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Edited on Mon Mar-22-10 10:41 AM by Oregone
As far as single payer, the government pays out on all claims (and can also negotiate rates that they pay out at).
As far as how such an insurance entity is funded, its normally up to the particular government (but in the end, everyone pays). But instead of paying a premium based on how sick you are, or how old you are, or what your gender is, or even a flat premium for rich and poor alike, its often funded with taxation (a combination of many kinds). The rich (old or young, health or sick) would pay more into the system and those on the bottom would pay nothing.
Many SP plans have no point of access fees like deductibles and copays. If you are poor and make no income, you get the same level of care as someone who is rich, for absolutely no costs (except maybe sales tax). The more wealthy you are, the more you pay.
Normally. Though, SP can be set up as progressive or regressive as a state chooses, its just often the former. Regardless of how its funded, its dramatically cheaper, lowering everyone's necessary average contribution to the pot.
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