Social Science Today

Social Science Today

ISSN: 2368-7169 (Print)    ISSN: 2368-7177 (Online)

Volume 3 (2016), No. 1, Pages 19-57

DOI: 10.12735/sst.v3n1p19

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On the Benefits and Costs of Healthcare and the Financing of a Single Payer System

Nikolas D. Papavlassopulos1  David Keppler2  Don Johnson2 

1School of Business, St. Thomas Aquinas College, New York, U.S.A.
2School of Arts and Science, St .Thomas Aquinas College, New York, U.S.A.

URL: http://dx.doi.org/10.12735/sst.v3n1p19

To Cite this Article     Article Views: 265     Downloads: 185  Since deposited on 2016-09-20

Abstract

The theoretical analysis and empirical findings in this work, lead to conclusions and propositions relevant to all health care systems with universal health coverage. By quantifying the benefits and costs of healthcare in terms of life years, we show that a) universal coverage is an important factor in improving population health but it is not a sufficient condition - healthcare costs and the distribution of income are vital to health and cannot be understated, b) market outcomes, as in the U.S health care system, tend to disproportionally favor the rich and are not consistent with improving population health, and c) a single payer system has the ability to deliver healthcare efficiently, but it is not a panacea. We establish a fair rule generating process and the conditions for the proper financing of a single payer system. In conclusion, the theoretical analysis and statistical evidence show that any policy objective with any degree of fairness in the distribution of medical benefits will require, for the financing of single payer system, a progressive “health care” income tax.

Keywords: universal, healthcare, distribution, costs, benefits, markets, financing, single payer, progressive taxation

To Cite this Article: Papavlassopulos, N. D., Keppler, D., & Johnson, D. (2016). On the benefits and costs of healthcare and the financing of a single payer system. Social Science Today, 3(1), 19-57. http://dx.doi.org/10.12735/sst.v3n1p19

Copyright © N. D. Papavlassopulos et al.

Creative Commons License
This article is published under license to Science and Education Centre of North America. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License.

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On the Benefits and Costs of Healthcare and the Financing of a Single Payer System
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