I'm suggesting that profit motive hanging over something as life altering as healthcare is terrible on its face. Having a self-interested third party make healtcare deciisions about what will and will not be covered is obscene.
You're ignoring competition. If there was ONE third party making those decisions, then there would be a problem. If there are twenty different options for "third party," then it's not nearly as bad. If CIGNA doesn't cover something that I think should be covered, I'm free to shop around and go with AETNA, Blue Cross, or whoever else. In order to
earn my business, those companies need to compete based on
quality and
price. The more firms there are competing, the better it is for the consumer. In an equilibrium market with enough competing firms, costs would get so low that you'd literally be paying pennies above
actual cost for your insurance. Here's how health insurance would work in a liberated market:
Step 1. Only one insurance company exists. They charge exorbitant prices and makes a boat load of profit. Consumers are unhappy but they have no choice.
Step 2. Startup firms see the big pile of money that the insurance company is making and decide "let me get in on that." A handful of firms enter the market and compete with one another. Prices drop somewhat and consumers have a handful of choices, but costs are still high and choices few.
Step 3. More and more firms enter the market as they see the potential profitability of running an insurance company. As they do, the new and existing firms continually need to lower prices and offer new and better plans to attract new consumers. Features like free birth control and coverage for same-sex partners are offered as ways to bring customers in.
Step 4. Too many firms have entered the market. In order to stay afloat, companies begin offering insurance below cost. Firms that are unable to keep up drop out of the market until prices tick back up slightly to reach market equilibrium. The equilibrium price is the price at which firms can pay claims, salaries, and administrative costs and "break even." If prices rise above or below equilibrium, firms enter and leave the market accordingly.
The problem is, we're stuck at #2 because it's too difficult to enter the insurance market due to oppressive legislation. Thus, consumers are left with very few choices and there isn't enough competition to get prices down. Barriers of entry have us in an oligopoly as opposed to the ideal monopolistic competition (has nothing to do with "monopoly"). Your single payer system would have us stuck at step 1, with NO options and no profit motive to keep costs in check (an ACTUAL, government-mandated monopoly).
Again, you act as if the government is some thing that exists in a vaccum, that it is not what the citizens want/allow it to be.
The bureaucracy DOES exist in a vacuum. I don't elect the IRS, FDA, CDC, or EPA.