Quote:
Originally Posted by jjshabado
What makes it unrealistic for the US? What is different than other countries where it works?
https://en.wikipedia.org/wiki/National_Health_Service
The National Health Service (NHS) is the name of the public health services of England, Scotland and Wales, and is commonly used to refer to those of Northern Ireland.
They were established together by the Labour Party as one of the major social reforms following the Second World War.
It's simply this. While "health care" goes back to antiquity, modern health care really has only been around since post-world war II. In the 1950's, health care wasn't much more than penicillin and opioids. We had a very rudimentary understanding on health care. Europe started back then with the single payer, government/taxpayer funded model. As health care grew, so did the scope of the government's role.
In the United States however, due to wage caps et al, health care coverage began to be an "employer provided" perk in lieu of salary. And as health care grew, so did the value of this perk.
We now have 70 years or so of growth of each of these models. Imagine a 70 year old tree. Sure, you can cut it down, but it takes a lot of effort compared to cutting down a 1 year old tree. And there can be severe complications. In the 1940's-50's if the US elected for a Medicare for all, it would just be a different discussion. For whatever reason, it was dediced on Medicare for the elderly (and you see clearly now that Medicare --- a single payer --- plan for 65+ is untouchable, just as the NHS is the UK).
You simply would have to BLOW UP the United States' employer provided model which insures ~50% of patients for single payer in the United States. It's not tenable. There is no political will for that.