The socialists in our government love to employ euphemisms when seeking to further restrict our choices in the policies they impose on us.
The Affordable Care Act was such a euphemism as nothing in the legislation ever had a ghost of a chance of making healthcare affordable for the vast majority of Americans.
The current euphemism is the call for a single payer system. This sounds good when the current plurality of payers is bankrupting the middle class. Our socialists point to the unaffordable rise in our health insurance premiums and argue that this is evidence that the free market doesn’t work and we therefore need to have the government take control of the healthcare market. In stating their case, our socialists ignore the role of the 10% excise tax imposed on the health insurers by the Affordable Care Act in making our health insurance premiums less affordable. They point to Medicare as a successful example of government run healthcare but ignore the statements from the Congressional Budget Office (CBO) that the Medicare Trust Fund will be fully depleted and therefore insolvent in 2028. They ignore projections from the CBO of a $33.8 trillion deficit by 2086.
Our socialists ignore the historical data as well. The CBO in 1995 projected that Medicare would be insolvent by 2002 without either an increase in revenue or a substantial decrease in expenditure. President Bill Clinton therefore outsourced administration of Medicare to the private health insurers through the 1997 Balanced Budget Act, as the private health insurers were viewed as more efficient than the government in containing healthcare delivery cost. This does little to promote belief that a government-run healthcare system today under yet another President Clinton would be more effective in controlling cost.
What a single payer system will bring us are government mandates in the type of care we receive. A taste of what will come is evidenced in a current proposal from the Centers For Medicare and Medicaid Services (CMS) that calls for a mandatory randomization of all Medicare patients with cancer between test and control groups in order to gather data on what treatment options work best. No one is allowed to opt out. There is no provision for informed consent. This is yet another example of the bureaucracy placing its assumed benefit to society over the rights and needs of individuals. It is a perfect example of how the standardization of care will supplant the individualization of care. It is a perfect example of how the government will insert itself between you and your doctor and supplant your doctor’s judgment. It is a frightening indication of what we have in store for us under a single payer system.