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List of Alternatives

National single-payer health care,
Improved Medicare for All,
… and partial lists of the many alternatives

Two checkmarks ( #x2714;) in the tables below means
Implementing Simplicity and Spending Less

One or two X’s ( #x2717;) in the tables below means
Increased Complexity and Spending More

  • Checkmarks or X’s for the tables of information below
    • For Yes / No answers to the following two questions:
      • Non-Profit? — Does the alternative make U.S. health care financing non-profit and go from inefficiency (70-75%) to efficiency (95-98%). More explanation is available.
      • Non-Govt? — Does the alternative dramatically reduce government’s involvement in health care financing by dramatically reducing the number of government programs and the day-to-day involvement of federal and state legislatures? More explanation is available.

Conclusion for U.S. Health Care

As indicated by the partial lists of many alternatives in the tables below:
  • National single-payer health care:
    • achieves simplicity, eliminating bureaucracy
    • decreases the cost
    • MAXIMIZES the benefits
  • Alternatives:
    • increase bureaucracy:
    • increase the cost of health care
  • This is a clear-cut choice!
    • Those who oppose single-payer want us to think that this issue should be debated. The only debate we need is the details of how we implement single-payer that eliminates all of the bureaucracy that they want to keep!
    • Let’s do what makes sense for our economic well-being … and our health!

Campaigns & Coalitions

Non-Profit?   Non-Govt?
Million Letters for Health Care campaign - the campaign supported via this website

Campaign's original name: Notes and Votes
#x2714;   #x2714;
— Provides information for education ourselved and others.
— Provides answers to all questions; if one is missing, we will provide an answer.
— Suipports unified, yet personal, communications to members of the U.S. Congress in order to get support single-payer health care, improved Medicare for All.
— Reports in detail on who supports single-payer and who does not.
— Provides monitoring of progress of growth of participants and the resulting growth of the support in the U.S. Congress
Divided We Fail campaign
#x2717;   #x2717;
— platform excerpt: “”Getting clear up-front explanations of cost, …”
— led by one of the largest promoters of for-profit health insurance in the Unites States: AARP
— see AARP Position
Health Care for America Now (HCAN) campaign
#x2717;   #x2717;
— Statement of Common Purpose: ” … A choice of a private (for-profit) insurance plan, including keeping the insurance you have if you like it …” See Health Care for America Proposal compared to single-payer
— encourages communications to U.S. Congress elected officials to support HCAN
— reports on who supports HCAN and who does not
Health Coverage Coalition for the Uninsured coalition
#x2717;   #x2717;
— AARP, AAFP, AHA, AMA, APHA, AHIP, BCBS, CHA, Families USA, FAH, HLC, J&J, Kaiser Permanente, Pfizer Inc., United Health Foundation, U.S. Chamber of Commerce
Partnership for Quality Care campaign
#x2717;   #x2717;
— ” … Health care system financing should be … “, “… mixed public and private (for-profit) financing …”
We Believe campaign
#x2717;   #x2717;
— sponsored by AHIP (health insurance association)



Non-Profit?   Non-Govt?
United States National Health Insurance Act — save over $400 billion/yr every year
#x2714;   #x2714;
National single-payer health care bill H.R. 676 in the U.S. House — Expanded and Improved Medicare for All
Affordable Care Act of 2010 — cost over $300 billion for the first ten years #x2717;   #x2717;
Keeps all of the complexity that the United States had in terms of for-profit health care and government programs and adds more complexitiy. Helps 30 million Americans, but leaves 20-40 million as uninsured by the end of the 2018-2019 implementation. Is not health care for all; compares poorly with national single-payer, improved Medicare for All
Access for All America proposal #x2717;   #x2717;
— expands government bureaucracy instead of eliminating it (Federally Qualified Health Centers)
Achieving Affordable Health Insurance … proposal #x2717;   #x2717;
— “Achieving Affordable Health Insurance Coverage for All Within Seven Years …” by ACP; mandates and/or automatic enrollments to force people to buy for-profit insurance plus more government programs/spending
American Health Security Act resolution
#x2714;   #x2717;
— U.S. House Resolution 1200 would establish a “state-based health security program.”
American Medical Association proposal
#x2717;   #x2717;
— expand government spending via tax credits or vouchers in order to purchase for-profit health insurance
Health Care for America proposal - cost $26 billion/yr
#x2717;   #x2717;
— See the Health Care for America Proposal compared to single-payer.
Health Care for Everyone proposal - cost $32 billion/yr
#x2717;   #x2717;
— based on AAFP proposal to focus on a patient centered medical home
— accompanied by a task force conclusion that the type of payment system did not matter
Health Coverage Coalition for the Uninsured proposal
#x2717;   #x2717;
— using … public and private approaches — expanding government role: grants, tax credits, expansion of programs
The Healthy Americans Act
#x2717;   #x2717;
— See the Wyden Proposal compared to single-payer.
We Believe proposal
#x2717;   #x2717;
— multiple suggestions for increasing government spending to cover the uninsured — use of a “public-private (for-profit), federal-state approach.”


Organizations, including Political Parties

  Non-Profit?   Non-Govt?
Green Party #x2714;   #x2714;
— See the support monitor by political party by political party for who supports what Americans want
Organizations and Supporters #x2714;   #x2714;
— ; See the support monitor by popular support for who supports single-payer: Organizations and Endorsers/Supporters.
Center for American Progress #x2717;   #x2717;
— Member of the Health Care for America Now campaign; see campaigns
Both Major Political Parties: Democratic Party and Republican Party #x2717;   #x2717;
— See the Single-Payer Support Monitor for the Monitor of Political Support by Political Party



  Non-Profit?   Non-Govt?
Jill Stein (2012 campaign for U.S. President; Green Party) #x2714;   #x2714;
— She is strongly supportive of national single-payer health care, improved Medicare for All
Ralph Nader #x2714;   #x2714;
— He is strongly supportive of national single-payer health care, improved Medicare for All
U.S. Senator Bernie Sanders [VT] - idea 1 of 2 #x2714;   #x2717;
— He says he supports single-payer, but suggests that it be organized and managed by 50 states, which is not as efficient as we could achieve with one plan and one payer.
Topho Spiro #x2717;   #x2717;
— Managing Director for Health Policy at Center for American Progress (CAP); see organizations

#x2717;   #x2717;

Ezekiel Emanuel #x2717;   #x2717;
— “… senior counselor at the White House Office of Management and Budget on health policy … “
” … work closely with Department of Health and Human Services secretary-nominee Tom Daschle to formulate a national health insurance program …” - WSJ
Jeanne Lambrew #x2717;   #x2717;
— Deputy Director, White House Office of Health Reform
U.S. Senator John McCain [AZ] #x2717;   #x2717;

U.S. President Barack Obama
#x2717;   #x2717;

U.S. Senator Bernie Sanders [VT] - idea 2 of 2 #x2717;   #x2717;
— See “Access for All America” in the Proposals, above.
U.S. Senator Ron Wyden [OR] #x2717;   #x2717;
— See “The Healthy Americans Act” in the Proposals, above.


Non-Profit? and Non-Government?

Non-Profit: elimination of the for-profit bureaucracy that exists due to the use of over 1300 for-profit health insurance companies for health care financing. For-profit companies would only provide health insurance for health care services that are not provided by the national plan, such as cosmetic surgery that is not medically required because it’s not due to an accident or disease or war.

Non-Govt: non-government, meaning that the public agency managing the national health insurance will be insulated from legislature(s): no day-to-day interference and influence by the legislatures of the U.S. Congress or the states and, therefore, the people and organizations which influence the legislatures. Associated with that will be a dramatic reduction in the current government bureaucracy. Also, at a minimum, the proposal or campaign would not support having 50 states involved; instead there would be simplification, such as the use of the 10 current Medicare regions. Those 10 regions would accomplish simplification, but also have an organization that addresses regional difference. Currently, we have a high amount of government bureaucracy involving multiple programs that are either federal or one of the 50 states … or federal plus all 50 states!

About Links and References

Compared to the rest of this website and considering the many details above, this web page is lacking in both hyper-links and references. That is deliberate. As mentioned at the Alternatives web page, it is not a primary purpose of this website to focus on the alternatives to single-payer. If you have a question about this, please contact me.

A Peek at the Remainder of the List

  • IF YOUR GROUP SUPPORTS SINGLE-PAYER — GET IT ADDED OR MOVED TO APPROPRIATE LIST — If your organization supports non-profit single-payer national health insurance, then make it clear at your website and contact me. Then we can add you to the support monitor by popular support … the lists of who single-payer organizations and endorsers/supporters.
  • The following list only provides some examples of the remainder of the lists of alternatives; that is, these are examples of campaigns, coalitions, proposals, organizations and individuals who support proposals that would get one or more X’s in the table above. We did not attempt to find all of them.

    • Coalition for the Uninsured
    • Voice for the Uninsured (AMA et al)


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