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The infrastructure is already in place compliments of Medicaid.
This isn’t as far fetched as you think it is and truthfully benefits the patient and the provider far more than volatile payer policies that can change at any time, with or without warning or cause.
Most major payers are already MCOs
and have systems in place that follow federal regs and guidelines. If the ultra wealthy want to pay for “private elite insurance” then we regulate insurers by mandating that if they are an MCO they cannot offer private policies.
I promise you- they are gonna drop the billionaires and not the
government.
Commercial policies are like playing the stock market. It’s a bigger risk, with a bigger reward, except when the economy crumbles and people have to drop coverage or let policy lapse. Or when an employer ends a contract and moves to a cheaper payer. It’s volatile as fuck, but yields
way larger potential profit margins.
Gov policies are less of a profit but are consistent, reliable, and without risk. If we expand coverage for everyone, that steady reliable income outweighs any possible commercial income that only 5-10% of the population MAYBE choose to pay for.
There are so
Dec 25, 2025 00:57many ways we can get there, but that’s a really basic and simple breakdown relating to payers specifically. I don’t know exactly how to answer such a broad question, but if you really want dialogue- my DMs are open
The system needs overhauling. And capitalism, I’m sorry, has no place in healthcare.
