This article posits that the adoption of single-payer health insurance is effectively impossible in the United States. In spite of evidence that a single-payer system might be substantially more efficient and inexpensive than the complex, administratively-burdened multi-payer system we currently have, the probability that it can be part of health care reform is remote at best. The article identifies a number of reasons that a single-payer health insurance system cannot succeed ranging from inertia, path dependence, the expense of Medicare, the American belief in looking to the private sector for solutions to even large societal problems, the fear of big government coupled with the belief that goernment is the problem and there cannot be the solutions, the political preference for incrementalism over fundamental change, and cultural beliefs such as the belief that while all Americans should enjoy equality of opportunity, actual equality of even basic needs must be earned, not given.
- Health Care Reform,
- Health Insurance,
Available at: http://works.bepress.com/susan_channick/3/