buzzing) – [Sarah] People have really strong opinions on single-payer health care. It could be the silver bullet that fixes our health care system or it could be– But most people don’t even know what single-payer means. So, let’s start with what we have. You could think of the American health care system as a series of tubes. We do not have single-payer health care. We have thousands and thousands of payer health care and each of them typically paid different amounts for the exact same medical service. That’s a lot of administrative work. For every three doctors in the United States, you have two billion staff standing behind them just handling all that paperwork that comes in and out of a doctor’s office. If you think of a single payer system, it is just one tube of payments. All money flows from the government to the doctors and it’s actually pretty popular elsewhere. Medicare here in the US is like that. It pays all the health care bills for people over 65. But there’s also a catch when the government is the one paying all the bills, they get to decide what they will and will not pay for. If the system isn’t funded well enough, if they haven’t raised enough taxes from their citizens, that could lead to longer wait times and fewer doctors being available. Vermont, right now, is trying to set up the very first single-payer health care system in the United States. By one estimate, Vermont could save 25%, but it’s also expensive. The state government in Vermont needs to raise two billion dollars. That is a lot of maple syrup. But, people really dislike the American health care system. It gets pretty poor marks from Americans and if you look at neighboring Massachusetts, their health care experiment in 2006 did lead to Obamacare. So, if this does work in Vermont, who knows what could be next. (light jazzy music)

this is the first video1



I received my diagnosis in January of this year. After receiving an infection abroad, I came home and was treated for that. And while in the hospital they discovered that I had cancer. Have a couple of different medications or nausea. There’s two specific is that I take on days 23, Astra came out, I get steroid when I’m in the hospital to get me through the treatment. Antibiotic. And another that helps me sleep because they get kind of a weird vertigo during a certain point of my treatment cycle. Even in the insurance provider that I have, I was informed that they no longer cover chemo drugs fully. And so we were told by a medical social worker that we could potentially receive a bill for thousands of dollars with the four drugs that I take for chemotherapy, the total comes out to about 3000 a month per treatment. But for me that’s that’s about three months of income. Just for just for one round of treatment. What is the alternative to receiving chemotherapy drugs? There isn’t one. So whatever the cost is, you’d have to pay it. You and I, and everybody else in this country pays more for pharmaceuticals than any citizen of any advanced nation. Why is it that we pay so much that it has to do with the way in which pharmaceutical companies have got laws and rules that protects them. And that gives them a huge market power. And that also gives them huge political power. And that political power is being exercised all kinds of ways to tilt the market in their direction. In June of 2003, the Medicare Modernization Act came up for vote in the house. This will be a 15 minute Who’s a build that was ostensibly intended to help seniors pay for prescription drugs. But it would also bar the government from interfering with negotiations between manufacturers and pharmacies and prescription drug plan sponsors. In other words, it was prevent that government with its huge push this thing out, right? From negotiating cheaper prices for drugs. So as new drugs hit the markets, patients would have no choice but to pay the costs set by the drug companies. The bill was over a thousand pages and it was rushed to a vote in the house at three AM the next morning. We had leaders going around and gathering around individuals trying to twist their arms to get them to change their vote. I think loudly shenanigans going on at night, they didn’t want on national television prime-time. This fold the A’s are 220, 215 accomplish. This is a piece of legislation that’s hailed as a move toward a free market. But it’s actually a government. Regulation. Benefits only a few at the top. secod 2 video

Summarize the argument (in the first video) that the profit motive harms our health care system.  According to the second video, how would a single-payer system remove the profit motive?

Summarize the ways in which the factors discussed in the final four videos contribute to higher health case costs.






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