Pursuit of Truthiness

my gut tells me I know economics

Want single-payer? Figure out how to fix Medicare.

with one comment

The biggest barrier to single-payer in the US, other than politics, is the inefficiency of Medicare. Medicare alone spends more than $2000 per American but only manages to cover 14% of us. Yes, they are a particularly costly 14%- but some governments, like Greece and Portugal, manage to cover 100% of their population by spending similar amounts.

Medicaid spends just under $2000 per American and manages to cover 20% of the population. Together our two big government health programs spend about $4000 per American and cover 34% of the population. Almost every country with universal coverage manages to achieve it while their government spends less than $4000 per person.

This means that Medicare and Medicaid are collectively either 3 times better, or 3 times more inefficient, than the government health programs in other rich countries. Which do you think it is?

The problem isn’t that American taxpayers aren’t willing to finance universal coverage. The problem is that they already pay enough for a competent government to bring about universal coverage, but our government does not seem to qualify.

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Written by James Bailey

March 1, 2017 at 11:11 pm

One Response

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  1. Im happy to finance universal coverage if cost is distributed equally per person. I think you would find or have found the people who are most subsidized (poor) are the ones heavily use the benefits and drive up costs- excess ED visits for non life threatening issues, drug seekers, more babies, and people calling 911 for a cab ride. As a tax payer in the middle class I can guarentee I’ll be paying more than my fair share even if every one paid the same price but what is a deal killer is subsidizing on top of that for the heavy users to the point where they have no skin in the game.

    gibhunter

    March 2, 2017 at 1:29 pm


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