I’m not going to try and convince you of anything related to a single-payer system, except ￼that you can’t count on the predictions and assumptions on either side of the debate. You can however, count on unintended consequences that nobody talks about.
What the United States spends or saves means little to you. What matters to individuals is what they pay in premiums, taxes and out of pocket costs for health care received.
In any system, the healthy subsidize others. In any system your fixed costs are premiums and or taxes. You may or may not have out of pocket costs, but the odds are in your favor in any given year.
In any system there is the ongoing challenge to maintain affordable healthcare which is never defined.
The bulk of those savings would come from streamlining health care administration costs, according to the study, with additional savings coming from lowering drug prices and reducing provider reimbursements.
According to a study published last week in the Annals of Internal Medicine, administration costs now make up 34% of U.S. health care expenditures, with the country spending roughly $2,500 per person. In comparison, Canada, which has a single-payer health care system, spends roughly $550 per person on health care administration, the study found.
An October analysis by the Commonwealth Fund found that a single-payer health care system, which included all Americans, including undocumented ones, would grow health care spending by about $720 billion in 2020. A less generous, single-payer “lite” option, which included cost-sharing for out-of-pocket expenses based on income level, and which did not include coverage for undocumented people, would lower health care costs by $210 billion in 2020.