Why are we so afraid of single payer in Md.?

June 10, 2019

Why are we so afraid of single payer in Md.?
By Kirill Reznik, June 10, 2019

For the last two years, I have sponsored legislation to create a form of single-payer health care in Maryland. My bill is somewhere between Bernie Sander’s “Medicarefor All” (which federal law prevents us from doing at the state level) and Obamacare, and nowhere near the Republican version of health care Thunder Dome.

It recreates a model based on our state’s unique Medicaid system, utilizing the efficiency of our private Managed Care Organizations (MCO), but within strict parameters of benefits and reimbursement rates established by regulators. As with our current Medicaid system, Marylanders would go to private doctors, hospitals and health care providers, but the bills would go to the state. It would be paid for by a 10% payroll tax that lowers the cost to most employers (who usually pay more, on average, than 10% for coverage), and would virtually eliminate costs to individuals. More so, with the elimination of uncompensated care, the money we currently spend would help lower costs further. An analysis of my legislation conducted by the Department of Legislative Services also shows that after about five years, costs would go down even more.

Despite interest from a number of advocacy groups and legislative colleagues, we are still working to establish some traction for the bill. The biggest concern is that it is “too big,” and with Larry Hogan in the Governor’s Mansion, the bill will never become law. The irony is that in many ways we already do what my bill proposes, and the governor already supports it; he just doesn’t know it. Governor Hogan has supported, and even sponsored, other proposals that make up the elements of my plan. So it appears that we are not afraid of single-payer health care, we are afraid of the scale — or, more accurately, we are afraid of the optics.

In fact, when you take into account Medicaid, Medicare, Tri-care and other veteran health care, and government employees at the federal, state and local levels, you find that taxpayers cover the cost of health care for over 40% of Marylanders. When you factor in taxpayer subsidies through plans purchased on the exchange, that number pushes up closer to 50%.

So what are we afraid of? Scale? Optics? Fox News’ definition of socialism? Canada, Australia, Japan, Israel and countries all across Europe — all capitalist, by the way — have fully functioning single-payer health care. How many have changed back because the system bankrupted them or the public demanded a United States-style private pay health care system? None.

So, please ask yourself: Why are we so afraid of our own shadow?

Delegate Kirill Reznik (kirill.reznik@house.state.md.us) has been a member of the Maryland House of Delegates since 2007, representing District 39 in Montgomery County, and serves as the chairman of the Health and Social Services Subcommittee on Appropriations.

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