Medicare isn’t a Single Payer System because Medicare would be one insurer of many who would pay for supplies, medicine and services. There would still be Aetna, Anthem, Blue Shields and Crosses (and companies licensing that name) and many others with negotiated rates and prices that they’d pay on a list. The administrata would remain in place.
Single-payer is a term used to describe a type of financing system. It refers to one entity acting as administrator, or “payer.” In the case of health care, a single-payer system would be setup such that one entity—a government run organization—would collect all health care fees, and pay out all health care costs. In the current US system, there are literally tens of thousands of different health care organizations—HMOs, billing agencies, etc. By having so many different payers of health care fees, there is an enormous amount of administrative waste generated in the system. (Just imagine how complex billing must be in a doctor’s office, when each insurance company requires a different form to be completed, has a different billing system, different billing contacts and phone numbers—it’s very confusing.) In a single-payer system, all hospitals, doctors, and other health care providers would bill one entity for their services. This alone reduces administrative waste greatly, and saves money, which can be used to provide care and insurance to those who currently don’t have it.
An experienced, old-school convict would not have robbed a bank for $1 as Verone did; they, instead, would have heaved a brick through the front window of their local Post Office, a crime that’s guaranteed to result in a federal judge giving out a buffalo. For those unfamiliar with the argot, a “buffalo” is a “nickel” uh, five years? Plenty of time to get healthy.
Earlier this week a man robbed a bank for $1 just to get access to health care through the federal prison system. The stunt worked: James Verone is now receiving medical services for a growth on his chest, two ruptured disks, and a problem with his left foot. But he’ll likely get less than a year’s time, in which case he’s said he’ll rob again.
This doesn’t happen in Canada or Great Britain.