single payer vs. two tier

I’ve been pondering a few hiccups in the single payer healthcare system- the first being MD salaries and that if they significantly decreased, would as many people go into that profession? Of course that could also be seen as a positive, as then only people passionate about the work would enter that profession. The second hiccup is in the area of medical research- would as much money be allocated for needed research if corporations were not involved.

This has caused me to investigate the healthcare system in Ireland-where there is a public health option funded by the government as well as a private health care service. 100% of residents have state coverage, while roughly 40% have chosen private insurance. Most GP’s are technically part of the private system, which is why they charge a fee. If individuals with a higher income want to buy more generous coverage- they should be allowed to- but not with government subsidized dollars. The United States needs to define a universally accepted minimum that all citizens should receive . If individuals choose to purchase above that minimum, the government should not subsidize these purchases.

One thought on “single payer vs. two tier

  1. I have pondered this very thing, why can’t we have two options? One, publicly funded (similar to Germany or Scandinavia), and a option for the wealthy where they can buy what ever kind of coverage that they want. There was talk of a public option (although never really defined), but it was completely brushed aside. Obama had the Congress that was needed to put something similar to or better than ” Medicare for All” but we ended up with this disaster we currently have.

    When you look at Canada, their top physicians earn around $400,000, is that not enough money to live on? Really? It is purely a symptom of greed in most of this medical disaster that we have in the United States. The old adage is that if you love your job/career enough, you would do it for free. In reality, no one expects that but it would sure be nice if we could reign it in within reason! Nice job!


    Liked by 1 person

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