Saturday, September 19, 2009

Single Payer in the States

Tammy Baldwin, D-Wisconsin, has been promoting the idea of allowing states to experiment with different health care systems. Since current healthcare reform measures might fail, state-level experimentation is an important idea. In this model, the role of the Federal government would be very different. Federal rules covering Medicare and other programs would have to change. The states would need help with single-payer systems during economic downturns since the state's cannot run deficits (maybe a state-level health savings account in the Federal bank). My own research supports state-level experimentation and suggests techniques to help structure the state programs.
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2 comments:

  1. Gordon RidleySeptember 21, 2009 at 9:05 PM

    I worry about states jumping into this. We let them take on Medicaid and that got us the Mississippi and Alabama versions of indigent care. It's hard for multi-state corporations/labor unions also. We need a national mandate. Gordon Ridley

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  2. G. W. PasdirtzSeptember 22, 2009 at 11:17 AM

    There's a lot to worry about. The national mandate could also be for state-level programs.

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