I’d be happy to. Here’s a link to a post I did 1 year ago with my argument for SP from a physician standpoint. If you want to hear more, like how to implement it, how to pay for it, let me know. https://www.facebook.com/1794413547546771/posts/1876088562712602/ …
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You use Medicare as an example of single payer, but it is not. There are co-pays, deductibles and secondary private insurance. So, are you advocating a system such as this or a Canadian type system where everything is covered?
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In Canada, all health care providers are non-profit, which keeps costs down considerably. Are you proposing the US health care system go completely non-profit, and if so,
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how do you mitigate the economic disruption that will cause in our financial system where retirement savings for much of the middle class is tied up in 401K's and IRA's? If not, how do you keep costs spiraling out of control?
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Does the government set pricing & thus strip the ability to control profit margins away from providers or is there going to be regular negotiations such as there is now with insurance companies? BTW, I am including medical equipment providers in these questions.
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Now, about funding this. Of course, you can roll together the funds that are already used for Medicare, Medicaid, and the VA. However, Medicaid is partially paid for by individual states. How do you propose that money getting to the federal government?
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Also, while private insurance premiums will no longer be required and instead can be replaced with taxes to employers, employees and those that have individual insurance,
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but how do you close the gap of the co-insurance, deductibles and co-pays (unless you plan to keep the structure of co-insurance, co-pays and deductibles, like Medicare) and all those who are not paying for any insurance right now because they do not have any?
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Right now if seniors cannot afford Medicare, they are switched to Medicaid. Will you have a tiered system like this for those who cannot afford the out-of pocket costs if the system is like Medicare?
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How do you ensure coverage of women's health care like abortion and birth control if the federal government is in control? How do you get rid of the Hyde Amendment permanently and prevent ideologues from stripping birth control from the coverage?
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All is dependent on a Congress that is amenable to writing abortion coverage into law and eliminating the Hyde Amendment . We are going the wrong way on this right now, obvs, so what I am proposing in all of this would require a flip of Congress. We will get none of it ...
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uh-huh. And when Congress flips again and we have put everything in the hands of the federal government, what prevents them from stripping away the protections for women?
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You may think I am completely against single payer. That is not the case. It's just that unintended consequences can be extremely devastating, and shifting our entire system to a completely and totally different one will have many. What I bring up are just the more obvious ones.
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