Opinion: A single-payer health-care system is no panacea
Attendees hold signs while waiting for a news conference on health care to begin on Capitol Hill in Washington in 2017. By Robert J. Samuelson Robert J. Samuelson Columnist focusing on economics Bio Columnist May 8 at 11:30 AM The popular appeal of a single-payer system to solve the nation’s health-care problems is no secret. Everyone would have insurance, recognizing — as Sen. Bernie Sanders continually tells us — that health care is “a right, not a privilege.
A single-payer system would not resolve this contradiction. But is it the best we can do? This is a legitimate debate. What is not legitimate is the assumption that there’s some pain-free escape from our health care dilemma. That’s a delusion. It’s no panacea. “The transition toward a single-payer system could be complicated, challenging and potentially disruptive,” says the CBO report .
Next is the possibility that benefits would be expanded. For example, fee-for-service Medicare does not now cover dental care, vision or hearing services. Coverage could be extended to “everyone under a single-payer system, or coverage could be restricted to low-income people,” says the CBO. The same is true of long-term nursing-home and home-health services. There is coverage today, but it’s strictly limited.
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