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Resolution for Universal, Single-Payer Health Care

Health Care Justice - North Carolina

We, residents of North Carolina, believe that everyone deserves access to quality health care. We also believe that current U.S. health care costs are unjustifiably high. We propose a practical and sustainable solution: single-payer, universal health care.

Single-payer refers to health care funded from a single source that collects all medical fees and then pays for all services through a single government, or government-related, source. It removes the thousands of private insurance companies, operating in a for-profit market, that currently administer and allow-or deny-an individual’s health care. Going to a national single- payer system will save as much as $400 billion per year, or $4 trillion per decade. Although the funding sources will differ, the single-payer system we advocate will resemble an expanded and improved Medicare.

  • While U.S. health care administrative costs are the highest in the world, we rank near the bottom, in nearly all health indicators, among high-income countries.
  • Administrative costs under Medicare (a single-payer system for senior citizens) account for 2-5% of each health care dollar spent as compared to the 13-20% taken by individual insurers. In addition, individual insurers impose tremendous administrative costs on doctors, hospitals, and other providers, pushing total administrative costs to more than 31% of every health care dollar. A single-payer system could slash that in half.
  • A single-payer system does not remove your right to choose your doctors or hospitals; it removes the costly administrative inefficiency and profit-taking of the current system.

Although the Affordable Care Act increases access to health care for millions and provides other positive benefits, it will not cover all Americans or reduce costs, as a single-payer system would. A single-payer, universal health system would ensure choice and access to millions of NC residents and eliminate excessive administrative burdens on health care providers and institutions while achieving substantial savings for our state.

Sign the Resolution

Please join and support Health Care Justice by signing our Membership/Resolution form below. HCJ membership is free. Physicians are strongly encouraged to join our national organization, Physicians for a National Health Program.


Health Care Justice, a non-profit NC organization, operates as a chapter of Physicians for a National Health Program (PNHP). Note: Personal information will not be sold or shared.

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