Education and healthy lifestyle has never stopped one person from ultimately dying. The majority of healthcare spending for any person is during the last 2 years of their life when they are at the end of the disease process that will eventually end their life. Mortality is still 100% and treatment of the dying is expensive even if it's only palliative. The expense will not be impacted just by switching the burden to the state level. Medicare has been the most efficient health care delivery system in the world. Quick payment for service providers and nearly immediate approval for services for Patients. The problem is private insurance. Take a look at the profit of the 10 largest private insurance providers. WellPoint had a profit of 38%. Anthem was higher! If Medicare received all the premiums that the top 10 insurance providers enjoyed, the system would be the most stable in the world. No one should make profit from administrating insurance coverage. The only profit should be at the provider level. Go to a single payor system with Medicare and wipe out the insurance companies profits and the cost of healthcare would be instantly manageable.
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