When one examines the realities that our economic system dictates on health care and more, absent strong regulations makes its inhumanity obvious. Of course, codifying health care as a right where everyone must have access to health care would force an economic system to adapt to that reality across the board.
An economic system is not divine. It is human-made. If there is a lot of work to be done and services that must be provided, and there are people that are idle and available to do the work, and the excuse for the inability to connect those is that there is no money to do it, then that economic system has failed and must be transformed to one that takes the human realities into account. Insanity is doing the same thing over and over again and expecting a different result.
The reason we have not adjusted our economic model to our lived reality is that those who profited from the rigged extractive economy designed to benefit a select few would likely lose a substantial amount of their ill-gotten wealth. Recently a caller to my Pacifica Network KPFT 90.1 FM Houston program “Politics Done Right,” Syed, said that his name appears on an Affordable Care Act policy. He said the cost is 20% of his income. Even with that reality, he is unable to use the policy because of its high deductible, $6,000. Syed wanted a better understanding and I gave it to him.
The reason people are not rushing to and virtually spilling blood for Medicare for All is that it simply seems too good to be true. But it is not.
All one has to do is remember basic math. If one system that administers medical payments requires hundreds of duplicate services, equipment, software, databases, and must make profits for passive investors, and must pay thousands of executives millions of dollars, then it is mathematically impossible for that system to be more efficient than one that must provide the same medical payments without those expenses and overhead. Not even an inordinate amount of fraud in any single-payer system would likely match the legalized fraud of the private healthcare insurance system. It is simply basic math.