Why It’s Hard to Calculate the Cost of Single Payer in the United States

Lately there has been some back and forth in the states over the expected cost of single payer healthcare. There is a lot of disagreement over how much single payer will cost because single payer grants the state a monopoly over the healthcare system. This means that the state can dictate how much it is going to pay its doctors, its administrators, its nurses, its drug and equipment manufacturers, and so on. Because the state can dictate the cost of single payer, the true cost of the proposal depends on how much the particular people implementing the proposal intend to spend.

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How to Read That Productivity/Wage Gap Chart We’re Always Seeing

You’ve probably seen this chart before. It’s everywhere now. I’ve used it more than a few times over the years. It’s the chart from the Economic Policy Institute that shows that while US productivity has continued to increased over the last few decades, real inflation-adjusted wages haven’t kept pace:

I’ve seen two bad misreadings of this chart lately, and I want to clear them up.

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How Trump’s Executive Actions are Like Obama’s–And How They’re Not

President Trump is fed up with everyone and everything. For months now, congress has refused to implement his agenda. He’s mad as hell and he’s not going to take it anymore. Does that sound like someone you know? It should–late in his presidency, Barack Obama became exasperated with years of Republican obstruction. He turned to his lawyers. What could the administration do unilaterally that might be legal? They threw the kitchen sink at it, trying all sorts of things and leaving it to the courts to decide what would stick. Like Trump, Obama began taking more executive action late in the first year, though most of his biggest and boldest moves came in the second term:

The fact that Trump is frustrated and is looking for ways to weasel around institutional impediments shouldn’t surprise us. When the Supreme Court got in Franklin Roosevelt’s way, he tried to pack the court with sycophants:

What’s interesting is how transparently bad this executive action is.

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What the Single Payer Movement Can Learn From “Repeal and Replace”

Single payer healthcare seems to be getting more popular. More people are becoming aware of the advantages of single payer. A majority of Americans now say that the government has a responsibility to make sure all Americans have healthcare coverage, and more than half of that majority now think the best way to do it is single payer:

The current push for single payer does however have a lot in common with another political movement–the Republican effort to repeal and replace Obamacare.

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“Skinny Repeal” Would Still Deprive 15 Million Americans of Their Health Insurance

The Senate has rejected Majority Leader Mitch McConnell (R-KY)’s proposal to repeal Obamacare without a replacement, 55-45. Of the eight potential moderate Republican opponents I highlighted in June, five voted against repeal (Capito, Collins, Heller, Portman, and Murkowski), along with two whose opposition to repeal was not known at the time (McCain and Alexander). But the Republicans have not quite given up–they plan to attempt “skinny repeal,” in which only the individual and employer mandates would be repealed. But while this may sound appealing (nobody likes mandates), it’s much worse than it appears.

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