Our host for the weekly provocative question challenge is Jewish Young Professional, aka JYP.
So what is her provocative question for this week? JYP asks us…
What specific changes should be made to improve the healthcare system (in the U.S.)?
Bernie Sanders has been talking about it for years. Barack Obama tried to get it included in his 2009 health care reform initiative, the Affordable Care Act, (aka Obamacare). It’s called a “single-payer” healthcare system.
In that system, rather than multiple, competing, for-profit health insurance companies, a single public or quasi-public agency takes responsibility for financing healthcare for all residents. That is, everyone has health insurance under a one health insurance plan, and has access to necessary services — including doctors, hospitals, long-term care, prescription drugs, dentists and vision care.
However, individuals may still choose where they receive care. It’s a lot like the U.S. medical program for seniors, Medicare. Hence a U.S. single-payer approach has been nickname “Medicare-for-all.”
Unfortunately, Obama’s single-payer provision in Obamacare was removed from the proposed bill in order to get it passed in the Senate. It passed with all Democrats and two independents voting for it, and all Republicans, of course, voting against it.
Ask any current Medicare recipient if they think Medicare-for-all is a good idea and the answer will universally be yes. Well, except maybe from Republicans, who think the broken, for profit healthcare system in the United States is just peachy.
The biggest obstacles to adopting a Medicare-for-all/single-payer healthcare delivery system in the U.S. are political. Stakeholders who stand to lose — such as health insurers, organized medicine, and pharmaceutical companies — represent a powerful opposition lobby. But there are no practical problems within the single-payer structure that would prevent its implementation.
So to answer JYP’s question directly, adopting a single-payer, Medicare-for-all would go a long way to improving the healthcare system in the U.S.