Single payer health care: who is it good for?

2009 March 8

“We have 900 billing clerks at Duke. I’m not sure we have a nurse per bed, but we have a billing clerk per bed… it’s obscene.”

Dr. Uwe E. Reinhardt,
Describing the overhead in the Duke Medical System
at the Hearing on Health Care Reform,
U.S. Senate Finance Committee, November 19, 2008

A single-payer system is not in the best interest of the big insurance companies: The reason we spend more in the U.S. and get less than the rest of the world? A myriad of for-profit payers earning a comfortable living by sucking cash out of your health-care dollars. 31% of current costs go to overhead: billing, sales and marketing departments, huge profits, and disgraceful executive pay.

Hospitals, clinics, and physicians in private practice spend ridiculous amounts of money paying the staffs that interact with big insurange, and we pay in increased charges for their services.

Patients regain absolute choice and more of the money we spend goes to actual health care if we adopt a single-payer system. It’s the obvious way to recapture the money we currently pay to an industry that adds no value, yet puts control over medical decisions in the hands of  bureaucrats and business analysts interested in only their own bottom line. The money potentially saved just by reducing paperwork, more than $350 billion per year according to some estimates, is enough to provide comprehensive coverage to everyone without paying any more than we already do.

“Medicare has administrative costs between about 2 to 3 percent whereas private insurance varies considerably across different markets but averages about 14 to 15 percent.”

Bradley Herring, Ph.D.,
Assistant Professor, The Johns Hopkins University,
Potential Complications with the Different Approaches to Health Reform

Here are some additional resources to rely on if you’re trying to figure out the differences between socialized medicine and single-payer administration, or any of the other misconceptions floating around in the media:

Asked to react to Obama’s proposal to move to single-payer health care system in his address to the nation, Nobel Prize winning economist ProfessorJoseph Stiglitz said he’s reluctantly concluded, “It’s the only way.”

“…what we’ve seen is that the private healthcare insurers do not know how to deliver an efficient way.”

World Bank Chief Economist, Joseph Stiglitz

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  1. Did you know Duke Medical system has one billing clerk per bed? « political FAQ
  2. Health care isn’t the problem « Audacity

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