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Old 03-16-2017, 08:35 PM
boffking boffking is offline
Join Date: Nov 2012
Location: New England
Posts: 2,421
Single payer healthcare in Vermont and Maine
There is a draft bill in the Maine legislature making the mention of single payer healthcare in Maine. A snippet:"Portions of the system will be based on the single-payor system in place in Vermont...". What is the system in Vermont?
I am in favor of single-payer, and would like to see this proposal fleshed out more.
Old 03-16-2017, 08:42 PM
PastTense PastTense is offline
Join Date: Jan 2013
Posts: 6,203

It died:
Old 03-16-2017, 08:44 PM
Wesley Clark Wesley Clark is offline
Join Date: Aug 2003
Posts: 18,854

The authors’ Option 2 is essentially PPACA with a “public option” added – a public insurance plan that competes with the private plans. Their analysis shows that it would have only a very modest impact on reducing costs, and an almost negligible impact on reducing the numbers of uninsured. Thus the bluster in support of the public option was misdirected. That energy should have been redirected to supporting single payer instead.

Options 1B and 3 are almost identical. They are both single payer models that totally replace the private insurance plans. They have an “Essential Benefits Package” with an actuarial value of about 87 percent which is close to the typical employer-sponsored plans before they began introducing high deductibles. Their analyses shows that these plans would cover everyone without any increase in spending since the single payer efficiencies would be enough to pay for those currently uninsured or under-insured. So this is the really good news – single payer works (though read on).

The primary difference in 1B and 3 is that 1B is publicly administered whereas 3 is administered by an independent board that contracts with a competitively-selected third party to manage provider relations and claims adjudication and processing. The authors state a preference for Option 3 claiming that it saves a little bit more money by requiring potential managers to compete for the contract. That is highly dubious and more likely was inserted to appease the market ideology of a sector of the twenty some odd contributors to this study. Considering this, I think that we can extrapolate the fact that the authors would also endorse Option 1B, since it is otherwise identical.
I think they were looking at option 3.
Old 03-16-2017, 08:48 PM
boffking boffking is offline
Join Date: Nov 2012
Location: New England
Posts: 2,421
That's really strange they would write the draft that way then.
The 128th Maine Legislature began in December 2016. The bill also references the Colorado referendum of 2016, so I can tell it's not just an old proposal brought back.
Old 03-17-2017, 10:00 PM
tomndebb tomndebb is offline
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Location: N E Ohio
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Not an Elections topic.


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