Skip to content
Home » Frequently Asked Questions

Frequently Asked Questions

Click the title of any question below to expand and read the full answer.

  • How much more in premiums will I have to pay if Colorado creates a publicly funded, privately delivered health plan for all Coloradans?

    Your health care premium will be adjusted based on your income. If you qualify for Medicaid, you will not pay a premium. If you are wealthy, there will be a ceiling on the income you would pay the premium on. Your employer might pay a portion of the premium. The exact percentage has not been determined by the health care economist. When it is determined the information will be readily available.

  • Why should I trust the government? The government never does anything right.

    Medicare is a government program for people 65 and older and people who are disabled. The program has been in existence for 60 years. the administrative cost for Medicare is 2% The administrative cost for private commercial health insurance companies is between 15-20%, The government program is much more effective and efficient than private commercial health care plans

  • I like my current commercial health insurance coverage. Why would this new proposal be better than what I already have?

    Your current private commercial health care plan is not as comprehensive as the proposed publicly funded privately delivered health care plan for all Coloradans and the premiums will be less because you won’t be paying for unnecessary administrative costs. Even your Medicare plan is not as comprehensive.

  • I heard Canadians have to wait for care that they need. Will I have to wait longer for the care I need than I wait now?

    Canadians wait to get a knee replaced but they never wait to get medical care when they are having a heart attack. In the U.S. you might get care in the Emergency Room for a heart attack but you might not get a stent if you don’t have insurance coverage or your deductible is so high you cannot afford to pay the deductible. Coloradans are also waiting longer for knee replacements because they need to wait for an operating room to be available before they can get care or wait until the orthopedic surgeon can schedule the procedure based on his or her schedule.

  • Why should I pay for health care I will never need like prenatal care when I am a single male?

    Because someone will help pay for your surgery if you have testicular cancer.

  • Are you proposing that Colorado socialize medicine?

    No. Socialized medicine means health care providers are employed by the government like they are in Britain. The Colorado proposal means physicians may remain in private practice. The change will be that there will be only ONE payment source for the physician’s care, a Colorado enterprise owned by the people of Colorado, not a private commercial health insurance company. The Veteran’s medical care is an example of socialized medicine. The physicians who care for veterans are paid a salary by the federal government. Most, if not all, Americans would not consider the Veteran’s Medical services for our veterans to be “unamerican.”

  • Competition between the commercial health insurance companies keeps health care costs under control. How will a single payer plan allow competition to control the cost of health care?

    Competition between the private commercial health insurance companies is not controlling health care costs. Competition is a free market concept proposed by Adma Smith in 1776. Competition works to control costs for some services and products but not for health care. You can shop around for the best price to buy the car you want but you don’t have time to shop around when you have a heart attack. You can learn about all the features a new car might have and become knowledgeable about the history of reliability of a particular car, but unless you have a medical degree and specialized in cardiology you probably won’t have all the information you need, you have to trust your cardiologist to recommend the right procedure for you.

  • I live in a rural area of Colorado without a hospital or even a physician. How will single payer proposal improve rural access?

    The Colorado plan would be designed to provide care where people live because it will be patient-centered not profit-centered. The current way of delivering health care is based on where the most money can be made which is in the urban areas where the most “customers” live.

  • How will the new proposal interfere with my Medicare coverage?

    It will not interfere. However, the coverage will be more comprehensive with the Colorado plan.

  • If the ballot measure passes, will I be able to keep the doctor I have now?

    Yes, if your doctor continues to remain in private practice. If your doctor retires of course you will need to find another doctor and with the Colorado Plan you will have free choice of doctors who practice in Colorado. You will not be limited to only “in-network” doctors who have an agreement with your private commercial health insurance company like you experience now.

  • Will people who work for private commercial insurance companies lose their jobs? Where will they work instead?

    Yes, some people who work for private commercial health insurance companies for health care providers and hospitals will lose their jobs because fewer people will be needed to process claims. There will be a plan to pay for training for people who want to get a new job and need additional training. When Coloradans spend less on a publicly funded plan than they paid for a private commercial insurance plan will free up money in the economic cycle to create new businesses and employ people who have been displaced. For example, some people will be hired to be a medical assistant or a nursing home nurse assistant since there will be more demand for their care because more people will be receiving health care.

  • Will I have to pay copays and deductibles on top of the premium?

    No.

  • What if there isn’t enough money collected from premiums to pay for all the needed care? What happens then?

    That is unlikely because health care economists will calculate how much health care costs in Colorado now and will adjust the premiums to cover those costs with an inflation factor built in to the cost and therefore the premium each of us pays. Also there will be a reserve fund established prior to implementing the Colorado plan to be sure there is enough money to cover expenses if an unforeseen event occurs like a pandemic.

  • How would this new state plan control the cost of prescription drugs?

    The State plan will allow the health care enterprise to negotiate drug prices with the pharmaceutical companies.

  • If the pharmaceutical companies don’t make enough money from the State will the pharmaceutical companies stop doing the research we need them to do to create new drugs to care for us?

    Taxpayers like you and I already pay for most pharmaceutical research through the National Institute of Health. The pharmaceutical companies do some research but much of their costs are associated with advertising and lobbying.

  • Comparing the U.S. to other countries seems unamerican to me. Doesn’t the U.S. do everything better than all the other countries? Don’t we have the best health care system in the world?

    No, we don’t have the best health care system in the world. We have some of the best health care providers in the world but some of us can’t afford their care. Other Developed countries who all have universal health care have better health outcomes than we do. For example, they have fewer mothers die in childbirth than we do

  • Didn’t the Affordable Care Act (Obama Care) fix all the problems?

    It fixed some problems but not everything we should fix. It required private commercial health insurance companies to cover people with pre-existing conditions, it gave states permission to expand Medicaid eligibility, and it requires private commercial health insurance companies to cover children up to age 25 with their parent’s or guardian’s coverage. However, it did not control the cost of health care nor did it cover everyone who lives in America. There are still many Coloradans who are un-insured or underinsured.

  • Shouldn’t this problem be solved at the National level rather than the State level?

    Yes, however the current political environment will make it unlikely a national plan will be implemented in the near future. It is more likely some States like Colorado will take the lead passing universal health care legislation.

    In Canada, Saskatchewan was the first province to have universal health care eventually the entire country created a national plan by going province by province. State by State is the most likely scenario for the U.S.

  • Why would we save money if we paid a premium to a state owned enterprise for our health care instead of paying premiums to private commercial health insurance companies?

    Mostly because we will avoid the unnecessary administrative cost of our current way of financing health care. In addition, we will save money because people will be treated earlier and in more appropriate medical settings. For example, instead of a Coloradan waiting until they are in a diabetic coma and going to the hospital emergency room for care, they will get regular non-emergent care from their own doctor to manage their diabetes and prevent a diabetic coma.

  • Would we lose healthcare providers because we limited their ability to make as much money as they can make filing claims with private commercial health insurance companies? Would they move to another State?

    Some health care providers might move to other States to make more money, but the Colorado Plan would make sure physicians, nurse practitioners, physical therapists in private practice are reimbursed a fair rate for the services they provide. The health care providers in private practice would no longer need to pay additional staff to process claims for a multitude of private commercial health insurance companies. The estimate is that most private physician practices would save approximately $100,000 with the Colorado Plan because they would submit claims to only one payer, the Colorado enterprise, instead of several with different rules and forms to navigate.

    Health care providers would serve on a board for the enterprise to advocate for fair reimbursement rates. Medicare rates set by the Federal Government can be augmented by the State to assure providers are fairly reimbursed.

    Obviously we would not want to exacerbate the health care provider shortage but rather encourage providers to practice in Colorado because they can focus on providing good medical care not become distracted by the private commercial insurance companies interference in their ability to practice medicine by telling the doctor they can prescribe one blood pressure medicine but not another when the doctor knows the best blood pressure medicine is not on the private commercial health insurance companies list of okay drugs to prescribe.

  • Would the State health care funds be secure or could the legislature borrow money from the health care fund to pay for a road improvement or some other project?

    Yes, the funds would be secure in a enterprise exclusively to provide payment for Coloradan’s health care. The legislature could not borrow from the Health Care Fund to pay for a road or a bridge or anything else.

  • How would Coloradans make sure the administrators of the State health care plan are not overpaid?

    The Colorado Plan would be overseen by a board made up of health care providers and consumers who are accountable to the people of Colorado to assure administrative costs are held to a low percentage of total costs. Currently your private commercial health insurance company administrators are accountable to their board and stock holders and not to their patients or providers.

  • If my son or daughter is attending a college in another state, will the Colorado plan cover my son or daughter?

    Yes, as long as your son or daughter is a Colorado resident.

  • If I live in another state part of the year, maybe Arizona or Florida during the winter, will I still be covered by the Colorado Plan?

    Yes, as long as your primary residence is Colorado.

  • What can I do to help get a ballot measure passed?

    You can campaign for and vote for the ballot measure. You can speak to a group like your Rotary Club members, host a neighborhood party and show a documentary like Healing U.S., staff a health care booth at a county fair, write a letter to the editor, and/or canvass.

How You Can Help