single payor system

[militarymd]

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[YOUTUBE]http://www.youtube.com/watch?v=H4u5x9XAsAs[/YOUTUBE]

 

[drchick331]

Thanks for the video...Personally, I am coming around to the idea of a national health care system, but single payor systems IMO just lead to rationing of care as is evidenced in Canada (I have family in Canada that complain about having to take 3 days off work to try to see a physician because they are merely waiting in the physician's office)...Unfortunately, single payor systems also lack incentives to raise standards of care and patients cannot escape poor service...

I would much rather see a system based on France's that combines elements of both public and private involvement. Considering how our current system is indelibly tied to the market and pluralistic in nature, I feel a better option is to offer universal coverage with the option to purchase supplementary private insurance through multiple payors to distribute the burden of care. Most importantly, a system similar to that in France would allow all Americans to be covered, but emphasizes that there does not have to be a single payor or provider of healthcare to establish universal coverage...just my $0.02...😳

 

[Planktonmd]

Thanks for the video...Personally, I am coming around to the idea of a national health care system, but single payor systems IMO just lead to rationing of care as is evidenced in Canada (I have family in Canada that complain about having to take 3 days off work to try to see a physician because they are merely waiting in the physician's office)...Unfortunately, single payor systems also lack incentives to raise standards of care and patients cannot escape poor service...

I would much rather see a system based on France's that combines elements of both public and private involvement. Considering how our current system is indelibly tied to the market and pluralistic in nature, I feel a better option is to offer universal coverage with the option to purchase supplementary private insurance through multiple payors to distribute the burden of care. Most importantly, a system similar to that in France would allow all Americans to be covered, but emphasizes that there does not have to be a single payor or provider of healthcare to establish universal coverage...just my $0.02...😳

That would be graet but you have to remember that in France people pay more taxes and make less money to be able to have such a great health system.
What do you think the odds are to convince Americans to pay more taxes and make less money in order to have covergae for everyone?
The only people who would agree to this type of system are the ones who are poor and uninsured right now and this part of society tend to be less politically involved and less educated in this country.

 

[drchick331]

That would be graet but you have to remember that in France people pay more taxes and make less money to be able to have such a great health system.
What do you think the odds are to convince Americans to pay more taxes and make less money in order to have covergae for everyone?
The only people who would agree to this type of system are the ones who are poor and uninsured right now and this part of society tend to be less politically involved and less educated in this country.

I concede that part of the argument though I was surprised that France's per capita cost is about $2,500 less than that of the US...

The notion of moral hazard is also a large weakness (i.e., put in a free soda machine and everyone will drink from it) as patients have little financial motivation towards prudent consumption of health care...clearly, the more liberal attitude of the French towards health care (and government) also works in their favor...

 

[Gardner]

That would be graet but you have to remember that in France people pay more taxes and make less money to be able to have such a great health system.
What do you think the odds are to convince Americans to pay more taxes and make less money in order to have covergae for everyone?
The only people who would agree to this type of system are the ones who are poor and uninsured right now and this part of society tend to be less politically involved and less educated in this country.

Maybe France's healthcare system has changed a lot recently. It absolutely sucked when I lived there in '91-'92. Monetary cost is a lot easier to measure than subjective things like quality of care. Wait times were aweful. The two hospitals I saw the inside of were extremely run down. My girlfriend worked in one of the hospitals and noted how miserable hospital employees were. She was French but had spent time working in the U.S. so to go to back to France and compare was quite shocking to her.

I realize my experience is anecdotal and only n=2, but still. The French brutalized their health system in conversation. I'm sure they sing a different tune when they know they are being polled in a comparison to the American system.

That said, I think it would be extremely easy to pull over on the American people. Just tell them they are getting something for "free" and that the "rich" will be taxed for it. People just can't understand the magnitude of the dropoff in quality and wait times as well as the massive cost to implement. It always ends up costing way more than anticipated. Looks like that is what we are in for though...

 

[Dr Serenity]

Thanks, Mil, for the video. It comes from a very interesting website that I think everyone here ought to peruse...

 

[cfdavid]

Another fact that many are unaware of is that, even regardless of whether these systems work or not, because most of Western Europe and Canada have demographics similar to ours, they're having trouble figuring out how they're going to maintain their social programs. I'm pretty sure some (U.K.?) are already feeling the squeeze. These are becoming big issues in European politics, in terms of figuring out a way to keep such systems afloat in the climate of increasing costs and less state revenues. Kinda sounds familiar. I'm just not sure going from one broken system to another is the right approach.

 

[Gardner]

Wanna see an implementation of such a program? Take a look at Tennessee. TennCare is the monster that keeps on sucking up cash. An insatiable program:

http://www.opinionjournal.com/editorial/feature.html?id=110005987

If a presidential candidate estimates so many billion dollars to implement a federal universal healthcare system, I'd easily triple or quadruple that.