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0 pointsrootusrootus20d ago0 comments

What percentage of the market actually pays it this way? IIRC, somewhere north of a third of Americans are already on a form of single payer healthcare. Most of the remainder are getting it through their job, subsidized to varying degrees. The fraction of the population that actually pays the full premiums out of their own pocket is pretty limited, AFAIK.

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simonh19d ago

I think it's also worth considering that taxpayer funded US government spending on health care is about the same as in a typical single-payer European country. Then many tax payers still have to pay for private health care on top, to actually get health care for themselves.

rootusrootusOP19d ago

Yeah, doctors get paid way more in the US. There's a number of changes beyond the payment method that we'd have to make if we wanted to have costs on par with a typical European country.

bonsai_spool20d ago

> What percentage of the market actually pays it this way?

The only way this can make sense mathematically is if you're including children, seniors, and/or the ill—populations who are unable to work. What is your reference?

rootusrootusOP20d ago

Pew Research says just under 7% of the population uses the exchanges to buy insurance. Overall, about 36% of the population is on public healthcare, according to Census.gov. KFF says that about 80% of the working population, plus or minus, gets insurance through their employer, with an average of $570/month out-of-pocket for premiums.

bonsai_spool19d ago

Thanks for pulling up data!

These numbers are incommensurate in a way that may not be obvious.

7% of the population doesn't tell you what population fraction is covered by such policies.

36% coverage is even harder—every child in the US is eligible for Medicaid, and such children may not always need it, or may move states after using Medicaid, in a way that makes them doubly counted.

80% of the working population is also less clear; is that 80% of policy-holders get their own policy through their own job? Or 80% of working-age people have a policy through some workplace, even if they are not working?

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