I'm not in the least defending the current system. I agree 100% that there is way too much worthless paper work. If I visit the Doc, and pay $60 for a visit, I see three bills popped around between the Doc, the insurance, and me. Imagine your local Safeway doing that much paper work for every cart of groceries. However, none of the problems in the current system stem from having multiply payers AFAIK. They stem from other issues. Deal with those issues, not the fake ones.
You still have not explained what that has to do with single vs multi-payer. What is the magic in single payer? Is it that they would be government employees, on government pay scales and with government pensions? Wow, I can see that being a great cost advantage long term. Or perhaps its the fact that they would be Too Big Too Fail, being the only game in town? Wow, once again I can see the clear advantage of that. Do you think it is economy of scale that having 300 million gives you, whereas only 1 million in any plan can't? Or is it that the government will dictate one set of policies, and that will work magic? If so, why can't the government dictate policies, and have multi payers use them?
I just don't see any compelling reason for the single payer part of the equation, and I see plenty of well known downsides. So what do you see? |
