Build Your Own ‘Medicare for All’ Plan. Beware: There Are Tough Choices

Re:Build Your Own ‘Medicare for All’ Plan. Beware: There Are... by AlexandrB on Friday February 22, 2019 @02:34PM (#19228377)

> No country on earth with single payer or other universal coverage has anywhere near the number of citizens nor geographic or social diversity as the US.

This argument is so bizarre. Larger population sounds like better economies of scale to me. And social diversity? I mean we're talking about Homo Sapiens here. A kidney is a kidney is a kidney, no matter your cultural background.

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Re:Build Your Own ‘Medicare for All’ Plan. Beware: There Are... by AndrewKemendo on Friday February 22, 2019 @03:01PM (#19228617)

Unfortunately those factors are relevant, as cultural and lifestyle and wealth differences make big differences in health outcomes.

Healthcare also hasn't shown that it can scale or that margins increase with more centralized services, while maintaining service levels. Said another way: doctors (the bottleneck for service) are expensive to grow, take a long time to make, in high demand, and work serially (no parallel service provided).

It's a structural problem, not just a policy one.

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