This results in what is known as rationing by waiting. Some services or treatments may take months to receive. Doctors, medical device makers and drug companies would all face a squeeze on fees and prices. Many single-payer health systems calculate fixed global budgets for each hospital, refusing to reimburse piecemeal for patient volume. It is doubtful politicians would have the resolve to follow the single-payer playbook in the face of the powerful healthcare lobby. Indeed, buying power is not the same as bargaining power.
Real price concessions result from bargaining power. Bargaining power only exists when one party possesses the will to walk away from a deal and deprive the other of its business. In other words, single-payer is a pipe dream. In real-life America, unfortunately, there is no such courageous honesty from the political class.
Even many in the Republican party, once the stalwart force fighting against the growth of big government, are now resigned to contemplating a government takeover of the health-care industry in the wake of their failure to repeal and replace Obamacare. Charles Krauthammer, for example, woefully predicts that President Trump will opt for single-payer health care. Buckley, meanwhile, optimistically calls for Trump to look to the Canadian model of universal coverage. Unlike in the United Kingdom, where health care is socialized and hospitals are run by the National Health Service, in Canada health care is technically delivered privately, although given the Kafkaesque regulations and restrictions that govern it, the system is by no means market-based.
Debates about health-care policy typically revolve around three key metrics: Canada passes the first test with flying colors: Every resident of the country is insured under the CHA, with covered procedures free at the point of delivery. While medical providers are independent from the federal government, they are compelled to accept CHA insurance —and nothing else — by a prohibition on accepting payments outside the national-insurance scheme so long as they wish to continue accepting federal health-transfer funds.
The spigot of money from Ottawa thus ensures a de facto government monopoly in the health-insurance market. I'm the Health Care Policy Analyst here at The Heritage Foundation, and I want to welcome you to our panel. In a remarkable recent development, the Health Insurance Association of America HIAA teamed up with Families USA, one of Washington's leading left-wing health policy organizations, to unveil what they call a Common Ground proposal. In it, they call for massive expansion of Medicaid, our country's single-payer health system for lower-income Americans.
Specifically, the proposal calls for a required expansion of Medicaid to cover all persons with incomes up to percent of poverty and giving the states the option of using Medicaid and S-CHIP State Children's Health Insurance Plan dollars to expand eligibility for persons with incomes up to percent of the poverty level. Thus, the time has arrived once again to take a long, hard look at the actual results produced by single-payer health care.
Many on the left make no secret of the fact that they want a single-payer health care system here in America, or in the several states. Indeed, a well financed effort toward this end is underway right now in Maryland; it is being spearheaded by the Maryland Citizens Health Initiative. We're fortunate this morning to have assembled a very distinguished international panel of experts.
While in medical school, he wrote Code Blue, which two years later is already in its fifth printing. Gratzer is also the World Debate Champion, having won that title in Aylesbury, England. Gratzer is currently pursuing psychiatry specialty training at Mt. Sinai Hospital, University of Toronto. In between his hour shifts, he is also a columnist for the Halifax Herald and the National Post, and he is working on a new book as well.
Tim Evans is Executive Director of Public Affairs for the Independent Healthcare Association of Great Britain. Members of the IHA include independent, acute, elective mental health hospitals, nursing and residential care homes, substance abuse clinics, pathology labs, and screening units. The IHA is the leading representative body of the United Kingdom's independent health and social care sector. Evans has served as Assistant Director for Defense Studies at the Adam Smith Institute.