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Will Americans Support a Single Payer Health System?
The Affordable Care Act (ACA) is facing serious problems. Premiums are skyrocketing, insurance companies are pulling out of the Marketplace Exchanges, and only about 5.5 million Americans gained coverage through the ACA — as opposed to the rest of the 20 million new health care enrollees who gained insurance through Medicaid.
The solution? Many Republicans support repealing the ACA, while others like a single-payer. Former presidential candidate Bernie Sanders introduced a “Medicare for All” plan this year.
A slim majority of the public — 53 percent — favor single-payer, according to the results of a Kaiser Health Tracking poll conducted this summer. This is up from 1998 to 2004 when roughly four in 10 supported a national health plan, with about half opposed.
Political affiliation seems to have an effect on attitudes. Sixty-four percent of Democrats and 55 percent of independents are in favor, while 67 percent of Republicans oppose. A recent increase in single-payer support largely has been driven by independents.
Observers believe that even if a single-payer system was proposed that would reduce costs and improve quality, it would face several hurdles. Americans would have to change their insurance plans, even if they like their current plan. And, money being spent on private health care would instead be funneled into higher taxes.
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