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The False Promise of Single-Payer Health Care (Encounter Broadsides, 55) Paperback – March 6, 2018
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In this Broadside, Sally C. Pipes makes the case against single-payer by offering evidence of its devastating effects on patients in Canada, the United Kingdom, and even the United States. Long wait times, substandard care, lack of access to innovative treatments, huge public outlays, and spiraling costs are endemic to single-payer.
Those are hardly outcomes we should consider foisting upon the American health care system.
- Print length56 pages
- LanguageEnglish
- PublisherEncounter Books
- Publication dateMarch 6, 2018
- Reading age18 years and up
- Dimensions4.9 x 0.1 x 6.9 inches
- ISBN-101641770031
- ISBN-13978-1641770033
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- Publisher : Encounter Books (March 6, 2018)
- Language : English
- Paperback : 56 pages
- ISBN-10 : 1641770031
- ISBN-13 : 978-1641770033
- Reading age : 18 years and up
- Item Weight : 1.6 ounces
- Dimensions : 4.9 x 0.1 x 6.9 inches
- Best Sellers Rank: #1,742,628 in Books (See Top 100 in Books)
- #309 in Health Insurance (Books)
- #356 in Canadian Politics
- #752 in Health Policy (Books)
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In this pamphlet that can be read in about an hour, Pipes refutes charges that the U.S. health care system is worse than those of Canada and the U.K., explaining how we measure our statistics differently, that Canadians go abroad for care when they need critical procedures, and that the British and Canadian systems fail in key areas—they end up spreading misery equally instead of providing quality care. The author rightly asserts that "whenever governments try to overrule the laws of supply and demand, the results are rationing, shortages, and runaway costs."
Pipes also describes the salient problems with Medicare and Medicaid, and notes that the cost of an American single-payer system would be far more than the Left supposes since their proposed plan is much more generous than those of European countries—she cites the gross underestimation of Medicare's 1990 cost in 1964 as a past example. Single-payer would also stifle the innovation that American medicine relies on to develop disease cures that lead to long-term health-care cost reduction.
Those cogizant of the true costs of single-payer as the Left proposes it know that the system would simply be unaffordable in America. Deep-blue Vermont jettisoned its single-payer plan when it became clear that it would double the state's budget. Bluish-purple Colorado also came to the same clear conclusion and sensibly voted down its proposed single-payer referendum in November 2016 by a 4-to-1 mega-landslide when residents realized that the plan would double its state budget as well.
Leftists try to sell single-payer with the absurd claim that "everyone could have gold-plated health-care if the rich would pay just a little bit more," but in Europe, everyone, not just the rich, is taxed at bone-crushing rates to pay for a welfare state that is, to put it extraordinarily mildly, not worth the reduced take-home pay that it exacts. Pipes illustrates how single-payer in no way, shape, or form would "save money" (if Americans think health care is expensive now, they should just wait until it is "free"). Americans are canny enough to realize that a European-style welfare state thunderously fails a cost-benefit analysis.
In this relatively short pamphlet, Pipes offers serious, well-developed arguments based in logic, experience, and, most vitally, arithmetic that refute the Left's emotive variants of "you're just being mean," and "The False Promise of Single-Payer Health Care" is inoculation against the snake-oil nostrums sure to be peddled by the Left in advance of the 2020 election.
It is clear (as she argues) that Canadians come to the U.S. for health care (and not the other way around). It is also clear that the NHS is fraught with problems, but at least the U.K. permits individuals to purchase private insurance plans. Many advocates for single-payer plans explicitly forbid this.
The arguments against single-payer are clear and many and nearly all are articulated here. There is one notable exception. Single-payer systems are operated by governments. Governments are populated by politicians and bureaucrats. Bureacracies proliferate; it's what they do. Proliferation of bureaucracy reduces the money available for health care. (In universities, administrative bureaucracies reduce the money available for research and instruction.) A government-run system is often a monopoly; monopolies are not good; monopolies run by the government can be worse. Most important (or at least less well-known) is the fact that health care can be used as a political tool. Politicians want to curry favor, attract votes or appease potential opponents. They can use your health care (=your chance to live, live in reduced conditions, or die) for their own purposes. Americans are surprised to learn that the levels of care for the English, the Scots and the Welsh differ. Some drugs, e.g., are not available to all. This should not come as a surprise; the system is controlled by politicians.