The November ballot question known as Amendment 69 seeks authority to establish a single payer health care system for the State of Colorado. It is to be called ColoradoCare. Proponents of ColoradoCare claim the benefits of universal coverage and improved affordability. Opponents say that although coverage may be universal, information regarding its particulars is minimal. They also say that accountability is non-traditional, and assertions regarding affordability are speculative.
Several things are clear:
1. The cost of health care continues to rise notwithstanding advances in the art which, in other industries, would be expected to reduce costs.
2. The people find the cost of health care an unrelenting concern.
3. ColoradoCare offers to substitute a giant state institution (financially, ColoradoCare will double the state budget) for a bunch of giant insurance companies. That is, a monopoly will take the place of an oligopoly.
ColoradoCare is, surely, a good faith effort to manage point 2. But it does not speak to point 1 (except for a projection that insurance and administrative billing costs can be reduced.) As to point 3, ColoradoCare will create from scratch a monopolistic bureaucracy with the same financial weight as the entire State of Colorado. ColoradoCare is to begin collecting transitional taxes (0.9% of payroll) in July, 2017. Launch of coverage and full taxation (10% of payroll) could begin January, 2019.
…that is if it launches at all. The law provides ColoradoCare’s governing body with the power to terminate ColoradoCare operations if certain features of it do not prove viable.
Future postings will look at alternatives to ColoradoCare.
Next posting regarding ColoradoCare : The problem that ColoradoCare is trying to fix. And why that’s not what is actually broken.