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    Single-Payer

    The negatives of single payer. Single payer systems examined.



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    What was it that we came up with a while back? Health care can do two of three things:
    - cost effective
    - quality
    - universal availability.
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    Quote Originally Posted by Peter1469 View Post
    What was it that we came up with a while back? Health care can do two of three things:
    - cost effective
    - quality
    - universal availability.
    Yea, I remember that: Access, Cost, and Quality. You can improve 1 or 2 of those but at the expense of the third.

    The “Iron Triangle” of Health Care: Access, Cost, and Quality

    When I talk about health policy, I often refer to the iron triangle of health care. The 3 components of the triangle are access, cost, and quality. One of my professors in medical school used this concept to illustrate the inherent trade-offs in health care systems. His point was that at any time, you can improve 1 or perhaps even 2 of these things, but it had to come at the expense of the third.

    I can make the health care system cheaper (improve cost), but that can happen only if I reduce access in some way or reduce quality. I can improve quality, but that will either result in increased costs or reduced access. And of course, I can increase access—as the Affordable Care Act (ACA) does—but that will either cost a lot of money (it does) or result in reduced quality.

    Anyone who tells you that he or she can make the health care system more universal, improve quality, and also reduce costs is in denial or misleading you. When it comes to election season, those people are often politicians.

    The lesson of the iron triangle is that there are inherent trade-offs in health policy. If we wanted to conduct the debates honestly, we would acknowledge these and allow the public to decide what they really want—and what they are willing to sacrifice to get it.
    Tradition is not the worship of ashes, but the preservation of fire. ― Gustav Mahler

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