Single payer

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Single Payer refers to a health care system having only one payer of all health care expenses, typically a socialistic big government Welfare state - Nanny state. That payer would rely on tax revenues and perhaps some insurance premiums to fund its reimbursements and costs.

Currently the federal government accounts for 43% of all health care expenditures, and a series of recent mergers among health insurance companies leaves only three major insurers.[1] It appears that health care is approaching a single payer system, or something close to it.

Switzerland, which has mandatory health insurance, rejected a proposal to adopt a single payer system on March 11, 2007.[2] 71% of voters opposed it. Switzerland currently has 87 different private health plans.

At the first 2016 presidential debate, Donald Trump declared the following:[3]

As far as single payer, it works in Canada. It works incredibly well in Scotland. It could have worked in a different age, which is the age you're talking about here.

To which Rand Paul responded:

the Republican Party's been fighting against a single-payer system ... for a decade. So I think you're on the wrong side of this if you're still arguing for a single-payer system.

David Hogberg wrote:

  • A single-payer health care system is one in which a single-entity -- the government -- collects almost all of the revenue for and pays almost all of the bills for the health care system. In most single-payer systems only a small percentage of health care expenses are paid for with private funds. Countries that have a single-payer system include Australia, Canada, Sweden and the United Kingdom. [4]

Single-payer is popular among the political left in the United States.

See also


  4. The Myths of Single-Payer Health Care - David Hogberg