Manhattan Institute

The Fallacy of Single-Payer Health Care

Chris Pope joins John Stossel to talk about the debate over single-payer health care—a system in which the federal government would assume all health-care costs currently borne by private insurers, employers, and individuals.

Momentum for single-payer is growing among Democratic politicians. Senator Bernie Sanders’s “Medicare for All” proposal would impose $32 trillion in new costs over ten years and a likely annual tax increase of $26,000 per American household. It’s hard to imagine that Congress would adopt massive federal tax increases and rationing of health-care services, but incremental proposals, such as Medicaid buy-in and strict price controls, could be on the horizon if Democrats capture the White House in 2020 and do well in the congressional elections.

Advocates for single-payer health care point to European countries with generous social-welfare systems as evidence of its success. They don’t acknowledge the fact that Germany and France, like the United States, have private and employer-funded health insurance, in addition to government programs for the poor. In the meantime, U.S. lawmakers continue to ignore reforms—like eliminating barriers to hospital competition—that would probably be more effective in improving America’s health-care system.

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This video is part of a special collaboration with John Stossel and City Journal contributors.  

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