In contrast to Social Security, "Medicare is a real Nightmare," says Johnston. He says healthcare payments for Medicare recipients surpass the healthcare liabilities of 33 other countries in the Organisation for Economic Co-operation and Development (OECD), ALL of whom have Universal Healthcare.
He suggests that the U.S. adopt a single-payer healthcare system
but admits it's unlikely to happen in the foreseeable future.
In the meantime, he suggests the U.S. switch from what he calls a "business model" focused on profits for insurers to a Service model like education and police
"It would require a sea change of thinking," says Johnston, but "it's possible."
Johnston also suggests a national health service for older Americans that would help drive down the cost of healthcare. Doctors would be protected from the lawsuits that often threaten private practices and the service would end "defensive medicine" -- i.e. extra, and often expensive, tests.
Those additional tests—not the lawsuits—are what's largely driving healthcare costs higher, Johnston says."..