The poor are screwed in the US now. Wait times to see specialists under Medicaid can easy run 6 months or more. Doctors tell patients they can't take any more new Medicaid patients at this time and it doesn't matter how serious the illness or how sick you are.
The success of single payer depends on how much money the country wants to spend on healthcare. Canada purposely keeps utilization rates high to keep costs down. That mean long waits times for some specialized care.
However, unlike the US, Canada does use a triage system in which the most serious cases get shorter wait times. We solve that problem in the US with those majestic words, "cash payment".
The government doesn't pay much to physicians to treat Medicaid patients you know. Its basically a charity for doctors to treat these patients, as they lose money or break even at best. And considering the fact that the number of Medicaid patients has expanded exponentially under the ACA, that's what you would expect.
But I'm surprised you've given up on O-Care so quickly. Why can't the libs support perhaps the idea of tweaking the program instead of shit canning it for Medicare for All.
You can not just shit can Obamacare. The party that tries won't be in power very long because it is too deeply ingrained in our healthcare system.
What I favor is increasing goverment healthcare subsidies to bring down deductibles and premiums and at the same time beginning a slow transition to Medicare by gradually lowering the age requirement. This would move the most expense people to insure to Medicare pushing insurance rates down. Within about 20 years, the health insurance risk pools would contain mostly young low risk customers. What we call healthcare plans today would become real insurance in which customers would pay relatively small premiums to insure against major medical emergencies. That's how began insurance.
We could stop lower the Medicare edibility age at any point leaving the younger workers in insurance pools.
**** that. Medicare for all is the best approach. If the rest of the civilized world can do it, why not the richest nation the world has ever seen?
HC in our nation is a ******* scam. It isnāt very effective, yet it is the most expensive in the world. It does greatly enrich the 1%.
What I'm proposing is Medicare for All but a slow implementation in which we can control the rate of transfer. Sander's plan would probably end up with a long implementation.
Remember whatever plan goes to congress will be a compromise between the House and Senate, between Republicans and Democrats, and of course the president. The elephant in the room will be big Pharma, the healthcare providers, and insurance companies. A lot of the problems in Obamacare was caused by comprises with rather divergent groups.
The best plan would be a plan that both parties would agree to or at least accept, otherwise with every election there will be an effort to repeal the plan when what is needed is changes to make our healthcare system work as best it can as problems become apparent.