Medicare Blog

how would medicare for all save the individual money

by Prof. Gage Hessel Published 2 years ago Updated 1 year ago
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Most found Medicare for All would reduce our total health care spending. Even a study by the Koch-funded Mercatus Center found that Medicare for All would save around $2 trillion over a 10-year period. With Medicare for All, most families would spend less on health care than they do now on premiums, copays and deductibles.

Full Answer

Will Medicare for all really save money?

For a Medicare for all system to save money, it needs to reduce the health care industry’s income somewhat. But if rates are too low, hospitals already facing financial difficulties could be put out of business.

Is Medicare for all the answer to health care costs?

The truth is the opposite: Medicare for All would sharply reduce overall spending on health care. It can be thoughtfully designed to reduce total costs for the vast majority of American families, while improving the quality of the care they get. Over my career, I have witnessed the problems with our health care system firsthand.

Will Medicare for all increase health care spending?

The first myth is that Medicare for All will necessarily increase health care spending. That’s wrong. The fact is that, without a change, Americans will spend over $45 trillion on health care in the next 10 years. Under Medicare for All, total health care spending would likely be far lower.

How much would Medicare for all cost the economy?

A 2016 report from the Urban Institute put the added cost of Medicare for All at roughly $32 trillion over a 10-year period, or $3.2 trillion per year. However, state and local governments would save about $4.1 trillion during that same period as the federal government took over their health care costs.

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What are the PROs of Medicare for All?

Pros and Cons of Medicare for AllUniversal healthcare lowers healthcare costs for the economy overall, since the government controls the price of medication and medical services through regulation and negotiation.It would also eliminate the administrative cost of working with multiple private health insurers.More items...•

How Medicare for all would hurt the economy?

The real trouble comes when Medicare for all is financed by deficits. With government borrowing, universal health care could shrink the economy by as much as 24% by 2060, as investments in private capital are reduced.

How much does the government spend per person on Medicare?

Medicare spending per person has also grown, increasing from $5,800 to $15,300 between 2000 and 2021 – or 4.7% average annual growth over the 21-year period.

What are the disadvantages of universal health care?

Disadvantages of universal healthcare include significant upfront costs and logistical challenges. On the other hand, universal healthcare may lead to a healthier populace, and thus, in the long-term, help to mitigate the economic costs of an unhealthy nation.

What would happen if we had universal healthcare?

Most agree that if we had universal healthcare in America, we could save lives. A study from Harvard researchers states that not having healthcare causes around 44,789 deaths per year. 44,789 deaths per year means that there is a 40% increased risk of death for people who are uninsured.

Is free healthcare good?

Providing all citizens the right to health care is good for economic productivity. When people have access to health care, they live healthier lives and miss work less, allowing them to contribute more to the economy. A study by researchers at the Universities of Colorado and…

Does Medicare pay for itself?

It turns out that Medicare payroll taxes fully fund Part A hospital expenses (together with your share of uncovered Part A expenses), but that is literally where the buck stops. Expenses for Parts B, C (Medicare Advantage) and D (prescription drugs) are paid mostly by Uncle Sam, to the tune of nearly $250 billion.

Which country spends the most on healthcare?

the U.S. The United StatesHealth Expenditure in the U.S. The United States is the highest spending country worldwide when it comes to health care. In 2020, total health expenditure in the U.S. exceeded four trillion dollars. Expenditure as a percentage of GDP is projected to increase to 19 percent by the year 2025.

Does Medicare lose money?

Medicare is not going bankrupt. It will have money to pay for health care. Instead, it is projected to become insolvent. Insolvency means that Medicare may not have the funds to pay 100% of its expenses.

Should all citizens of a country receive free healthcare?

Basic health care should be free to everyone because, it could save lives, in the long run, it's cost-effective, and providing free health care healthy people gain access to insurance. To start off, basic health care should be free for everyone because it could save lives.

Does Canada have free healthcare?

Canada has a universal health care system funded through taxes. This means that any Canadian citizen or permanent resident can apply for public health insurance. Each province and territory has a different health plan that covers different services and products.

Is free healthcare really free?

It's important to note that “free” healthcare isn't actually quite so free. Healthcare that is provided by government agencies is indirectly funded by citizens. Their taxes support all government operations, including healthcare expenditures.

YES, YES, YES, AND MORE!

Here at Modern Health Talk, I’m more optimistic about the future of U.S. healthcare than most.

WHAT SAVINGS ARE POSSIBLE?

Simply by cutting our healthcare costs in half to match the *average* of what other advanced nations spend while serving everyone and with better outcomes, we could save $1.8 trillion/year.

OTHER ECONOMIC BENEFITS

Once our nation moves to a tax-funded single-payer system and sees trillion dollar productivity gains from a healthier workforce, I’d expect to next see other policy changes aimed at further reducing costs and increasing productivity.

GETTING THE INCENTIVES RIGHT

Agreeing on the right objective, and getting the incentives right, is an effective way to influence individual and corporate behavior.

RELATED

Multiple studies show Medicare for All would be cheaper than public option pushed by moderates (Salon, 2/22/2020) “Yale and Harvard researchers: Medicare for All reduces costs, while public option makes health care more expensive.”

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Health Care Crisis: Home Treatment Needs Makeover

Here are some highlights from this interesting article by David Cronin of Smart Design. The article gives examples of some well designed products but is critical of most home healthcare product designs.

How much would Medicare cost in 2017?

in 2017. They concluded that Medicare for All would have cost just over $3 trillion that year, or $458 billion less than the actual total.

How much money would Bernie Sanders save?

Bernie Sanders’ Medicare-for-All plan would save the country about $450 billion a year on total health care spending while preventing nearly 70,000 deaths, according to a study published over the weekend in The Lancet.

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.

Where are the savings with Medicare for All?

The largest areas of savings would be in simplified billing and administration and lower drug prices. Dr. Adam Gaffney of Physicians for a National Health Program argues that the most expensive health care plan is the one we have right now.

Even those with health insurance are struggling

Another new study from Harvard shows that even those with private health insurance can’t afford their health care, leaving many Americans with unmet medical needs.

Insurance not performing its role

Lead study author and primary care physician Laura Hawks said, “When so many people can’t get the care they need even when they have insurance coverage, it says that insurance is not doing what it is supposed to do: ensure that healthcare is affordable when you need it.”

U.S. vs. other developed nations

Compared to similarly developed nations, the U.S. falls behind. For example, in Canada one percent of adults with chronic health conditions had a medical need unmet due to costs. In the U.S., the rate was 18.7 percent.

How much did California reduce orthopedic prices?

California used reference pricing for orthopedic procedures for their public employees and retirees, and it led to a 9- to 14-percentage-point increase in the use of low-price facilities, and a 17-percent to 21-percent reduction in prices.

What percentage of congressional districts are health care?

Today, health care is the largest employer in over 55 percent of U.S. congressional districts ― a political reach the defense industry must envy. Under a single-payer system, the entire livelihood of all those health care providers would depend on choices made by federal legislators and regulators.

Does Medicare overpay for services?

Unsurprisingly, Medicare overpays for certain services and procedures, and underpays for others. A single-payer program would likely lead to more wasteful health care expenditures, since it would further reduce market signals about what is valuable and what is not.

Can the government force Medicare prices to be lower?

The government can force prices below market-clearing levels, but that would lead to access problems for patients and complaints from politically powerful hospitals and providers. Also, Medicare rates are set through a political process with a bureaucracy subject to intense pressure.

Who is Don Berwick?

Don Berwick. Institute for Healthcare Improvement. Berwick was the Medicare administrator under President Barack Obama and advised Elizabeth Warren on her Medicare for All plan.

Who is Jason Millman?

Jason Millman is deputy health care editor for POLITICO Pro. Every year, health care eats up a huge and growing chunk of America’s GDP — soon projected to be $1 in every $5 spent in the U.S. ― and “Medicare for All” supporters love to tout its ability to bring that dizzying price tag down. Would it?

How much does Medicare cost?

The most pessimistic estimate of costs comes from a 2018 paper by Charles Blahous of the Mercatus Center at George Mason University, which put the 10-year cost of Medicare for All at about $32.6 trillion over current levels.

What is Medicare today?

Medicare Today. Medicare is a program that benefits Americans who are age 65 or older or who have disabilities. The current program has two parts: Part A for hospital care and Part B for doctors’ visits, outpatient care, and some forms of medical equipment.

How much of healthcare costs go to administration?

According to the JAMA study, 8% of all health care costs in the U.S. went toward administration — that is, planning, regulating, billing, and managing health care services and systems. By contrast, the 10 other countries in the study spent only 1% to 3% of total costs on administration.

What is the average life expectancy of a baby?

The average life expectancy for Americans is 78.8 years, while in other countries it ranged from 80.7 to 83.9 years. Infant Mortality. Out of 1,000 babies born in the U.S., 5.8 die in infancy, according to the JAMA study. The average for all 11 countries in the study was only 3.6 deaths per 1,000 live births.

Is Medicare all inclusive?

Under his plan, an all-inclusive Medicare would replace the existing Medicare and Medicaid programs, as well as all private health insurance. It’s essentially the latest spin on a “single-payer” health care system, in which the government uses tax money to provide health insurance for everyone.

How many Americans have no health insurance?

Under the current system, approximately 29.6 million Americans have no health insurance, according to the U.S. Census Bureau. Moreover, a 2020 study by The Commonwealth Fund concluded that another 41 million Americans — about 21% of working-age adults — are underinsured, without enough coverage to protect them from devastatingly high medical expenses.

Why are generalist doctors paid higher?

One reason health care prices are higher in the U.S. is that most Americans get their coverage from private insurers, and these companies pay much higher rates for the same health care services than public programs such as Medicare.

Who said Medicare for all who want it?

Sen. Elizabeth Warren of Massachusetts suggested as much when she claimed in the latest Democratic presidential debate that one alternative proposal, “Medicare for All Who Want It,” would really mean “ Medicare for All Who Can Afford It .”. The reasons are simple.

How much will Americans spend on health care in the next 10 years?

The fact is that, without a change, Americans will spend over $45 trillion on health care in the next 10 years. Under Medicare for All, total health care spending would likely be far lower.

How much is the average family of 4 premiums?

The average premium for a family of four in 2019 is a staggering $20,576 — a toll that is eating into their wages, while their out-of-pocket costs soar. Since 2009, premiums have increased 54% and workers’ contributions to premiums have increased 71%, but wages have risen only 26%.

Is Medicare for All a good solution?

A real debate would show that Medicare for All, though not a perfect solution , is the best option we have to get health care costs and quality back on track, lifting an exhausting burden off American families and businesses.

Does Medicare for All raise taxes?

The second myth is that is Medicare for All must raise taxes on middle-class families. That is misleading. Medicare for All’s cost to families, no matter how it is funded, should be compared with what those same American families will spend on health care if we do nothing.

Should health care be a government function?

Not one proposal suggests that health care delivery should become a government function (beyond existing forms like the Veterans Health Administration). It offers Americans, at last, a simple way to assure that they have the coverage they need to see the doctors they want and use the hospitals they choose.

Does Medicare for All reduce overall health care costs?

The truth is the opposite: Medicare for All would sharply reduce overall spending on health care. It can be thoughtfully designed to reduce total costs for the vast majority of American families, while improving the quality of the care they get.

How many cosponsors did the Medicare bill have?

The bill, which has 16 Democratic cosponsors, would expand Medicare into a universal health insurance program, phased in over four years. (The bill hasn’t gone anywhere in a Republican-controlled Senate.)

Will Medicare have negative margins in 2040?

The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary has projected that even upholding current-law reimbursement rates for treat ing Medicare beneficiaries alone would cause nearly half of all hospitals to have negative total facility margins by 2040. The same study found that by 2019, over 80 percent ...

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