Single-Payer and Universal Health Care

Date: 16 Mar 2012 | posted in: equity | 0 Facebooktwitterredditmail

Citizen-led efforts to institute more universal health care programs are cropping up across the country.

Some are very similar to the Canadian health care system. They call for a single-payer system, meaning that medical care would be paid for out of a single publicly administered pool of money, rather than by myriad managed care plans. In most plans the health insurance program would be administered by a health care “trust,” governed by a combination of stakeholders, including health care advocates, providers, organizations and experts, taxpayer representatives, and state officials.

Providers would still charge on a fee-for-service basis, with fees determined through negotiations between these stakeholders. Patients would still have the freedom to choose their health care provider. “Medically necessary” care would be covered. Many plans have some sort of sliding premium scale, whereby the poorest residents of the state would pay no health care taxes, and the wealthiest residents would pay the most.

Here we highlight some single-payer and universal health care initiatives that have been introduced or put in place.

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