Medicare Blog

"medicare for all" is not what people think it is

by Prof. Irwin Kulas Published 2 years ago Updated 2 years ago
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Is Medicare for all taking away people’s insurance?

Medicare for All is not “taking away” people’s insurance, in the sense that they will have less coverage; it’s changing the payment structure of their insurance, routing money through a public entity rather than a private one.

Is ‘Medicare for all’ a good idea?

Ask someone what they think about the idea of “Medicare for All” — that is, one national health insurance plan for all Americans — and you’ll likely hear one of two opinions: One, that it sounds great and could potentially fix the country’s broken healthcare system. Or two, that it would be the downfall of our country’s (broken) healthcare system.

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.”

Will “Medicare for all” ever get enacted?

U.S. “Medicare for All” is an idea for the long run. Its prospects of eventual enactment will be determined by our shifting views on a right to health care, likely cost savings, economic inequality, and the role of government in the lives of Americans. Disclosure forms provided by the author are available at NEJM.org.

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What are the disadvantages 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.

What are the arguments against universal healthcare?

Beyond individual and federal costs, other common arguments against universal healthcare include the potential for general system inefficiency, including lengthy wait-times for patients and a hampering of medical entrepreneurship and innovation [3,12,15,16].

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 is the problem with universal healthcare?

Low levels of entitlements, large healthcare inequality, limited financial protection and poor portability are deemed as major challenges in the progress of UHC. For those countries that are expanding their health insurance programmes, it is important to note that a high coverage of health insurance is not enough.

Who has the best healthcare system in the world?

South Korea has the best health care systems in the world, that's according to the 2021 edition of the CEOWORLD magazine Health Care Index, which ranks 89 countries according to factors that contribute to overall health.

Why do people think healthcare is a human right?

Among all the rights to which we are entitled, health care may be the most intersectional and crucial. The very frailty of our human lives demands that we protect this right as a public good. Universal health care is crucial to the ability of the most marginalized segments of any population to live lives of dignity.

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.

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...

Why universal healthcare is good for America?

Universal healthcare would free small business owners from having to provide coverage while simultaneously enhancing the freedom of the worker. Lifespans could be longer, people could be happier and healthier in systems that are simpler and more affordable.

Does Canada have free healthcare?

All citizens and permanent residents, however, receive medically necessary hospital and physician services free at the point of use. To pay for excluded services, including outpatient prescription drugs and dental care, provinces and territories provide some coverage for targeted groups.

Should everyone be entitled to free healthcare?

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.

Could universal health care work in the US?

California could become first US state to offer universal healthcare to residents. California is considering creating the first government-funded, universal healthcare system in the US for state residents.

How do you argue against free health care?

Main Argument: P1: The costs of health care would decrease if we have universal health care. P2: Universal healthcare needs to be available for everyone just like education is. P3: Having healthcare would allow individuals to get the health care that they so deserve.

Is universal healthcare a good idea?

It will not only provide all Americans better health and security—particularly for working people, knowing they'll never be reduced to poverty by medical expense—its financial returns to the economy from both an improved work force and a reformed health care system will far exceed any cost of the program in taxes.

Why US should have universal healthcare?

Universal healthcare would free small business owners from having to provide coverage while simultaneously enhancing the freedom of the worker. Lifespans could be longer, people could be happier and healthier in systems that are simpler and more affordable.

Why should healthcare be free?

Free medical care provides maximum protection against risk, but minimum incentive for efficient production. A sufficiently large deductible, by contrast, exposes the individual to risk, but does provide a basis for price competition for outpatient services and thus an incentive for efficient production.

Why do some people think Medicare for All is necessary?

Some people believe that Medicare for All is necessary because it could theoretically serve as an all-in-one solution to the U.S.’s health care iss...

Would you be able to keep your doctor under a Medicare for All system?

You likely would be able to keep your doctor under a Medicare for All system. Most doctors accept Medicare, so if Medicare was expanded to include...

How would a theoretical transition occur from our system now to Medicare for All?

A theoretical transition from the current U.S. health care system to Medicare for All would be one of the greatest undertakings in American history...

Medicare for All Basics: How It Works

The term “Medicare for All” is used by mostly progressive politicians to describe a single-payer, government-run health care program that covers all Americans.

How Is Medicare for All Different from Medicare?

The term Medicare for All simply sounds more appealing to many Americans than the term single-payer health care.

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.

Who introduced Medicare for All?

Senator Bernie Sanders recently announced his Medicare-for-All bill. This is basically the senate version of the congressional bill introduced by Pra mila Jaya pal. 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 ...

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.

Is Medicare for All bipartisan?

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.

Is Medicare for All bad?

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. There are three basic objections to Medicare-for-All.

What is the idea of Medicare for All?

Ask someone what they think about the idea of “Medicare for All” — that is, one national health insurance plan for all Americans — and you’ll likely hear one of two opinions: One , that it sounds great and could potentially fix the country’s broken healthcare system.

What percentage of Americans support Medicare for All?

A Kaiser Family Foundation tracking poll published in November 2019 shows public perception of Medicare for All shifts depending on what detail they hear. For instance 53 percent of adults overall support Medicare for All and 65 percent support a public option. Among Democrats, specifically, 88 percent support a public option while 77 percent want ...

What would happen if we eliminated all private insurance and gave everyone a Medicare card?

“If we literally eliminate all private insurance and give everyone a Medicare card, it would probably be implemented by age groups ,” Weil said.

What is single payer healthcare?

Single-payer is an umbrella term for multiple approaches.

How many people in the US are without health insurance?

The number of Americans without health insurance also increased in 2018 to 27.5 million people, according to a report issued in September by the U.S. Census Bureau. This is the first increase in uninsured people since the ACA took effect in 2013.

Is Medicare Advantage open enrollment?

While it covers basic costs, many people still pay extra for Medicare Advantage, which is similar to a private health insurance plan. If legislators decide to keep that around, open enrollment will be necessary. “You’re not just being mailed a card, but you could also have a choice of five plans,” said Weil.

Is Medicare for All a fact?

A succinct, fact-based explanation of what Medicare for All would actually entail and how it could affect you. It’s a topic that is especially relevant right now. In the midst of the 2020 U.S. presidential election, Medicare for All has become a key point of contention in the Democratic Party primary.

What is the Medicare bill?

The bill proposes reimbursing doctors and hospitals at Medicare's current rates, which are 40 percent below what private insurance pays. Health care providers are unlikely to just absorb those cuts. Those with narrow margins – say, in rural areas – may be forced to close, unable to cover their costs.

Why should young people not pursue medicine?

Bright young people may decide not to pursue careers in medicine, given that “Medicare for all” will limit their earning power. Regardless, ratcheting down the price of care by force is going to cause health care providers to supply less of it. And that will lead to longer waits for patients.

Will Americans stand for Medicare for All?

American patients will not stand for the higher taxes and lower-quality care that “Medicare-for-all” would bring. A majority of people, 55 percent, erroneously believe that they'd be able to keep their private insurance under such a system.

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.

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.

Does Medicare cover dental care in Canada?

There are differences, to be sure. The Medicare for All bill proposed by Bernie Sanders would cover dental care, for example, which isn’t currently covered by the Canadian system. (Canada’s social democratic party, the NDP, has been campaigning on a platform of extending Medicare to cover this and a few other gaps.)

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.

Can you underfund the V.A.?

You can underfund the V.A. without most people noticing. You can build a far more powerful political coalition to defend the funding levels of a universal system like Britain’s NHS or the Medicare for All system democratic socialists want to institute in this country.

Is Medicare a mess?

There’s considerable dispute about the degree to which the V.A. is or is not a mess. The Medicare for All critics who note that Americans with private plans tell pollsters that they’re “satisfied” with their insurance never seem to want to talk about the fact that Medicare and Medicaid recipients are even more likely to report being “satisfied.” Moreover, the groups that are the most likely to report being “satisfied” are… veterans and active-duty servicemen, who get their healthcare at government-run hospitals.

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