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I believe there are three basic principles that must be upheld in healthcare. One, every person must be guaranteed to access quality healthcare, regardless of ability to pay, race, gender, religion or diagnosis.. Secondly, our healthcare system must provide health care for all in the most cost efficient way possible. And lastly, the goal of healthcare should be disease prevention, as opposed to disease treatment. The cost of running the health care is very expensive.In all of these principles, the current US healthcare system fails. In spite of being the wealthiest nation in the world, millions of Americans lack health insurance and many more are required to pay hefty deductibles and copays when they access healthcare. .Moreover, the US fails to control the prices of its services, allowing providers to charge whatever they can get away with to maximize profits at the expense of patients.In terms of life expectancy, drugs overuse,,suicide,social isolation and other health outcomes, the United States lags behind almost every other advanced country. Lastly, there is currently a major gap between the number of primary care providers we have and what is needed to deliver primary care to all citizens. These conditions point to the need for transformative change. What I propose is that we move towards implementing a single payer model, here in the United States.Single-payer national health insurance, is a system in which a single public or quasi-public agency organizes health care financing, but the delivery of care remains largely in private hands. Single payer is where one entity takes the responsibility for financing all of the medical bills of its citizens, compared to our current system where multiple insurers finance services.  The US currently opperates within a multi-health insurer system in which individuals choose among competing health insurers for their care. In single payer, everyone has the same insurance plan and therefore access to all doctors, hospitals, drugs, etc.   Importantly, there already is already a widely popular governmental structure that runs under the single payer model: Medicare. Medicare provides insurance to all people over the age of 65, financing everything from drugs to hospital visits. Expanding Medicare to all citizens would be the most effecitve way to set up a single payer system in the United States. Indeed, this plan is often called the “Medicare for all” plan.  The primary benefit of single payer is that all people are covered regardless of ability to pay. All hospitals and doctors would be paid by a central agency. Moreover, single payer allows for a continuity of care, even if financial or employer status changes. This would maintain the quality of care that all patients receive. In addition, single payer increases productivity of businesses and employees alike. With the burden of paying for their employees healthcare lifted, businesses are free to invest their profits elsewhere. Likewise, employees will not feel the pressure to remain in a job because its health insurance, and instead will be more free to explore options based on thier own personal ambitions.  One of the biggest financial benefits of single payer is that it cuts down on the administrative  costs. Because the multipayer creates a complex patchwork of procedures and bureaucracy, that forces hospitals and physicians to hire staff solely for the purpose for administration. With a single payer, all of these costs are eliminated because of the standardization of billing.  Single payer also has both the incentive and the influence to maintain public health. By preventing disease in its population, the single payer entity will reduce its overall costs. Single payer therefore is more likely to pay for services that cost a lot upfront, such as daycare which has been shown to reduce childhood obesity. Multipayer avoids these programs because they pose too much of an upfront cost. Profits of the pharmaceutical companies will drop because of government’s expanded role in purchasing prescription medication. Speaking for the entire population, the government would be able to negotiate lower prices for drugs, possibly by purchasing in bulk.single payer should be a reform option that should be seriously considered.Healthcare is a right and we must ensure provision of that right for Americans. A single-payer system will be good for the average American, good for businesses, good for workers and good for our overall eco