You Be The Judge: The healthcare debate on single-payer you haven't heard

Watch this humorous debate about our national healthcare crisis. Get the facts about single payer national health insurance at www.pnhp.org or www.healthcare-now.org or www.hcfat.org. HR 676 the "Medicare For All" bill in Congress proposes single payer national health insurance financed by taxes resulting in cost savings of over $350 billion each year while providing health care to every American. Healthcare reform being debated now

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[davidmesaaz]

@DrChristineAdams Your ignoring several facts.. Medicare ignores legitimate claims... Medicare denies more claims than any other insurance provider. What you want me to believe is that a sngle payer monopoly is more efficient than a competitive market. (fyi the current health care system is not a competitive market..)

[davidmesaaz]

@DrChristineAdams In a voucher system if doctors provided better care at lower cost they would be rewarded with more customers and therefore more profits. More profits leads to another question of yours how do you train more doctors? You don't improve a business by eliminating the profit motive and rewarding all doctors equally The best will leave the profession the worst will stay and the smartest will never enter into the profession Vouchers allow patients to determine where the money is spent

[davidmesaaz]

@DrChristineAdams If I were to design a system Singapore would be a great place to start. It spends a paltry 1.5% of GDP on health care. Compare that to 5-7% of GDP in Europe. Prices markets are at the center of the system that drive costs down instead of the current reimbursement model which drives prices up. Why because if they bill medicare for less than their competitors they lose money because their competitors will still charge at higher rates.

[davidmesaaz]

@DrChristineAdams few are calling for the end of medicare but given medicare finances the best way to eliminate medicare is to do nothing. We need to reform the way we provide the public goods of health care for the elderly & vulnerable but not end the program all together. The best way to eliminate abuse is let patients decide where to spend their money through vouchers. Individuals should decide what is best for them not government planning boards or defined benefit insurance plans.

[davidmesaaz]

@DrChristineAdams "Fraud is a huge problem with military contractors" Your right because we have a Single payer military system our military has a monopoly on defense Given the poor track record on defense spending converting another industry to a single payer monopoly will create the same results which we both agree is more waste and abuse K-12 schools are single payer monopolies we fund schools but our Universities have a voucher system which fund students.

[davidmesaaz]

@DrChristineAdams Your dodging the question... Of course its difficult to determine but the concluded that 1 dollar in 10 is wasted or 48 billion dollars. That does not even account for the waste and abuse in Medicare Part D. Despite the evidence you continually make claims that are not supported by the evidence. Also medicare is not transparent so to back up claim X (less wasteful) with claim Y (more transparent) doesn't cut it.

[DrChristineAdams]

@davidmesaaz This report explained the difficulty of determining what was waste, fraud and abuse and how this is not a clear cut, simple determination. For-profit health plans do not publish how much waste, fraud abuse is in their systems. They routinely deny legitimate claims without review making providers file again adding to costs of health care. Again, their waste is not transparent so there is not a reliable way to determine how efficient they are. High profit does not equal efficiency.

[DrChristineAdams]

@davidmesaaz Everyone favors ending waste, fraud. What are you proposing? Ending Medicare? It funds most training costs for future doctors, pays for much hospital equipment & pays for our sickest Americans. What's your alternative proporsal? Let people die? The private market won’t take them without Medicare + 14% payments. Where will the money come from to train future doctors? Waste, fraud is a huge problem with military contractors. Do we end our military or just work on better oversight?

[DrChristineAdams]

@davidmesaaz Not sure what purpose it serves to have individual providers' % of income from Medicare payments be made public - plus who would pay for such an expensive accounting, especially from inpatient services with so many different procedures/providers? Please explain how this individual level of detail would be worth the cost of data collection vs. just having the fee schedules for procedures made public. Wouldn't taxpayers end up footing the bill for this?

[davidmesaaz]

@DrChristineAdams You have the wrong GAO fraud file there was a new one. gao.gov/new.items/d11430t.pdf And yes it is correct.... Comments please?