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WHY SINGLE PAYER AND WHAT IS HEALTH JUSTICE? BEHIND THE BOOK WITH AUTHOR TIMOTHY FAUST American health finance is currently a multi-payer modelthere are many different insurers (or payers) who represent a fragment of the population. Single payer refers to a health finance model in which all insurers are consolidated into one public entitya single payer. This is more or less mappable to Medicare for All, if a little more precise. Read more I can tell you hundreds of benefits to single payer being enacted in this country 272 pages worth! In short, though: 1) single payer protects us from medical bankruptcy caused by the arbitrary and unequal allocation of suffering into which we are born; 2) single payer lets us seek healthcare when we need it, instead of turning our bodies into time bombs; 3) single payer unshackles us from the domination of employers and domestic partners who control our and our childrens access to healthcare; and 4) single payer finally forces a single actorthe public insurerto bear the costs of providing care, as well as the costs of what happens when care is not provided. It is a first lever against broader inequity in America. Read more The ACA is a mixed bag. A lot of people have received essential insurance from itmostly through Medicaid expansion. But about as many people have purchased, through the ACA, insurance plans with byzantine subsidy regulations tied to minutiae of income reporting, which can be a real pain if you work an hourly or irregular job. And with increasing medical costs every year shifted onto customers through copays and high deductibles, many people who got insured through the ACA cant afford to use that insurance42% of people in the ACA pool are considered underinsured. This uninsured-ness is growing among people who get insurance from their employers as wellaffecting 28% of that population in 2018. All of this is to show that the fragmented multi-payer model is fundamentally incapable of doing what it needs to do, and cannot be coaxed or massaged into providing adequate insurance or backing the promise of health for all people in America. Read more Thats a buck-wild effort to scare away single payer, considering that thirty hospitalsmost of them ruralclose annually in the United States. They close because the patients they serve are uninsured, and therefore cant pay their bills; without those payments, the hospital folds. Guaranteeing insurance for all patients helps rural hospitals, or hospitals which treat sick or poor patients, keep the lights on. Medicaid expansion, for example, reduces the rate of hospital closures by six times the frequency of what happens in states without expansion. Read more Sometimes. Not always. And not in the way critics of single payer like to pretend. In that veinoften, someone will say something like, oh, private insurance and public insurance can co-exist, like they do in Germany, which neglects to mention that German regulation of insurance companies is a world apart from American policy. In Switzerland or the Netherlands, the public is all but forced to purchase supplemental private insurance, which need not abide by some of the most crucial consumer protections baked into their respective primary healthcare marketslike being able to reject applicants based on health status. During the recession, Swiss people unable to afford their supplemental insurance premiums watched as their government came to the rescue of their insurers by giving them permission to cut off defaulters contracts. Not an outstanding role model. Read more

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🗸 Author(s):
🗸 Title: Health Justice Now: Single Payer and What Comes Next
🗸 Rating : 4.7 from 5 stars (73 reviews)
🗸 ISBN-10: 1612197167
🗸 ISBN-13: 9781612197166
🗸 Languange: English
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🗸 Supported Devices: Android, iOS, PC and Amazon Kindle

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