[rayiner]

> The problem is that half the political system thinks you can cut taxes and grow revenues.

And the other half thinks you can pay for a European-style welfare state without European-style middle class taxes. Americans are Disney adults.

[bhelkey]

The US spends $2 Trillion dollars on Medicare + Medicaid a year [1][2].

Given that the US has a population of 342.7 million people [3], those two trillion dollars divides out to $5800 per resident per year.

The UK's universal healthcare system costs ~$4700 per person per year (~£3,500)[4].

If we could spend healthcare dollars as efficiently as the UK, the current government spending in the US is enough to support a single payer healthcare system covering every resident without raising taxes.

[1] https://www.cms.gov/data-research/statistics-trends-and-repo...

[2] https://www.kff.org/medicaid/medicaid-financing-the-basics/#...

[3] https://www.census.gov/popclock/

[4] https://www.bbc.com/news/articles/cwy7zvp5xrqo

[rayiner]

> Given that the US has a population of 342.7 million people [3], we could have single payer healthcare for every resident without raising taxes if it cost less than $5800 per person per year. The UK's universal healthcare system costs ~$4700 per person per year (~£3,500)[4].

Except we couldn't. For the same reason our public schools can't get Finland's test scores while spending $3,000 less per student pear year than the U.S. For the same reason our public transit systems can't build subways for $100 million per km, like Spain.

[bhelkey]

If your implication is that this is a private vs public spending problem, that's not it. Healthcare in the US (both private and public) costs dramatically more than in other developed countries.

Why that is is a bit complicated and doesn't have a single root cause. It's also a bit tricky because every major component blames the other components for the total cost.

Part of the problem (roughly 10% by one estimation I read) is drug prices. Drug prices in the US are >2x the price as compared to other developed countries [1].

[1] https://www.ncbi.nlm.nih.gov/books/NBK611301/

[rayiner]

> If your implication is that this is a private vs public spending problem, that's not it.

No, my point is that we couldn't achieve UK costs by doing "single payer." Our publicly funded systems, like schools and transit, are also cost-inefficient (public schools somewhat less so, public transmit somewhat more so).

[bhelkey]

Again, healthcare in the US is dramatically more expensive than in other countries. This is true for publicly funded healthcare (e.g. Medicare) and privately funded healthcare.

I already mentioned drug prices, another input in the cost of US healthcare is the cost of physician salaries. Physicians in the US are paid ~2x what physicians in the UK are paid [1].

One input to physician salaries is that we limited the number of new doctors by limiting the number of residency positions.

[1] https://www.physiciansweekly.com/post/how-do-us-physician-sa...

[rayiner]

I'm not denying it's more expensive. I'm disagreeing with your premise that we could reach the cost effectiveness of European countries. Europe and America aren't interchangeable. You can't achieve the same results in each just by turning the policy knobs to the same settings.

[UncleMeat]

Can you explain this reason in detail?!