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Diverse Perspectives on Policy Issues

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Perspectives on Universal Health Care

 

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No, universal health care on a single payer system is rife with flaws which are commonly not examined in studies promoting it.

Even though there are still those who argue completely against universal health care, most of its opponents have reconciled with the need for finding a means to provide increased coverage to U.S. citizens and find ways to control costs.   However, while not promoting a national health care system, they point to the combination of free-market of reforms used in countries such as Germany, Holland, England, and Australia to add their national health care system.

Among polemics against single payer plans, most often first mitigate pro-universal coverage arguments stating U.S. citizens are still able to get coverage through emergency rooms and charitable clinics.   They are also quick to note the past cost of malpractice insurance which was until recently thriving in the American tort system.  In February, 2005 Congress passed a law moving class-action suits over $5 million, and involving persons or companies from different states, to federal courts making it much more difficult for suits to be approved and proceed.

But while some change is needed, they would not like to see a system modeled on the Canadian system, often held up as a paradigm. "Canadian-style single-payer systems neglect the preferences of patients, spend money irrationally, and under-invest in medical technology, to name just their deadliest and costliest flaws," according to an American Enterprise Institute report (see link below). "Single-payer systems tend to leave rationing choices up to local bureaucracies that, for example, fill hospital beds with chronic patients, while acute patients wait for care," adds a Cato Institute report.

Further, much of the best medical care is available in America only because
of the current system they argue.   The opponents of a single-payers system, while not unified on corrective actions, have alternatively suggested experimenting with federal assistance in several states to insure all residents "either by expanding Medicaid (the U.S. health-insurance program for the poor) or by offering tax credits to assist lower-middle-income families to buy private insurance."

For more information:
http://www.cato.org/pubs/pas/pa532.pdf
http://www.aei.org/publications/pubID.14533,filter.all/pub_detail.asp