Healthcare should not be a privilege – all of us should have equal coverage. A public single payer health care system, where a government insurance plan covers all necessary medical treatment and medicines, is the best way to achieve it.

This system offers patients complete freedom to choose their health care provider, instead of having private insurance companies mandate which doctors, clinics, hospitals, and medications patients can use or are forced to pay for. It maximizes patient choice, with a system that can effectively bargain with health care providers and pharmaceutical companies to lower their costs. United States annual health costs, which now approach $10,000 per person, would fall to much lower rates that are closer to what virtually every other developed nation pays.

But we have to go beyond a basic single payer system, because “Medicare for all” falls short. As it exists Medicare does not cover all necessary physiological, mental, and dental health care, nor does it eliminate payment. Both Medicare and Medicaid have copays and deductibles, leaving all too many Americans unable to afford to use their coverage.

What we need is a “Super-Medicare-for-all” single payer system that covers all necessary physiological, mental, and dental health care, including all necessary medicines, with no copays and no deductibles. Only then will everyone be able to afford the care they need, making health truly a right, rather than a privilege.


A public single payer health care system offers the most efficient way of insuring treatment and medicines. Doctors, clinics, and hospitals can avoid incurring the extra expense of administering innumerable different insurance plans, which involves large office staffs and unwieldy record keeping. Moreover, the public single payer system will end the practice of paying exorbitant executive salaries and of rewarding private shareholders, which drive up the costs of private health insurance.

This would be easy to implement because it can operate with all the currently existing health care providers and drug manufacturers, making use of the public infrastructure of Medicare and Medicaid.