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re: Spinoff: The Commonwealth Fund Healthcare 2017 rankings. US basically ranked last

Posted on 7/20/17 at 9:19 am to
Posted by MSMHater
Houston
Member since Oct 2008
22782 posts
Posted on 7/20/17 at 9:19 am to
quote:

Do you think a single payer system would lower costs?


Hell no. Single payer would result in unsustainable utilization rates that spelled financial disaster. I don't think we have the stomach to implement the needed rationing that would allow single payer to be considered a "success". I also firmly believe it mostly goes against everything this country supposedly stands for when you consider the resulting fallout and regulation that would be necessary for single payer to "succeed". It's impact on doctors, insurers, huge private health systems, pharma, biotech, etc... All these associated industries work with a profit motive, and the regulation that would be necessary to remove that motive would either crush the sector or have it monopolized by one favored entity working directly with the government payer. Which is why I think the market will turn into what I posted above, and not a true single payer.

I don't think America truly has the stomach for single payer healthcare. Just the concept as presented by a guy like Bernie.
This post was edited on 7/20/17 at 9:23 am
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/20/17 at 9:46 am to
quote:

and the regulation that would be necessary to remove that motive


This is the other part of the puzzle that I think is forgotten

The regulations on healthcare in this country are insane. All I have is an anecdotal story that I'm not sure is representative of all of Europe, but when a family member went into a European hospital for IV antibiotics the antibiotics came in an unmarked normal saline bag. It just had the name of the antibiotics scribbled in sharpie on the side of a blank bag.

Do you know what we need to get a bag of antibiotics in this country? Hospital pharmacies to meet insane practice standards, about 3 nurses to double and triple check it, precise EMR documentation, scan a wrist band, scan the medicine, etc.

Screw up one of those things and you are looking at serious litigation.

All these extra measures cost money, in manpower and technology. This is another reason why we can't possibly emulate the small European countries
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