There’s a big problem with Sen Bernie Sanders’ Single Payer plan. [I think it is Sen Warren’s plan too, but she’s dithering these days.]
Nope, not the cost, not the “gubmint taking over my Medicare”, not the pharma or physician lobbies.
It’s a job killer.
The impact of Single Payer on Iowa’s economy would make the Dust Bowl look like a summer zephyr.
Polling is showing voters’ concerns with Single Payer; here’s the data on the impact on jobs… [Sanders’ version of Medicare for All is pretty much identical to Single Payer]
Somewhere between half a million and 800,000 Americans work for health insurance companies. Most would lose their jobs under Single Payer.
In Iowa, one out of eight workers are in healthcare; a lot of those are clinicians and direct support (med techs, nursing aides etc), most are doing administrative work.
A couple examples of the impact of Bernie Sanders’ Single Payer program on Iowa are helpful.
Wellmark Blue Cross employs 1878 people – adding up the admin costs plus commissions, about $290 million is spent on stuff besides direct healthcare costs – spend that would go away under Single Payer. Sure, some goes to IT, some goes to building maintenance, some goes to paperclips and travel. But much of that $290 million – and 1878 jobs – goes away under Bernie’s plan.
Another 800 folks work for other health insurers; that’s about $130 million in wages…
Another metric – total healthcare employment. While it’s not possible to tease out the precise number of healthcare administrative jobs – billing clerks, coders, managers, IT support, claim handlers and the like – at least 30,000 Iowans are working in healthcare administration, earning a total of about $1.2 billion.
Some are likely medical billing clerks – the folks who figure out how to bill you and your insurance company for services you receive (these folks); total income for the 5000 Iowans doing billing is just under $200 million.
All this to say there are tens of thousands of Iowans who would lose good-paying, stable jobs if Bernie Sanders’ Single Payer becomes law. And if they do, those billions in paychecks disappear.
What does this mean for you?
Single Payer is a great idea – if you are starting a healthcare system from scratch. Which we aren’t.