Medicare Blog

lessons on why medicare for all is not the answer

by Emily DuBuque Published 2 years ago Updated 1 year ago
image

Medicare for all is not the answer KEY THOUGHT: While offering all U.S. citizens free health care using a single-payer system sounds attractive as a political talking point, actually implementing Medicare for All would require a complex restructuring of a multi-trillion dollar industry and cost trillions of dollars.

Full Answer

Is Medicare for all a good idea?

Medicare for All is a good idea that will improve our lives and make us healthier and happier. Correction: this article originally stated that Americans live five years less than Canadians and Brits, rather than three. Our eclectic and verdant rainforest issue!

Is Medicare for all a misnomer?

“It’s not Medicare and lots of times it’s not for all, so it’s a little bit of a misnomer.”

What are some of the arguments against Medicare for all?

That said, there are several arguments against Medicare for All that might sound more plausible than the Enslaved Physicians Argument. Here are a few that I see a lot: The life expectancy differences between the U.S. and countries with socialized systems are the result of less healthy lifestyles in the U.S.

What would happen if we adopt Medicare for all?

If we adopted Medicare for All, we’d end up with doctor shortages and long wait times like they have in Canada and the U.K. This Prager U video, for example, hits #2, #3, and #4. Texan Congressman Dan Crenshaw covers most of the same ground here, as well as touching on #6.

image

What are the downsides of Medicare for All?

Cons of Medicare for All:Providers can choose only private pay options unless mandated differently.Doesn't solve the shortage of doctors.Health insurance costs may not disappear.Requires a tax increase.Shifts costs of employer coverage.

Why is Medicare for All better than public option?

A public option would leave millions uninsured or underinsured. Only Medicare for All would mean no GoFundMe for health care costs, no more debt from medical care and no more medical bankruptcies. More than 40 million Americans are underinsured, meaning they are unable to afford to use their for-profit insurance.

What are three problems that are created by the Medicare program?

Although there are many more, let me mention just three big problems with the current Medicare system: The current Medicare system makes fraud easy. The bookkeeping is broken. The problem resolution system is lousy.

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.

What's the difference between Obamacare and Medicare for All?

What Is the Difference Between Medicare and Obamacare? Medicare is insurance provided by the federal government for people over the age of 65 and the disabled, and Obamacare is a set of laws governing people's access to health insurance.

Why public healthcare is better than private?

If patients get sick or complications arise, they are sent to the public health care system so that private clinics don't lose money. Those who can afford private, for-profit treatment may not be getting better care.

What is the biggest flaw of Medicare?

Traditional Medicare's biggest flaw in many people's eyes is the fact that it has no maximum limit on out-of-pocket expenses, leaving beneficiaries vulnerable to catastrophic health conditions that can wipe out their entire life savings.

What are two major problems with respect to the future of Medicare?

Financing care for future generations is perhaps the greatest challenge facing Medicare, due to sustained increases in health care costs, the aging of the U.S. population, and the declining ratio of workers to beneficiaries.

What would happen if Medicare ended?

Payroll taxes would fall 10 percent, wages would go up 11 percent and output per capita would jump 14.5 percent. Capital per capita would soar nearly 38 percent as consumers accumulated more assets, an almost ninefold increase compared to eliminating Medicare alone.

Why is universal health care bad for the economy?

Even under universal coverage, some may decline coverage because their costs are too high. These costs include out-of-pocket costs for premiums, time spent filling out forms, and the availability of information about health care coverage.

Should the US have free 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.

What are the pros and cons of free healthcare?

Here are a few pros and cons of universal healthcare.PRO: Make It Easier for Patients to Seek Treatment. ... CON: Doctors Have Less Flexibility in Negotiating Rates. ... Must Read: What Does Universal Healthcare Means for Medical Practices. ... PRO: It Could Increase Demand for Medical Services.More items...

Is all Medicare or public option better?

The biggest difference between the two proposals is the option for enrollment: Medicare for All is a mandatory single-payer healthcare system that covers all Americans, while Public Option offers an optional healthcare plan to all Americans who qualify and want to opt-in.

What is Medicare for All or what is a public option?

Medicare for All is a government-run and government-funded healthcare coverage plan. It would eliminate the need for other health insurance. Public Option is a tax-funded or individually funded health coverage program. A person would opt-in to the program and other health insurance plans would be available.

Is Medicare a public good?

But the outbreak of COVID-19 has prompted many experts to point out that health insurance and preventative care are really “public goods,” resources that everyone uses and shares for everyone else's benefit.

What Obama care a public option?

The public health insurance option, also known as the public insurance option or the public option, is a proposal to create a government-run health insurance agency that would compete with other private health insurance companies within the United States.

How would Medicare for All affect physicians?

Under the Medicare-for-All plan, private insurance would be eliminated and physicians who are in private practice would be paid on a fee-for-service basis through a national fee schedule, likely at the current Medicare rate or slightly lower. By eliminating the insurance industry, the plan would also eliminate one million jobs. The new fee schedule would be significantly lower than the current industry fee schedule, which means Medicare-for-All would likely lower physician incomes in a significant way, making a bad situation for physicians even worse.

What is the Medicare for All bill?

Senator Bernie Sanders recently announced his Medicare-for-All bill. This is basically the senate version of the congressional bill introduced by Pramila Jayapal. The bill would eliminate the insurance industry and much of the billing bureaucracy that exists today. It would provide health care coverage for everyone and eliminate copays and deductibles. It would expand Medicare coverage to include dental, vision and long-term nursing home care.

How to provide universal health care?

1. Provide universal health care by requiring all employers to provide health insurance for their employees. Establish and provide a national health care option, which we have named Allcare, which would provide the same minimum benefits of the Medicare program.

What are the objections to Medicare for All?

There are three basic objections to Medicare-for-All. The first is that taxes would go up, so it would not receive bipartisan support. The second is that it's a vote loser. When Americans are polled, 70% say that they approve of Medicare-for-All. However, when a follow-up question is asked, in which it is made clear that this means everybody would be required to have it, support drops to 38%. The third and perhaps most important objection is that many experienced doctors would simply leave the profession, and this problem is not solved by retaining the commercial insurance corporations, since this is merely retaining a system that needs to change.

What do liberals and moderates want?

Both liberal and moderate Democrats want a universal health care system that covers all Americans. They would like a single-payer system like Medicare-for-All or a combination of public and private payers that would cover everyone.

Is there an alternative to Obamacare?

There is an alternative to both Obamacare and Medicare-for-All. Sen. Bernie Sanders, I-Vt., introduces the Medicare for All Act of 2019, on Capitol Hill in Washington, Wednesday, April 10, 2019. (AP Photo/Manuel Balce Ceneta) The Associated Press. Senator Bernie Sanders recently announced his Medicare-for-All bill.

Is Medicare for All the wrong path?

While it has good intentions, Medicare-for-All is the wrong path for the future of healthcare in America. We need a plan which brings universal healthcare to America, one that would improve quality, improve outcomes, expand competition and lower costs.

What is Medicare for All?

In its broadest terms, Medicare-for-all is what health care experts call single-payer: A system in which a government entity reimburses doctors and hospitals at a set rate. Many of the world’s most admired health care systems, from France to Israel to Canada, use some version of this approach.

Why do some candidates use Medicare for All?

Some candidates use Medicare-for-all to establish themselves as bold progressives or moderate pragmatists. The Trump administration uses it as a point of attack. But voters don’t know what it actually means, and none of the candidates explain it.

How much does Medicare cover?

The need for help is widespread. Medicare covers about 80% of the costs of doctor visits and outpatient services; most seniors buy insurance to cover some or all of the remainder.

What is the difference between commercial insurance and Medicare?

To him it’s simple: The mission of commercial insurance is to make money while Medicare’s mission is to facilitate care for people. “That’s a fundamental difference,” he said.

What are the three criteria for Medicare for All?

The bill incorporates all three main criteria of Medicare-for-all in its broadest terms: universal coverage for all U.S. residents, a single-payer system and the abolishing of private health insurance. Laws restricting federal funds for reproductive health services would not apply.

When was Medicare signed into law?

Medicare was signed into law in 1965 after a 50-year effort to create a national health insurance system covering everyone. Opposition was so fierce that President Franklin Roosevelt excluded health insurance from the Social Security Act of 1935, and 13 years later President Harry S. Truman’s efforts to close what he called “the greatest gap in our social security structure” died in committee. The only way to get the law passed was by limiting coverage to older Americans.

When was Medicare for All first introduced?

The phrase first appeared in the Congressional Record in 2003 on a House bill introduced by former Rep. John Conyers Jr., of Michigan, and again in 2006 when the late Massachusetts Sen. Edward M. Kennedy, long a proponent of national health insurance, introduced the “Medicare for All Act.”

What does Medicare for All mean?

As Larry Levitt, a health policy expert at the left-leaning Kaiser Family Foundation, has said, “As a practical matter, Senator Sanders’ Medicare for all bill would mean the end of private health insurance.

What did Joe Biden say about Medicare?

Former vice president Joe Biden distinguished himself from other candidates in the most recent Democratic presidential debate by opposing Medicare-for-All, mainly by expressing concerns about cost. In doing so, Biden echoed Republicans’ favorite argument against single-payer health care: “How will they pay for it?”

Why does Medicare for All stink?

The important reality is that (in addition to runaway costs that would necessitate higher taxes, even on middle-income people) Medicare for All stinks for many other reasons. Here are just ten. 1. Ruinous to Health-Care Quality. Medicare for All will hurt the quality of health care in America. Sen.

Will M4A swamp emergency rooms?

4. M4A Will Swamp Emergency Rooms. Medicare for All will swamp emergency rooms. Probably because they can’t get timely doctor appointments, Canadians use hospital emergency departments much more than Americans do—and even there, they wait longer, according to the Commonwealth Fund.

Does Medicare for All reduce innovation?

CMS Administrator Seema Verma calls M4A “the greatest threat to innovation in health care” probably because she’s seen how Medicare, with all its good intentions, has slowed medical innovation s that could have helped the elderly.

Will Medicare for All worsen the culture war?

Medicare for All will worsen the culture war. If you like political debates about birth control, abortion, physician-assisted suicide, vaccines, or transgender surgery, you’re going to love Medicare for All!

Will Medicare for All rob the neediest people?

It Will Rob the Neediest People. Medicare for All will stretch Medicare and rob resources from those who truly need a safety net. Today the United States has health-care safety-net programs for veterans, seniors, and low-income people, particularly low-income pregnant women, children, and people with disabilities.

Why is Medicare for All important?

And, in fact, a Medicare for All system affords more people more choice, because there are millions of people right now without healthcare who are denied the choice entirely.

What does "losing your insurance" mean?

Survey questions that imply Medicare for All means “losing your insurance” are actually misleading and tell us little. “Losing” implies that people will have less insurance after the transition to Medicare for All, which is what they’re worried about.

What does socialization mean in healthcare?

Socialization means that healthcare will be rationed by a cold and heartless bureaucracy.

Why are antibiotics less desirable than other drugs?

As a 2008 “call to arms” from the Infectious Diseases Society of America (IDSA) put it, “ [Antibiotics] are less desirable than other drugs to drug companies and venture capitalists because they are more effective than other drugs.”. That last point may sound counterintuitive.

Can you change your private insurance company?

But here’s the thing: If you have private insurance, abstract “market forces” aren ’t denying your claim. That’s being done by individual gate-keepers who work for your insurance company. “Yes,” a critic might reply, “but I can change my private insurance company if I dislike my individual gate-keepers, whereas with the government I’m stuck.” But the wonderful thing about living in a democracy—which our fictitious critic forgets—is that we can choose our individual gate-keepers. If you’re unhappy with the way the healthcare system is being run, you have the right to vote out the people who are overseeing it. And, in fact, a Medicare for All system affords more people more choice, because there are millions of people right now without healthcare who are denied the choice entirely.

Is Medicare for All a net reduction?

So would Medicare for All. It doesn’t follow, however, that instituting Medicare for All would represent a net reduction rather than net increase in most people’s personal autonomy and freedom of choice.

Does Medicare for All cover poor health?

There may be some truth in that assessment, but it’s also the case that poor health makes it more difficult to lead a healthy lifestyle. Medicare for All will provide all Americans with the preventative care they need, dealing with health issues before they snowball into something much worse.

Why won't Medicare for All work?

Why Medicare For All Simply Won't Work. Left-wing politicians continue to push for creation of new government-run health care plans, sometimes called “single payer” or “Medicare for All,” that would replace all private and employment-based coverage. Health care in America is too bureaucratic, costly, and complex.

What is Medicare for All called?

Self-styled “progressive” politicians claim they have a “remedy” for that; namely, the creation of a new government-run health plan—sometimes called “ single payer ” or “ Medicare for All ”—replacing all private and employment-based coverage, as well as most major federal health programs, including Medicare, Medicaid, and the Federal Employees Health Benefits Program.

What is the effect of the confluence of billing practices and health care laws and regulations?

A confluence of entrenched billing practices and health care laws and regulations—many of them aimed at “reform”—have increasingly demanded the doctors’ time, which has the twofold effect of diminishing the quality of patient care and driving down the morale of physicians —if not driving them out of the profession entirely.

Why would there be no exit from the healthcare system?

We also show that, for all practical purposes, for most Americans, there would be no exit from the system, because the House and Senate bills severely restrict the right of patients to go outside of the system to spend their own money to get the kind of medical care that they want and need.

Will doctors be free to practice medicine?

Not even the doctors who treat us will be free to practice medicine in the way they deem best. The promises of streamlined medicine under a single-payer system are based on the facile belief that government’s involvement may make it more efficient. That’s belied not only by common sense, but also by the tens of billions of dollars spent each year on complying with government regulations.

Is Medicare a model of administrative simplicity?

If today’s Medicare program—governed by tens of thousands of pages of rules and regulations and guidelines and related paperwork—is no model of administrative simplicity, the proposed national health insurance apparatus will create an unprecedented level of bureaucratic micromanagement.

Can you communicate health policy with bumper stickers?

You cannot competently communicate health policy with campaign bumper stickers. Americans will only preserve their personal health care freedom by paying attention to the details.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9