Roxxxanne wrote:A single payer billing system would eliminate 70% of medical costs. How is that for commomn sense?
Where did you get this factoid????
What kind of single payer system? Would it call for forcible enrollment of everyone? Would you ban private services for those who are willing to pay for them? What limits would you impose on the services available for those in your single payer syatem?
Invariably such systems involve both rationing of the care available and limitations on the earnings of care providers:" two factors which combine to reduce investment in new techniques and the number and quality of people interested in becoming providers. How would you deal with that?
Would you have the government finance all medical research? History shows that this is a good way to spend lots of money for very little beneficial output. (consider, for example the Genome Project - The government directed program spent billions more than their private competitors, but the latter beat them to the solution by over a year.).
Here is an excellent illustration of the Law of Unintended Consequences, Single payer systems deliver mediocre care and very little innovation. Canada gets away with it only because they get a free ride on new drugs and techniques developed largely in America, and because desperate Canadians, waiting months for a government controlled appointment with a specialist, can always come here to quickly get the care they need.