this post was submitted on 19 Jan 2026
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Mostly agree. Insurance is still needed. But we can see by comparison with other OECD countries that (government sponsored) single payer is the most efficient version of insurance.
The goal of government should be to reduce middlemen. Unfortunately those middlemen are bribing the politicians against change.
Well, again, how is a single payer system going to solve that? As long as there's a government, it can be bribed, and if it's not the insurance middleman doing it, it will be somebody else. If anything, giving people a single point of access to bribery will make it easier to do so, not harder. The more you centralize power, the easier it is to corrupt.
Again I point to the OECD countries as evidence, not that the problem of bribery, corruption and fat middlemen is solved, but that the US can achieve a 50% reduction in costs.
Sure, and apples can be oranges if they just grow thick, fleshy skin.