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Re: Socialised Medicine (fwd)From: Bert Gold (bgold@itsa.ucsf.EDU)Sun Apr 14 11:34:56 1996
J.K. Eiby wrote (in part):
>I live in Australia and we have socialized medicine and, for the most part, it To which someone in talk.politics.medicine replied, I'm convinced that a single-payer system _could_ work in the US. It probably won't happen, though, for two principal reasons: 1 Many voters in the States seem to think that "single-payer" automatically means some massive government-run medical monolith. (It doesn't.) The advocates of single-payer type systems (politicians, health workers, researchers, etc.) apparently don't have the wit or the resources to explain - in user-friendly terms - precisely how universal compulsory insurance could work in the US - and how it DOESN'T represent the first step down the slippery slope of epidemic rabid communism. Perhaps this view is to a large extent the result of intensive campaigning by those groups with the most to lose through a single-payer arrangement, and the inept way that health reform has been "marketed" in the States. 2 Many voters in the States would disagree with Mr Eiby's comments. The very essence of a single-payer system (or any universal insurance scheme - variants of which exist in Europe) is that the healthy and reasonably well-off subsidize - through their premiums - the care of those who are not so healthy and not so well-off. That is why the universal insurance arrangements in Europe are for the most part compulsory. To many of my fellow citizens in the States, this concept - called "solidarity" or "mutual support" - is anathema.
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