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How much of the $3.8T is profits that don't need to exist? Why should public medicine be for-profit when public education isn't? Why does no one complain that the military doesn't turn a profit yet also costs nearly a trillion a year?

Presumably the entire industry isn't going to magically become less complicated when a single payer option begins. There will still be a need for many of those roles, but they will be employed by the state instead of private companies siphoning profit.

I have not seen, and I am not sure it would be possible to generate, evidence in the number of jobs that would be lost (or created) by a single payer system.




> Why does no one complain that the military doesn't turn a profit yet also costs nearly a trillion a year?

People complain all the time. The military budget is $700 billion. Healthcare expenses would be $5T to cover everyone in our current situation.

For reference, the total federal tax revenue is $3.86T. That’s individual, corporate, payroll, everything.

> Presumably the entire industry isn't going to magically become less complicated when a single payer option begins. There will still be a need for many of those roles, but they will be employed by the state instead of private companies siphoning profit.

Yes that’s the exact problem. How to not destroy millions of lives and the economy. You’re suggesting these people will go work for the state? We will literally have to, at minimum, double the effective tax at every single level. Double the federal income tax, double the payroll tax, etc.

Would you personally vote to double your total effective taxes? I would not.

Single payer just isn’t going to happen in the US anytime soon. Democrats can’t even corral the votes to fund an infrastructure bill that is a fraction of the cost an single player health plan would cost.

…and Democrats are going to get thrown out of Congress this year. So it’s time to move on to reforms that might actually happen.

Or we can keep endlessly chasing the perfect outcome and endlessly achieve nothing.




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