Posts tagged with: Health care reform in the United States

single-payerA plurality of Americans support “Medicare for All”, legislation endorsed by Bernie Sanders and other Democrats that would establish a universal single-payer health care system in the U.S. At least they do until they find out what “single-payer” really means.

A recent AP poll found that 39 percent support and 33 oppose replacing the current private health insurance system in the U.S. with a single government-run and taxpayer-funded plan like Medicare for all Americans that would cover medical, dental, vision, and long-term care services. (Another 26 percent neither support nor oppose the change.)

But the same percentage (39 percent) opposed single-payer when it was found that it would cause their own taxes to increase or they’d need to give up other coverage, like health insurance provided by their employers. In both cases, about 4 out of 10 flipped to opposition when they discovered that caveat.

Even higher numbers opposed the plan if it would lead to longer wait-times for non-emergency medical services (47 percent) or if it took longer for new drugs and treatments to become available (51 percent).

“People say they believe in a principle, but when you describe the policy, it often loses support because they don’t like that there are side effects,” said Robert Blendon, a professor who tracks public opinion on health care at the Harvard T.H. Chan School of Public Health.

So what exactly would an American version of single-payer plan look like?

Referring to the Affordable Care Act, chairman of the Senate Finance Committee, Max Baucus (D-Mont.) stated earlier this year, “Unless we implement this properly, it’s going to be a train wreck.”

And indeed, from looking at the Obamacare implementation timeline alone, the law seems to have gotten off to a shaky start. The implementation of the so-called employer mandate, which would require businesses with more than 50 workers to offer insurance to all full-time employees, or else pay a fine of $2,000 per worker, has been delayed until after the 2014 midterm elections. And in late June, the Obama Administration announced another delay when it pushed back the August 1, 2013 deadline of requiring religiously-affiliated non-profits to comply with the mandate to provide coverage of contraceptives, to the beginning of next year.

Time can prove valuable and as the impending “train wreck” of Obamacare gathers momentum, more and more good, free-market alternatives are beginning to take shape.

One such approach will soon be discussed in the Michigan Senate. Last week, the Senate Government Operations committee voted to send two pieces of legislation, which would create a free-market alternative to Medicaid expansion, to the full Senate for consideration by the Chamber. “Senate Bills (SB) 459 and 460, introduced by Sen. Patrick Colbeck (R-Canton) and known as the Patient-Centered Care Act, would enact a patient-centered healthcare plan that expands access to quality care without expanding government,” according to a statement released last month. (more…)