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View Diary: Unaffordable co-pays and deductibles, death by a million cuts for insured Americans (248 comments)

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  •  The arguments in favor of single payer have (16+ / 0-)

    been articulated, studied and published for years now, and were pointed out quite simply in the post you reference. Pooling it is cheaper. Removing the profit motive means more money for care.

    Just as you will never convince 30% of the electorate that we were lied into war in Iraq, or that their Medicare actually does represent a form of socialized medicine, or that contraception is not exclusively for sluts, you won't convince all the people that single payer is in their personal best interest (even if it may be). But the majority of Americans, as recently as 2009, supported either a public option or single payer.

    If you'd like to discuss rationing, I'm happy to share recent statements from my "good" private insurance telling me the drugs, procedures and doctors that they won't cover. Rationing at its worst. And rationing that we pay a LOT of money to experience.

    •  I really didn't intend this to be a debate (3+ / 0-)
      Recommended by:
      Cedwyn, VClib, nextstep

      on the merits of single payer, for many reasons, not the least of which that "single payer" can take many forms, and the potential upsides and downsides will vary with the details of any proposal.

      My only point is that many people believe that some forms of single payer systems  can potentially result in longer waits for care and in rationing.  Reports like those I linked to provide support for those concerns.  Clearly there are responses to these concerns, but that doesn't mean that those who have such concerns (fueled by reports in the so-called "mainstream" press) are crazy.

      If single payer is to become a reality in this country, those concerns need to be addressed.  Proponents need to say, "I understand your concerns, but it won't happen here because. . . " or "I understand your concerns, but it is better to have everybody covered and have some wait a bit longer for elective care because . . ."  

      •  Those concerns have been addressed. Ad nauseum. (5+ / 0-)
        Recommended by:
        WheninRome, kareylou, JesseCW, elwior, itsbenj

        Which goes to my point that you will never convince a certain slice of the population that something is the morally or fiscally responsible thing to do. There's none so blind as will not see.

        "Many people" had "concerns" about the wars in Iraq and Afghanistan, even after being told about the "potential" for disaster. That didn't stop our government from declaring and continuing wars there.

        If we wait to assuage all of these "concerns" then meaningful healthcare reform will never happen. Follow the money - the primary source of "concern" is from companies whose executives become wealthy by denying both care to their subscribers and access to care for millions of others.

        •  angstall - it is interesting to note that those (2+ / 0-)
          Recommended by:
          coffeetalk, nextstep

          same concerns were expressed in England, even though there is widespread support for the NHS. In response to those concerns England has allowed a private pay, parallel system to flourish by changing the laws about five years ago to allow for private healthcare. It will be much easier to have a universal coverage healthcare system in the US if we think of this like public and private schools. There should be a public healthcare system, more like Canada's than England's and everyone would pay taxes to fund it. However, no patient would be required to use it and no physician would be required to see patients, it would be voluntary. Like private schools, everyone would also have the choice to pay for care themselves, or through insurance, and physicians could limit their practice to private pay patients, or treat both as most do in England. By providing a private pay option you neuter the most powerful opponents of any single payer system, many physicians and those who already have excellent access and care.

          "let's talk about that"

          by VClib on Sun Mar 18, 2012 at 08:36:14 PM PDT

          [ Parent ]

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