Senate Hearing Highlights How Single-Payer Will Ration Health CareThe testimony showed a surprising amount of consensus about ‘free’ health care creating a level of demand for care that doctors and hospitals could not meet.BY: CHRISTOPHER JACOBS
MAY 16, 2022
One might think that, given our polarized times, a topic like single-payer health care would yield to partisan disputes. Think again.
At a recent Senate Budget Committee hearing on the concept proposed by the committee’s chairman, Sen. Bernie Sanders, I-Vermont, witnesses from the left, right, and center all agreed: Single-payer would lead to unmet demand for care.
They disagreed on the nature and import of this conclusion, but the testimony showed a surprising amount of consensus about “free” health care creating a level of demand for care that doctors and hospitals could not meet all patient requests.
Massive Demand for ‘Free’ CareComing from the center, the non-partisan Congressional Budget Office (CBO) summarized its prior analysis of five hypothetical single-payer systems. CBO concluded that in all five cases,
The increase in demand for personal health care would exceed the increase in supply, resulting in greater unmet demand than the amount under current law…. The increase in unmet demand would correspond to increased congestion in the health care system, including delays and foregone care.
This testimony summarized a persistent theme in CBO’s work. Its December 2020 analysis of the five hypothetical single-payer proposals used the word “congestion” to describe single-payer’s impact on the health-care system no fewer than 28 separate times. Some might find “congestion” an overly polite euphemism for waiting lists and rationed care.
Regardless, CBO’s frequent use of the term explains why the budget office admitted it has not conducted a formal analysis of Sanders’ legislation. As the ranking member and then chairman of the Budget Committee, Sanders could have used his seniority to ask for—and receive—a full “score” of his bill years ago. The fact that he has not done so speaks volumes, and suggests Sanders does not want the budget office to quantify exactly how long patients might have to wait for care under his approach.
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Source:
https://thefederalist.com/2022/05/16/senate-hearing-highlights-how-single-payer-will-ration-health-care/