But do they pay as much as US citizens do? Note that I'm not suggesting that it's bad if they don't. It seems like part of the purpose of single payer insurance is that you can negotiate much better rates with pharmaceutical companies. So either other first world nations
aren't negotiating really good rates, or they are negotiating good rates and they're paying less than US citizens are. (I would hope it's the latter.)
Let me sum up my thoughts this way - if single payer insurance saves money overall, that money is coming from somewhere. As it's been explained to me, that money is most likely coming out of the pockets of pharmaceutical companies and private insurance providers. Obviously saving money is great for everyone - except the pharmaceutical companies and private insurance companies. If that money dries up, is it possible that will stifle innovation?
I don't know the answer, and I'm not using this as an argument directly against single payer insurance. I see the value of single payer insurance. I'm just curious about side effects.
EDIT: Just to be totally clear, I'm not crying any tears for drug and insurance companies losing money. If we can get people the treatments they need at a lower cost I'm all for it. I'm just mildly curious about the macro effects of these types of changes.