More Americans had health coverage in 2021, according to the latest data from the US…

For Immediate Release Contact: Josh Poupore
August 2, 2018 518-689-7223
Is RAND’s Single Payer Report Overly Optimistic?
The RAND Corporation’s recently released report titled “Estimating the Effects of a SinglePayer
Proposal in New York State” provides a less biased analysis of the underlying costs of a
government run single payer system. Many of its assumptions, however, are aspirational, if not
unrealistic, and the report fails to address a number of unique features of New York’s health care
delivery and financing system. If those assumptions are unattainable and if New York factors are
more accurately reflected, the impact will likely be far more significant, exceeding even the
already exorbitant projected tax burden of $139 billion. Some of the more glaring issues are: