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The week's question
In December 2024, in the thread "Re: BRK: Why Not XOM?", BreckHutHigh asked the members: "What about the long road trips with kids?" This week it is put to everyone again. The button below opens the small thread re-asking it - read what others have said so far, then give your own answer as an ordinary reply.
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Author: albaby1 SILVER
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Number: of 84359 
Subject: Re: Medicare Buy-In
Date: 08/18/26 10:21 PM
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Any improvement, for instance from reducing administrative overhead, is a gain. Would you reject a 25% cost reduction, because it isn't a 50% cost reduction?

No, but that isn't the question. Would I implement a proposal that only resulted in a 25% cost reduction if I needed a 50% cost reduction to pay for that proposal? The answer to that question is no. I can't afford the change if it doesn't yield enough cost savings.

With single-payer, you get a modest reduction in administrative savings - but it's small enough that you still end up having to impose very large taxes or very large provider reimbursement cuts in order to make the math pencil out. Since neither very large taxes nor very large provider reimbursement cuts are politically feasible, that makes single-payer politically infeasible as well. You can't get that partial gain (lower administrative costs), because that partial gain requires a massive change to the system that is too damaging to too many people to be adopted.
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This community has written 84,309 posts about US Policy. The article-length ones it recommended most:
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