Comments by "Xyz Same" (@xyzsame4081) on "Rand Paul Flees To Canada For Health Care" video.

@joaohumbg the surgery would cost 12k in the U.S. - and only 8k at top standard in Canada. because of the cost-efficiency possible in a single payer system (economy of scale).. They may get a higher margin from the people who do not enjoy insurance coverage - but still USE the system. The hospitals are are not in the habit of extorting patients, and still come up iwht much better prices.
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@LetsGetitBoah The e Senator DOES use the single payer system (which is inferior, price, use of force). - Single payer means a non profit public insurance agency PURCHASES services. from public and private non-profits (that could be church or charity run). And ALSO from heavily regulated private for-profit providers (regulated by contracts and usually law). The hospital has the advantage to have a steady stream of patients from the single payer system (60 % of revenue which is likely more than 60 % of case load). It sounds like they get extra subsidies on top (another thing that is quite common - in order to not give toxic incentives, the budgets come in different forms. A mixed compensation: a lump sum per case or day and additionally payment for specific treatments. Plus subsidies. Many of the Canadian patients would NOT be able or willing to pay out of pocket like Rand Paul . (people would resort to the less sophisticated treatment that can be delivered by other providers which are more typical for single payer systems.). That private hospital aiming to make (some) profits is not unusual for a single payer system (church run hospitals do the same in Europe. And if a foreigenr uses their serives any hospital will try to get payment - that includes for insatnce the the public city-run hospital that are also often part of single payer systems. If the hospital would not participate in the single payer system they would need to operate it with only 40 % of the current revenue. Might they get more international patients ? to compensate for the missing Canadians ? I assume if they are in that high demand they would just expand their capacities and that they have the international biz that is possible. If not part of the single payer system (and truly private) they also would miss out on the experience that comes with having so many cases (training new docotrs). They could clearly not operate with that cost-efficiency w/o the "system". if it was possible to have such a "private" hospital without a single payer system - they would set up shop in the U.S. to do more of the same. - they might in the future if the U.S. adopts a more reasonable system.
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