Right now, according to the Kaiser Family Foundation, the average worker costs $17,000 to insure in an employer-provided plan. Of that $17,000, $5,000 is paid by the worker, and $12,000 is paid by the employer. So a business of 50 employees spends roughly $600,000 to provide health care to their workers. And that health care doesn't even take into account prescription drugs, co-pays, co-insurance, or deductibles. That's just the premium cost.
Sanders' single payer proposal was to do away with all that noise above, and instead put in its place a 6.2% payroll tax, with no cap, that everyone who earns a check pays. The average worker in this country makes about $50K a year. So 6.2% x $50K = $3,100 paid by the worker. Most businesses of 50 employees or less do not clear more than $1M in profit a year. But let's say for the sake of this exercise that they do. OK, so keeping in mind that business of 50 employees paid $600K for benefits, under Sanders' proposal, that business would pay 6.2% x $1,000,000 = $62,000. That's just about 10% of what the business was paying before. So they would save about $540,000 a year they could then put back to their employees by raising wages, or by expansion.
And as far as Trump limiting access, how would he go about doing that? If this is legislation, he can't unilaterally make that change...not can Congress without expecting a court challenge. The entire point of a single payer plan is to provide universal access. Trump himself even said single payer made the most sense. Of course, that was before he went crazy...
You keep saying this and you offer no support of it. You are making an assumption that single payer here would be the same level of...of...coverage? Care? I don't even know what you mean because all we're talking about is how the provider is reimbursed for your care. Whether Medicaid pays for it or Blue Cross pays for it has no bearing on how your provider treats you. As I said, it may limit access, but access to health care by itself is no guarantee of health care. We all have access to buy one of Trump's mansions for $5M...that doesn't mean we have a guarantee to it. Who pays your provider does not affect the care your provider gives you. You are making it sound like doctors do a half-ass job when it's a Medicaid patient vs. an Anthem patient. But Medicaid doesn't employ doctors and neither does Anthem. This is always the part where Conservative arguments about health care fall apart because they so badly want there to be a lower quality of care for Medicaid than for private insurers. But neither Medicaid or Anthem actually provides you with care. They just provide you with access. In some cases, it's even the same provider!Just like other single payer countries do. there is a reason that their system is like our Medicaid if not slightly worse.,
Yes, which is exactly why we should have a single-payer, universal system. So patients can spend the money in the consumer economy they would otherwise be spending within the very narrow spectrum of health care.Well.. Don't seem to realize that medicare HAS deductibles, has co pays. most people who have Medicaid have Co insurance, and they have to purchase drug coverage and have substantial drug costs and they have a monthly payment as well for medicare part B..