Few Democrats seem to appreciate it but the PPACA moved the USA reasonably close the systems in German, France and The Netherlands.
Also Democrats should play around with different incomes on the Healthcare.gov. The premium subsidies are pretty high. They should be happier than they are about the program as it is and stop asking for single payer. While single payer works reasonably well in Canada at the time being cost are still rising and could at some point cause some large dead weight losses.
Admittedly starting in 2019 the penalty for not having insurance is eliminated and that may or may not doom the program. Well will have to see.
BTW it seems top me that healthcare is a mess all over the world with Singapore being the best. See below:
80 to 90% off
Yes, that’s my best guess. I do the analysis by considering a particular medical service, finding out roughly how much a person providing it gets paid per year, and dividing by how long it takes to do to get the direct labor cost; finding out the cost of the equipment used and amortizing it; and adding in an estimate of the overhead (cost of the building and a reasonable level of administrative work). I’m reasonably skilled at this sort of analysis as a consequence of having run small businesses.
Estimates may vary, but everyone seems to agree that heath care is way more expensive than what you’d expect based on this sort of analysis. No one seems to know why; or, put a different way, where the money all goes. Everyone who has studied the problem agrees that it’s highly mysterious. It’s clear that administrative costs are needlessly much higher in health care than elsewhere, but that’s probably not the only source of the discrepancy."
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