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A guide to Single Payer Healthcare
(lemmy.world)
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this post was submitted on 11 Mar 2024
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I'm all for single payer in the US but this diagram is a bit misleading.
What I assume you're really gutting are profits and shareholders for insurance companies. (Good, because healthcare in my opinion should not be a profit driven business in any respect.)
What I fear, however, is who is in power at any given time might change the care you receive if such a system isn't setup with safeguards and ironclad mandates.
For instance, Republicans would absolutely attempt, through legislation, executive order, and the courts, to implement an effective federal ban on abortion or healthcare for trans and LGBTQ groups by changing how/if a single payer system would cover these services.
I would also be worried about the public availability of coverage data such that lists of frequent providers for these services are easily obtained and become a tool for harassment by religious zealots.
Or, imagine an anti-vaxxer put in charge of the program during the next pandemic.
How do other countries deal with these issues? Or, have politics become so broken in the US that this is a somewhat uniquely American problem?
Admin and billing would still exist, but it would be savagely curtailed. We now have to account for every insurance agreement between insurance companies and healthcare systems. These can vary on a hospital by hospital basis causing the incredibly complex system of pricing that are currently used. A single payer system would vastly decrease the need for this administrative overhead. Of course this would result in lost jobs, and an honest assessment of M4A would acknowledge this. Bernie Sanders 2016 M4A bill had funding for the workers having to transition jobs during this change if I remember correctly.
On one hand you're not wrong, but on the other hand there's something downright perverse about lamenting the loss of middleman leech jobs.
100% agree. However, I try to keep in mind that these are real people with real families doing real work in the ineficient system that we've allowed to exist.
Amazon always hiring. McDonald's always hiring. Hell just about every service industry employer is hiring here.