Ok, so here's what I mean by emulating the Canadian system:
You have some sort of a national commitment to fix the health care system. We can discuss the format of that national commitment and the role of the federal government (there would have to be some role particularly for the elderly who may retire somewhere other than where they worked). Then we leave it to the states to iron out the details.
That's what I want to see emulated. I think that most states will choose a single payer system like Canadas but probably with a bit more coverage. But states may try different things.
Two things I would like to see different though is that I would like to see less national government involvement than we see in Canada and even more local control. The federal government in the US should be there to address a few issues the states can't like folks from Minnisota retiring in Florida.
> Then we leave it to the states to iron out the details.
Yeah, that specific model doesn't work for Canada. It's a large part of why we left, and a large reason why my son was abused.
Letting the states handle it will be problematic. What happens then, when a state will not support certain procedures, but other states do? Following the Canadian model, your screwed if you live in the wrong state.
Sure, you can move, but then that becomes another issue entirely. You'll have doctors leaving states to move to states that can provide more jobs. Quebec is suffering this, and the left over doctors are overworked, and offer less than stellar service. And yes, you can incentivize staying all you want, and it won't happen. Or you might require they work X years in the state if they accept some funding for schooling, but then they'll leave when they can for better jobs elsewhere.
I'm sorry, but I've had to deal first hand with this model and the specific problems it causes, and I'll fight to prevent it from following me.
You have some sort of a national commitment to fix the health care system. We can discuss the format of that national commitment and the role of the federal government (there would have to be some role particularly for the elderly who may retire somewhere other than where they worked). Then we leave it to the states to iron out the details.
That's what I want to see emulated. I think that most states will choose a single payer system like Canadas but probably with a bit more coverage. But states may try different things.
Two things I would like to see different though is that I would like to see less national government involvement than we see in Canada and even more local control. The federal government in the US should be there to address a few issues the states can't like folks from Minnisota retiring in Florida.