re: Single-payer would be a nightmare for Americans

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Somehow you're of the opinion that slashing Medicaid by $1T will fix that.

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Link?
MEDICAID IS A PAYOR! . . . . and a poor one at that.
MEDICAID DOES NOT ADMINISTER CARE.

Medicaid is neither responsible for the environment driving costs, nor the care driven by it. When we are talking costs, medicaid should barely have a seat at the table.

But in direct response to your idiotic post, and keeping in mind you don't deal in facts, I've actually supported expansion of medicaid. I'd simply insist those in on the expansion be required to pay something for it.

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If we paid into the national health what we already pay in premiums, the heath service would be totally flush.

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You're confused.

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If we paid into the national health what we already pay in premiums, the heath service would be totally flush.

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Why the hell should I have to pay that much when I take much better care of myself compared to those who take minimal care of themselves?

bull shite

It does not happen any will only do so due to the incompetence and corruption of the political class

It will be as fricked up as SS and Medicare

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If we paid into the national health what we already pay in premiums, the heath service would be totally flush

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100% FALSE !

Not even close to truth.

The problem is the underlying cost of care.
If US health insurance could insure Americans based on foundational European costs, it would cost 1/3rd to 1/2 of what it does presently.
The same is true of single-payer, or the National Health.

Conversely, if the NHS was burdened with foundational American costs, it would run 2-to-3-fold the cost it does in the UK.

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What can possibly work other than single payor?

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Define what you mean by "work".

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Because illness and the cost to treat it is often disconnected from how much care you take of yourself.

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"Often" is a subjective standard. Are you saying that we don't have any understanding of actions vs health consequences or are you basing all your healthcare ideas around the ones on the fringes of statistics?

That is pretty damn anti-science of you.

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"Often" is a subjective standard.

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And yet one we have to account for when designing a national health care system.

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Are you saying that we don't have any understanding of actions vs health consequences

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Of course not - I'm saying that even the best efforts can be overridden by genetics or random chance, as can the worst. You may take excellent care of yourself, but that doesn't ensure you won't pick up a cancer diagnosis in the next year.

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Why can't Americans earning 150% to 200% of median Italian income (aka what America calls "poverty level") afford care

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You might want to look up 'cost of living'.

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Link?

You've been so dishonest on everything related to this issue

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I thought you worked in the field.

You're seriously asking for a link demonstrating differential hospital costs in the US vs UK?

You're seriously asking for a link demonstrating differential pharmaceutical costs in the US vs UK?

You're seriously asking for a link demonstrating differential medical equipment costs in the US vs UK?

You're seriously asking for a link demonstrating differential device costs in the US vs UK?

You're seriously asking for a link demonstrating differential tort costs in the US vs UK?

You have got to be kidding!