Talk:Medicare for All Act

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Latest comment: 2 years ago by PCMartinSeattle in topic Single Payer

Single Payer

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The Canadian-style single payer system advocated by Kucinich is not by any manner of means "equivalent to the United Kingdom's National Health Service", as this article erroneously states. The UK has socialized medicine, i.e. a public body that employs and pays the physicians. Kucinich's bill calls for a single national fund from which the physicians are paid for each service they perform for a patient, with the physicians continuing to be employed and salaried by whoever they're employed by now. That's not socialized medicine; that's not the British National Health Service.

The article says single payer is practiced by every industrialized nation except the US. What it should say is that every industrialized nation except the US has universal health care (whether by single-payer or by socialized medicine). 129.93.17.168 (talk) 00:33, 28 July 2009 (UTC)Reply

Further, Canada does not have a "single-payer" system; it has a 15-payer-plus system, with 10 independent systems for the provinces, 3 for the territories, 1 for the military, and 1 for federal prisoners, plus a multitude of plans for everything not covered by the provincial and territorial systems (out-patient pharma, dental, vision, ambulance service in Quebec, and more). There are significant differences between national single-payer systems and "state-based" multi-payer systems in terms of administrative redundancy, monopsonistic bargaining power, race-to-the-top dynamics in provider fees, and race-to-the-bottom dynamics in regressivity of funding. Taiwan's National Health Insurance, proposed by American healthcare economist Uwe Reinhardt of Princeton and designed with input from American healthcare-insurance specialist William Hsiao of Harvard, is in fact the only true foreign analog. "Canadian Medicare" is not "Medicare for All." PCMartinSeattle (talk) 08:30, 11 August 2023 (UTC)Reply