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this post was submitted on 24 May 2024
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This. Absolute game changer. If my job gave me the money they spend on my behalf for the crappy health insurance they provide, it would likely result in an actual increase in my net pay after the increased taxes to pay for the program. Cut out hundreds of thousands of parasitic middlemen, like insurers and pharmacy benefit managers. Throw out the crazy quilt of non-doctors who decide what medications and procedures are are covered. Reduce billing staff because of the major paperwork reduction (don't need to deal with hundreds of different insurance plans). And do away with coding - the letters and numbers on a bill that can drastically change a procedure's cost to the patient.
“Everybody who supports single-payer healthcare says, ‘Look at all this money we would be saving from insurance and paperwork.’ That represents 1 million, 2 million, 3 million jobs of people who are working at Blue Cross Blue Shield or Kaiser or other places. What are we doing with them? Where are we employing them?”
-Barack Obama, 2006
The same things were said when industrial robots replaced assembly line workers, when farm equipment replaced agricultural labor, and now with AI systems. People still need jobs. But looking at the big picture, those improvements made sense. Most displaced workers found other employment.
Our medical system costs much more than it needs to, creates anxiety about long term medical needs in "at will" employment, has forced millions to declare bankruptcy over medical debt, destroyed the financial security of millions more, and in some cases, has lead to patients who opted to forgo medical treatment because it wasn't covered. And when payment for care is tied to a job, that leads to age discrimination - older employees cost more to insure.
Taxes were meant to pay for things everyone needs. I can't think of a better example of that than medical care.
(Edit for clarity)