@ArmandDoma It’s kinda single payer, except in many states it is administered as managed care by the institute industry, meaning billing and contracts are still piecemeal.
He’s for sure annoying, but there is actually a lot of literature that medical bankruptcy didn’t reduce after the ACA
https://medicalbillingcertificationprograms.org/armanddoma-its-kinda-single-payer-except-in-many-states-it-is-administered-as-managed/
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