A public health insurance system like Canada’s would dramatically slice health bills in Massachusetts by cutting out the insurance-company middleman, write doctors David U. Himmelstein and Steffie Woolhandler. A single-payer plan would also enable the state to drive a harder bargain with pharmaceutical companies for cheaper drugs. To make care more affordable, the state should also change the way doctors and hospitals are paid, so that money goes to services the state needs the most.
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