Frank Apisa wrote:
Old fashioned insurance:
By the way, Oralloy...to be honest about it...the "single payer system" has always caused me to have my eyes cloud over. I probably do not know the intricacies of the notion anywhere near as well as I ought to...but as I said, the nature of the system is not as important to me as getting something in place that works.
People pay a monthly bill to an insurance company. This money is then used to pay for medical treatments while providing a profit to the insurance company.
Hospitals are government-owned buildings. Doctors and nurses are government employees who work for a government paycheck. Hospitals provide their medical care for free.
The US system of hospitals for military veterans is similar to this structure.
Single Payer system:
Hospitals are private institutions, not owned by the government. Doctors and nurses charge money for their services. The government pays all medical bills out of funds raised from tax revenue.
The US Medicare system for people over 65 is similar to this structure (not that "Medicare Advantage" stuff, but rather traditional Medicare).
A government marketplace where people select from a variety of competing plans. These plans operate like a typical insurance policy in that everyone pays a monthly bill and this money is then used to pay for medical treatment, but the plans are all tightly-regulated and not
The Obamacare exchanges are something like the German system. However, the plans on the Obamacare exchanges are for
-profit, and not so regulated.