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How is cost of treatment determined under a single payer system, by each practicing physician and hospital, or by the single payer? Removing the insurance companies will significantly reduce costs, but health care is basically an inelastic demand in that if one needs a surgery to stay alive one will pay whatever the market will bear. Hospitals have gone corporate as have physicians, won't the drive to maximize profit remain?
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"We have met the enemy and he is us."
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