Single-payer is a term used to describe a
type of financing system. It refers to one entity acting as administrator, or
“payer.” In the case of health care, a single-payer system would be setup such
that one entity—a government run organization—would collect all health care
fees, and pay out all health care costs. (PNHP – Physicians for a National
Health Program - www.pnhp.org/facts/what-is-single-payer)
“I
want to cover everybody. Now, the truth is, unless you have what is called a
single-payer system in which everyone is automatically covered, you’re probably
not going to reach every single individual.” President Barack Obama, July 22,
2009.
So, is Single-Payer something you should
know about? I hope to shout! This is the direction our government is taking us.
ObamaCare, otherwise known as the Affordable Care Act, is the vehicle being
used to get us there. I’m convinced that the obvious conclusion to ObamaCare is
the collapse of the medical system we currently have in place because the government
will not be able to sustain it. Just look at the mess people are facing simply
trying to sign up through the Internet website! Single-Payer would eliminate
all current medical insurance programs. In its place would be one governmental agency
that would handle every single Americans medical records and the decisions that
would be made regarding your health care. Such a system might sound easier to
manage and oversee than the present system which is problematic in its own
right. However, there are a few things that are very troubling to me in such as
system as Single-Payer.
First, we the people are being forced by
the government to enroll in some sort of medical program. There is no other
option available. This is contrary to the freedoms guaranteed by our
Constitution. Americans should not be required to pay for something that they
do not want – in this case government healthcare. Someone might argue that we
are required by the government to obtain a drivers license to drive a motor
vehicle. That’s true. But you are not required to drive a vehicle.
Second, can you show me one government
agency that has been run effectively and efficiently? I would suggest that the
military does a somewhat respectable job of it in the area of recruitment and
producing warfighters. But not much beyond that. Having worked on the electronic
components of jets during my time in the Marine Corps, I witnessed first-hand
the rampant waste and abuse in the purchasing of parts. Simple items such as
nuts and bolts were exorbitantly priced through government contractors which
cost pennies on the dollar in town.
Third, a government run operation
overseeing my medical care will have non-medical people making decisions about
what I can and can’t have when it comes to treatment for illnesses and
life-threatening conditions. Such decisions will be driven by the bottom-line.
So, if the person reviewing my record sees that I am 65 and need a another
stent put in my heart, he may think I’m already in the senior citizen category
so it would be a waste of money to pay for such an expensive procedure.
Lest you believe I’m being paranoid in my
thinking, or simply misinformed, ask yourself this question: Why do so many
Canadians who pay into a single-payer system travel across the border into the
United States to receive medical procedures in our hospitals? Aren’t those same
procedures available in their hospitals? Yes. But – and this is a big But – to
receive such a procedure may mean the person waits 18 months or more before
they can be treated. If it is life-threatening, you might not make it. Same is
true in England.
Last week we were visited by a former
foreign-exchange student from Brazil who is now a medical doctor. I had a
discussion with her about Brazil’s socialistic medical system. I asked her how
it was working. Ummm, not so good, apparently. She said the whole system is
going broke because it simply costs too much.
That, my friends, is the trouble with where
were heading. ObamaCare and/or Single-Payer Healthcare will be a cash cow for
the government which will spend it on other programs just as they have with Social
Security.