Single-payer health care not living up to progressives’ hopes

Sally Pipes outlines in a National Review Online column some problems associated with single-payer health care.

Even if [Vermont] could figure out how to operate a single-payer system, it wouldn’t be able to afford it. A 2013 University of Massachusetts study commissioned by the state concluded that Vermont would have to come up with $1.6 billion in new revenue every year to pay for the plan. Now the state estimates that single payer will take $1.7 billion to $2.2 billion in additional annual revenue.

Vermont collects $2.7 billion a year in taxes. How does it expect to boost its tax take by 80 percent to pay for single payer?

Vermonters should be thrilled that single payer has false-started in their state. For evidence that single payer doesn’t work, look no further than the United Kingdom and Canada.

Britain’s National Health Service is projected to face budget shortfalls of 30 billion pounds — nearly $47 billion — annually by 2020. The government is responding to this fiscal squeeze by effectively rationing care. Last year, the number of family-practice doctors who appealed to the National Health Service to stop accepting new patients doubled. Between April and June, nearly 16,000 scheduled operations were canceled for non-medical reasons. That’s the highest such figure in nine years.

As care has become scarce, British patients have taken matters into their own hands. The number of patients paying for treatment on their own has increased tenfold in the past two years. That’s because paying out of pocket allows patients to jump ahead of the interminable waiting lists for care. …

… Confidence in single-payer health care is also eroding in Canada. An August poll commissioned by the Canadian Medical Association found that 78 percent of Canadians over 45 are worried that they won’t be able to access care when they need it. Eighty-one percent of older Canadians say they are worried about the quality of care they will receive.

Countries without single-payer systems are doing their best to keep things that way. Last month, Swiss voters rejected a plan to scrap their private insurance system for single payer. Nearly two-thirds of the country opposed the measure — significantly more than polls conducted before the vote predicted.

Vermonters would be wise to note the failures of single payer abroad — if the Green Mountain State completes its journey toward single payer, waiting lists, budget-busting costs, and rationing await. And to avoid this single-payer outcome for all Americans, Obamacare must be repealed and replaced.