About half of countries who attempt to build single-payer systems fail. That’s Hsiao’s estimate after working with about 10 governments in the past two decades. Whether he’s in Taiwan, Cyprus, or Vermont, the process is roughly the same: meet with legislators, draw up a plan, write legislation. Only half of those bills actually become law. The part where it collapses is, inevitably, when the country has to pay for it.Ezra Klein's Vox Media looks at the financial and administrative mechanics of Governor Peter Shumlin's quest to bring single-payer health care to Vermont. Bonus: 12 questions about single-payer.
Six years ago, PBS's feature documentary program, Frontline, aired Sick Around the World, a documentary examining health care systems around the world -- and specifically how all those featured were generally superior to the American system. (2008 MeFi post) Today, the American Senate subcommittee on primary health and aging brought the debate over single-payer care to Washington. C-SPAN has a fine video of the hearing, which features seven witness representing health care systems and think tanks from around the US and the world. [more inside]
On the same morning that Dane County Circuit Judge Maryann Sumi struck down Wisconsin's infamous union-busting bill on the grounds that it violated the state's Open Meetings Law (PDF of decision, previously), Vermont Governor Peter Shumlin signed America's first state-level single-payer legislation into law. [more inside]
How I lost my health insurance at the hairstylist's is one story among millions about the insanity of US health care. 59% of the American public and 59% of physicians support single-payer national health insurance, but in a recent prime time town-hall meeting on health reform proposals, ABC did not air a single question about single-payer. HELP is on the way. At a HELP hearing on single-payer, Kucinich pwned a doctor who claimed Canadian health care was worse than the US's.
£35,000-a-year kidney cancer drugs too costly for NHS: Sutent offers to extend a kidney or GIST cancer patient's life by about 26 months, but the British NHS refuses to fund it, citing "marginal benefit at quite often an extreme cost."
"In 2003, Americans spent an estimated US$5,635 per capita on health care, while Canadians spent US$3,003... Canada’s single-payer system, which relies on not-for-profit delivery, achieves health outcomes that are at least equal to those in the United States at two-thirds the cost." What do wealthy, educated Americans living in Canada think?