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“For the typical, middle income household, taxes would rise by 1 annually.
: (“Single-payer financing for Universal Health Care in Delaware: Costs and Savings” prepared for the Delaware Developmental Disabilities Planning Council, April 1995 is 11 pages. Two companion papers are also available: “Health Expenditures in Delaware Under Single-Payer Financing” and “Notes for Delaware Health Care Costs and Estimates for the Impact of Single Payer Financing.”) March 1995 study conducted by Lewin-VHI for the Minnesota legislature found that single-payer with modest co-pays would insure all Minnesotans and save Minnesota over $718 million health costs each year.
The projected savings are conservative since Lewin-VHI global budgets or fee schedules to control costs.
The prospects for con-trolling health care expenditure in future years would also be improved.” (“Universal Health Insurance Coverage Using Medicare’s Payment Rates”) a single payer system with co-payments …on average, people would have an additional $54 to spend…more specifically, the increase in taxes…
would be about $856 per capita…private-sector costs would decrease by $910 per capita.
The other scenarios would be improvements over the status quo, but would not reduce costs as dramatically or provide the same high-quality coverage to all. The study concluded that a single-payer system with modest cost-sharing was the only plan that would cover all the uninsured and save over $150 million per year (estimates given for 1998).
Such a plan could be financed with a payroll tax of 7.92 percent (employer 80 percent/employee 20 percent) and a 2 percent tax on family income.
If patient cost sharing was eliminated, the single payer program would cover all the uninsured for a net increase in costs of .1 million.
The group’s estimates of administrative savings were very conservative, about half of what other estimates have found.
Data from hospitals in Hawaii, where there are only a few major insurers, suggest that if you have more than one payer, there are few administrative savings.