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Politics : A US National Health Care System?
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To: Lane3 who wrote (9630)9/18/2009 7:24:02 PM
From: Road Walker  Read Replies (2) of 42652
 
Now I find myself in the awkward position of having the major industries in the medical reform issues supporting the bills.
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How would it be significantly different with single payer? Sure, you wouldn't have the industries playing the middleman and making a profit, an irritation for those with a pet peeve re big business, but what would that do to reduce the situation of various constituencies' influence on the government (other than lop off the cost of the profit and the marketing)? You'd still have competitive rent seeking and lobbying, just different players.

I've given up on single payer in my lifetime... but I suppose we can have a rhetorical conversation. I don't want to spend a lot of time on fantasy.

The inherent difference between government and private companies is that that private companies represent the shareholders and government represents the citizens. We could argue how well this works in 'our democracy' forever... but we won't get anywhere (gerrymandering, lobbies with big donation dollars etc).

Single payer has led to cheaper health care in many countries. Yes marketing and profit and cheaper payrolls and not spending as much time denying claims to help the glorious "bottom line".

I really don't want to have this discussion. Single payer isn't on the table.
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