Replacing Employer-Sponsored Insurance with Government-Financed Coverage: Considerations for Policymakers


By Doug Badger
Galen Institute, Nov. 27, 2018

Replacing our health care financing system with a single-payer system could have profound and unforeseeable consequences on the capacity of doctors, hospitals and other providers to deliver quality care. In this important new paper, Badger argues that substituting government financing for employer-sponsored insurance would:

  1. Place fiscal burdens on taxpayers that the private sector now voluntarily bears
  2. Require workers with ESI to pay more to finance care for others
  3. Eliminate the higher reimbursement rates that private insurers typically pay and which preserve access to medical care for those enrolled in public programs.

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