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Editor's Correspondence
November 8, 2004

The Danger of Single-Payer Health Insurance

Arch Intern Med. 2004;164(20):2281-2283. doi:10.1001/archinte.164.20.2281-b

In their article “Single-Payer National Health Insurance,” McCormick and colleagues1 fail to point out the inherent problems with this type of system, which include detrimental long waits for care, rationing, a slowness to adopt new technology and maintain facilities, and a gigantic bureaucracy that interferes with clinical decision making. Put simply, a single-payer government-run health care system cannot provide the best kind of medical care that Americans expect and now receive.