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

nysenate.gov

111–120 of 569 posts

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

#111
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.

presumably, you don't actually mean "ban healthcare" so much as some version of "prohibit government spending on healthcare" or somesuch?

I'm pretty sure there's actually no constituency for outlawing the practice of medicine.

Or maybe you're actually the misanthrope that I sometimes pretend to be?

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

#112

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.

Who funds the more expensive tiers?

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

#113

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.…

"you get what you pay for"

No country pays more for healthcare per capita than the US. If we could capture some of the huge chunk that goes to private insurance companies (each company has its own redundant staff and technology systems, their own execs all getting their own bonuses, etc), we could provide healthcare even better than we already provide in the US to those who can afford it or qualify for public programs.

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

#114

it appears that this bill does not actually deal with the funding mechanisms for single payer, which will undoubtedly be contentious. From the Campaign for New York Health: > this legislation can be passed outside of the budget as a standalone bill - the #NYHealthAct is intentionally written to first pass on human rights principles - that care should be equitable and available to all. Then we pass the funding mechani…

Seems a bit pointless to pass a feel good bill that will cost billions and ignore the whole money situation hoping to solve it.

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

#115
post #96
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…

That's 60% marginal rates. Last year I paid 17% of my total income in taxes.

[deleted]

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

#116

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.

> The young should not pay for the healthcare of the elderly.

Why?

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

#117
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.

[deleted]

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

#118

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.

> The young should not pay for the healthcare of the elderly.

The same way responsible drivers should not pay for reckless ones? Or responsible homeowners shouldn't pay for reckless ones?

The whole idea of insurance is to distribute the costs so that no one has to bear long tail costs alone...

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

#119

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.

They won't have much of an option. I don't see them closing up shop and leaving NY if the talent is there.

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

#120
post #60

Earlier quoted context omitted.

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.

Exactly. US salaries for healthcare are the best on the planet, period. The comparison (and to be fair, this is a very high level) paints an extremely clear picture: United States $313,000 Germany $163,000 United Kingdom $138,000 France $108,000 Per: https://www.worldatlas.com/articles/countries-with-highest-p... So yes, I absolutely want to see how many physicians stick around if you tell them "your salary will now…

> "your salary will now be half and we're maxing our your workload"

should be fine if they pay their student loans no? isnt that the main reason the salaries are so high? cost of living + debt

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