Physicians for a National Health Program is a non-profit research and education organization of 20,000 physicians, medical students and health professionals who support single-payer national health insurance. An important part is administrative costs: our complicated insurance system requires an army of billing clerks – employed by hospitals and physicians on one side and private insurance companies on the other. Originally enacted almost 30 years ago, the statute prohibits any knowing or willful solicitation or acceptance of any type of remuneration to induce referrals for health services that are reimbursable by the Federal government.\n\nAn article in The New York Times recently shed light on the shrinking community of home health aides or personal care attendants in the U.S. According to Paul Osterman of the Sloan School of Management at the Massachusetts Institute of Technology, if the number of workers in this field of home healthcare continues to fall, the country will be faced with a shortage of around 350,000 paid care providers by 2040.\n\n3.Health insurance pay you for your regular medical services that you use during the policy year. In designing Medicare and Medicaid in 1965, the government essentially adopted this comprehensive-insurance model for its own spending, and by the next year had enrolled nearly 12 percent of the population.\n\nMost MRIs in this country are reimbursed by insurance or Medicare, and operate in the limited-competition, nontransparent world of insurance pricing. Then you get more benefits than other peoples, because you only pay an average premium like others. It would take a full generation to completely migrate from relying on Medicare to saving for late-life care; from Medicaid for the disadvantaged to catastrophic insurance and subsidized savings accounts.\n\nEvery time I hear someone, especially a pious politician, lauding our American health care system, I want to shout out that there is no such thing as an American health care system, in the sense of a national program that guarantees all citizens have health insurance.