1. Medicare? Medicare is a disaster. Medicare divides the healthcare-dollar in a politically expedient manner: those with the most political influence (suppliers of medical equipment) win.
2. The AMA. The AMA, an organization that represents primarily internists and primary care providers, I believe supports some sort of universal health initiative. I'm not a member of the AMA, so I can't tell you any more details.
3. Employer Mandate. Employers will offer health insurance, which they purchase at a discounted group rate, as a benefit, in order to attract employees. In fact, it's usually one of the first questions potential employees ask when we're hiring. It seems to be an ADVANTAGE in attracting good workers. Employers that do not offer it would seem to be at a disadvantage.
4. Long waits. You say, "As far as long waits go, only if doctors work slower". This is a perplexing comment. Why would someone deliberately work slower if they could make more money seeing more patients? Whenever something is "free" (or in this case already funded) people tend to use and, sometimes, overuse it, causing long waits. This is why co-pays were introduced; so patients would not overuse.
5. Healthcare Database. I don't know many, if any, doctors who oppose this. We'd see this as a wonderful tool. The opposition is the privacy advocates.
I think you need to do your homework.
1. First of all why is medicare a disaster. To whom, providors? Reason enough to want to reform the system into something that delivers good care at a good price to all. AND all I was saying is the INFRASTRUCTURE is there with medicare - the skeleton if you will; therefore transition/startup costs will be minimized. again, I can lay out multiple layers of inefficiency in the current system that can ONLY be bettered under a single payore system.
3. Have you been paying attention to the current numbers of uninsured in this country? It is broken and will only continue to spiral because again, to compete on the cost side with employers that don't those that do will have to cut. We haven't even talked about the 'underinsured'; middle-class and lower with high deductibles and limits and exclusions up the wazoo that can't even afford care with their insurance anyway. Unless labor can somehow rise up and gain some kind of power, this will just continue at a faster and faster rate.
4. That was toungue-and-cheek. The only way there will be more waits is if the 'supply' of doctors gets lower, right? Pay them the same and there shouldn't be an issue, right?
5. ??? What.
and to those "high level" docs like your ortho friends in Apsen, I don't see how their business would change. perhaps a system where the gov't pays their contracted amount and the patient pays the difference to "buy up" would still be in place. Again, the things people take as fact with nat'l healthcare are often times just boogeyman things made up by those that are AFRAID that their little World might be altered. If instead everyone took the time to actually think about what would be the best system and have a rational discussion instead of poo pooing from the get-go we'll all end up a lot better.