ACA Repeal/Replace: Progressives Face Moral Dilemma

[Bob Butler 54]

(08-14-2017, 06:01 PM)Kinser79 Wrote: There may be 25-30 decent models to base a system off of.  However as the PBS article I linked to demonstrates that there are only four main types.  The problem with the US is that even with Obamacare we are still using all four.  

With the VA it is a Beveridge type system like Britian or Cuba.

With Medicare it is a National Insurance like Canada or France.

With employer based care it is like Germany.  (They still essentially use the Bismarck model.)

For everyone else on out of pocket, well its like Cambodia or Rural India.

The goal should be for the US to pick one type (like other countries have done) and to stick with it.

Seconded.  The article is a worth while short read. True, any of the four basic structures can be altered significantly to get to David's higher number of choices, but I would choose one of the four and tweak from there.