Strong majority oppose single payer healthcare system in NH - 106 participants

Oct 16, 2016

During the November 2016 general election, Colorado voters weighed in on a ballot question that could have made them the first state in the nation to institute a single payer healthcare system. The ballot measure was ultimately defeated. An effort to create a single payer system in New Hampshire in 2015 was quickly shot down in committee. Read more about this issue. On October 16, Citizens Count, NH’s Live Free or Die Alliance decided to put the issue to its Facebook members, posting the question, “Should NH institute a single payer healthcare system?”

“Should NH institute a single payer healthcare system?”

Results: Yes or No Respondents

Single Payer Healthcare New Hampshire Citizen Voices Chart


A total of 96% of those participating gave a 'yes or no' response to the question. The remaining 4% of participants engaged in the discussion but did not give a yes or no response. In total, this question received 621 responses from 106 individuals. (Click here for details on our methodology.)

What Participants Said:

No: A majority, at 77% of ‘yes or no’ respondents, opposed a single payer healthcare system in New Hampshire.

  • “Single payer will wreck our healthcare with rationing and delays.”
  • “It eliminates choice. People should choose what fits their needs.”
  • “Take a look at the VA’s government-run failure. Single payer would be the same.”

Yes: The minority of ‘yes or no’ respondents, at 23%, were in favor of a single payer healthcare system in New Hampshire.

  • “Yes, take the profit out of healthcare.”
  • “I’m all for humane legislation where we are all equal under our health care system.”
  • “With what we have spent in the Iraq war alone, we could have funded healthcare and education for two generations.”

Other: As noted above, 4% of those participating did not give a yes or no response, instead addressing their comments to related questions and issues. These included:

  • Current costs of healthcare: “There are people with health insurance who can’t even afford to use it due to the ever increasing out-of-pocket costs.”
  • Ultimate goals for healthcare: “I want health care that is sensible and affordable, not like what we’ve got. So I don't care who makes it work.”

*Editor selection of actual participant quotes. 

Click here to read the full Facebook discussion of this question. 

Know someone who would be interested in these results? Forward them the summary version of this report. 

Do you think New Hampshire should institute single payer healthcare? Leave a comment and have your say! 


Hilde Baert's picture
Hilde Baert
- Lebanon

Fri, 01/06/2017 - 2:56am

As a Belgian born US citizen living in Lebanon, NH, I hope the US will adopt a single payer healthcare system for the following reasons: 1. All other advanced nations have a single payer system that provides healthcare to all its citizens. 2. Basically, there are two types of single payer healthcare systems: A The government runs the health system: This means that healthcare workers (doctors, nurses and therapists) receive their salaries from the government. The government owns and runs hospitals. England, Spain and Sweden have this model. I gave birth in London, UK. The NHS (National Health Service) has a wonderful midwifery program: Community midwives visit the new mother and baby and perform simple and effective health and wellness checks (temperature; blood pressure and incision/Episiotomy of mother and a health check of the baby. They talk with the new mom. This is a cheap and efficient way of nipping problems (infections!) in the bud. B. A mixed system of private and public institutions. In this case, the government takes the role of coordinator and mediator between several parties involved in healthcare:i.e. public and private hospitals, the pharmaceutical industry (private), the doctors' union, teaching hospitals, Catholic Charity hospitals and nursing institutions, labor unions etc. The Funding comes from taxes (mainly income tax, tariffs and payroll tax paid by the employer.)The results for the patients: The prices of drugs, hospitalization and doctors' fees are fixed. The insurance agencies reimburse the patient and loan equipment (walkers, crutches, wheelchairs and hospital beds) for a small fee. The government runs well-baby checks, in home nursing care, vaccination sessions too. Belgium, France, Germany and Japan have this system.

The advantages of single payer are better health results (longer life-expectancy and lower maternal and infant mortality rates), lower healthcare spending per capita and insurance is stable and reliable no matter where you live or how old you are. The disadvantage is a higher income tax for workers and a higher payroll tax for the employers.
However, American citizens pay 'hidden taxes' in the form of high insurance premiums; deductibles; drug prices; stress; uncertainty; bankruptcy and bad health.
Basically the US has already single payer systems in place: Medicaid and Medicare (from the time of Lyndon Johnson, the 60ies) . Medicaid and Medicare run now in conjunction with employer-based private health insurance ( from the 50ies.) I see Obamacare as a well-intended and clumsy step (a compromise with the Republicans) towards a single payer healthcare system: It favors a private (for profit) health insurance system, with premium subsidies (from Medicaid budget expansions), small fines for not buying insurance and caps for insurance companies' spending on non-healthcare-related spending.
On a personal note: I love NH's medicaid expansion: The PAP (Premium Assistance program) and Healthy Families saved my life. Now, I can afford my anti-seizure medication (at little or no cost.)

Site-wide Search

Related Bill


Join our constantly growing community. Membership is free and supports our efforts to help NH citizens become informed and engaged. 


©2017 Live Free or Die Alliance | The Live Free or Die Alliance is a 501(c)3 nonprofit organization.