Quote from Angrycat:
Yes. They pay huge sums for the shittiest health service on earth. I've sampled several European countries and you wouldn't be able to recognize what passes for healthcare in most European countries and Canada. ALL European countries are moving toward privatization but when you combine both public and private expenditures, they pay more and get less. Their healtchare costs are also skyrocketing and the health services are responding by cutting service. However, they are also not as fat as Americans and that Obesity problem is a huge driver for healthcare costs. So, we can expect to be worse off.
That was actually a serious answer. Surprising.
Anyway, I'm not sure how you define "skyrocketing", but in this study, anyway, the US was by far the most expensive, AND its cost was growing at the fastest rate:
Snapshots: Health Care Costs - Kaiser Family Foundation
Any economies of scale and the elimination of adverse selection (which exists in ALL forms insurance including fire, life, etc. and they somehow manage to get on) would be vastly outweighed by the over-use problem, which tends to happen when there is no incremental cost to the user. The solution? Rationing. So, the promise of single payer - access - is the first thing to go under single payer.
My wife is a doctor. This already happens. If a patient is insured, the doctor charges more, and maximizes the procedures. She works for a clinic, so she can afford to not do this, but it doesn't sit well with her employer. Unfortunately, she's too good to let go.
The problem is that there IS no market for health care. States mandates raise the cost of insurance by limiting choice. This means that if in NY you want just catastrophic coverage, you can't get it. State by state regulation means that moving from one state to another constitutes a break in coverage and a circumstance to deny further insurance for that arbitrary reason. The system is so screwed up because it already operates VERY much like socialized medicine and every single one of these screwed up, cost raising, coverage denying measures is made possible by the very government that you want to entrust to provide you and your family with better healthcare. I can only laugh - but that's only because I can afford to buy my medical care privately and the majority of you guys screaming for socialized medicine can't.
Thank you for agreeing with me. You are like the guy who commutes by private limo. At the same time, you acknowledge that it's not so much a system as a mess that's already a stupid version of a crazy half-assed socialism, and it only works for a subset of healthy people who can either afford to opt out of it, as you can, or who are covered by corporations or the government.
Your anti-gov argument is a fallacy of the excluded middle. As are all libertarian arguments in this vein, actually.