Friday, February 3, 2017

trump universal health care

trump universal health care

people have really strong opinions on single-payerhealthcare. it could be the silver bullet that fixes our healthcare system, or it couldbe.... but most people don't even know what single-payer means. so let's start with what we have. you can think of the american healthcare system as a series of tubes. we do not havesingle-payer healthcare. we have thousands and thousands of payer healthcare. and eachof them typically pay different amounts for the exact same medical service. and that'sa lot of administrative work. for every three doctors in the united states, you have twobilling staff standing behind them just handling all that paperwork that comes in and out ofa doctors' office. if you think of a single-payer

system, it is just one tube of payments. allmoney flows from the government to the doctors. and it's actually pretty popular elsewhere.medicare here in the u.s. is like that -- it pays all the healthcare bills for people over65. but there's also a catch. when the government is the one paying all the bills, they getto decide what they will and will not pay for. if the system isn't funded well enough, ifthey haven't raised enough taxes from their citizens, that could lead to longer wait timesand fewer doctors being available. vermont right now is trying to set up the very firstsingle-payer system in the united states. by one estimate, vermont could save 25 percent.but it's also expensive. the state government in vermont needs to raise $2 billion. thatis a lot of maple syrup. but people really

dislike the american healthcare system. itgets pretty poor marks from americans. and if you look at neighboring massachusetts,their healthcare experiment in 2006 did lead to obamacare. so if this does work in vermont,who knows what could be next.

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