Dr. Paris said, "Letting Obamacare fail, I think, is what the president has implied that he could do pretty easily. The next cost-sharing subsidy payment is due out Thursday. And if he doesn't continue to fund that, the insurance companies are going to go into even more chaos and uncertainty."
Should DJT actually increase the level of chaos in the currently messy healthcare system, the support for a user friendly, low red tape, single payer system will only increase.
Comment at TRNN where Dean Baker opines states will not be able to establish single payer health care alone:
DEAN BAKER: ...So they're counting on two big pots of funds, the Medicare and Medicaid pots, going to this single-payer system.
Under a block grant system, like those proposed by the GOP, states would get the Medicare and Medicaid pots. Small grants would force states to maximize heath care returns for each dollar spent. There is practically no dispute that single payer is the most cost effective system of health care delivery... e.g., states have no choice but go single payer.
DEAN BAKER: ...So you have to tell those people that they could keep their own doctors. In many cases, that won't be true because they'll stay outside the system.
Single payer means there is only one insurer which recompenses health care providers for services given. A doctor who doesn't accept insurer payments will be forced to limit their practice to only those patients who will cover the total costs of their medical care out of their own pockets. It becomes a numbers game - how many doctors will find enough rich patients to support their practice? Most general practitioners won't.
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