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NY Senate Bill S5474 proposing a universal single payer health plan for NYers

nysenate.gov

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Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#61

Post by jjoonathan »

outside1234 wrote: post #43
aserdf wrote: post #30

it will be interesting to watch NY (and/or CA) put something like this in place and observe from afar. i strongly feel that states should be much more aggressive running policy experiments if their constituents desire them, and at the national level we all get some benefit of seeing how things turn out in real time. all that said, assuming there is some tangible tax increase, NYC high earners are going to be knocking…

Remember that this expense is also reducing the cost of employers. One of the best ways to finance this would be a payroll tax that is basically equal (in aggregate) to the insurance the company is (usually) already paying.

Yes! The private-insurance-mimicing payroll tax is by far the best path.

Nobody is going to believe that there are savings to be had, so it's best to start by reducing friction.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#62

Post by endisneigh »

ceejayoz wrote: post #53
endisneigh wrote: post #45

Earlier quoted context omitted.

That makes no sense, salaries would simply be adjusted to compensate. The kind of bureaucracy you’re proposing is why things are already so complicated to begin with.

> That makes no sense, salaries would simply be adjusted to compensate. If you cut the salaries of employees who opt-out, but not those who don't, you'd be in very clear violation of the law I'm suggesting.

No, what I’m saying is that they wouldn’t offer an alternative to the state run health care, as why would they anymore? No incentive.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#63

Post by seandoe »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

Interesting, from where do you hail?

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#64

Post by frozenport »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

>> but you get what you pay for.

Americans are already paying more than most places for healthcare but not getting a good return.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#65

Post by marricks »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

Who gets "good" care here? Senators and millionaires definitely do. But, most people don't get good care, many people are missing essential care (dental), and everyone has to wait. Often months.

We in the US pay more per capita for worse care than most other developed nations (Canada/UK/Nordic countries). Name your country where the care is worse than the US please and let us know how much they pay for it per capita comparatively.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#66

Post by bitwizeshift »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

Are you from Canada, or was that just an uncanny description of Canadian healthcare?

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#67

Post by ceejayoz »

endisneigh wrote: post #62
ceejayoz wrote: post #53

Earlier quoted context omitted.

> That makes no sense, salaries would simply be adjusted to compensate. If you cut the salaries of employees who opt-out, but not those who don't, you'd be in very clear violation of the law I'm suggesting.

No, what I’m saying is that they wouldn’t offer an alternative to the state run health care, as why would they anymore? No incentive.

I'm not seeing the downside.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#68

Post by duncan-donuts »

lettergram wrote: post #33
ldayley wrote: post #4

With California and New York both exploring statewide single payer healthcare it looks like the Overton window is moving closer to legitimate discussion of a nationwide single payer plan in the US. It’ll be interesting to watch, since this is such a hot-button topic here on many levels.

Why would you want it nation wide? Even if you “support it”, I’d much rather watch the implications from the various experiments across states. Then we can select the best option. Personally, I’d like to see some states ban healthcare outright. Others have full coverage and everything in between. Then wait 10 years and we can see the results. I strongly suspect there would be states willing to do this.

Ban healthcare? Like make it illegal to receive care or are you saying have no concept of health insurance and everything is out of pocket?

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#69

Post by vmception »

goatcode wrote: post #46

Coming from a country that has this, there should be caution: it gets more affordable, but you get what you pay for. In my country of origin, you get a partially-paid-for ride to the emergency room, where you pay for things like casts, non-ward rooms, dental care out of pocket. There is no prescription coverage. There is no optometry coverage. I would wait significant chunks of a year for procedures and diagnostics.…

For your first paragraph, I’ve seen that alot.

My european friends from big economies there brag about their insurance coverage, some working in the states with some global coverage plan, and as soon as I ask about something seemingly basic: “oh thats elective or cosmetic, why would that be covered”

I think there is a way to make it work with American expectations, American resources, no equivalent tax burden.

Re: NY Senate Bill S5474 proposing a universal single payer health plan for NYers

#70

Post by endisneigh »

ceejayoz wrote: post #67
endisneigh wrote: post #62

Earlier quoted context omitted.

No, what I’m saying is that they wouldn’t offer an alternative to the state run health care, as why would they anymore? No incentive.

I'm not seeing the downside.

The downside is that you could be paying more taxes for something that you already had.
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