How to Fund a Single Payer System

What is a Single Payer System? 


By Jamie Walton, 11/13/2014

It is an understanding that good health care is a basic human right and that having a healthy population is essential for a healthy economy and the well-being of everyone in society.  Everyone benefits from having healthy people around them rather than sick people around them, therefore it’s in everyone’s interest to have is a health care system that treats everyone with the best possible health care.  A good health care system is a  public good like a good road system because everyone benefits simply from it being there, no matter how much they use it directly themselves.

To solve the health care crises we need to fully fund our health care system all the way from primary care to tertiary care.  The National Emergency Employment Defense (NEED) Act provides for investment priorities in Title V, including for health care in Section 508:



The Congress shall be aware that funding through this Act is available for a universal health care plan as may be enacted by Congress.”

In addition, the NEED Act provides the States with debt-free grants which can go toward funding the delivery of health care and rehabilitation in local communities:


(a) IN GENERAL.—Each year, the Monetary Authority shall instruct the Secretary to disperse grants over a 12-month period to the States equal to 25 percent of the money created under this title in the prior year. In the first year the amount of such grants shall be 25 percent of the anticipated money creation in that first year.

(b) USE OF GRANTS FOR BROAD-BASED PURPOSES.—The States may use such funds in broadly designated areas of public infrastructure, education, health care and rehabilitation, pensions, and paying for unfunded Federal mandates.”

The NEED Act provides us with the means to provide the extra funding needed to achieve a free at source health care system so that nobody has to go into debt or go bankrupt to get the health care our modern economy needs and can provide.  See here for more background and explanation.


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