Medicare Blog

"how medicare for all went mainstream" nyt

by Mr. Foster Ondricka Published 2 years ago Updated 1 year ago
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How would Medicare for all be influenced by politics?

More broadly, any Medicare for all system would be influenced by the decisions and actions of parties concerned — patients, health care providers and political actors — in complex, hard-to-predict ways.

Would Medicare for all cost more than the current system?

Even without including all the costs for long-term care, which some Medicare for all proposals include, this estimate still finds that Medicare for all would cost substantially more than the current system.

Would Medicare for all lower health care spending?

That decision means it would lower total health spending, but its author thinks the real system would have to pay higher prices. This estimate assumes that Medicare for all would need to pay all medical providers higher rates than Medicare pays them now.

Are Medicare reforms needed to help older adults?

“These are urgently needed, fiscally responsible reforms that will meaningfully help older adults, people with disabilities, and their families,” said Frederic Riccardi, president of the Medicare Rights Center, a nonprofit consumer advocacy and counseling organization.

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How much does Medicare cost?

The estimated $32 trillion cost of Medicare for All includes the immediate cuts of about 40 percent to hospitals and about 30 percent to doctors now treating patients under private insurance, with these cuts likely growing more severe over time.

How many Medicare Advantage plans are there in 2020?

The average Medicare beneficiary can choose from 28 plans offered by seven firms in 2020. The continual increase in choices of coverage under Medicare Advantage to 28 in 2020 from 19 in 2016 reversed the trend of reduced choices under the Obama administration, when 33 plans offered in 2010 declined to 18 in 2015.

How much does Medicare pay for inpatient care?

According to a report by the Centers for Medicare and Medicaid Services, while private insurance often pays over 140 percent of the cost of care, Medicare and Medicaid pay an estimated 60 percent of what private insurance pays for inpatient services, and an estimated 60 percent to 80 percent for physician services.

Why do single payer hospitals hold down costs?

It’s not just because single-payer systems like those in Britain and Canada hold down costs by limiting the availability of doctors and treatments, even for the most serious life-threatening diseases like cancer, brain tumors and heart disease.

Is Medicare for All bad?

The Dangers of Medicare for All. It is pure fantasy to believe that the access and quality Americans enjoy today would hold if private insurance were abolished. Medicare for All has been a topic of debate in places like this town hall even in New Jersey in 2019.

Will Medicare for All change health care for retirees?

Beyond that, Medicare for All will radically change health care for retirees because the services they get from hospitals and doctors are in effect subsidized by higher payments from privately insured patients.

Will Medicare be depleted in 2026?

A projection in the 2019 Medicare trustees’ report states that the Hospital Insurance Trust Fund, one of two Medicare funds, will be depleted in 2026. On top of that is the issue of funding the program. Just as the population of older people is greatly expanding, the taxpayer base financing the program is greatly shrinking.

How many people would have Medicare for all?

Medicare for all would give insurance to around 28 million Americans who don’t have it now. And evidence shows that people use more health services when they’re insured. That change alone would increase the bill for the program. Other changes to Medicare for all would also tend to increase health care spending.

What would happen if Medicare was for all?

Under a Medicare for all system, Medicare would pick up all the bills. Paying the same prices that Medicare pays now would mean an effective pay cut for medical providers who currently see a lot of patients with private insurance.

Who would influence Medicare for all?

More broadly, any Medicare for all system would be influenced by the decisions and actions of parties concerned patients, health care providers and political actors — in complex, hard-to-predict ways.

Does Medicare for all pay higher rates?

This estimate assumes that Medicare for all would need to pay all medical providers higher rates than Medicare pays them now. The Urban Institute estimate includes a limit on how many more doctors’ visits people will be able to make. Even so, it projects a substantial increase in spending under Medicare for all.

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Two unique factors contributed to the double-digit Part B increase for 2022.

The squeeze

Typically, Part B premiums are deducted from Social Security checks, and the dollar amount of the 2022 increase, $21.60, will reduce the net cost of living adjustment by varying amounts, depending on a person’s benefit level.

Policy options

President Biden’s now-imperiled Build Back Better bill would cap out-of-pocket Part D costs at $2,000 a year, starting in 2024, increasing annually based on the rate of increase in program costs.

How to plan

The cost of health care in retirement often is expressed as an intimidating, lifetime estimate. Fidelity Investments estimated earlier this year that a 65-year-old couple retiring in 2021 can expect to spend $300,000 in retirement, based on average longevity forecasts.

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