Reb Avram-
1. So the US Government doesn’t run the ACA but they created a system that was mathematically guaranteed to fail and the states need to follow it. I got to see lots of this stuff first hand during the year that I worked in the ACA and it was pathetic to think that someone actually thought it would work. Most of the stuff is too complicated to discuss here and isn’t readily available online (you need to dig pretty deep in some of the endless files on the CMS website) but take a look at the Risk Corridor 2014 payments catastrophe to begin getting an idea. (In short, despite promising that it’ll be paid out at 100% it was paid out at only 12.6% and many companies were shut down because of that.) I’m not even judging them by the rollout disaster.
2. Public Schools (the ones that I’m referring to) are a huge disaster as they waste hundreds of billions of Dollars and have little to nothing to show for it. I believe that the same will be true if the healthcare system turns into a single payer system. In short- I was referring to the hundreds of billions of Dollars that will be wasted- regardless of who pays for it or how it’s paid.
3. I consider a huge salary to include those who work for unions and are getting paid much more than they would be getting if they were paid the going rate- especially the public-school teachers that have nothing to show for it. Many places publish the salaries of public employees online so you can take a look. I consider a meager salary to be the salary of those who get pretty low compensation when they have lots to show for their work (i.e. many Rabbeim…).
4. Regardless of who is at blame, who caused it, weather you believe it or not or the amount spent on each age group- the point is that hundreds of billions of Dollars is wasted every year on preventable claims. That number needs to come down before a single payer system can work.