How do Americans feel about single-payer health care? It’s complicated.

https://www.washingtonpost.com/news/politics/wp/2017/03/27/how-do-americans-feel-about-single-payer-health-care-its-complicated/?utm_term=.cd7484fde7b6

In the wake of the collapse of the Republican health-care proposal on Friday, there was an instantaneous effort by the progressive left to pick up the fumble and return it for a touchdown. As The Washington Post’s Dave Weigel reported, some Democrats quickly saw the failure as an opportunity to advance a long-held objective: a national, single-payer, health-care system matching those in countries such as Canada and Britain.

That effort was bolstered by tweets like this one, from progressive filmmaker Michael Moore.

“Remember this poll,” he tweeted, “the majority AGREE!”

But it’s not that simple.

Moore links to an article from The Post published in May, as the Democratic nominating contest was wrapping up. That article looked at polling from Gallup that presented respondents with a series of nonexclusive options for how the American health-care system might move forward: federally centralized health care, a repeal of the Affordable Care Act (i.e., Obamacare) or keeping Obamacare as the system.

Of those three, federally funded health care — that is, single-payer — was the most popular, with 58 percent support.

 

Vermont Tests The Waters On GOP Health Care Overhaul

http://www.healthleadersmedia.com/health-plans/vermont-tests-waters-gop-health-care-overhaul?spMailingID=10548476&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1120254532&spReportId=MTEyMDI1NDUzMgS2#

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A statewide experiment aims to test new payment systems, prevent unnecessary treatments, and constrain overall growth in the cost.

Tiny — and very blue — Vermont could be at the leading edge of the health reforms envisioned by the Trump administration and a Republican Congress.

The Green Mountain State, population around 626,000, got a broad waiver last October from the federal government to redesign how its health care is delivered and paid for. The statewide experiment aims to test new payment systems, prevent unnecessary treatments, constrain overall growth in the cost of services and drugs, and address public health problems such as opioid abuse.

The six-year initiative — an outgrowth of a failed attempt by Vermont a few years ago to adopt a single-payer plan for all residents — could eventually encompass almost all of its 16 hospitals, 1,933 doctors and 70 percent of its population, including workers insured through their jobs and people covered under Medicare and Medicaid.

The Obama administration approved the experiment, but it fits the Republican mold for one way the Affordable Care Act could be replaced or significantly modified. The Trump administration and lawmakers in Congress have signaled that they want to allow states more flexibility to test ways to do what Vermont is doing — possibly even in the short-term before Republicans come to an agreement about the future of the ACA.

Single payer healthcare proposal introduced in California Senate

http://www.healthcarefinancenews.com/news/single-payer-healthcare-proposal-introduced-california-senate?mkt_tok=eyJpIjoiWXpVMk16RXlNV00zTm1OayIsInQiOiIzS3NXdllRRU1HNHZlb0Q1aVBYV0hFazRSbGk4dWc3S0FvZERGbHJDeW53Z2ZTb0xCdFhhWEVPcHBBUlVcLytBR1dkTTF0cElHTDRxU0NMSXJ0bWhQUUNvSzl1TVFtaVh2SUhiYkxNTVozNW54SmJCRXhCWDhZT2VGcGNGNlZSdXYifQ%3D%3D

Legislation introduced in the California Senate last week would set the state on a path toward the possible creation of a single-payer health care system ― a proposal that has failed to gain traction here in the past.

The bill, which is a preliminary step, says that it is the “intent of the Legislature” to enact a law that would establish a comprehensive, single-payer health care program for the benefit of everyone in the state. The legislation, introduced by state Sen. Ricardo Lara (D-Bell Gardens), does not offer specifics of what the plan would look like, nor does it mention a timetable.

A single-payer system would replace private insurance with a government plan that pays for coverage for everyone. Proponents argue that single-payer systems make health care more affordable and efficient, but opponents say they raise taxpayer costs and give government too much power.

Medicare, the federally-funded health coverage for the elderly, is often held up as a model of what a single-payer system might look like.

Lara said in an interview late last week that the state needs to be prepared in case the Affordable Care Act is repealed, as President Donald Trump and Congressional Republicans have promised.

“The health of Californians is really at stake here and is at risk with what is being threatened in Congress,” Lara said, as the debate continued in Washington about the future of President Barack Obama‘s signature health law. “We don’t have the luxury to wait and see what they are going to do and what the plan is,”

Lara noted that while the Affordable Care Act expanded health coverage for many Californians, it left others uninsured or underinsured. He said the single-payer bill builds upon his “health for all kids” legislation, which resulted in coverage beginning last May for 170,000 immigrant children here illegally.

 

Judge, Citing Harm to Customers, Blocks $48 Billion Anthem-Cigna Merger

Today a federal judge blocked the proposed $48 billion merger of giant health insurers Anthem and Cigna, just two weeks after another federal judge blocked the proposed $37 billion merger between Aetna and Humana. (That judge found Aetna had lied when it said its decision to pull out of Obamacare was triggered by mounting losses; it was triggered by its desire to merge with Humana.)

Both judges agreed with Justice Department that the mergers would violate antitrust laws — giving the combinations too much economic power to raise prices.

Both decisions will almost certainly be appealed by the companies. But Trump’s and Jeff Session’s Justice Department might back down and allow the mergers to proceed.

Which will reveal the underlying choice America faces: Either a private-for profit health insurance system run by a few giant corporations charging as much as possible, or a single-payer system run to keep Americans health at the lowest cost.

What do you think?

Cartoon – Who do you think is in charge here anyhow?

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Will Consumerism Rein in Healthcare Costs? Why the Answer Is No

Click to access Healthcare-Consumerism_Rising-Costs_LEK-Executive-Insights_1806.pdf

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In the first of our multipart Executive Insights series on consumerism in healthcare, L.E.K. Consulting examines why a more engaged consumer — despite the increasing optimism — will not be nearly enough to bend the healthcare cost curve or even stop the rising rates substantially.

After shocker election, what are the ramifications for healthcare?

After shocker election, what are the ramifications for healthcare?

Healthcare and Medicine Political Changes Symbolized by USA Flag, Stethoscope

Tuesday’s election was, thankfully, about much more than finding a new U.S. president, though the majority of the electorate shocked the pundits by electing Donald Trump to occupy the White House for the next four years. It was an ugly, contentious campaign, so let’s now turn our attention to healthcare in the name of our sanity.

Beyond efforts to legalize recreational use of marijuana and raise taxes on cigarettes and soft drinks in multiple states, several jurisdictions had ballot initiatives that could fundamentally change aspects of the healthcare delivery system.

A closer look at single-payer health care and how it works

http://hub.jhu.edu/2016/10/11/single-payer-health-care-101/

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Johns Hopkins experts explain health insurance alternative mentioned during presidential debate

During Sunday’s heated presidential debate, an audience member raised the issue of health care, asking Hillary Clinton and Donald Trump about their plans to bring down costs and to make coverage better.

Both of the candidates’ responses included references to a “single-payer plan.” What does that mean, and could it work in the U.S.? For insight, we turned to experts from Johns Hopkins University’s Bloomberg School of Public Health.

In a segment of WYPR’s On the Record on Monday morning, Bradley Herring, an associate professor in the Department of Health Policy and Management at the Bloomberg School, explained what a single-payer system is and how it works.

Bradley Herring and Gerard Anderson

Image caption:Bradley Herring (left) and Gerard Anderson

“The simplest way to think about a single-payer system is one in which the government is the single payer for all health care services for all citizens,” Herring said.

Countries around the world have successfully adopted single-payer health systems. An obvious example—and the one Trump pointed to in the debate—is Canada.

How Health Care Battles of the Past Shape the Candidates’ Positions Today

http://www.commonwealthfund.org/publications/in-brief/2016/oct/past-as-prologue-presidential-politics-health-policy?omnicid=EALERT1108988&mid=henrykotula@yahoo.com

Despite the singular nature of this year’s presidential campaign, there is plenty of continuity with past elections when it comes to health care, argue David Blumenthal, M.D., and James A. Morone in their New England Journal of Medicine “Perspective.”

In “Past as Prologue—Presidential Politics and Health Policy,” Blumenthal, The Commonwealth Fund’s president, and Morone, director of Brown University’s Taubman Center for American Politics and Policy, discuss the “deep underlying political forces and historical experiences with health care politics and policy” that are reflected in the platforms of Hillary Clinton and Donald Trump.

The authors previously collaborated on the book The Heart of Power: Health and Politics in the Oval Office (University of California Press, 2009).

A Quiet Revolution in Health Care in a Digital Era

http://altarum.org/health-policy-blog/a-quiet-revolution-in-health-care-in-a-digital-era

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The whole American political spectrum shares two goals: lower health care spending and better health care delivery. Unfortunately, most political groupings believe success will emerge from a top-down reconfiguration of insurance. Almost certainly, though, better, cheaper care will come not from a relentless focus on insurance, but from fragmentary, bottom-up innovation already underway.

The Left seeks nationalization and centralization — a single-payer system where a wise federal government funds and allocates care. The Affordable Care Act (ACA) approximates this ideal by subsidizing and enlarging the pre-existing menagerie of public, private, individual and group plans. The Right’s hope is federalism and privatization — shifting power from Washington to states and private entities. Each vision has dozens of variations.

While Americans squabble over insurance, a digital revolution quietly disrupts fundamental notions of health care itself. Imagine a world where schoolchildren produce low-cost prosthetic hands; heart patients use smartphones to perform electrocardiograms on themselves; patients shop the globe for surgical hospitals; cloud computing helps patients manage mental health issues; individual doctors manage thousands of prescriptions a day; and streaming video liberates doctors from computers.

This world already exists, barely perceived by the political community — or the medical community. The key to nurturing it is to remove the obstacles that lie in its path.