Here is Jon Shore responding a year ago to someone who asked him the question: “How do countries that have a single payer system handle people with preexisting conditions and special needs specifically?”
I am an American and have lived in 4 EU countries over the past 19 years. All of them have single payer systems. Most people in countries with single payer systems do not even know what a ‘pre-existing condition’ is or why it would matter. They are shocked when I explain it to them. The only person who needs to know your medical history is your doctor. If you or someone in your family has a special need then they get the special treatment necessary. It is really that simple.
As an American expat, even after all these years I still have a subconscious fear of telling a doctor about a pre-existing condition because it might raise my health insurance premium or cause me to lose my coverage. I have to remind myself that I live in a civilized country now and that my right to high quality healthcare is guaranteed no matter what.
Just because the health insurance industry, pharmaceutical industry and corporate healthcare system want to keep their profits exorbitantly high they spend huge amounts of money on lobbying and propaganda to keep the system exactly how it is now. They buy politicians and bureaucrats to make sure their system remains in place. They hire PR firms to create ubiquitous propaganda to manipulate public opinion. No matter how many people suffer and die they will do anything to retain their hold over our country’s healthcare system.
Very soon Americans are going to have an opportunity to have a real single payer system for everyone in America. You are going to hear those same bought and paid for politicians and PR firms spreading fears of ‘socialism, socialized medicine, Venezuela, death panels’ etc. They are going to be very loud and the media is going to collude with them because they are being paid a great deal of money to do so. You are going to hear these terms over and over again. They are going to try to make you terrified of change.
Shore’s prediction about the dire rhetoric about socialism that we can expect and the forces behind it is coming true when we read the criticisms of Bernie Sanders’s Medicare For All proposal.