[tvchurch]

Here's the other thing about administrative costs: Medicare's patients cost a lot more per person than private insurance.

In other words, if it costs you $500 in administration costs and one patient has care that totals $5,000 and another has care that totals $10,000, then their administrative costs are 10% and 20%.

And yet we think that if we shifted more people onto a Medicare-like system, we'd save money.

[jefurii]

Medicare patients are more expensive because of who it currently covers: elderly and disabled people, two groups that use more services than the general population. The whole point of a single payer AKA Medicare for all system is to cover the entire population, which would (because math) bring down the average cost per person.

[hirsin]

I've always read that the problem with Medicare is that it's unfair to hospitals because they pay lower than the average rate (but can't negotiate on medicine). Do the savings from lower care costs not balance out the higher drug costs? (From a steady state of 1 surgery can lead to a lifetime of drugs, I'd guess the balance isn't great)

[dv_dt]

Medicare is also currently prevented by law from negotiating for drug prices. If we shift more people onto Medicare, we need to fix that problem too. The overall structure of a single payer/administrator is most likely to save money, but we need to be vigilant about the specific rules it is imposed with too.