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It’s not constraining care. It’s a single payer system. Think of there being one insurance company.

This isn’t theoretical. Medicare already has been supporting the most frequent users of the system for decades. It’s a proven system with low overheads.

Yes there’s probably abuse but overall it has high satisfaction from its stakeholders.



I'm talking about the regulatory capture of everything related to health care: medications, credentialing, insurance, etc. Any regulation imposed on the production of a good or provision of a service is a constraint on the supply. Reducing supply increases costs. I fail to see how the imposition of one insurance company (a monopoly) would improve that.

When Medicare was created, medical care accounted for less than 7% of GDP. It's around 20% now[1]. If you extrapolate life expectancy from before Medicare to now, has that massive increase in spending changed the trajectory at all?

You see the same phenomenon in higher education: we subsidize demand through government-backed loans, and costs and administrative overhead skyrockets.

[1] https://www.healthsystemtracker.org/chart-collection/u-s-spe...




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