Comment by danny_codes
4 hours ago
Universal healthcare is cheaper than our system of healthcare by a factor of 2 (comparing other OECD countries). If we raised taxes and implemented universal healthcare we’d save about $1T a year.
Cost isn’t the relevant factor, it’s politics. Or more accurately, naked bribery that we, for some insane reason, call “lobbying”.
I've looked into this for work and no way. You must unfactor the European models getting subsidized by the current US model.
Some very smart people have looked at fixing the system, and there's no golden goose (except ozempic maybe). We'll need pharmacological breakthroughs.
Also, regrettably - A LOT of medical care is unnecessary but we love grandma.
> You must unfactor the European models getting subsidized by the current US model.
But they don't. This is clearly a pro-insurer talking point. Europe just negotiates on a state based level so therefore is able to negotiate better prices.
Medicare also negotiates on a state based level and represents more people than most European countries.
Right now the US governments collectively spend more than most European countries per capita on health care. The states and Feds. Totally exclusive of the private market spending. Expanding Medicare/Medicaid may be great for other reasons but does not solve the underlying cost problems in the US.
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> If we raised taxes and implemented universal healthcare we’d save about $1T a year
If it saves $1T, then why does it require raising taxes?
Because currently the working population pays what is effectively a tax for health insurance. I pay over $450 a month for a family plan, and that's cheap and subsidized AND I need to pay for copays/deductible/coinsurance.
So taxes could go up $5k/yr but if I got health insurance, I'm better off.
The savings would take longer to realize because they come from better contracts, better preventative care, increased screenings etc.
idk maybe those savings are not upfront but are more around productivity improvements and so on.