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Aligning House and Senate Single-Payer Bills Removing Medicare's Profiteering Incentives Is Key
Single-payer reform is in the news and in the U.S. House and Senate. One hundred twenty-three Congresspeople have signed on as co-sponsors of H.R. 676, the single-payer legislation in House of Representatives, and 16 Senators have formally endorsed S.1804, the Senate version. While both bills would cover all Americans under a single, tax-funded insurance program, they prescribe different provider payment strategies. The Senate version largely adopts Medicare's current payment mechanisms; the House bills are modeled on Canada's single-payer program, also called "Medicare," which pays hospitals global budgets (much as a fire department is paid in the U.S.) and sharply constrains opportunities for investor-owned care.
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