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I'm all for single payer in the US but this diagram is a bit misleading.
What I assume you're really gutting are profits and shareholders for insurance companies. (Good, because healthcare in my opinion should not be a profit driven business in any respect.)
What I fear, however, is who is in power at any given time might change the care you receive if such a system isn't setup with safeguards and ironclad mandates.
For instance, Republicans would absolutely attempt, through legislation, executive order, and the courts, to implement an effective federal ban on abortion or healthcare for trans and LGBTQ groups by changing how/if a single payer system would cover these services.
I would also be worried about the public availability of coverage data such that lists of frequent providers for these services are easily obtained and become a tool for harassment by religious zealots.
Or, imagine an anti-vaxxer put in charge of the program during the next pandemic.
How do other countries deal with these issues? Or, have politics become so broken in the US that this is a somewhat uniquely American problem?
Canada deals with some of those problems by having a separation of state and medicine similar to our separation of state and church.
For example, I think we are the only country in the world with no abortion law. It's a medical procedure, so it's left to the medical community to develop standards of care and standards of practice.
It's not perfect, but it's worked out quite well since the 1980s. There were some major cases that led to our abortion laws being struck down by the courts and no government has yet had the courage to introduce new legislation of any kind.
That sounds really nice. We should try separating the state from medicine in America. Heck while we’re at it we could separate the state from religion
Considering one entire half of our political establishment is trying to do away with the separation of church and state altogether, I don’t think we’re gonna have a lot of success with that in the near future, unfortunately.