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Medicine
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Jan 9, 2024
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There are many policy options for a national health care plan. One option is a
single-payer system, which would be a government-run health care system
that would cover everyone in the country.
Another option is a multi-payer
system, which would allow people to choose between different health
insurance plans
1
.
The short-term consequences of a single-payer system could include higher
taxes and longer wait times for medical procedures
1
.
The long-term
consequences could include lower costs for patients and the health care
system as a whole
2
.
The short-term consequences of a multi-payer system could include higher
costs for patients and the health care system as a whole
2
.
The long-term
consequences could include more competition between insurance companies
and lower costs for patients
3
.
One
What are two possible policy options for a national health care plan? What are the
possible short- and long-term consequences of each plan?
A single-payer system is one policy option for a national healthcare plan. This is a method of
paying for healthcare services only the government provides. Under this plan, the government
collects taxes on everyone and uses the earnings to pay for everyone's health care. As a short-
term result, access to health care becomes easier because individuals are able to get the
necessary care. A long-term consequence could be minimizing expenses. A single-payer system
could negotiate cheaper drugs, medical devices, and service prices, possibly saving money in the
long run. Another public option is a government-run health insurance plan that individuals may
choose to sign up for in addition to private insurance plans. Short-term consequences and
increased public choice could make the insurance market more competitive, reduce costs, and
make insurance affordable. Long-term consequences ensure that a public option can be sustained
over time; premiums, rebates, and reimbursements may need to be appropriately managed. Our
healthcare system is failing. Tens of millions of people are uninsured, costs are skyrocketing, and
the bureaucracy is expanding. Patchwork reforms succeed only in exchanging old problems for
new ones. It is time for basic change in American medicine (
Reprinted from the New England
Journal of Medicine 320:102-108 (January 12), 1989).
http://www.pnhp.org/publications/a_national_health_program_for_the_united_states.php?
page=all
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