The last thing we need is Trump’s hands on 676/M4A. If the pressure continues to build he may actually try to pacify the public (think Obamacare) w/his own version of M4A. The fight is going to be over whether or not to implement single-payer (which would be free or near free at point of service–paid by progressive taxation, no deductibles, no premiums or co-pays) or modified Obamacare that depends on private insurers (the insured will still bear the burden of paying deductibles, premiums and co-pays). We’ve all seen how that worked.
NYTs has several links today to sites pushing single payer or M4A. From DISSENT:
Single-Payer or Bust
By providing a single tier of coverage to all, with automatic enrollment, comprehensive benefits, and no cost-sharing, single-payer provides a distinct, egalitarian vision of universality.
… The argument over “universal coverage” is basically over: there is now a broad consensus among liberals, leftists, and even some conservatives that expanding coverage is imperative.
… Germany. According to a 2017 report by the Commonwealth Fund , 86 percent of the German population is covered through one of 118 not-for-profit social health insurance (SHI) sickness funds, which have boards that are controlled by workers and employers. Other Germans—such as the self-employed and civil servants—are mostly covered by insurance companies, both profit and not-for-profit. Under SHI, there is no co-payment for doctors’ visits, and no more than a €10 co-pay for a prescription or a day in the hospital. Consider, then, what a transition to the German system would entail in the United States. We would have to ask the health-insurance industry to graciously agree to mostly being replaced by a system of not-for-profit funds that would be partially controlled by elected workers’ representatives. Insurer shareholders would thus be largely wiped out. This would be a shiv only slightly less sharp than single-payer to the industry. …
And it will never happen. Insurance and the pharmaceutical industry are not gonna willingly give up their share of the boondoggle they have going in the US healthcare market.
When the Dutch tried to institute an Obamacare type system in 2006 (and this is w/insurance markets being highly regulated (in a country where it means something, not the US)):
" Far from ushering in universal coverage, the 2006 proto-Obamacare Dutch law may have, at least at first, decreased coverage relative to the SHI system it replaced. “The process of implementing the new insurance regime has been complicated and difficult,” Kieke Okma and Luca Crivelli wrote in Health Policy in 2013. They note that following passage of the law, the percentage of those who were either uninsured or delinquent in their premium payments at first “went up sharply.”…"
Tommy Douglas (Kiefer Sutherland’s grandfather) is the father of Canada’s public healthcare system.
As a child in Scotland, goes an oft-told tale he narrated to journalist Chris Higginbotham in 1958, Douglas one day tripped and fell on his knee, an injury that injected bacteria deep into his bone, causing a chronic infection called osteomyelitis. After multiple primitive surgeries performed by country doctors in Scotland, the infection was thought to have been cured, but after the Douglas family moved to Canada, it came back with a vengeance—and Douglas was told the leg would have to go. Fortunately, a prominent orthopedic surgeon at the children’s specialty hospital in Winnipeg agreed to take a stab at the infection—and, miraculously, succeeded in saving the child’s leg. Douglas would note that though he was grateful to this man, he also knew that had the prestigious physician not offered to perform the procedure for free, he would have lost his limb, for his family was strapped for cash. And he felt that no child should ever be put in such a position. “[O]ut of this experience,” Douglas said to Higginbotham, “I came to believe that health services ought not to have a price-tag on them, and that people should be able to get whatever health services they required irrespective of their individual capacity to pay.”