Does “Single Payer” Mean “Medicare for All”?

That’s one possibility. I’m not opposed to Medicare for All. I’m a Medicare beneficiary. It’s an efficient public payer for my health care. I can choose my doctor and my hospital. I make the necessary clinical decisions with my physician. Medicare for All would be much, much better than what we now have.

But there’s an even better way. I propose a state-based single-payer health care system similar to what Canada did with its province-based health care financing. States are closer and more responsive to the people they serve. They can help their people better than the Federal government. States are also vastly different in how their health systems function. In Utah, our rural areas face vast distances, sparse populations, and large numbers of tourists who can overwhelm small rural clinics. These are challenges that Delaware and Rhode Island don’t have and don’t need to understand. And Utah already has the lowest per capita health care costs in the United States. We can build on this advantage. Congress could easily make state-based single-payer health system reform possible by passing the State Based Universal Health Care Act.