October 31, 2018 at 3:15 PM #9454
The major debate in Medicare for All is whether healthcare should be public or private. For those with Medicare Advantage, you see the “advantages” of private health plans. This debate will go on and on until we put a stop to the crazy idea that single payer healthcare will work.November 1, 2018 at 1:02 PM #9493
Seems like Single-Payer wouldn’t work because of the wait list alone. As far as Medicare goes, I would hope no matter if it went totally public or private, the peoples needs come first. I think it should be private. The most significant innovations in medical practice are usually produced by entrepreneurs and although they may be motivated by many factors, entrepreneurship tends to flourish where there is significant downside financial risk and significant upside potential for profit. That’s why some of the most interesting things going on right now are in independent doctor associations, managed by entrepreneurs, in contrast to the activities of hospitals, insurance companies and government agencies.November 2, 2018 at 9:38 AM #9501
I agree with bwayne, entrepreneurship also isn’t shackled by governmental red tape and that increases the chance of actual advancement and change.December 3, 2018 at 9:04 AM #9740
It’s not a crazy idea. And to address bwayne’s concern that wait lists would be long – just from doing very quick research, it seems it really depends on the type of system and where it is.
Commonwealth Fund’s most recent survey clearly proves that other universal health-care systems (such as the Netherlands, Switzerland, Germany, Australia and France) have much shorter wait times for health care than Canada. They also do universal health care differently.
For example, they tend to embrace the private sector as a partner within their universal health-care systems, or allow it to operate as an alternative (like a pressure valve). They also generally require patients to share in the cost of treatment (to varying extents). This helps temper demand by reminding individuals that health-care resources are scarce and must be used responsibly. Of course, most countries that require such payments also incorporate various policies to ensure that vulnerable populations never face financial burden when seeking health care.
Another major difference involves the way hospitals are paid, with most other successful universal health-care systems using some form of “activity-based funding” that encourages productivity. This is in contrast to the prospective global budgeting system common in Canada, which helps control costs to an extent, but actually dis-incentivizes hospitals to treat patients who are seen as “costs.”
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