Live data from Hacker News

Why Single-Payer Health Care Saves Money

nytimes.com

1–10 of 206 posts

Re: Why Single-Payer Health Care Saves Money

#2
> One is that administrative costs average only about 2 percent of total expenses under a single-payer program like Medicare, less than one-sixth the corresponding percentage for many private insurers.

That story needs to come with a caveat that Medicare's anti-fraud efforts are covered by law enforcement budgets, namely FBI https://news.google.com/news/search/section/q/medicare%20fra...

Re: Why Single-Payer Health Care Saves Money

#3

> One is that administrative costs average only about 2 percent of total expenses under a single-payer program like Medicare, less than one-sixth the corresponding percentage for many private insurers. That story needs to come with a caveat that Medicare's anti-fraud efforts are covered by law enforcement budgets, namely FBI https://news.google.com/news/search/section/q/medicare%20fra...

And that doesn't happen with private companies? There's loads of fraud that goes on there too.

Re: Why Single-Payer Health Care Saves Money

#4
I find it hilarious that this article uses state government taking over road maintenance as an analogy and claim it will save money, while it's known that California has a bad reputation in road repair, due to funding problem.

http://www.latimes.com/politics/la-pol-sac-road-funding-prob...

Re: Why Single-Payer Health Care Saves Money

#7

> One is that administrative costs average only about 2 percent of total expenses under a single-payer program like Medicare, less than one-sixth the corresponding percentage for many private insurers. That story needs to come with a caveat that Medicare's anti-fraud efforts are covered by law enforcement budgets, namely FBI https://news.google.com/news/search/section/q/medicare%20fra...

And that doesn't happen with private companies? There's loads of fraud that goes on there too.

Which is why those companies hire entire departments dedicated to fraud. If a government agency stepped in and instead offered to do fraud investigation for free, that would provide a rather nice reduction to their overhead costs.

Re: Why Single-Payer Health Care Saves Money

#8
post #6

A big part of this to is drs in places like Canada get training on how to save costs which generally means not providing service. I had to switch to a private system in Canada to get drs who would take a proactive approach.

Yea, I am all for more government cost controls, and maybe a public option for a more tiered system. But it seems like universal single payer is not really realistic for the US.

Re: Why Single-Payer Health Care Saves Money

#9
I imagine both single-payer and a truly free market health care system would be substantially cheaper than the current system -- which has none of the benefits of either approach.

With the federal government unable to act, turning healthcare back to the states to test a number of different solutions seems entirely reasonable. Let California try single-payer and Texas try something different -- after a few years see if we've found a solution that could work for the whole country.

Re: Why Single-Payer Health Care Saves Money

#10

> One is that administrative costs average only about 2 percent of total expenses under a single-payer program like Medicare, less than one-sixth the corresponding percentage for many private insurers. That story needs to come with a caveat that Medicare's anti-fraud efforts are covered by law enforcement budgets, namely FBI https://news.google.com/news/search/section/q/medicare%20fra...

Further it is not a good argument by itself. One could imagine a program with no administrative overhead that because of that lack of administration ended up costing far more than a program with higher administrative overhead. I'm not saying that's the case here, but the argument needs to be made that it isn't.
Post reply on HN