[Marxism] single-payer health insurance (was Obama: I am a New Democrat)

Patrick Bond pbond at mail.ngo.za
Thu Mar 26 19:41:03 MDT 2009

Here in South Africa, we're trying to generate models to do just that. 
We are in need of technical specialists to work on especially the 
implications of Keynesian multipliers for the economy: consumption 
spending, productivity increases for better cared for workers, 
efficiency gains from losing health admin expenses and so on. If anyone 
can give us tips as to who might do such modeling, please do say. 
Thanks! Patrick

Michael Friedman wrote:
> not necessarily a loss. health insurance would be out of the hands of
> private enterprise, which means that savings can be used to bolster
> employment not only in health industry, but other sectors. yes, we can
> expect some rationalization of health care, but that means replacement of
> expensive, high-tech cardiac centers with labor intensive primary care
> physicians and campaigns. and we'd still have to tackle the pharmaceutical
> industry... *private* health insurance industry absorbs billions annually
> in tax dollars, for one thing...
> but this is moot, since single payer is apparently off the table. even
> single payer advocates appear to be lowering their sites before congress'
> complete write-off of the proposal:
> "Meanwhile, in Congress HR-676 is "off the table" and we are ignored. And
> the main health care debate seems to between mainstream democrats who
> would like to see reform include a "public option", and conservative
> democrats who side with the insurance industry and say no "Public Option"
> [...] Should single payer activists shove our fingers in our
> ears.....humming loudly, HR-676! HR-676.... to drown out this debate on
> the public option? I think if we do that we make ourselves irrelevant in
> 2009."
> "Or can we wear two hats, continue to build the long term momentum for
> 100% government funded healthcare, and also joining in on the fight to
> ensure that a Public Option is included, and that it is done right --
> meaning you have the option to buy-in Medicare -- the efficient,
> government run program our parents or grandparents enjoy?"
> -- posted by Chris Blair on the PHIMG listserve.
>> Just on jobs and single payer. No, actually, I fully expect employment
>> to go DOWN, slightly, with single payer. And that's good thing...! With
>> a single payer federal system 90% of those employed at insurance
>> companies are going to by laid off. This is because of the massive
>> increase in efficiency that such a system will create. All those
>> 'managed care specialists', 'managed care hospital liaisons/hospital -
>> managed care liaisons', accountants, gatekeepers, clerks, janitors, etc
>> that are involved in pushing paper will go bye-bye and add to
>> unemployment. Care will go up and SOME of the money saved, since costs
>> will stabilize, will go to increase nurse-to-patiant rations, mostly I
>> think there will be a net loss.
> David
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