[bdangubic]

true but that doesn’t make it right when people are running these states are paid by the same people who benefit from the current system…

[tptacek]

The people in those states do not want it, which is why state single payer referenda fail.

[paulryanrogers]

Romneycare and the ACA were a pretty big step in the single payer direction. Popular enough to overcome vetos and attempts to roll them back.

[tptacek]

I like the ACA. I think the Swiss system makes a lot of sense. Community rating, guaranteed issue, mandate, subsidy, then universal single payer at retirement, where costs are concentrated. It's a sane system. The problem isn't the system structure.

[rawgabbit]

What one thing would you change in the American system?

[tptacek]

I would drastically increase the number of residency slots Medicare funds.

[valval]

I would never have expected your answer to be “spend more of other people’s money”.