If you vote for \reform \uk you vote for this:
1. High Administrative Costs
- Private insurance companies require extensive bureaucracy, including claims processing, billing, marketing, and underwriting.
- In the U.S., administrative costs can be as high as 25-30% of healthcare spending, whereas single-payer systems like Medicare operate with 2-5% overhead.
2. Fragmentation and Complexity
- Multiple insurers with different policies create a confusing system for both patients and providers.
- Doctors and hospitals must deal with multiple billing codes, prior authorisations, and negotiations with insurers, leading to inefficiencies.
3. Profit Motive vs. Patient Care
- Private insurance companies prioritise profit, which means they may deny claims, limit coverage, or increase premiums to maximise revenue.
- This often leads to underinsurance, where patients have coverage but still face high out-of-pocket costs.
4. Lack of Universal Coverage
- Insurance-based systems often leave large segments of the population uninsured or underinsured.
- In the U.S., around 27 million people remain uninsured, leading to delayed treatments and higher emergency care costs.
And Farage wants it:
#r4today Here it is, irrefutable proof, #nigelfarage videod saying #ReformUK will replace the #NHS with a private insurance model like that in the USA. Go on you lying ReformUK f***s; say he never said it now pic.twitter.com/4bczR02Hed
— tyrel wallace (@TyrelWallace) February 11, 2025
5. Higher Drug & Medical Costs
- Insurance companies negotiate prices, but their bargaining power is weaker compared to government-run systems.
- Pharmaceutical companies and hospitals charge higher prices because they know insurers will cover most of the cost.
6. Fee-for-Service Model Encourages Overuse
- Insurers reimburse providers per service rendered, incentivising unnecessary tests, treatments, and procedures.
- This leads to wasteful spending, with estimates suggesting that 30% of U.S. healthcare spending goes to unnecessary services.
7. Limited Focus on Preventive Care
- Insurance companies often focus on short-term cost savings rather than long-term investments in preventive care.
- As a result, chronic conditions (like diabetes and heart disease) go unmanaged until they require expensive interventions.
8. Job Lock & Economic Inefficiency
- Employer-based insurance discourages entrepreneurship and job mobility, as people stay in jobs they dislike just to keep coverage (“job lock”).
- This reduces workforce flexibility and overall economic productivity.

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