Summary of State and National Single Payer Studies

Author: Samuel Metz 

Date: 11/01/2012

 


1 November 2012

From the past 20 years, we have 27 studies of single payer health care in the US; nine national and 18 state studies representing 14 states. These were conducted by two government agencies and thirteen private consulting firms.

All but one show administrative savings from single payer health care exceed the added costs of providing comprehensive care for every citizen. The exception was Maine, which demonstrated savings would equal added costs. 

No study demonstrates single payer health care cannot be implemented or will cost more than it saves.

The PNHP website does not include the 2009 IHEP national study or the most recent Minnesota study.

Abbreviations used in table:

  • CBO     Congressional Budget Office

  • EPI       Economic Policy Institute

  • GAO     General Accounting Office 

  • IHSP    Institute for Health and Socio-Economic Policy

  • MFH     Missouri Foundation for Health

  • MPR     Mathematica Policy Research

  • NCHC    National Coalition on Health Care

  • SFP      Solutions for Progress

 

When direct links are unavailable, PNHP summary page is provided.

Note: Links will open up in a new window.

Date

State

Consulting firm*

link

1994

New Mexico 

Lewin

http://www.pnhp.org/facts/single-payer-system-cost

1995

Delaware

SFP

http://www.pnhp.org/facts/single-payer-system-cost

1995

Minnesota

Lewin

http://www.pnhp.org/facts/single-payer-system-cost

1998

Massachusetts

Lewin

http://www.massmed.org/pages/lewin.asp

2000

Maryland

Lewin

http://healthcareforall.com/archive/2002-plan-archive/

2001

Vermont

Lewin

http://mn.gov/health-reform/images/WG-CIPR-2012-06-04-Single-Payer-Vermont.pdf

2002

Massachusetts

LECG

http://www.pnhp.org/facts/single-payer-system-cost

2002

California

Lewin

http://www.health-access.org/files/expanding/HCOP%20Lewin%20Report.pdf

2002

Maine

MPR

http://www.maine.gov/legis/opla/MathematicaFinalReport.pdf

2002

Rhode Island

SFP

http://www.pnhp.org/facts/single-payer-system-cost

2003

Missouri

MFH

http://www.mffh.org/mm/files/ShowMe3a.pdf

2004

Georgia

Lewin

http://www.lewin.com/~/media/Lewin/Site_Sections/Publications/2746.pdf

2005

California

Lewin

http://www.pnhp.org/sites/default/files/docs/2010/Health-care-for-all-Californians-acts-Lewin-2005.pdf

2007

Colorado

Lewin

http://www.colorado.gov/cs/Satellite?c=Page&childpagename=BlueRibbon%2FRIBBLayout&cid=1178305890619&p=1178305890619&pagename=RIBBWrapper

2007

Kansas

Schramm-Raleigh

www.healthfund.org/reportspubs/11012007fdn_report_khpa.php

2009

New York

Urban Institute

http://www.partnership4coverage.ny.gov/

2010

Vermont

William Hsiao et al.

http://www.leg.state.vt.us/jfo/healthcare/FINAL%20REPORT%20Hsiao%20Final%20Report%20-%2017%20February%202011_3.pdf

2012

Minnesota

Lewin

http://growthandjustice.org/sites/2d9abd3a-10a9-47bf-ba1a-fe315d55be04/uploads/LEWIN.Final_Report_FINAL_DRAFT.pdf

National

1991

Nationwide

GAO

http://archive.gao.gov/d20t9/144039.pdf

1991

CBO

http://www.cbo.gov/ftpdocs/76xx/doc7652/91-CBO-039.pdf

1993

CBO

http://www.cbo.gov/ftpdocs/64xx/doc6442/93doc171.pdf

1993

CBO

http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/64xx/doc6432/93doc159.pdf

1993

CBO

http://www.cbo.gov/ftpdocs/79xx/doc7946/93doc07b.pdf

1998

EPI

http://www.thirdworldtraveler.com/Health/UniverCoverage_HowPay.html

2005

NCHC

http://www.nccmp.org/conference/pdfs/impacts-projections.pdf

2009

IHSP

http://nurses.3cdn.net/c6fb9a313be501086e_1vm6y1duy.pdf

2012

Gerald Friedman

http://www.dollarsandsense.org/archives/2012/0312friedman.pdf


 

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