[quote=“dara, post:18, topic:42874, full:true”]
I think it is a misnomer to refer to NHS in the UK as having a Single Payer attribute. It’s true that the government is the single payer (since it employs the doctors), but what most people mean by Single Payer (Canada, Taiwan, and I’m not sure how many other places) is that the government is the single “insurer” and the only one paying hospital and doctor bills, but that those entities remain private.[/quote] Yes you are correct, in the UK the government owns the hospitals, employs/pays doctors, etc so that it is truly a socialized system – much like the Veterans Administration here. (We don’t hear much talk about “socialized medicine” in the US anymore–ruffles too many feathers.)
This is but a small difference to those receiving care. If they don’t have to hand over any money at point of service, pay a premium and/or deductible I doubt they really care. But yes there is a difference and the more private (for-profit or even “non-profit”) enterprises in the mix the higher the cost will be so a truly socialized system is by far the best.
I like Taiwan’s system. Each citizen is issued a card, like a credit or bank card. They can see the doctor anytime they wish, their card is scanned (has their medical records) and the doctor is paid (by the government) right then and there. No on-site billing departments or a mishmash of insurance policies that drs offices have to work their way through to get paid. It is far more efficient than a mishmash of health insurers, one day you’re in–next day you’re out, health care we seem to be wedded to in the US.