPs and PAs have across the board been shown to increase rather than decrease spending.

Just a terribly out of touch report and unfortunately treated as gospel by Washington (Congress treats the Congressional Budget Office like a crystal ball for legislation, but one economist says their models are built on flawed assumptions)

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[coffeebythelake]

Economic Effects of Five Illustrative Single-Payer Health Care Systems: Working Paper 2022-02 | Congressional Budget Office

CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.

www.cbo.gov

https://www.cbo.gov/system/files/2022-02/57637-Single-Payer-Systems.pdf

Came across this report by the Congressional Budget Office. It's terrifying that the highest forms of government treat this as a crystal ball when it is based on such terrible assumptions. First and foremost being the idea that savings in health-care would be passed along to employees in the form of higher wages (!). They also have no problem decimating the health care sector with these quotes being key:


I don't understand how reduced rates will increase productivity and efficiency. They really bank on physicians just working more hours to make more money with their crappy reimbursement.



A fascinating statement since NPs and PAs have across the board been shown to increase rather than decrease spending.

Just a terribly out of touch report and unfortunately treated as gospel by Washington (Congress treats the Congressional Budget Office like a crystal ball for legislation, but one economist says their models are built on flawed assumptions)

And you assume that they are ignorant about everything... and not that these documents are specifically designed to support a predetermined governmental position: pay healthcare workers less.

 

[GravelRider]

Economic Effects of Five Illustrative Single-Payer Health Care Systems: Working Paper 2022-02 | Congressional Budget Office

CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.

www.cbo.gov

https://www.cbo.gov/system/files/2022-02/57637-Single-Payer-Systems.pdf

Came across this report by the Congressional Budget Office. It's terrifying that the highest forms of government treat this as a crystal ball when it is based on such terrible assumptions. First and foremost being the idea that savings in health-care would be passed along to employees in the form of higher wages (!). They also have no problem decimating the health care sector with these quotes being key:


I don't understand how reduced rates will increase productivity and efficiency. They really bank on physicians just working more hours to make more money with their crappy reimbursement.



A fascinating statement since NPs and PAs have across the board been shown to increase rather than decrease spending.

Just a terribly out of touch report and unfortunately treated as gospel by Washington (Congress treats the Congressional Budget Office like a crystal ball for legislation, but one economist says their models are built on flawed assumptions)

They are banking on the fact that the majority of physicians will be employed by large institutions. Physician pay will be more or less standardized within regions. I bet the vast majority of physicians have no idea how they are reimbursed for their time. Most the the billing is handled by whichever large institution gives them a paycheck.

For decades our economic policy and thinking has been guided by the completely false idea that savings are passed onto consumers and increased revenues are passed onto workers. Time and time again that has proven to be false, yet we keep pretending that it is some law of economics.

 

[deleted941485]

They are banking on the fact that the majority of physicians will be employed by large institutions. Physician pay will be more or less standardized within regions. I bet the vast majority of physicians have no idea how they are reimbursed for their time. Most the the billing is handled by whichever large institution gives them a paycheck.

For decades our economic policy and thinking has been guided by the completely false idea that savings are passed onto consumers and increased revenues are passed onto workers. Time and time again that has proven to be false, yet we keep pretending that it is some law of economics.

The CBO knows who it will be passed onto and as long as it’s not the physician…then that is a victory in their eyes.

 

[chessknt]

Very valid criticisms. The idea to just see more patients bespeaks the complete lack of understanding at a most basic level of what physicians actually do. Embarrassing that the people who wrote this were as uninformed as the unvaccinated are when discussing virus shell xray crystallography techniques.

 

[OptionOffense]

Just a terribly out of touch report and unfortunately treated as gospel by Washington (

What did you expect? It is the government. Every thing they do is screwed up to the maximum. If any of you have any experience working for he federal government should be well aware. This is old knowledge. For me, its just a review and reminder how destructive government is.

 

[<(^_^)>]

Economic Effects of Five Illustrative Single-Payer Health Care Systems: Working Paper 2022-02 | Congressional Budget Office

CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.

www.cbo.gov

https://www.cbo.gov/system/files/2022-02/57637-Single-Payer-Systems.pdf

Came across this report by the Congressional Budget Office. It's terrifying that the highest forms of government treat this as a crystal ball when it is based on such terrible assumptions. First and foremost being the idea that savings in health-care would be passed along to employees in the form of higher wages (!). They also have no problem decimating the health care sector with these quotes being key:


I don't understand how reduced rates will increase productivity and efficiency. They really bank on physicians just working more hours to make more money with their crappy reimbursement.



A fascinating statement since NPs and PAs have across the board been shown to increase rather than decrease spending.

Just a terribly out of touch report and unfortunately treated as gospel by Washington (Congress treats the Congressional Budget Office like a crystal ball for legislation, but one economist says their models are built on flawed assumptions)

Clearly everyone at the CBO should have their salaries cut. In their own words it would increase productivity and efficiency.

 

[nimbus]

Clearly everyone at the CBO should have their salaries cut. In their own words it would increase productivity and efficiency.

Don’t you know CBO requires q4 overnight call and every 4th holiday? They are already running at maximal efficiency just like the VA. They are dedicated civil servants stretched to the limit. How dare you!

 

[Drägerman]

Economic Effects of Five Illustrative Single-Payer Health Care Systems: Working Paper 2022-02 | Congressional Budget Office

CBO used a general-equilibrium, overlapping-generations model to analyze the economic and distributional implications of five illustrative single-payer health care systems. The working paper builds on previous CBO studies about single-payer health care systems.

www.cbo.gov

https://www.cbo.gov/system/files/2022-02/57637-Single-Payer-Systems.pdf

Came across this report by the Congressional Budget Office. It's terrifying that the highest forms of government treat this as a crystal ball when it is based on such terrible assumptions. First and foremost being the idea that savings in health-care would be passed along to employees in the form of higher wages (!). They also have no problem decimating the health care sector with these quotes being key:


I don't understand how reduced rates will increase productivity and efficiency. They really bank on physicians just working more hours to make more money with their crappy reimbursement.



A fascinating statement since NPs and PAs have across the board been shown to increase rather than decrease spending.

Just a terribly out of touch report and unfortunately treated as gospel by Washington (Congress treats the Congressional Budget Office like a crystal ball for legislation, but one economist says their models are built on flawed assumptions)

This makes me sad

 

[DirtDocMD]

If you look at the average primary care Doc, they easily spend 1-2 hours a DAY on computer/paper work mandated by the Govt to meet Medicare/Medicaid guidelines.

The Govt could increase the efficiency of Docs/RN’s/hospitals by 10-30% OVERNIGHT by simply lessening the documentation burden. They’d rather see useless paperwork getting done, than letting folks provide healthcare.

 

[kidthor]

If you look at the average primary care Doc, they easily spend 1-2 hours a DAY on computer/paper work mandated by the Govt to meet Medicare/Medicaid guidelines.

The Govt could increase the efficiency of Docs/RN’s/hospitals by 10-30% OVERNIGHT by simply lessening the documentation burden. They’d rather see useless paperwork getting done, than letting folks provide healthcare.

That and how about have the armies of administrators actually deal with the paperwork. Everywhere I've been I end up filling out endless forms and trying to get various tasks done that are dispatched from the administrators themselves. Why do they exist?