It doesn't help that the govt openly uses funding as legal justification to set regulations for which they otherwise wouldn't have jurisdiction.
Medicare/ medicaid funding already has a stranglehold over providers, to where "voluntary" compliance in order to access roughly half the market prevents any real discourse or competition between what services are offered and how they may be provided.
And of course the other half of that is reimbursement rates, which technically are still based on "market" rates, but are increasingly a take it or leave it proposition. Universal single payer puts providers 100% dependent on the good graces of govt to pay a fair rate, with the only recourse being to go cash-only.
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It doesn't help that the govt openly uses funding as legal justification to set regulations for which they otherwise wouldn't have jurisdiction.
Medicare/ medicaid funding already has a stranglehold over providers, to where "voluntary" compliance in order to access roughly half the market prevents any real discourse or competition between what services are offered and how they may be provided.
And of course the other half of that is reimbursement rates, which technically are still based on "market" rates, but are increasingly a take it or leave it proposition. Universal single payer puts providers 100% dependent on the good graces of govt to pay a fair rate, with the only recourse being to go cash-only.