I think that something like the Finnish system would work–their health care is free and it is very very good, but they are also able to buy into “better plans” if they wish and if they have the income/resources. However, it seems like most regular folks (which I consider myself and my family) would be happy with the “regular health care plan.”
I think it would be great if we can find a system that allows the government to pay everyone’s medical expenses while at the same time encouraging research and innovation and not crippling people with high taxes that will mean every family will have to be a two-income family and children are mainly in the care of the state from the cradle or even from preschool age on. We have a family crises in our country right now. I know it’s not a popular opinion, but if we didn’t have 71% of our nations mothers in the workforce maybe, just maybe we’d have stronger, more cohesive families and communities.
I don’t want to start a debate about whether women should or should not work outside the home as that’s not what this thread is about. I’m very strongly in favor of mom or dad having the choice to devote all their time to their vocation and policies that protect that choice as opposed to everyone being compelled to be in the workforce due to higher taxes to pay for national programs like healthcare. This also limits the ability for families to choose to home school if they prefer.
Articles like the following one leave me very leery of trying a single-payer system here. It may work in some smaller countries with a smaller GDP but those countries aren’t big medical research and development spots. They and the whole world actually benefits from the US private sector’s medical innovation. We are the world leader. The HIV drugs that were discovered and developed here, eventually trickled down to the poorest countries with greatly reduced costs.
If we lose our edge because the government sets the prices for what they will pay for drugs, procedures, tests, medical care wages etc it means a loss of interest in innovation from the private sector. The poorer countries and even single-payer countries around the world who benefit from the innovation that they can’t afford to invest in as much as our private sector does, will suffer.