You’d have to show me the details as they are enacted and put into place before I beleive this. Calling something single payer simply because the money is funneled through the government does not make it a universal provider. I worked too long with the Medicaid and Medicare system and the HMOs, the not-for-profits, to buy into some pie in the sky politician generated rhetoric that promises something it is unprepared and resists delivering.
Quibbling by the use of favored terminology like “single payer” vs something that has been made suspect like “socialized” is disingenuous at best.
I would have to be given an opportunity, full participation through non-aligned systems analysts, to come to the conclusion myself that the HMOs that are being allowed to participate in how this plan is constructed and rolled out would not put cost above care.
My understanding is that private insurers will be made a part of the plan. I have a pretty good understanding about how the Canadian system works, having seen first hand the on-the-ground funding mechanisms and payment structures…
The cultures of our insurance companies aka HMOs are diametrically opposed to the kind of care delivery that Canadians have been able to build and provide. Simply put, they do not know how to do it.
Best to start with a plan that starts anew with people who will not be dragging their feet or confused to the point of malfeasance by the entire attempt from day one. They will not make money, and if they do, they will not be providing a single payer, Universal, delivery system.
Besides, if you start building a Single Payer, Universal system by including entities diametrically opposed to such structures, they will, in the end, as happened in the ACA, be able to compromise and/or sabotage willingly, or simply because they do not know how to function any other way, any true effort at a single payer, universal system.
As it is, they provide financial backing for both parties… they back whoever wins and influence whoever wins. They will not roll over for a system that makes serious inroads into their money making ability… they suffer from hoarding disorders and are, at their core, pathologically unable to give up their ability to hoard… however that is expressed… through pure profit capitalism or exhorbitant CEO and lobbyist fees and kickbacks.