Or you could have universal healthcare. Which everyone else seems to manage and would untie a lot of people from specific jobs.
Maybe 20 years ago but there is too much empirical data across multiple countries and environments now.
Assuming our cost for care drops commiserate to what's been seen in other countries we could use the saving to increase merit scholarships for the contributing young as a introductory form of UBI.
Single payer / universal healthcare ≠ doctors/nurses are government employees (necessarily).
You go to your local health care provider, show your card, and received treatment. The single payer (government) then gets billed and money is transferred to the providers account.
If the government is shutdown, there could be a delay in payment in outstanding bills, but that does not mean health care providers shutdown. Medicare ran during the last shutdown:
* https://www.nbcnews.com/health/health-care/government-shutdo...
* Telehealth was: https://www.pbs.org/newshour/health/medicare-patients-go-wit...
Social Security cheques went out too:
* https://www.cbsnews.com/news/social-security-government-shut...
* https://en.wikipedia.org/wiki/2025_United_States_federal_gov...
Lots of stuff can potentially be automated, and so continue to run.
There might be a few top-down emergency provisions to ensure checks go out to keep the system from toppling, but I wouldn't work if my pay is frozen and neither would my plumber, electrician, lawyer, etc. The last few shutdowns have run over a month - that can easily exceed the cash reserves of most businesses (that would be providers) and large businesses would shutter or have layoffs before burning that much cash.
We can't be so confident in how a $5T/year system would react if its primary cash flow valve is turned off, is all. Handwaving away the scope and complexity doesn't help anything.
How about fixing the government so it can’t be shut down because a few hundred politicians can’t agree on the next budget?
"Thanks I'm cured" material. You're not the first person to think of that, and the fact that it hasn't been done yet probably means it can't be done very easily.
It depends on how it’s structured.
When you grab em by their Amygdala, the naked monkeys will do what you want. Even to their own detriment.
As soon as they are in fight-or-flight-mode, (most) people cannot be reasoned with.
Sad but true
Even to their own death (and the death of friends/family):
* https://en.wikipedia.org/wiki/Dying_of_Whiteness
* https://www.goodreads.com/book/show/40697553-dying-of-whiten...
Mandatory disclaimer that I don't like our health insurance or healthcare prices any more than anybody else does, and in a perfect world I'd love to have universal healthcare instead.
How can the problem be fixed if we don't even talk about it? How do you even negotiate with, "Yeah but you're going to need a doctor some day, so you better not be critical of them in any regard." ?
Healthcare is not corrupt. Insurance companies are corrupt.
And regulation is lacking in Health Insurance and enforcement is lacking in healthcare. (So many doctors that have committed malpractice just switch hospitals.
> U.S. healthcare is doomed by its vast spiraling costs even after controlling for its supposedly higher quality.
Healthcare costs are high because of insurance companies and private equity, not doctors and hospitals.
So please stop with these right wing baby bird food regurgitation.
¿Por qué no los dos? Guess what, it's a lot more likely that insurance companies will go corrupt if what they interact with - healthcare - is corrupt.
> private equity, not doctors and hospitals.
Guess what is limiting private equity's ability to compete amongst themselves in expanding the effective provision of healthcare and driving costs lower for the ultimate stakeholders i.e. patients? That's right: doctors, hospitals (including those that are nominally not-for-profit, but where the profits just turn into salary for those who can control that flow of money) and government regulation throughout the sector.
It is actually the opposite.
UnitedHealth, one of the 'worst' insurers in terms of denials, has a profit margin of ~5% [0]. It is mainly the providers that overcharge, under the guise of "the less and lower we bill, the less and lower insurance pays us".
Insurance only works if there is at least as much going into the pot as is going out. What do you think would happen if insurances weren't denial hawks?
Get angry at your doctor for overcharging you whilst using insurance companies as the heel.
[0] https://www.macrotrends.net/stocks/charts/UNH/unitedhealth-g...
If the government were the insurer, it would not have the same incentives to commit this fraud.
There’s a crazy amount of corruption in the healthcare space. Some of the medical fraud busts that come out every year have staggeringly large sums attached. In some areas there are still schemes that openly recruit poor people to use their information to bill for medical care that is not actually necessary or provided. It’s wild.
> Healthcare costs are high because of insurance companies and private equity, not doctors and hospitals.
Sorry, the world isn’t so simple that you can pick your villains (insurance companies and private equity) and declare everyone else to be free from blame. There’s a lot of bad behavior in these systems at every level. Yes, including some doctors.
If we removed insurance overhead entirely, your healthcare costs wouldn’t change more than a few percent. It’s amazing that everyone united against insurance companies as the cause of high healthcare costs when they barely take a few percent of the overall spend.
coughs in Ukrainian
No, they could not have, based on the voting records of the previous 30 years of the federal US Congress. Even what they have passed only by the skin on their teeth.
The only federal wealth redistribution policy in the US in my lifetime of almost 4 decades only had a 6 month window of passing in 2009. And half the population still hates it, and has worked and succeeded at gutting major parts of it.
The trick is that Franco hid the social security tax in the company side so normal people don't see it, but it is there.
Over that there is IBI for your house, there is IVA on anything you buy, and there are central bank inflation taxing anything you own in absolute terms.
I am forever thankful for the Socialism that allowed me to get a degree for $3k, though.
The downside is of course over-enrollment but at least the bartenders didn't come out $50k into debt. I hear it is different now.
But we have at least the option of additional private coverage and it is not crazy expensive like in the US.
Along similar lines it isn't clear that having the federal government controlling healthcare at a more fundamental level is a good idea. Many (most?) would shudder at the thought of this administration controlling healthcare.