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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

#151

Post by systemvoltage »

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.…

Switzerland has private insurance just like the US and people I know that live in Zurich love it.

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

#152

Post by [deleted] »

exhilaration wrote: post #132
mywittyname wrote: post #82

Earlier quoted context omitted.

OP sounds to be arguing the opposite. One lives in a low tax state while earning money / paying taxes, then retires to a rural part of NY / CA to receive tax-payer-backed benefits without paying for them.

Having a bunch of (medicare-covered) retirees (with no school-age kids) spending their (taxable) social security income in NY / CA sounds pretty great. Much better than losing them to Florida or Arizona. Bonus if the states get to tax their estates in the end.

[deleted]

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

#153

Post by heavyset_go »

throwaway2214 wrote: post #120
tenpies wrote: 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

> isnt that the main reason the salaries are so high?

It's because the NIH limits the amounts of medical residencies in the country, and to become a doctor with a license to practice, you must have completed residency somewhere. The amount of doctors in the US are kept at low numbers because of this.

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

#154

Post by countvonbalzac »

ipaddr wrote: post #140
mupuff1234 wrote: post #119

Earlier quoted context omitted.

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

I do, the talent exists elsewhere cheaper

No it doesn't. If it did, they would already hire those people and get rid of their more expensive talent.

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

#155

Post by NovemberWhiskey »

countvonbalzac wrote: post #150
revnode wrote: post #149

Earlier quoted context omitted.

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.

If you're renting, your landlord is paying property tax and passing it on to you.

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

#156

Post by kevindong »

jimbob45 wrote: post #24
VWWHFSfQ wrote: post #16

If this is anything like the ACA then the vast majority of New Yorkers will end up paying twice for insurance. Once in taxes to subsidize the single-payer marketplace, and then again for their own employer-based insurance. Have to start somewhere though, I guess.

You seem to believe employees wouldn't be able to opt out of their own employer-based insurance. Why is that?

From the summary of the bill:

> Private insurance that duplicates benefits offered under New York Health could not be offered to New York residents.

---

My interpretation of that is that private insurance (which includes employer-based insurance) would be banned.

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

#157

Post by Manuel_D »

countvonbalzac wrote: post #150
revnode wrote: post #149

Earlier quoted context omitted.

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.

The point is, the apartment owner pays property tax and collect rent from tenants to pay for that. If property taxes go up, property owners raise rents to compensate. So the tenants are paying the property tax, albeit indirectly.

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

#158

Post by browningstreet »

ipaddr wrote: post #140
mupuff1234 wrote: post #119

Earlier quoted context omitted.

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

I do, the talent exists elsewhere cheaper

Pretty specious argument in the days where SF companies are mandating RTO when it could be far cheaper to negotiate to WFH status those employees who didn't want to be in the bay area or bay area offices anymore.

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

#159

Post by ch4s3 »

beebmam wrote: post #96
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…

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

> Last year I paid 17% of my total income in taxes.

Was that in NYS? It doesn't take a lot of income to hit the state rate of 6.33%, everything after $80,651 filing alone, which isn't unusual downstate. You can add roughly 3.8% to that if you live in NYC and another 22% Federally, all just on income.

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

#160

Post by mostertoaster »

Crazy healthcare costs are the result of government intervention back in the 30s, and I’m doubtful they will actually be able to lower overall costs. Single payer has the advantage of being able to negotiate the costs for a much larger volume, but my guess it won’t be enough to cover the cost of bureaucrats to administer it.

Still I’m all for them trying it, if it fails miserably and the “free” healthcare leads to never being able to see the doctor and costing more, then everyone else can stop trying to emulate it. If it succeeds and actually saves money and still provides good healthcare, then we might be able to try it at a larger scale.

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