I have news for you, proportionately speaking, there's less fraud in Medicare than in private insurance. That's a fact. It's also a fact that overhead for CMS is just 1% of the budget, whereas for an insurer like Aetna, it's
17%.
Here's the budget for CMS, notice how administrative costs are 1% of the budget.
Here's the shareholder statement from Aetna, notice how administrative costs are 17% of the budget?
So in what world is 17% less than 1%?
Secondly, in a single payer system
there wouldn't be lobbyists. There would be no need because the single payer has all the bargaining power and is accountable to taxpayers. Insurance companies are not accountable to you.
And finally, there is no argument to be made that the profit motive tied to the administration of reimbursements does anything to improve or enhance the care delivered to you,
before that care is paid.
All we're talking about doing is changing who reimburses your doctor for treatment after your care. It's a part of the process you're not involved with, like,
at all. And your doctor doesn't treat you better or worse depending on who reimburses them. And if they do,
that's malpractice.