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Politics : A US National Health Care System?
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To: TimF who wrote (2377)10/26/2007 11:12:23 PM
From: patron_anejo_por_favor  Read Replies (1) of 42652
 
>>Other than the supposed major gains in efficacy from only having one source of insurance, how else would costs be reduced?<<

Thing is, none of the candidates (outside of maybe Kucinich) has proposed a single payor plan. Therefore the argument that "choice will be reduced to a single plan" is specious. What's been proposed are various flavors of universal coverage (more or less like Romney's in Massachusettes) where the choices will still be plentiful, coupled with guaranteed issue and subsidies for lower income citizens. HSA's are still in the mix (and probably would thrive due to lower premiums and higher deductables attractive to a young, healthy cohort. "Single payor" and "universal" are vastly different concepts.......

Even with a "universal coverage" system, you can bring in costs by standardizing levels of coverage, benefits and claims payment. If everything is submitted and paid on one platform, there's a huge savings (even if the claims are ultimately paid hundreds of different fiduciaries). Rules allowing payors to combine purchasing power can reduce their costs. Rules limiting liability for all participants can greatly reduce costs. Allowing insured groups to form (outside of the current ERISA driven employer groups) across state boundaries and exempt from 50 different state regulations greatly reduces costs. Insurance companies in that environment will have to compete on service, speed and accuracy of claims processing and by purchasing right. Not by arbitrarily denying services or coverage. What a concept.
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