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CreekDog

(46,192 posts)
Mon Jun 26, 2017, 11:03 PM Jun 2017

Those who think that ACA repeal makes single payer more likely

The history of health care politics in systems you'd like the USA to emulate doesn't show it.

First, most systems developed incrementally, covering more people or more categories of people until all people were insured. There aren't many, in fact, I can't find any examples of incremental coverage being withdrawn or repealed and that leading to universal coverage.

The one step forward, two steps back, then three steps forward to single payer nirvana is fantasy, not reality.

Second, the single payer form of universal coverage has some justification, but let's not make a fetish of it thinking that all or most countries would do the same. Most countries with systems that are of the highest quality didn't develop purely out of a desire for single payer. Furthermore, most of the systems seemed to develop based on what was created incrementally in the country itself.

There are many great health care systems out there that aren't single payer. They're all more heavily regulated than ours, but the point is you can get there multiple ways. You don't have to make everyone sign up for Medicare or Medicaid, at least not in the short term.

And that leads to my third point, these systems in other countries often developed over decades, sometimes many decades before covering all that they cover today.

4 replies = new reply since forum marked as read
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Those who think that ACA repeal makes single payer more likely (Original Post) CreekDog Jun 2017 OP
More to the point... regnaD kciN Jun 2017 #1
I still think single payer will happen state by state Warpy Jun 2017 #2
With no money, states won't be able to act. The GOP wants to send us back pnwmom Jun 2017 #3
K&R R B Garr Jun 2017 #4

regnaD kciN

(26,044 posts)
1. More to the point...
Mon Jun 26, 2017, 11:10 PM
Jun 2017

...to get to single-payer, Democrats and/or Democratic-allied Independents have to not only win the House and Presidency, but have to pick up at least 60 Senate seats with candidates that support single-payer (and, the last time we had 60, it included senators on our side who would rather block health-care altogether than even countenance a public option), otherwise any such proposal can be filibustered to death.

Want single-payer? Get 60 pro-single-payer Senators. Until then, it's all empty words.

Warpy

(111,277 posts)
2. I still think single payer will happen state by state
Tue Jun 27, 2017, 12:14 AM
Jun 2017

as for profit insurance pulls out of poorer, "unprofitable" markets. With no companies left to insure people, states will be forced to act.

NM has had a single payer bill stalled in the lege for 25 years that I know of. I find that criminal.

pnwmom

(108,980 posts)
3. With no money, states won't be able to act. The GOP wants to send us back
Tue Jun 27, 2017, 01:36 AM
Jun 2017

to the days of charity wards and charity hospitals. That is much more likely than single payer.

R B Garr

(16,954 posts)
4. K&R
Tue Jun 27, 2017, 11:59 AM
Jun 2017

Great post. First things first. Moral victories don't get things done. Get elected and stay in power to cement incremental changes.

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