Single Payer System and Agents?

CJ Tibbs

Expert
23
Hi Friends,

Some argue that the next step in health-care reform is the single payer system.

*I am assuming this would be like Medicaid.

So, like the over 65 group, citizens would all get standard insurance (crap social medicine), and wait for months to see their doctors, get procedures, etc.

NOW, enter supplements.
  • -Could a single payer system offer supplements (just like med-supps)?
  • -How do you foresee such a system working?
  • -Would a single payer system force out agents?

ANYWAY, just some ideas and questions as i work through OE.

Thanks
 
Could single payer offer supplements? Yes, and further, they are offered in single payer systems like Canada.

How would it work? Like the other single payer systems already in place around the world. No need to reinvent the wheel.

Would a single payer system force out agents? Well, at least out of health insurance sales. Supplemental, dental, vision, will still exist. Life, CI, DI, LTD, LTC, and other products will still exist and brokers will still sell them (keep in mind, something like CI covers your lost wages, not just your medical expense, and that's still a totally valid use in a single payer system.)


My $0.02, you're correct, single payer will lead to more people seeing less doctors, and higher wait times. I believe concierge medicine will rapidly expand as the elite seek the better care they feel they deserve instead of filing through the same waiting room as the lower class. I think we'll see a secondary market emerge, with brokers selling concierge style products on top of all of the supplemental products that will continue to exist.
 
If we are going to have single payer we should make it much easier, from a financial standpoint only, to become a doctor. A lot of smart, caring people dream of being a healer and would do it for less, but not if less means that they will never pay off their school loans.

If we go the way of Canada, there won't be much money in supplements. I don't think that is a robust market. I checked into that a few years back. I think most Canadians are happy with what they get for free.

If the US can't do any better than the Marketplace. I won't miss the individual health market.

The current system is the worst of both worlds. Is this capitalistic or socialistic? I say "either go backwards or go forward, but don't stay here."

I don't blame the ACA for the rate increases, at least not the increases before 2017, since the rates were increasing at a similar clip for several years before the passage of the law.

I do blame the ACA for adding hitherto unknown complexity to health insurance.

I do think this was a bad idea once you get past original the rhetoric and get into the details of the law.

However, the execution and administration of the ACA is so bad that I will never really know whether it was a good idea or not. At some point it is irrelevant whether a QB called a good play if the he couldn't execute the audible he called for himself.
 
This article about Canadian health-care is fairly accurate and business owners pay even more taxes. They have told us....

http://m.huffpost.com/ca/entry/3733080

And when a foreigner leaves a medical bill unpaid in a Canadian Hospital the hospital can involve Canadian immigration to inhibit future visas for the individual

They do wait a lot longer for care in most instances that we do
 
Pretty soon the government is going to take the under 65 market away from us one way or another....so we really wont have to worry about the mess they made worse with the ACA...old AL3 was a prophet.
 
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