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

nysenate.gov

141–150 of 569 posts

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

#141
post #75

Earlier quoted context omitted.

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.

"A smaller Empire State: New York continues to lead nation in population decline"

https://www.democratandchronicle.com/story/news/politics/alb...

The population flight is primarily for US-born residents, which is what happened in CA as well.

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

#142
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

#143
post #9

Would this raise the tax rates for NYers?

The better question is whether NYers will pay more or less under this plan, not whether that payment is a tax or a premium.

i think the original question was better

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

#144

Earlier quoted context omitted.

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…

> It's all hush-hush because those in power are the primary users of that parallel system

Any hint you can provide of how to look into this? I know there are private clinics for certain things, but I would be very interested to see what options there are for my family

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

#145
post #60

Earlier quoted context omitted.

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

Paying off 200K in debt with a 300K minimum salary is pretty trivial unless you immediately qualify for a 4 million dollar mortgage, buy a BMW, then get divorced six times after med school.

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

#146
post #73
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…

NY should pay for single payer in part by raising real estate taxes, it's the only clear way the state has to avoid capital flight in the way you're describing here. This said, a big thing NY benefits from is that a lot of people work in NY state temporarily as consultants in addition to the bridge and tunnel crowd that come in from NJ and CT, this gives them a much larger tax base than the population living there br…

I live in NY and pay >$18k a year in property tax for a small house. Real estate taxes are high enough.

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

#147
post #60

Earlier quoted context omitted.

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

cost of living isnt the reason for high salaries in Medicines. Unlike tech, salaries in medicine increase as you go to rural and/or underserved areas. It is driven by supply/demand and quality of life in urban vs rural areas.

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

#148
post #75

Earlier quoted context omitted.

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.

CA is losing population: https://www.sfchronicle.com/bayarea/article/Bay-Area-countie... It isn't crazy fast but it is happening. We will see if the trend holds...

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

#149
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.

You paid much more than that. A substantial part of your rent is property taxes. I also doubt you included sales taxes in that number. Then there's more esoteric stuff like tariffs, etc

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

#150
post #96

Earlier quoted context omitted.

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

You paid much more than that. A substantial part of your rent is property taxes. I also doubt you included sales taxes in that number. Then there's more esoteric stuff like tariffs, etc

Rent is not tax, what an absurd comment.
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