Single Payer – The Dream Never Dies

At some point, perhaps 5 to 10 years from now, as the size and scope of Medicare, Medicaid and the ACA subsidy structure balloon far beyond today’s larger-than-life levels, our political leaders may discover the inanity of running multiple complex systems to insure different classes of Americans. If advanced by the right leaders at the right time, the logic of consolidation may become glaringly evident and launch us on a new path. If such consolidation is to occur, like it or not, I believe it will happen federally and not in the states – and no time soon.

John E. McDonough, Dr. P,H, M.P.A, Democrat activist and professor at the Harvard School of Public Health, “The Demise of Vermont’s Single-Payer Plan, New England Journal of Medicine, April 23, 2015. In 2011, McDonough was author of Inside National Health Reform, University of California Press, the inside story of how ObamaCare came to be