Word: payers
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Dates: during 1990-1999
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...working groups that had studied what to propose. Onstage alone for 10 hours in the Old Executive Office Building, Magaziner stressed again that the Administration intends to give states maximum flexibility in delivering a basic benefits package. To the many in his audience who favor a "single-payer" system (government acts as sole insurer and pays all bills), Magaziner advised, "If you think single payer is best, then argue for that in your state...
...preside over something of a split between the forces of the left, led by Health and Human Services Secretary Donna Shalala, and those of the right, led by Treasury Secretary Lloyd Bentsen. "Given their druthers," said an official, "the HHS crowd would rather have a ((government-run)) single-payer system with extreme regulation and cost controls. The economic types are worried about the economy, and so they want no cost controls and no regulation. I'm not going to deny there are tensions in the room. But we're going to end up somewhere in the middle...
...America to form the Alliance for Managed Competition are also gearing up to oppose what is supposed to be their handiwork. Their argument: Instead of trying to institute a true managed-competition system, the Administration is opting for an unworkable combination of that and a system known as single-payer. Under a genuine single-payer system, like the one that operates in Canada, the government is the only insurer and pays all doctor and hospital bills, negotiating with the caregivers as to what is an appropriate charge...
...rivalry among networks of buyers and insurance sellers to hold down costs. Says John Moynahan Jr., executive vice president of MetLife: "There seems to be an almost inexorable drive toward regulation and price controls coming from people whose mind-set has historically been toward a federally run, single-payer national health- insurance system." Critics in particular single out Shalala, who supposedly salted the Administration's task force with allies eager to push the plan as far toward a single-payer system as they could. But a senior White House official ridiculed the criticism by the managed-competitio n purists...
...least for our first two patients. Instead of adding a new layer, like a Band-Aid on a gangrenous wound, the aim should be to simplify: eliminate the 1,500 private insurers (they can always go back to auto and life) and replace them with a Canadian-style "single payer," which could be the Federal Government, a quasi-public agency or each of the 50 states. In one fell swoop, health-care costs would be reduced by much of the $80 billion that now goes for "administrative overhead," producing savings that, according to the General Accounting Office, would be sufficient...