The links that you posted point out that the political process will work. Coverage decisions were made by elected officials on behalf of their constituents. The San Francisco link is almost 7 years old. The arguments about Medicare when compared to private health insurance inflation are essentially meaningless. Ultimately these article point out that coverage plans will be designed according to local values. There is absolutely no evidence to support the idea that this kind of medical coverage would ever pass as part of the enabling legislation from Congress.
The proposals from PNHP discuss:
In a public system the public has a say in how it’s run. Cost containment measures are publicly managed at the state level by an elected and appointed body that represents the people of that state.
This body decides on the benefit package, negotiates doctor fees and hospital budgets. It also is responsible for health planning and the distribution of expensive technology.
The benefit package people will receive will not be decided upon by the legislature, but by the appointed body that represents all state residents in consultation with medical experts in all fields of medicine.
http://www.pnhp.org/facts/singlepaye...lthcare_system
See:
A San Francisco city employee describes how the city's groundbreaking sex-change benefit policy will help her and many others
When the
San Francisco board of supervisors approved a proposal on April 30 to cover some of the costs of sex-change operations
http://findarticles.com/p/articles/m...25/ai_54775070
Few things make better political hay than a taxpayer-funded sex-change operation.
....
In a response letter, Gregoire suggested the auditor's report was misleading.
For one, she pointed out, the report didn't mention that the sex-change procedures were the result of a legal settlement. And she noted that
the state no longer authorizes surgery for gender dysphoria.
The state's Medicaid agency pays for more than 500,000 surgical procedures of all types a year. But Medicaid officials say the state has covered sex-change operations for
just five people in the past 15 years.
http://seattletimes.nwsource.com/htm...change10m.html
Sex-change operations are covered by medicare in Ontario, although the procedure is not performed in the province.
In the past six years, the Ontario Health Insurance Plan has paid for 46 sex-change operations at a cost of about $120,000 a year.
http://www.pfc.org.uk/node/928
The political Process worked in Oregon to prevent this payment:
In February the state of Oregon decided against adding sex-change procedures to the list of approved health services covered under the state's health plan for the poor. Transgender advocates had urged the Oregon health services commission to extend coverage to include the procedure, but the state panel ruled that there was no good evidence showing that sex-reassignment surgery improves patients' mental and emotional well-being or socioeconomic status or that it reduces the incidence of suicide attempts among transsexuals.
http://findarticles.com/p/articles/m..._5/ai_75248586
The source from Oregon shows that a state board can and will function to design benefit packages based on EBP guidelines.
Some of the comments in your post do seem provocative and have a flavor of prejudice towards sexual minorities.
The following member says Thank You: