Single-Payer: Regulated by State government or Federal government?

            As many people wait for the verdict from the Supreme Court on Obamacare, single-payer has slowly crept in to the minds of American citizens.  I recently read an article that provided an argument on why the single-payer system should be under the control of the state government.  The article highlights the many job opportunities and benefits it would provide for small businesses all over the country.  The article stated that the reason certain businesses are not hiring new employees is because of the amount of money it would take to provide them with a healthcare plan.  Providing jobs and medical coverage are some of the most common factors brought up when talking about a change within the health care system.  While all the benefits from having single-payer in the hands of state government sounds great, I do not think it is necessary to give that power to the state governments.  There can be instances in which the state government can decide to interpret single-payer in whatever way they desire which would cause fifty different kinds of single-payer systems in the country.   The interpretation is where a problem could arise.

While I myself believe that universal healthcare would be the proper route to go but if single-payer is the healthcare system that is adopted by our government it should be controlled by the federal government. If the single-payer system is controlled by the federal government it would force all medical fees to be paid for straight from the government’s single-payer fund.  Each person would pay a percentage in taxes to go towards the single-payer fund that would exist within the federal government instead of the state government.  I believe that it would be more efficient if it was in the hands of the federal government because I think things tend to get complicated when it is in the hands of the state governments.  With the federal government regulating the single-payer system it would allow for a uniform set of policies for all of the states within the union instead of each state having their own policies.  The goal is to have an efficient affordable health care system, not complicate it by making it state government controlled.