Public Policy Commons^™

How Single-Payer Stacks Up: Evaluating Different Models Of Universal Health Coverage On Cost, Access And Quality,, Ashley Fox, Roland Poirier

Public Administration and Policy Faculty Scholarship

Described as “universal prepayment,” the national health insurance (or single-payer) model of universal health coverage is increasingly promoted by international actors as a means of raising revenue for health care and improving social risk protection in low- and middle-income countries. Likewise, in the United States, the recent failed efforts to repeal and replace the Affordable Care Act have renewed debate about where to go next with health reform and arguably opened the door for a singlepayer, Medicare-for-All plan, an alternative once considered politically infeasible. Policy debates about single-payer or national health insurance in the United States and abroad have relied …