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  1. OccupantCDN Coolidge

    There are a couple of things that cause a single payer system fail. Firstly if the user feels the service is free, (or at least at very low cost) demand skyrockets. Its the most basic economics, the Supply/Demand curve. Since there is no infinite supply all single payer systems lead to rationing. Recently the UK’s National Health Service said it would no longer provide cataract surgeries to individuals at 80 years of age, because there was a cost-benefit analysis that found these surgeries where too expensive. But to the people going blind – the cost benefit analysis is completely different – being able to see, and how that would impact the life and independence of anyone is infinitely valuable.

    Secondly when the user, provider and provisioning agent are all separate individuals and agencies, there is no force to innovate to reduce costs or increase the effectiveness of treatments. The user doesnt care how much it costs, and the payer doesnt care how effective it is. So there is a systemic bureaucratic friction that builds up, that will lead to declining service and escalating costs. Again you only have to look at the UK’s NHS or Canada’s healthcare system for numerous examples of patient who routinely die waiting for treatment of perfectly treatable disease or injury.

    • #1
    • September 5, 2019, at 1:14 PM PST