That’s the whole point of single payer. If there’s only one insurance entity, the state, then doctors either take the rates the state pays or they only take patients who can pay out of pocket, which unsurprisingly is not feasible for the overwhelming majority of doctors. Which also removes bloat as a huge chunk of healthcare costs go into claims processing departments that are constantly playing back and forth with the various health insurance companies. If you compare a major urban hospital in America with a comparable one in Canada, the Canadian one will be a tiny fraction of the size of the American one.
That’s the whole point of single payer. If there’s only one insurance entity, the state, then doctors either take the rates the state pays or they only take patients who can pay out of pocket, which unsurprisingly is not feasible for the overwhelming majority of doctors. Which also removes bloat as a huge chunk of healthcare costs go into claims processing departments that are constantly playing back and forth with the various health insurance companies. If you compare a major urban hospital in America with a comparable one in Canada, the Canadian one will be a tiny fraction of the size of the American one.