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Politics : A US National Health Care System?
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To: Lane3 who wrote (1820)8/8/2007 6:42:42 PM
From: TimF  Read Replies (1) of 42652
 
I wouldn't be surprised if the cost of dealing with insurance is 10% or more of a doctors fees, but I would be surprised if the difference between dealing with multiple types of insurance and dealing with one amounted to 10%. And of course even 10% of doctors fees is a lower percentage of health care costs.

And whatever the percentage is, you might not get it. Some plans for "single payer" systems allow for other forms of insurance for people who want more than what the government will provide.

If you don't allow for that, then you force some people to accept worse insurance (we can't afford to give everyone "gold plated" insurance). If you do allow for that, and if you make the adjustments for taxes, for Medicare's capital costs, for Medicare's collection costs (the cost to administer the taxes to fund Medicare is probably lower, maybe much lower as a percentage basis than the closest equivalent cost for private insurance companies, but its still a real cost of Medicare, and not one that gets included in cost comparisons), etc. ; than it become rather difficult to see how you are going to get large costs savings without providing less care, or forcing down the price for drugs and thus the research money for new drugs.
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