Single-Payer
Commentary
What Canada’s Euthanasia Surge Reveals About Single-Payer Health Care
Medical assistance in dying now accounts for roughly one in 20 deaths in Canada, according to the latest government data. That makes it the country’s fifth-leading cause of death. For patients facing severe illness and suffering, the option is framed as an act of compassion. But its rapid expansion raises ...
Sally C. Pipes
April 6, 2026
Commentary
New Yorkers can’t afford Albany’s single-payer fantasy
With health insurance premiums climbing across New York, some lawmakers are once again pitching a familiar “solution” — scrap private coverage and put the state in charge of everyone’s health care. More than 30 members of the state Senate are beating the drum for the New York Health Act, which ...
Sally C. Pipes
April 3, 2026
Commentary
Why progressives’ single-payer health care dream would bankrupt California
California progressives’ single-payer health care fever dream is back. This time, the cost could hit half a trillion dollars a year. Single-payer means the government pays, for everything. Several candidates for governor are promising just such a government takeover of the state’s health insurance system. Billionaire Tom Steyer says, “Bernie ...
Sally C. Pipes
March 4, 2026
Commentary
States should think twice before embracing single-payer
Progressives are dreaming once again of a government takeover of the healthcare system. Locked out of power in Washington, they’re taking their fight for single-payer to blue states. This week, four New Yorkers took to the pages of the journal Health Affairs to make their case for how the Empire ...
Sally C. Pipes
February 17, 2026
Blog
Healthcare Reform Should Take Aim at Hidden Prices
Effective healthcare reform should address the persistent problem of a system that hides prices, shields middlemen like pharmacy benefit managers and insurers from accountability, and leaves patients with little real leverage. Reforms can lower healthcare costs by increasing transparency, expanding competition, and reducing the influence of middlemen whose practices operate ...
Anthony Velasquez
February 3, 2026
Commentary
Sorry, but single-payer won’t fix American health care
Affordability is becoming the watchword for Republicans and Democrats alike this election year. Progressives in Senate races from Maine to Illinois to Minnesota are putting Medicare for All at the center of their agenda for making health care affordable. Polling shows that some two-thirds of Americans support the policy. The ...
Sally C. Pipes
February 2, 2026
Commentary
The ‘Medicare-For-All’ Delusion
As Congress looks for ways to bring down the cost of insurance, a growing number of Democrats are pushing to get rid of insurance altogether and make the federal government the sole funder of health care in this country. Several progressive Senate candidates have put Medicare for All at the ...
Sally C. Pipes
January 26, 2026
Commentary
Alexis Wilkins Interview Of Sally Pipes
PRI’s Sally Pipes discusses health care policy and the threat of single payer with podcast host Alexis Wilkins. Listen to the entire podcast here.
Sally C. Pipes
January 22, 2026
Commentary
Medicare for All remains a disaster proposition
Medicare for All is poised for a comeback. Earlier this month, Rep. Pramila Jayapal (D-WA), the former head of the Congressional Progressive Caucus, released polling data showing strong support for the idea among Democrats. Jayapal’s renewed push for socialized medicine comes as many Democratic candidates for U.S. Senate are putting ...
Sally C. Pipes
December 29, 2025
Commentary
‘Soak the Rich’ Won’t Rescue Calif. Healthcare
A group of unions in California has proposed a new plan for paying for healthcare — soak the rich. That’s the idea behind the Billionaire Tax Act, a 2026 ballot initiative that would impose a 5% tax on the state’s billionaires in order to raise money for healthcare programs and ...
Sally C. Pipes
December 2, 2025
What Canada’s Euthanasia Surge Reveals About Single-Payer Health Care
Medical assistance in dying now accounts for roughly one in 20 deaths in Canada, according to the latest government data. That makes it the country’s fifth-leading cause of death. For patients facing severe illness and suffering, the option is framed as an act of compassion. But its rapid expansion raises ...
New Yorkers can’t afford Albany’s single-payer fantasy
With health insurance premiums climbing across New York, some lawmakers are once again pitching a familiar “solution” — scrap private coverage and put the state in charge of everyone’s health care. More than 30 members of the state Senate are beating the drum for the New York Health Act, which ...
Why progressives’ single-payer health care dream would bankrupt California
California progressives’ single-payer health care fever dream is back. This time, the cost could hit half a trillion dollars a year. Single-payer means the government pays, for everything. Several candidates for governor are promising just such a government takeover of the state’s health insurance system. Billionaire Tom Steyer says, “Bernie ...
States should think twice before embracing single-payer
Progressives are dreaming once again of a government takeover of the healthcare system. Locked out of power in Washington, they’re taking their fight for single-payer to blue states. This week, four New Yorkers took to the pages of the journal Health Affairs to make their case for how the Empire ...
Healthcare Reform Should Take Aim at Hidden Prices
Effective healthcare reform should address the persistent problem of a system that hides prices, shields middlemen like pharmacy benefit managers and insurers from accountability, and leaves patients with little real leverage. Reforms can lower healthcare costs by increasing transparency, expanding competition, and reducing the influence of middlemen whose practices operate ...
Sorry, but single-payer won’t fix American health care
Affordability is becoming the watchword for Republicans and Democrats alike this election year. Progressives in Senate races from Maine to Illinois to Minnesota are putting Medicare for All at the center of their agenda for making health care affordable. Polling shows that some two-thirds of Americans support the policy. The ...
The ‘Medicare-For-All’ Delusion
As Congress looks for ways to bring down the cost of insurance, a growing number of Democrats are pushing to get rid of insurance altogether and make the federal government the sole funder of health care in this country. Several progressive Senate candidates have put Medicare for All at the ...
Alexis Wilkins Interview Of Sally Pipes
PRI’s Sally Pipes discusses health care policy and the threat of single payer with podcast host Alexis Wilkins. Listen to the entire podcast here.
Medicare for All remains a disaster proposition
Medicare for All is poised for a comeback. Earlier this month, Rep. Pramila Jayapal (D-WA), the former head of the Congressional Progressive Caucus, released polling data showing strong support for the idea among Democrats. Jayapal’s renewed push for socialized medicine comes as many Democratic candidates for U.S. Senate are putting ...
‘Soak the Rich’ Won’t Rescue Calif. Healthcare
A group of unions in California has proposed a new plan for paying for healthcare — soak the rich. That’s the idea behind the Billionaire Tax Act, a 2026 ballot initiative that would impose a 5% tax on the state’s billionaires in order to raise money for healthcare programs and ...