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In a true “single payer” system - no. It is illegal to accept cash payments. My wife’s family is Greek and spends 1/3 of the year in Laconia. Black market “tips” are customary in the villages if you want good care.
Anyway, the CBO scored this BS last week. A single payer system would essentially double our budget with an extra $3T needed per year. Keep in mind that we have a $1.0T shortfall on our current budget every year, so doubling everyone’s taxes wouldn’t work. Making matters worse, the CBO said there was a reasonable chance that such a system would increase costs; so much for the savings we would get by eliminating those evil insurance companies. Then, there is that pesky problem of 1 million insurance employees being suddenly displaced from their jobs once their industry becomes illegal.
There would certainly not be a cost saving. I'm not sure why Democrats ignore human nature and past experience. If we make healthcare "free" then usage will 100% not remain the same and will increase. This is completely predictable, and will absolutely occur, wiping out any "perceived" savings from efficiencies. Anyone says otherwise has no business even commenting on policy as they lack the fundamentals of human behavior and markets.