Our Current Healthcare System vs. Single-Payer Healthcare

Hello, again Insights.

Healthcare has been an issue the last few years. In 2009, the Affordable Care Act(ACA) was passed. It was designed to reform the health care system. Many don’t know of the effects or know a little about it. A single-payer option has come up and has been proposed by Bernie Sanders. It polls well, as nearly 60 percent of Americans support replacing our current system with single-payer. What are in these systems? Let’s break it down.

Part 1: Pre-ACA and the ACA

The Democratic party for many decades has attempted to push for healthcare for all. Harry Truman tried in the 1950s, but the medical industry successfully lobbied against it. In 1993, President Bill Clinton tried again, but the measure couldn’t even come down to a vote. When Obama got elected, he promised to make health care reform a top priority. In 2009, the Patient Protection and Affordable Care Act was passed. The goal was to reduce insurance costs and accessibility to health care.

The ACA’s Additional Provisions: In addition to expanding accessibility, the ACA had several new reforms. Some of them included:

  1. Staying on parent’s plan until age 26
  2. End discrimination of those with pre-existing conditions.
  3. End gender discrimination for raising rates.
  4. Prevents insurance companies from dropping your coverage of you get sick.

Part 2: The Current System and Single-Payer health care

A private health insurance system is the current system that we have. The ACA didn’t regulate them or put cost controls. Another part of the current system is that the health insurance industry remained for-profit which means they will work for a profit over providing insurance. Single-Payer healthcare refers to a system that has a single payer, the government to fund health insurance. Most industrialized nations have a single-payer system. In this system, there is no middleman of private insurance companies, saving money. Facts show that single-payer nations spend less per capita on health care than we do, and provide better results. According to the WHO, we rank 37th in health care.

Part 3: Money in politics

Money in politics affects just about everything. The pharmaceutical industry’s powerful lobbying has allowed the current system to stay in place. Both Republicans and Democrats receive campaign contributions from the pharmaceutical industry and naturally will work for them. The ACA has erroneously been called government-run healthcare often by Republicans. Private insurance companies had no cost controls placed on them in the bill.

Some top donors during 2010 to Pharmaceutical Industry: 

Part 4: Wrap-up

The ACA has drawn comparisons to government run health care that limits options. The fact of the matter is that the system isn’t government controlled or paid to by the government. The only exceptions would be Medicare and Medicaid. A single -payer system has one payer, the government to run a healthcare system. The system entails that all citizens are insured, and extra taxes fund the system.


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