Even if a single payer is established in USA, do you really think that all unnecessary procedures will be barred from those who want to pay?If they do it by expanding Medicare...Well, as I understand it, if a person covered by Medicare desires care, and Medicare says "we pay for that sort of treatment in some cases, but you don't qualify according to our rules"... then any doctor who provides the treatment and receives payment for it is completely disqualified from Medicare.So, that would be yes, I do think a very large share of "unnecessary" (as determined by a panel of government bureaucrats) procedures would in effect be barred from those who want to pay.What's the economic value of cataract surgery in an 76-year-old retiree? The statistics say a person of that age hasn't long to live. Probably not worth it, particularly if the government's money is tight (and Medicare and Social Security are bankrupt now in real terms). Well, DW's mother is 76 and had cataract surgery earlier this year... *her* mother just moved into a nursing home last week. Even if the government were to decide that cataract surgery is unnecessary or not worth the cost, that doesn't mean it really is is unnecessary or not worth the cost.
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