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So we are already spending roughly as much as in Europe.If a single payer regime were actually feasible in America, then our government should already be able to provide universal coverage out of the already existing health care programs.But the lower overall prices make them much less exposed to health costs than both patients and employers inside the American system — which suggests to me that Americans have at least as much incentive as Singaporeans to try to use their power as consumers to cut costs. There are restrictions against patients signing contracts making it more difficult to sue for malpractice.
To guarantee universal access to health care, only the government should be entrusted with health care provision. To realize the desired margins, organizations add up mark ups to their costs in price setting. This is not the case on the part of the government, whose motive is not short-term gains from payments by patients but the long-term social, economic, and political benefits. Constitution guarantees all its citizens a decent life where access to basic needs is a right for all rather than a preserve for the rich. Whereas a hospital may have all the equipments, personnel, and technology to treat a patient, they may withhold these resources from a patient just because they cannot afford to pay for the services. Insurance companies are key players in the medical industry. In any one given time, there will be many court cases involving insurance firms not willing to fulfill their promises.
The private sector cannot be trusted to provide the best value for money as it will always be tempted to maximize profits, sometimes to the disadvantage of patients. To get this load off citizens, medical care should be nationalized and guaranteed to all irrespective of their social or economic status.
Indeed Klein’s basic argument is that the Singapore system is actually a pretty effective health care regime, but it would be hard to implement in America because the cost of health care is so much higher here.
But this leads to what I see as the one major blind spot in Klein’s article: Singapore’s system is probably better designed in terms of how consumers spend their own money.
Are Singaporeans really more exposed to health costs than Americans? Health care prices are so much lower in Singapore that Singaporeans would have to pay for three times more of their care to feel as much total expense as Americans do.
The basic argument for the Singaporean system is that Singaporeans, through Medisave and the deductibles in Medishield, pay more of the cost of their care, and so hold costs down. Given the growing size of deductibles and copays in the US, I doubt that’s true now, if it ever was.The health sector should be nationalized to pull prices down and enhance affordability. Conclusion From the above presentation, it is evident that leaving health care in the hands of the private sector results in high financial exploitation of U. citizens by health care providers and insurance companies.This reduces access to health care by citizens, reducing their ability to contribute toward social, economic, and political development of the country. To eliminate the many inefficiencies that come with entrusting health care to the private sector, the country should nationalize health care to make the government the sole provider.Through Matt Yglesias he writes: “If you imagine America with no guns, less booze, much less drugs, and radically less driving, our public health outcomes would soar.” But at the same time health care costs would plummet. You mention valid reasons why we might think about adjusting tax policy, but unless I’m not understanding your argument, you haven’t provided any reasons why this is the best first step instead of other options that have widespread political support, such as allowing customers to import cheaper medications from abroad.Changes to the FDA approval process don’t even require political will, but only a decision on the part of the Executive Branch to uphold the law in a different way.The social, economic, and political development of any country depends on the ability of its citizens to contribute toward common goals. All American citizens have the right to access quality health care.For this to be attained, the population needs to be in good health to engage in productive activities. citizens who cannot afford health care from the private sector because of the high prices have their right to happiness denied. This denies them the right to life as guaranteed in the U. Quality service cannot be guaranteed under the private sector.* Singaporeans are far healthier than Americans with 3% who are obese compared to 35% of Americans, which adds a fourth major strain on health care costs.Klein makes a reference to this toward the end of the article but without the details that show how stark the differences are.Singapore heavily regulates both the pricing and provision of medical care to keep costs low (as do all other developed countries) and then, working off that baseline of low costs, has Singaporeans pay out of pocket in order to keep them mindful of how much they’re spending.. There are massive subsidies to employer provided health insurance. My personal lifetime health care consumption has been at least doubled by various subsidies (including tax breaks), and it has not improved my health one iota. There are huge regulatory barriers to the efficient provision of health care, at virtually every level of the system. There are barriers to the immigration of foreign doctors and nurses. My dream policy would start with massive deregulation, as well as the elimination of all tax deductions for health care, to get costs as low as possible.Then add mandatory health savings accounts to get costs even lower.