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Most developed countries don’t have single payer healthcare. Obamacare is actually modeled on the system used in the Netherlands.

And why is “national” a criteria? California doesn’t get single payer unless Montana also gets it? Neither Californians nor Montanans want that. It’s just political games.



Before Obamacare, if California's taxpayers became the single payer behind medical care in California, then millions of poor chronically ill people would have moved to California from the other 49 states for the free medical care

--unless I am wrong in my belief that there is nothing California voters can do to prevent US citizens from moving to California.


Why couldn't they put in restrictions such as a having worked in California for x years or lived there for y years.


The Privileges and Immunities clause of the Fourteenth Amendment, more or less.


This works just fine in other contexts. Eg. when you move to Alaska, you only start getting your Permanent Fund dividend only when you’re Alaskan resident for a full calendar year. You are only eligible for resident hunting permit after 12 months of residency. There are many more examples.


No, Obamacare was modeled after the Heritage Foundation market based proposal, Assuring Affordable Health Care for All Americans, which was trialed in Massachusetts by Mitt Romney.

https://www.heritage.org/social-security/report/assuring-aff...


That’s more of a political talking point than a fact: https://www.forbes.com/sites/johngoodman/2016/02/15/where-di...

But you’ve got a point, it’s probably fairer to say that the ACA and the Dutch and Swiss systems are all modeled on common ideas regarding managed competition: https://jacobin.com/2016/02/gaffney-single-payer-sanders-hea... (“The 2006 Dutch reforms were based in part on a school of health policy thought associated with the US economist Alain Enthoven, a man who got his start analyzing military strategy for the Pentagon before becoming the foremost proponent of competing private-sector health plans (so-called ‘managed competition’). Outside the Netherlands, Enthoven’s ideas have influenced health reform efforts in both his home country — first under Bill Clinton, then President Obama.”)


It's really more of an historical fact than a political talking point, as per Forbes, contemporaneously:

  ROMNEY: Actually, Newt, we got the idea of an individual mandate from you.

  GINGRICH: That's not true. You got it from the Heritage Foundation.

  ROMNEY: Yes, we got it from you, and you got it from the Heritage Foundation and from you.
https://www.forbes.com/sites/theapothecary/2011/10/20/how-a-...

The Heritage report (1989), now disowned, antedates both the Dutch reforms and the Clinton Administration. Obama namechecked Heritage at the time.

Seriously, we lived through this. ObamaCare came from the Heritage Foundation.


>Most developed countries don’t have single payer healthcare. Obamacare is actually modeled on the system used in the Netherlands.

No it's not. Most European countries that run private health insurance keep pretty strong regulatory regime where pricing and coverage is tightly controlled. In America, there is some basic regulatory scheme but pricing, coverage, limits and such is extremely open.


You're not contradicting the OP. He's right: most developed countries don't have single-payer healthcare. Their systems are more similar to Obamacare than to the UK's NHS.

You're correct too: these countries have strong regulations where pricing and coverage is tightly controlled, though they do use private health insurance.




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