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“Everybody would be a buyer - young, old, employed, unemployed, rich, poor”
Yes, no exceptions. That “no exceptions” begs 2 questions. Buy with what and what is our bottom push pull?
Those that buy it today, will still buy it. Same out of pocket money, just not as much (other 36 countries). Those that don’t buy it today will. They will use their paycheck money put in that TF.
No exceptions. That is a paycheck statement that will be done to everyone including our bottom. So if that is done to them, what is the trade-off (push pull)?
Our state and federal subsistence (food, clothing, and housing) welfare spending will increase. That cannot be avoided. That for what? No government Medicaid spending and what our uninsured are doing to our country (horrendous) will stop. Also:
A large part of our state and federal government welfare bureaucracy will disappear. What remains will not get bigger. It will simply give more subsistence welfare dollars to the same people it gives that to now.
“No more Medicare? No more Medicaid?”
Partially correct. Yes, there will be no Medicaid. However, we cannot say that for Medicare. Well sorta. Don't hit me, grin. We would use it.
Medicare (Single Payer) is a "single" pay-roll tax, a "single" TF, and a "single" level of health insurance coverage all over 65 individuals get.
That health insurance (coverage) is “prepaid”. What that coverage does will still have to be done and still have to be paid for (that tax). We will keep that. That is good.
So we will simply use that TF and increase that tax (I hear teeth cracking, chuckle). The medical bill paying service (health insurance coverage) part of Medicare will be optional (more cracking teeth).
If we leave that service in place, the TF will simply allocate X dollars to each individual below 65 in our country that he or she will use to buy health insurance in his or her state ACA health insurance market for the year. Ho hum.
So yes, we will not do Medicaid. We will however do still do Medicare, just different. It will still do what it does plus that ACA or it will simply do more of that ACA. I think we should do the former. That is simple, easy, and will cause no confusion. We just add that ACA to the Medicare we have now. Work the kinks out, always something. Then later think about maybe doing the latter.
In Response to Re: Why do that ACA and is there something we should add to it?:
I see what you are saying and that is the way that I have always imagined "single payer" - It would work with the ACA only because the ACA has the insurance plans and EVERYbody would buy into their plan via their single payer trust fund $$$$.
Everybody would be a buyer - young, old, employed, unemployed, rich, poor -
No more Medicare? No more Medicaid?
I assume as in other countries, you could buy private insurance to add more coverage - to cover what the ACA plans did not cover.
Posted by GailL1