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View Diary: Obamacare is working—believe Republican naysayers at your peril (27 comments)

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  •  Single payer is not the only way (6+ / 0-)
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    Quicklund, mobjack, Cedwyn, eps62, ichibon, jdld

    to provide universal access to healthcare at a reasonable cost. A number of countries fund healthcare through tightly regulated non-profit insurance companies. Obamacare could evolve into that kind of system as new congresses tighten the rules, such as loss ratio limits. Then there's totally socialized medicine as they have in the U.K. VA care for all would be that kind of system. It might be our most efficient option.

    Single payer might be easiest to implement, since we already have a successful single payer system: Medicare.

    There is also the likely possibility that we will have different systems in different states, with some states including a state-managed public option in their exchanges (CA and VT?) which could evolve into single payer if insurance companies are unable to compete.

    •  Most countries have taken this approach (1+ / 0-)
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      Single payer is the exception, not the rule. It's most undistilled form -- government owned and operated health care -- is as politically viable here as a Dick Cheney presidential candidacy.

      Likely the same with Medicare for All. Certainly, their an opportunity cost comes with pushing for it. Progressives should ask themselves whether the effort required to chase after a low-probability outcome might be better directed elsewhere, such as putting an end to fee-for-service

      "There is no room for injustice anywhere in the American mansion." Lyndon Johnson

      by pkgoode on Sun Jul 21, 2013 at 05:54:53 AM PDT

      [ Parent ]

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