Our Healthcare Future

This is the hidden danger of Obamacare’s march to single payer. If you want to have a real world example of what healthcare looks like under single payer, look at our schools.

We have, in our educational system, exactly the sort of forces you will see under single payer.  The wealthy will pay more for private service.  They will get the only truly good service.  Some of the less wealthy will undergo financial strain to pay for private service.

What most people will do, on the other hand, is purchase homes based on the healthcare they can get associated with it.  We already have that for parents.  Parents will pay much, much more for a comparable home if the alternative is in a less attractive school district.  We will begin to see the same things happen with healthcare.

And what will be the result?  The very thing that Obamacare is supposed to end.  The haves and have-nots.  Those who can afford to live in places with good medical districts, just like good school districts, will get acceptable service, and ghetto service will be just like ghetto schools.

What will happen next?  We will start trying to solve the poor hospitals problem with money.  What we won’t do is acknowledge that the doctors are segregating themselves, with the good doctors going to the good medical districts, and the leftover doctors falling down to the ghetto hospitals.  Hospitals will get even more administration heavy, and when it becomes undeniable that ghetto hospitals aren’t comparable to suburban hospitals, we will start rating service outcomes.

And then doctors will begin treating not with patient happiness in mind, but in satisfying these arbitrary service outcome ratings.  Health, like education, will be an afterthought — there’s no financial advantage in a healthy patient, just one that lets you rack up tons of high rated service outcomes.

And people with means will continue moving to even more overpriced houses in more exclusive places, not just because they have kids who need a good school district, but because they need a good hospital district.  And the ghetto will get even worse.

That’s single payer healthcare.

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