Steffie Woolhandler, MD, MPH; David U. Himmelstein, MD
Disclaimer: Drs. Woolhandler and Himmelstein served as unpaid advisors to Senator Bernie Sanders' presidential campaign. They cofounded and remain active in Physicians for a National Health Program, an organization that advocates for single-payer national health insurance. They have received no financial compensation from that organization and have no financial conflicts of interest regarding this commentary.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0302.
Requests for Single Reprints: Steffie Woolhandler, MD, MPH, 255 West 90th Street, New York, NY 10024; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. Woolhandler and Himmelstein: 255 West 90th Street, New York, NY 10024.
Author Contributions: Analysis and interpretation of the data: S. Woolhandler, D.U. Himmelstein.
Drafting of the article: S. Woolhandler, D.U. Himmelstein.
Final approval of the article: S. Woolhandler, D.U. Himmelstein.
Collection and assembly of data: S. Woolhandler, D.U. Himmelstein.
Table. Estimated Administrative and Prescription Drug Savings Under Single-Payer Reform, 2017
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Locum physician, New Zealand and Australia
February 21, 2017
A National Health Service that Works
I am an internist and worked in the US for 30 years and New Zealand for 9 years, 8 of which as a full-time employee in a public hospital. As a provider I never had a job or life better than that which I've had in Australia. All hospital based care is free to patients here. The purpose of public health care is provide medical care not to make money. There is a health care budget and not everything is available for everyone yet we have better OECD outcomes than the US for many measures at a fraction of the per capita cost. There are no uninsured and no one goes into debt or shoulders huge bills in the public sector. I am very well compensated, worked under a wonderful national physcians contract (I am working part-time now as a locum) with very generous benefits. Should also mention little to no indemnity concers - i am free to practice medicine and my patients are free to access it without financial concern. It's far from perfect but it's pretty good and I am delighted to be a part of it.
David L. Keller, MD
February 20, 2017
Single payer like Canada? No thanks.
I was an internist. I am now a full time Parkinson's patient. I want to keep the traditional "original" Medicare coverage I have. I have practiced capitated medicine and want no part of it as a patient. Single payer can only exist in Canada with the relief valve of US hospitals so close. If we adopt the same system, the sick in both countries will need to flee as medical tourists to another continent. ObamaCare was set to self-destruct regardless of the election results. I was tired of paying a sneaky tax of a six thousand dollar deductible, triple what I had before with lower premiums. Medicare is the only medical coverage I have ever loved. Medicare for everyone! We can pay for it by not interfering in any more foreign civil wars.
Woolhandler S, Himmelstein DU. Single-Payer Reform: The Only Way to Fulfill the President's Pledge of More Coverage, Better Benefits, and Lower Costs. Ann Intern Med. 2017;166:587-588. doi: 10.7326/M17-0302
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Published: Ann Intern Med. 2017;166(8):587-588.
Published at www.annals.org on 21 February 2017
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