It's time to "creat(e) a national, universal, publicly funded health care system, free of the corrupting power of profit-oriented health insurance, and at the same time capable of passing constitutional muster."
"In short, the right thing is an expanded and improved Medicare-for-All program, otherwise known as single-payer."
Nothing else provides healthcare equitably. Marketplace solutions don't work. They game the system for profit.
For decades, America experimented with failed systems. They include HMOs, PPOs, high-deductible plans, health savings accounts, pay-for-performance, capitation, and disease management.
Expect Accountable Care Organizations, Patient-Centered Medical Homes, and other new schemes to fail. They're designed that way.
Current and planned systems are "duplicative, inefficient, wasteful of scarce".resources, conducive of job lock, and completely misdirected in supporting the 21st-century health care agenda that America needs and deserves," says Mitchiner.
The only workable system is scorned. Universal single-payer helps everyone. Cost control makes it affordable. Everything people need is accessible.
Included are inpatient and outpatient care, primary and specialty care, emergency treatment, preventive and restorative services, mental health and substance abuse, dental care, prescription drugs, home health and longterm care, and effective alternative treatments now excluded.
"Single-payer is the only remaining option to simultaneously and synergistically expand access, control costs, preserve choice and reduce disparities," says Mitchiner.