| > sure, but the employer doesn't pay any tax on this type of benefit, whereas we would both face additional taxes if they simply paid me more. That argument seems like the equivalent of wasting money just for a tax deduction. You are right in a way though: if a single-payer plan is financed through progressive taxation or a payroll tax with no or a sufficiently high cap, higher earners will end up paying more than under the current system while lower earners will pay less. > all i'm pushing back on is the original statement that "people should demand an end to private insurers". people who don't get insurance through their employer and/or can't afford it themselves should probably oppose private insurance. Unless you get sick, are unable to work as a result, exhaust FMLA (if available), and can't get coverage through a spouse or parent (if under 26). Then hopefully you've got the savings or disability insurance to pay for COBRA (under which you have to pay the full premium your employer is currently paying) and/or Marketplace insurance in the interim, or you're stuck with Medicaid. Even worse, most Marketplace plans have narrow networks, so you may find that you're not able to keep some of your doctors -- particularly the specialists you're likely to need for an extended illness. Medicaid is even worse, because the reimbursement rates are so low. And hopefully none of that happens to a loved one, who may not be in the relatively good position you are. And that's ignoring the moral argument in favor of, well, not allowing people to die in a supposedly first-world country because they can't afford healthcare. |