This is something I’ve talked about at length. As a physician, my training perfectly positions me to address myriad policy issues *beyond* our broken healthcare system. 2/4
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“Universal single-payer health care holds the promise of removing insurance as a barrier to equitable care.”
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That this publication is advocating for Universal Healthcare using a Single Payer system is a seismic shift within medicine. That has been my position *for more than a decade.*. That is how you know I will fight for this when I’m elected: because I’ve *shown* you my work. 4/4
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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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The point I was trying to make is that the single payer system I’m advocating for is not *also* a single provider. Doctors will continue to be independent contractors who will be paid by the government and but not employed by them. It’s a system like Canada’s, not like the U.K.
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The UK system is the closer analogy to the VA, while the Canadian system is closer to Medicare type single payer.
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Sadly, tweets are not the best form of communicating complex issues such as healthcare policy. But as an activist on this issue for more than a decade, my overall bottom line is actually something different: Universal Coverage in whatever form we can get passed.
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