Would SB 840 create an inefficient big government bureaucracy?
The federal government manages the publicly financed single payer program Medicare more efficiently than the current market-based insurance system is managed. Medicare has an overhead of about two percent.[2] The current health care insurance system now spends nearly 50 percent of each health care dollar on administrative and clinical waste, excessive drug prices, and fraud.[3] Currently, a number of different state programs involve duplication, overlap and gaps in coverage. SB 840 incorporates them into one program thereby creating new efficiencies. The public health care system also replaces other fragmented programs and permits better coordination. In addition, outsourcing some of the new system’s administrative functions is a possibility. An example is the administration of Medicare’s payments and claims by Blue Cross. 3. How can SB 840 be passed against powerful insurance and pharmaceutical industry opposition? SB 840 offers advantages and benefits for many stakeholders. A Lewin R
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