This article from one of the premier medical journals in America is stunning for a variety of reasons. I encourage you to read the whole thing.
Two points stand out to me:
“Because as the Covid-19 pandemic so expeditiously illustrated, all policy is health policy.”
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Hi! Yes, the VA has a lot of problems. But it’s actually a “single provider” system rather than a “single payer” system. The difference being that under single provider, all facilities are owned and operated by the government, and all providers and support staff are employees of
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the government, rather than in a single payer system where facilities are independently owned and operated, and providers and staff are employees of the individual businesses rather than employees of the government. I was a CHAMPUS provider for many years. I owned
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my own building, employed my own staff and kept my facilities well-maintained and clean. I didn’t have to answer to anyone about how I ran my business. That’s the difference between single-payer and single provider.
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