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Politics : A US National Health Care System?
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From: TimF3/10/2008 7:43:11 PM
   of 42652
 
THE PROS AND CONS OF SINGLE PAYER.
according to Alan Enthoven

Pros:

1. Everyone is covered in a familiar model.

2. Huge simplification of administration.

3. No marketing, no underwriting of insurance.

4. Health insurance is removed from the labor market.

Cons:

1. Locks in fee-for-service medicine. Hard to change once implemented. Medicare's coverage of preventive services has been poor.

2. We need a lot of innovation in payment and delivery services, and single-payer blocks that.

3. Too much entanglement with politics. Think of how the earmarks will work

4. Government can't set every price correctly. There are too many of them!

5. Tax burden probably too high for the US.

6. Government isn't really designed for efficient program management.

7. There's little accountability for poorly run public programs.

8. There's poor customer service.

9. Legislators don't want efficiency.

10. Medicare's low administration isn't merely efficiency, it's also undermanagement.
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