What´s Single Payer System?

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

The United States has the most expensive health care system in the world and some 45 million Americans are uninsured under the current health care system, and these numbers continue to grow. However with universal health care coverage everyone could enjoy equal access to health care, as a right afforded to them as American citizens. In a country as wealthy as the United States, there is no justifiable reason why Americans should go without health care and/or die

The Affordable Care Act (ACA) has been a topic of dispute since its introduction and continues to be discussed by politicians in the U.S. and throughout the world even after its passage. The Act has many opponents and is the cause of much controversy nationwide, primarily because it introduces higher healthcare costs for the richest citizens. Nevertheless, the ACA is an important stage in the American healthcare development process as it not only allows more people to receive healthcare services, but will also reduce the deficit. However, not everyone agrees. The policy is controversial in terms of cost vs. benefits, but the benefits ultimately outweigh the costs.

The Affordable Care Act that is commonly known as the Obamacare can be explained as healthcare declaration that was enacted by the Federal government on 23rd March 2010. The main objective of the Act was to reform the US health systems by offering and bettering access to quality and affordable health care, health insurance, and by offering American citizens with more rights and safeguards by minimizing healthcare expenses for both the government as well as the American residents. Moreover, it can also be pointed out that the Act also aimed extending private and public insurance coverage while also regulating the insurance sector. Nevertheless, since enactment of the Act, the Act has been heaving criticized by some quarters to the extent that some political leaders in the USA have expressed their views on repealing the Act (Everett and Dawsey, 2017). Nevertheless, it can also be pointed out that there are those who strongly support the Act and give different reasons to explain the reasons why they are in support of the Act. This essay focuses on the topic of Obamacare and discusses in detail the reasons why the Act should be ammended.

With rising healthcare costs being distributed predominantly on workers or their companies, the economic responsibility is placed on the very people who need it the least: the job creators. If the economic responsibility of healthcare costs was shifted to the government, the private sector job creators could have more revenue to stimulate the economy with additional jobs, better wages, and improved worker benefits. The best way to shift this cost obligation is via a single-payer healthcare system. A single-payer would make sure all citizens would be covered for all medical services, including doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug, and medical supply costs.

While campaigning for the 2016 presidential election, Senator Bernie Sanders of Vermont proposed that America should adopt a single-payer health care system. In Sanders’s plan, there would have been only one insurance program that would have covered everyone in the United States; in effect, other programs such as Medicaid, Medicare, and especially private insurance would be discontinued (Holahan, 2016, p. 1). If Sanders’s proposal were to be carried out, it would be a drastic change from the current system which predominately comprises of private insurance and hospitals under limited government regulations. The debate reopened on whether or not a single-payer system would be an effective system health care system or economically viable. Due to the contrasting nature of current health care system in the United States, policymakers should approach proposals of single-payer health care systems with caution and an understanding of the benefits and the drawbacks by examining the successes and failures of real-world systems.

The Affordable Care Act, also known as Obamacare, is an act passed by president Barack Obama on March 23, 2010. This act, which provides affordable health insurance to Americans, was passed for three primary reasons. These reasons are to reduce the number of individuals in the United States who currently are not covered by some form of health insurance, to improve the availability and quality of existing health care programs, and to reduce the cost of health care to individuals and the government (“Patient Protection”, 2014). The Affordable Care Act has been successful in some ways, but ineffective in other ways since it was passed in March of 2010. For example, Obamacare has helped expand Medicaid and has helped those who have Medicare. However, this act has had a negative impact on the uninsured and on insurance premiums. In addition, some small businesses have benefited from this act, while others have had a negative effect. The Affordable Care Act has many pros, but it also has some cons, which is why there are still some changes and ideas that I would like to see implemented in our healthcare system.

The future of healthcare resides in a single-payer system. Our country already has roughly fifty years of experience in this area under the Medicare program. By extending Medicare to all citizens we could ensure that all have the health coverage they need and that “everyone would make a financial contribution to Medicare for All” (Seidman, 2015). A single-payer system would also give the government the necessary leverage to negotiate better prices for care and prescription

Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer

The proposed health care reform bill attempts to change issues of public policy and health care management for the poor and uninsured. Many leaders from the Democratic Party are actively engaging in policy-making to fix what Rep. Henry Waxman (D-California) calls a “‘dysfunctional’ health care system” (2009). Currently, the U.S. health care system denies people with pre-existing conditions from receiving care. Another problem with the system is that the health insurance that some employers offer may be so expensive that their employees cannot afford it. Any cuts in Medicaid may mean that physicians have fewer incentives to provide adequate care for the poor. These are some of the many problems that the Affordable Health Choices Act attempts to address. Fiscally conservative political and business groups oppose this measure because they believe that any changes in public policy and health care management might affect them negatively.

On March 23, 2010 the Patient Protection and Affordable Care Act was signed by President Obama, raising the question for many of whether this new law was going to be more helpful or hurtful. With universal healthcare, healthcare coverage would be increased tremendously, costs would be reduced, jobs would be created, and consumers would be protected. Conversely, it will also raise taxes and wait times, lead to a smaller number of doctors, and infringe on some employers’ 1st amendment rights. Presenting both arguments for and against the Patient Protection and Affordable Care Act allows one to draw a conclusion on whether the new program will benefit or hinder the citizens of the United States.

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.

Absolutely, the issues relating healthcare affordability and access remains the most pressing concerns. Nonetheless, this has been the case for the most part of 20th century. Perhaps a fresh look at the system to which emphasizes on the special needs of a complex society can bring the most positive change. In systematic terms, the problem with the current structure is that prevention takes time, whereas, political progressions are short-range (McLaughlin & McLaughlin, 2008). Therefore, incentivizing prevention under the current system is almost impossible for the reason that when individuals engage in preventive programs, the continuation of accrued benefits will most likely be compromised or written out in its entirety. Such dilemma is the main concern; hence, cultivating a more consistent preventive care system is the most pressing need (Wyrwich et al., 2012).

A single payer national health care program could save American?s billions of dollars currently being spent on health care and insurance. A 2000 report by John Sheils and Randall Haught of the Lewin group on the costs and impact of a health care system in the state of Maryland showed that a single payer system implemented in that state would save its citizens 346.8 million dollars a year.(3) The majority of savings from this would come from vast reductions in administrative costs associated with insurance companies and the filing of claims. Sheils also reports that the average family would spend 261 dollars less each year on health costs (7). John Canham-Clyne notes in his book The Rational Option that a single payer bill proposed in the Senate was estimated to save the American public $110 billion a year by the Congressional Budget Office(24). The savings

Currently, the issue of health insurance has been a bone of contention for the public regarding whether the United States government should provide this health plan or not. People often possess different perspectives and refer to pros and cons on both sides of the spectrum. While some believes a universal healthcare system will set a foundation for a lower quality of service, increasing governmental finance deficit, and higher taxes, others do not hold the same thought. A universal healthcare system brings enormous advantages rather than disadvantages, such as all-inclusive population coverage, convenient accessibility, low time cost, and affordable medical cost, all of which not only provide minimum insurance to the disadvantaged but also improve the efficiency of medical resources distribution.