I. Executive Summary The establishment of a single-payer healthcare has often been debated in several communities. Several proponents argue that the government has to be the sole authority when it comes to providing health insurance. In the United States, this concept has already been implemented through the Medicare…
Even developed countries provide wide health coverage whereas the U.S. has about 47 million individuals uninsured and more households insufficiently covered by health insurance. There are several reasons attributed for the abovementioned observations. Cost is considered as the primary concern when implementing government-anchored health provisions. The structure in which health insurance is based is also flawed. Most important, inefficiency on the part of the government is a major issue that keeps current healthcare insurance systems from fulfilling their roles in communities. II. Introduction A single-payer healthcare would establish a fund in each state and the government will cover the cost of hospitals, physicians, medicines and other healthcare services. This system would serve as an alternative to a multi-payer scheme provide by several private healthcare firms. The goals of a government-backed single-payer healthcare is to cover the over 40 million uninsured individuals in the U.S, as well as others who have no access to long term healthcare plans and prescription drugs (McCally, 2002). Healthcare is an important aspect discussed in state debates in other forums. There are several reasons for promoting a single-payer healthcare with the U.S. government as the primary provider. The system will eliminate huge administrative costs incurred from private hospitals. The current proposal is also deemed as more efficient because the reliance to a multi-player healthcare environment will be reduced. The PNHP (2009) estimates that through a single-payer system, the U.S. government will spend about USD 2 trillion but will gain savings of more than USD 300 billion. In previous experiences, the U.S. government, companies and individuals spend approximately USD 2.3 trillion to cover for their healthcare needs. McCally (2002) explained that a single-payer scheme funds from existing public healthcare programs and would be augmented by allocated taxes. Recent proposals to implement the system cover benefits such as hospital care, doctor visits, mental healthcare, and prescription medicines. Other benefits suggested to be included were provision of nurses, dental care, and other medical services. Hospitals identified for this system will be provided an annual capital and operating budget. Doctors and other services providers will be compensated using a general fee-for-service payment method. In this system, healthcare provision will become a social commodity instead of a service that is affected by market forces such as competition. III. The Concept of Health Economics Health Economics (HE) is a branch of Economics that deals with the allocation of scarce health and healthcare among unlimited demands. Primarily HE tackles major issues and concerns that affect the distribution of health care (Williams, 1987). Like other branches of economics, there are certain subdivisions that specifically discuss various subjects related to Health Economics. These distinct topics include: influences to health; health and its value; demand for health care; supply of health care; microeconomic evaluation and treatment level; market equilibrium, system level evaluation; and planning, monitoring, and budgeting mechanisms. The value of Health Economics is indispensable is a society. Its scarcity is a primary concern especially among countries without ample resources to provide healthcare (Culyer, 1989). Another major issue that makes Health ...
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