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danielv123 t1_iwdp083 wrote

Single payer doesn't mean there aren't multiple sellers. The sellers compete for business. There aren't any competitive issues unless the government decides to not allow competition anymore in their bidding process. Among the sellers you will find all the large American giants as well as local ones.


atjones111 t1_iwdr0t2 wrote

Single payer healthcare means your government pays for it I think your confused on what it means, look it up and come back to me


danielv123 t1_iwdujd4 wrote

I see you are confused about how the bidding process in a single payer healthcare system works. Yes, the government pays. That is the single payer part. That doesn't mean the government provides the healthcare. If i need a medicine then my doctor (who owns his own practice and is paid through copay, fixed government sum and extra pay for certain procedures) prescribes it, then its bought by the pharmacy from a foreign company and billed to the government.

The government negotiates the price for every step of the process. They dictate the copay, the fixed sum per patient to the doctor, prices of all procedures, what medicines and treatments are covered, who gets to cover them, and at what price.

To determine what is covered, who gets to cover what and at what price the healthcare providers negotiates with the government. This ensures there is effective competition in the market and prices are managed effectively.