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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

#101

Post by joshstrange »

debacle wrote: post #75
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…

New York is losing population at a breakneck pace. Our government is to blame. I am for single payer to some extent, but if done poorly medical staff (who are already leaving due to pandemic policies) will just pick up and leave. We recently expanded the privileges of nurse practitioners which is great, but two large nursing unions are less than 60 days away from striking.

Citation needed. Every population graph I can find show a small decline over the last few years but it's still above 2000 and they've had population dips before (1970-1980) that then recovered.

This comment reads like my in-laws who always talk about how "people can't get out of CA fast enough", um the population numbers say otherwise.

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

#102

Post by nceqs3 »

marricks wrote: post #65
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…

You ever been to a Canadian hospital?

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

#103

Post by chmod600 »

I'm skeptical, but I'd like to see it pass. Such a debate in this country and it would act as an experiment. It would probably take a while for the consequences (good and bad, as I don't believe it would be purely one or the other) to become apparent.

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

#104

Post by [deleted] »

Ekaros wrote: post #29
endisneigh wrote: post #15

Earlier quoted context omitted.

The amount paid per capita and whether you would pay more taxes are not exclusive things. I’m not sure why people keep bringing up Europe - the USA is not Europe. For one doctors are paid more in the USA compared to Europe, medicine is more expensive here, more of the R and D originates here, etc

Maybe good question to ask is what makes it more expensive? Is it bloated administration and insurance system? Or is there some fundamental other difference?

[deleted]

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

#106

Post by drm237 »

endisneigh wrote: post #49
outside1234 wrote: post #43

Earlier quoted context omitted.

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.

If you think employers will share the savings with their employees, think again.

I don't think they're saying that at all. I think the point was, a payroll tax won't necessarily increase costs for a company because it would be offset by eliminating the current healthcare costs.

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

#107

Post by colechristensen »

chmod600 wrote: post #103

I'm skeptical, but I'd like to see it pass. Such a debate in this country and it would act as an experiment. It would probably take a while for the consequences (good and bad, as I don't believe it would be purely one or the other) to become apparent.

One of the arguments for the federal system is that states do get to experiment and the ones that work go national.

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

#108

Post by ParksNet »

50% of health resources are used in the final 5 years of life.

The young should not pay for the healthcare of the elderly. Society should be apportioned into different age categories, and funded separately, with a 'base' tier for all citizens and legal residents, and a higher tier for those with private or employer insurance.

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

#109

Post by maxerickson »

lotsofpulp wrote: post #93
outside1234 wrote: post #43

Earlier quoted context omitted.

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.

Big employers like having health insurance tied to employment. It makes changing jobs a riskier maneuver for employees as they do not know the quality of the other jobs' insurance coverage, and it creates higher overhead costs for smaller employers so it provides a competitive advantage there too.

I mean, they can lobby against it, but other than that, what does it matter that they don't like it? It's not like they are so management heavy that they can swing a vote.

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

#110

Post by speed_spread »

version_five wrote: post #74
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.…

Would healthcare overall in e.g New York be equivalent though? In Canada, we have "free" healthcare but literally have no other option so it's the Soviet style mess you'd expect a government monopoly to be. But would this bar paid healthcare? Couldn't people still have health insurance and get private care? Is there something preventing that?

You're not supposed to be able to get private healthcare in Canada, but actually there are plenty of fancy clinics that will fix you up on the spot if you have money. It's all hush-hush because those in power are the primary users of that parallel system. It's not a criminal underground but an unregulated mezzanine, yes?

Also, in my experience, public healthcare _can_ be quite good, but the quality of service varies a lot across regions and institutions.

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