Single Payer Health Systems
In reply to the discussion: Just checked my new ACA rates [View all]progree
(11,463 posts)Nobody at the time the ACA was written and passed dreamed that the Supreme Court would object to the Medicaid expansion and effectively make it optional for the states. There is nothing in the ACA that specifies that it is optional for the states, nothing for Obama to have vetoed on that score.
Single payer would be good, far better than the nonsense we have. But it is not the paradise that people make it out to be. Medicare is "single-payer", and yet it is estimated that Medicare beneficiaries over their lifetime after 65, pay on average 50% of their medical costs. It is definitely not free like so many think.
What I'm saying is we want to make sure single payer is really single payer (the government), and not the government and the patient. Or that the average patient ends up paying maybe 10% of the total cost, not 50%.