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The False Promise of Single-Payer Health Care (Encounter Broadsides, 55) Paperback – March 6, 2018

4.2 4.2 out of 5 stars 101 ratings

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A government takeover of the US health care system has never looked more plausible. Support for the idea is at an all-time high. Two-thirds of Democratic voters favor “single-payer” health care; even one in four Republicans is on board.

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.
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Editorial Reviews

About the Author

Sally C. Pipes is president and CEO of the Pacific Research Institute, a San Francisco-based think tank, and the Thomas W. Smith Fellow in Health Care Policy at PRI.  She previously served as assistant director of Canada's Fraser Institute.  She is the author of The Way Out of Obamacare (Encounter 2015); The Cure for Obamacare (Encounter 2013); The Pipes Plan (Regnery 2012); and The Truth About Obamacare (Regnery 2010). Ms. Pipes also writes bi-weekly columns for Forbes.com and Investor’s Business Daily, and blogs for the Washington Examiner.

Product details

  • 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
  • Customer Reviews:
    4.2 4.2 out of 5 stars 101 ratings

Customer reviews

4.2 out of 5 stars
4.2 out of 5
101 global ratings
False Promise
1 Star
False Promise
This book is a “false promise”. This could have been done as a 1-2 page pdf. The booklet fits in the palm of your hand, the font is HUGE and booklet is 52 pages long. Very disappointed.
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Top reviews from the United States

Reviewed in the United States on December 21, 2018
Leftists claim that single-payer health care would grant every American affordable access to quality health care, but those who are not deceived by such Panglossian claims recognize that single-payer leads to nothing but uncontrollable costs, rationing, shortages, limited resources, and unacceptable wait times. Sally Pipes debunks these unworkable systems in "The False Promise of Single-Payer Health Care."

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.
21 people found this helpful
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Reviewed in the United States on July 26, 2018
Well written - this was a concise, very fast read discussing the pitfalls of a single payer system. The book shows little patience for a "Medicare for all" takeover of the United States' health care economy.
16 people found this helpful
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Reviewed in the United States on January 15, 2020
This is a lucid and compelling counter to the claims of single-payer health care systems. The summary (pp. 51-52) says it all. To summarize the summary: The fact that you have 'coverage' is not the same as having access to care. We need not look at Canada and the United Kingdom for examples of, e.g., waiting lists. We can look closer to home and see how single-payer has worked at the VA. Our current system needs reforming but the problem is cost, not inaccessibility. Moreover, while we can reduce costs we should not reduce quality in the process. Single-payer reduces costs by limiting access (waiting lists, refusal to cover expensive drugs, cut-rate payments to health providers). While she does not enumerate them, we can reduce costs in a number of ways, e.g., by allowing people to purchase insurance plans across state lines.

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.
5 people found this helpful
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Reviewed in the United States on August 6, 2018
Not much new in this book.
4 people found this helpful
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Reviewed in the United States on October 6, 2019
I wish everyone would read this, and afterwards still think single payer health care is worth the problems and how it will never work.
3 people found this helpful
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Reviewed in the United States on July 15, 2019
Short and sweet - with good examples or what to be wary of in 'single payer / Govt run' healthcare
3 people found this helpful
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Reviewed in the United States on November 9, 2018
A good concise reading on the potential pitfalls of single payer systems. Would recommend this book to anyone interested in learning about this subject
12 people found this helpful
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Reviewed in the United States on September 11, 2019
I thought the book, or should I say pamphlet, was very helpful in understanding the issues associated with a single payer system. However, I would have appreciated a more in depth discussion of the issues as well as more information on the positive aspects of a single payer system