“The NHP can be conceptualized as an expansion of Medicare to the entire population, with correction of that system’s deficiencies– most glaringly, high cost sharing, limitations on coverage, and subcontracting to wasteful private plans. By dramatically reducing administrative costs and other inefficiencies, the NHP could eliminate both uninsurance and underinsurance without any increase in overall health care expenditures. It would sever the problematic link between employment and insurance, and minimize patients’ and physicians’ paperwork burden. Although the system we envision would be publicly financed, it would rely largely on existing private hospitals, clinics and practitioners to provide care. However, because investor ownership of health care providers is known to compromise quality and divert funds from clinical care to overhead and profits, the NHP would not include such providers…”
“…A single-payer NHP, in contrast, would provide comprehensive coverage without copayments or deductibles to everyone in the country, replacing our current complex and wasteful patchwork of coverage.
All medically necessary services would be covered, including inpatient, outpatient, and dental care, as well as prescription drugs. The NHP would also cover long-term care, a benefit that few Americans currently enjoy.”
Source: Physicians’ Proposal. Beyond the Affordable Care Act: A Physicians’ Proposal for Single-Payer Health Care Reform. Adam Gaffney, Steffie Woolhandler, Marcia Angell, and David U. Himmelstein, updated 2016
Also published here: https://ajph.aphapublications.org/doi/10.2105/AJPH.2015.303157
Adam Gaffney, Steffie Woolhandler, Marcia Angell, and David U. Himmelstein, 2016:
Moving Forward From the Affordable Care Act to a Single-Payer System
American Journal of Public Health 106, 987_988