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Under the New York Health Act, all New Yorkers would be forced to get their healthcare coverage from a government system run by unaccountable Albany bureaucrats.

Like the insurance you have now? The majority of people do. But under the New York Health Act, private and employer-sponsored health insurance would be banned. It would be a one-size-fits-all approach to care.

More than half of all New Yorkers receive coverage through their employer. These people would lose their coverage under a government-run system, taking away the ability of employers to effectively manage their healthcare costs while still be subjected to massive tax increases.

Since many large businesses and government employers collectively bargain their health benefits with organized labor, these union members would lose their right to negotiate benefits with large employers and state and local government.

The New York Health Act would eliminate Medicare as it exists today for seniors by lumping them into a larger healthcare program. People currently covered by Medicare would lose their Medicare coverage.

Access to a waiting list is not access to healthcare

A single payer system does not mean increased access to care. In fact, if we look to countries with similar healthcare systems such as Canada, single payer leads to longer wait times and less access to care.

Average wait time examples:

  • 32 weeks for a knee or hip replacement
  • 26 weeks for brain or spinal cord surgery
  • 20 weeks to see a specialist

“Waiting for treatment has become a defining characteristic of Canadian health care” the Fraser Institute wrote in one report.

“Unfortunately, wait times are not benign inconveniences – especially not when they are as long and ubiquitous as those in Canada. Many patients face physical pain and suffering, mental anguish, and lost economic productivity (about $1,200 per patient) while waiting for treatment in this country” the Frasier Institute wrote in another report.

Delayed treatment can mean worsening of conditions, with potentially more complex procedures required at the end of the wait and possibly poorer outcomes from care. Some patients may even deteriorate so far as to no longer qualify for treatment.

It’s not uncommon for Canadians to seek treatment in another country after learning that timely access to the required care is not available. Canadians spent $690 million on health care in other countries in 2017.

Hospitals and doctors face cuts

The New York Health Act prohibits network restrictions meaning you can go to any approved health care provider who agrees to accept the rate the NYHA pays.

However, it is important to note that the RAND Corporation estimates significant spending reductions in provider payments in order to control the cost of the some doctors may not want to take the pay cut and instead decide to leave New York.

Under the NYHA, lawmakers will determine how much to pay hospitals and doctors. One in 5 hospitals statewide would see funding fall by more than 25 percent. Your doctor may decide the lower pay and higher taxes aren’t worth practicing in New York anymore. This will also make it harder to recruit new doctors.

Other states have attempted single payer and failed

No states have adopted a single payer system.

  • Vermont passed legislation to enact single payer but was forced to abandon it due to costs.
  • Colorado recently placed single payer on a ballot initiative, where it was defeated 70-30.
  • California also attempted to pass single payer legislation, but abandoned it after a legislative analysis suggested it could cost $400 billion a year.


While proponents argue that a single payer system will allow everyone to get care from any healthcare provider without utilization controls, the reality is that other countries with government-run healthcare systems impose restrictive requirements that limit choice and access to care. Read more:


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