California's single-payer bill dies

California’s single-payer bill dies

https://www.politico.com/news/2022/01/31/californias-single-…

Legislation to create what would be the nation’s first government funded state-run health care system failed to get a vote Monday on the Assembly floor, effectively ending the push for single-payer this session.

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California’s single-payer bill dies

Earlier single-payer proposals in Vermont and Colorado also died. They couldn’t get the economics to work.

DB2

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Earlier single-payer proposals in Vermont and Colorado also died. They couldn’t get the economics to work.

On available evidence, it seems that nobody can get the economics and the health-care to both work simultaneously.

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California’s single-payer bill dies

Earlier single-payer proposals in Vermont and Colorado also died. They couldn’t get the economics to work.

And, least we forget, earlier attempts in California collapsed in 2007, 2011 and 2017. I guess when a new proposal would cost more than the entire state budget it sets off alarm bells.

DB2

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And, least we forget, earlier attempts in California collapsed in 2007, 2011 and 2017. I guess when a new proposal would cost more than the entire state budget it sets off alarm bells.

Yup. States can’t print money like the Feds can. When Michigan passed two rounds of tax cuts for the “JCs”, they paid for it with cuts to education, cuts to road maintenance, cuts to funding that supported police and fire departments, and they raised taxes on retirees and the poor.

Steve

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And, least we forget, earlier attempts in California collapsed in 2007, 2011 and 2017. I guess when a new proposal would cost more than the entire state budget it sets off alarm bells.

Maybe nobody told them that single-payer is not really free? Nor can you just walk in and ask for a new set of knees … because … well they are free?

Anymouse

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If people read the article the conclusion was no where near the idea that it would not work economically.

That conclusion is politically motivated propaganda.

The factions did not agree on the left. Moderates have paid interests.

Speaking econ a single payer system is far more efficient. It is far less costly.

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If people read the article the conclusion was no where near the idea that it would not work economically.

From 2017 the last time California floated the idea:

https://discussion.fool.com/albaby-was-right-32720620.aspx
The price tag on universal health care is in, and it’s bigger than California’s budget

“A single-payer system is massively, if not prohibitively expensive,” said Nick Louizos, vice president of legislative affairs for the California Association of Health Plans.

Single-payer healthcare could cost $400 billion to implement in California
www.latimes.com/politics/essential/la-pol-ca-essential-polit…
A single-payer healthcare system in California — a galvanizing cause among the state’s progressive flank — would cost $400 billion annually, according to a legislative analysis released on Monday…

The analysis found that the proposal would require:

  • A total cost of $400 billion per year to cover all healthcare and administrative costs.
  • Of that, $200 billion of existing federal, state and local funds could be repurposed to go toward the single-payer system.
  • The additional $200 billion would need to be raised from new taxes.

DB2

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The price tag on universal health care is in, and it’s bigger than California’s budget

“A single-payer system is massively, if not prohibitively expensive,” said Nick Louizos, vice president of legislative affairs for the California Association of Health Plans.

Odd considering we didn’t even make the top ten and Canadians live longer than Americans?

Anymouse

https://worldpopulationreview.com/country-rankings/health-ca…

Health Care Costs by Country 2022

Every country has different healthcare costs. Twenty-three countries spend more than $3,000 on healthcare per capita based on 2018 data. According to the OECD, the ten countries that spend the most on healthcare per person are:

United States ($10,586)
Switzerland ($7,317)
Norway ($6,187)
Germany ($5,986)
Sweden ($5,447)
Austria ($5,395)
Denmark ($5,299)
Netherlands ($5,288)
Luxembourg ($5,070)
Australia ($5,005)

The United States spends the most on healthcare per person every year. With a per person cost of $10,586, the United States spends more than $3,000 more per person than the second-highest country Switzerland. U.S. households spent $980 billion on healthcare in 2017, which is about $3,200 per person. Despite spending the most on healthcare, health outcomes in the United States are not any better than other countries. One reason that the United States’ healthcare is so expensive is because of administrative costs, which account for about one-quarter of all healthcare costs, followed by the rising cost of drugs.

Average life expectancy in North America for those born in 2020, by gender and region (in years)
Characteristic	Males	Females
North America	77	81
Canada	        80	84
USA	        76	81

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Every other first world country on the planet has universal health care, at much cheaper prices than we have, and we can’t figure this out???

ANY:
Average life expectancy in North America for those born in 2020, by gender and region (in years)
Characteristic Males Females

North America	77	81
Canada	        80	84
USA	        76	81

Dunno. There are large swaths of demographics within USA numbers that are largely missing from those for Canada.

If that data for USA were stripped out of the calculations, it’s possible the two end results might be a lot closer.(?)

Dunno.

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Every other first world country on the planet has universal health care, at much cheaper prices than we have, and we can’t figure this out?

The good folks in California (and Vermont and Colorado) have tried several times, so I guess the answer is “no” – and “definitely not” at the state level. If they can’t figure out a better way then it’s just political grandstanding.

“Virtue signaling is the expression or promotion of viewpoints that are especially valued within a social group, especially when this is done primarily to enhance the social standing of the speaker.”

DB2

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Average life expectancy in North America for those born in 2020, by gender and region (in years)


          Males Females
Canada     80     84
US         76     81
IIRC, the major difference comes in infant mortality. Here are the life expectancies of 25-year olds: [https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=131001...](https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310013401) [https://coolconversion.com/heath/life-expectancy-calculator-...](https://coolconversion.com/heath/life-expectancy-calculator-us/Life-expectancy-at-age_50_in-US_w#:~:text=Life%20Expectancy%20Table%20%20%20%20Age%20,%20%2021.5%20%2018%20more%20rows%20)

          Males Females
Canada     53     58
US         53     57

DB2

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The analysis found that the proposal would require:

  • A total cost of $400 billion per year to cover all healthcare and administrative costs.
  • Of that, $200 billion of existing federal, state and local funds could be repurposed to go toward the single-payer system.
  • The additional $200 billion would need to be raised from new taxes.

“A single-payer system is massively, if not prohibitively expensive,” said Nick Louizos, vice president of legislative affairs for the California Association of Health Plans.

DB2


DB2

You have been totally misled for years.

googling....

How much does health care cost California?

How much does health insurance cost in California? California residents can expect to pay an average of $487 per person* for a major medical individual health insurance plan. Prices will vary and premiums can be lower if you are in good health.

39,675,000 people in CA * $487 per month for a private plan * 12 months = $476.1 billion

In other words the cost to major industrial sectors in CA is a burden of over $76 billion.

The estimate for the total cost of a single payer system was in the $375 billion area. The insurance company LIE was $400 billion.

Since your stats above begin with an overblown statement of cost at $400 billion, then additional $200 billion is also overblown.

Check your sources, they are paid to pay themselves first. That includes being directly dishonest with you.
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Odd considering we didn’t even make the top ten and Canadians live longer than Americans?

How is repeating falsehoods odd? It aint. It is profitable…or for us and heavy industry it is extremely costly.

we can’t figure this out???

bj,

Not as long as falsehoods dominate the discussion.

"Dunno. There are large swaths of demographics within USA numbers that are largely missing from those for Canada."s

DB2,

I agree with that, our racism is pulling down our averages.

If you are rich and white male or female living longevity is longer than anywhere else. But no link. I do not have the time to work here on posts and readings that are wrong, and then prove they are wrong. Racism is always wrong.

The good folks in California (and Vermont and Colorado) have tried several times, so I guess the answer is “no” – and “definitely not” at the state level. If they can’t figure out a better way then it’s just political grandstanding.


The entire issue is crony capitalism. Some moderates have insurance companies to please.

Some moderates have insurance companies to please.

It’s not the insurance industry but the healthcare industry as a whole. Albaby wrote back in 2016:

https://discussion.fool.com/why-does-the-solution-always-have-to…
Single-payer systems don’t merely force the health care industry to compete on price - they create a monopoly purchaser that is able to use that monopoly (technically monopsony) power to force providers to accept less than they would in a fair and open market. In other words, government setting the price, rather than taking a price that results from competition on price.

But you can go that route - and instead of inflicting the pain on the middle class as taxpayers, you inflict the pain on that portion of the middle class with the ill fortune to be working in the health care industry as employees. Doesn’t seem particularly fair to force a small subset of the population to bear the pain for providing a public benefit like that (if we want to provide health care to the poor, it should be something we all bear the cost of, IMHO) - but you can certainly do it, in theory.

In practice, the health care sector has got some of the largest employers and largest providers of solid middle-class jobs around. Good luck trying to get a politician to cut their revenues by 40%.

DB2

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39,675,000 people in CA * $487 per month for a private plan * 12 months = $476.1 billion

The estimate for the total cost of a single payer system was in the $375 billion area.

Very good point Leap1. What the opponents always leave out in their howling about the “cost of Communistical health insurance” is that people, and employers, are no longer paying their tithe to for-profit insurance companies. It is that “no longer paying to for-profit insurance companies” part that generates all the opposition.

Steve

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