Medicare Blog

why medicare for all not medicaid for all

by Titus Farrell Published 2 years ago Updated 1 year ago
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For-profit insurance company waste would continue under a public option, but not Medicare for All. Unlike a public option or a Medicare buy-in, Medicare for All would eliminate the need for the wasteful and unnecessary insurance companies that are focused on profiting from illness instead of keeping enrollees healthy.

Full Answer

Why choose Allcare over Medicaid?

Individuals could also choose between Allcare and private insurance. Our proposed plan reduces bureaucracy and medical waste, while improving quality and creating much-needed competition. Savings to corporations alone would be as much as $174 billion annually. Today, 15 million Medicaid beneficiaries are employed.

How would Medicare-for-all affect the state's role in health care financing?

The state role in health care financing would change substantially under a Medicare-for-all program compared to Medicaid. The state share of spending for Medicaid was $222 billion in 2017. Medicare-for-all proposals vary in how much states could save and how much funding states would be required to contribute relative to current spending.

Why is Medicaid important to the state?

However, in all states, Medicaid plays a key role by providing affordable health coverage for vulnerable populations that includes a wide range of medical, behavioral health, and long-term care benefits. It also is the largest source of federal funds to states.

How is Medicare-for-all different from our plan?

· Medicare-for-All is funded by taxation. Our plan is largely employer-based. · Medicare-for-All eliminates the health insurance industry. Our plan does not. · Medicare-for-All eliminates choice in healthcare. Our plan increases choice.

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What is the difference between Medicare and Medicare for All?

If passed, Medicare for All will be a tax-funded, single-payer health insurance program that would provide healthcare coverage to every person in America. The Medicare for All proposal would be an expansion of Medicare, the health insurance program that covers Americans age 65 and older.

Why is Medicare for All better than a 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.

Is Medicare for All universal healthcare?

In the U.S., Medicare and the VA system are both examples of single-payer health coverage, as they're funded by the federal government. But the U.S. does not have universal coverage, nor does it have a single-payer system available to all residents.

Is Medicare for All the same as Obamacare?

Private insurance, employer-provided insurance, Medicaid and our current version of Medicare, would all be replaced by Medicare for All. The Affordable Care Act, commonly referred to as Obamacare, would also be replaced by Medicare for All. Medicare for All is actually more generous than your current Medicare program.

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 difference between Medicare for All and 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.

Why are Americans 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].

What are the disadvantages of universal health care?

Other disadvantages of universal health care include:More government control in individual health care. ... Longer wait times to access elective procedures, and funds are focused on essential health care services for the population.The substantial cost for the government.

How much does a Canadian pay for healthcare?

$7,000 per personThe Canadian Institute for Health Information provides information on Canada vs US health care statistics. Healthcare for Canadians costs $7,000 per person as of 2019. In the United States, healthcare costs more than $10,000 per person according to CNBC.

How did Obamacare affect Medicare?

The ACA made myriad changes to Medicare. Some changes improved the program's benefits. Others reduced Medicare payments to health care providers and private plans and extended the financial viability of the program. Still others provided incentives and created programs to encourage the system to provide better care.

What are the pros and cons of a universal healthcare system?

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...

How many Americans have no health insurance?

31.6 millionUninsured people In 2020, 31.6 million (9.7%) people of all ages were uninsured at the time of the interview (Table 1). This includes 31.2 million (11.5%) people under age 65. Among children, 3.7 million (5.0%) were uninsured, and among working- age adults, 27.5 million (13.9%) were uninsured (Figure 1).

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.

Who said Medicare for all can include commercial insurance?

sanders. warren. Source: Kaiser Family Foundation (Credit: Moiz Syed and Akilah Johnson ) Caper, the single-payer evangelist who helped popularize the term, said presidential candidates “water it down” and “confuse the issue” by suggesting Medicare-for-all can include commercial insurance.

What is the Medicare for All Act?

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. booker.

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.”

When was the Affordable Care Act passed?

The Affordable Care Act, passed in 2010 during the Obama administration, was seen by many experts as a once-in-a-generation reform. Some argue it didn’t go far enough to provide every American with quality health insurance at a reasonable price. Others say it proves that the government isn’t the solution.

Who wrote the bill for Medicare for all?

Three of the six senators in the race co-sponsored the bill written by Sanders to establish a national Medicare-for-all health insurance program.

Does Medicare cover out of pocket expenses?

Still, high-quality, affordable coverage remains out of reach for many Americans, including many on Medicare. (Medicare covers only a portion of medical expenses, with many people buying supplemental plans to mitigate out-of-pocket costs.)

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 are the six critical objectives that could improve quality while reducing the cost of healthcare?

There are six critical objectives that, if achieved, could improve quality while reducing the cost of healthcare by as much $1 trillion per year: 1. Provide universal health care by requiring all employers to provide health insurance for their employees.

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.

Will Republicans reduce the deficit?

Historically Republicans would like to reduce the federal deficit, and it is likely that they feel a more urgent need to do so with the passage of the tax cut of 2018 that is projected to increase the deficit. Efforts to reduce the federal deficit will likely in part focus on expenditures for Medicare and Medicaid.

It may be the right thing to do

If President Trump really wants a healthcare plan that gives him a big win by covering all Americans, reducing insurance costs, and cutting the cost of healthcare, it could be done. And it would be far better than President Obama’s Affordable Care Act (ACA). Mr.

Healthcare costs around the world

Ever bought your drugs in Canada or Mexico? If so, you know they’re cheaper. In Australia, I took my son to an emergency department, saw a physician, and got his medicines—all for $45.00. In Italy, I took a friend to the hospital at 9:00 pm, saw a doctor, went to a specialist, and got her medicines for less than $100—and all before 11:00 pm.

Power to the patient

A single-payer model would eliminate the inefficiencies of the ACA with its fragmented payment system by converting public programs, such as Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), into a single administratively efficient financing system. Streamlined billing under a single payer would save vast amounts of overhead.

The universal advantage

Today’s fragmented system is akin to requiring each household in a community to anticipate their needs for the coming year and negotiate their own fees and scope of services with the local police and fire departments.

Selected references

Anderson GF, Reinhardt UE, Hussey PS, Petrosyan V. It’s the prices, stupid: Why the United States is so different from other countries. Health Aff. 2003;22 (3):89-105.

What is Medicare for All?

Most Americans agree that we need major changes to our health care system. But a competing public option and buy-in proposals would leave more than a 100 million Americans at the mercy of for-profit insurers. By building on the promises of the Affordable Care Act and incorporating the lessons learned from decades of public programs like Medicare and Medicaid, Medicare for All would ensure that everyone has access to the care they need, including primary care, reproductive health, mental health services, dental, vision and long-term care. Only Medicare for All can make that guarantee.

How does Medicare for All work?

Unlike a public option or a Medicare buy-in, Medicare for All would eliminate the need for the wasteful and unnecessary insurance companies that are focused on profiting from illness instead of keeping enrollees healthy. Hundreds of insurance companies and plans spend time and resources on denying coverage for needed care. Patients, providers and hospitals fight to get care – even crucial cancer treatments – covered. This wasteful system is a key reason administrative costs in the U.S. are more than double the average in other wealthy countries, with between a quarter and a third of our health care dollars spent on administrative functions. Under Medicare for All, doctors would provide the care a patient needs and then send the bill to Medicare. There would be no more patients or doctors haggling with insurers about what’s covered and what isn’t. Given that Medicare already has a track record for keeping administrative costs down – even as private insurance costs rise – Medicare for All could save more than $500 billion a year.

How much would Medicare save?

Even the Koch-funded Mercatus Institute estimates that Medicare for All would save $2 trillion over a decade. The Political Economy Research Institute (PERI) at the University of Massachusetts Amherst found the U.S. could reduce total health spending over a 10-year period by more than $5 trillion.

How many Americans are uninsured?

Further, around 30 million Americans remain uninsured, meaning they likely have unmet health care needs and face the risk of medical debt or bankruptcy when they get sick. A public option would leave millions still uninsured or unable to afford the care they need.

How does public option insurance work?

Public option or buy-in plans would further entrench the power of for-profit insurers. Insurance works by including sick and healthy people in the same pool to spread the costs over everyone. If the for-profit insurers can cherry-pick healthier Americans through seemingly more favorable plans (while they are healthy), ...

How many people are underinsured?

More than 40 million Americans are underinsured, meaning they are unable to afford to use their for-profit insurance. Because of this, far too many Americans must depend on GoFundMe or other forms of public begging to afford lifesaving care.

Why do people avoid going to the doctor?

Nearly half of all Americans report that they avoided going to the doctor when sick or injured in the past year due to cost, meaning that many Americans put off care rather than risk medical debt and even bankruptcy just to get the care they need. Earlier treatment would reduce the need for more expensive care later.

How many people are covered by medicaid?

Medicaid covers 75 million low-income adults, children, pregnant women, seniors, and people with disabilities. The Affordable Care Act (ACA) expanded Medicaid eligibility to serve as the basis of its larger set of coverage and affordability reforms.

What are the benefits of Medicare for All?

The Medicare-for-all benefit package also would include mental health and substance use treatment services.

What is the plan for Medicare for all?

As the debate over the future direction of our health care system heats up leading into the 2020 Presidential election, several Democratic proposals to create a single, federal, universal health insurance program known as Medicare-for-all have garnered significant attention. These proposals would replace most current public and private health insurance with a new federal program that would guarantee health coverage for all or nearly all U.S. residents. However, many details about how a new public program would be implemented and financed are not yet known. While much attention has focused on the implications of ending private insurance and Medicare, the debate has largely ignored the effects on the low-income and vulnerable populations covered by Medicaid and the broader implications for states of eliminating the Medicaid program. Key changes related to Medicaid under current proposals include:

What is auto enrollment in Medicare for all?

A process for auto-enrolling individuals into coverage under Medicare-for-all programs would replace existing application and renewal processes in Medicaid. Once established, all of the Medicare-for-all proposals call for automatically enrolling individuals in coverage at birth.

How long do you have to wait to get medicaid if you are a legal immigrant?

Most legal immigrants are barred from Medicaid coverage for five years after entering the United States (except in the 35 states that have taken up the option to eliminate the five-year waiting period for Medicaid/CHIP coverage for lawfully-residing immigrant children and/or pregnant women).

What is Medicaid in all states?

However, in all states, Medicaid plays a key role by providing affordable health coverage for vulnerable populations that includes a wide range of medical, behavioral health, and long-term care benefits. It also is the largest source of federal funds to states.

How much money would the federal government spend on Medicaid?

Some proposals would have the federal government assume all or a significant share of the nearly $222 billion in state spending on Medicaid, leading to significant state savings.

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 would happen if progressives enacted their massive demolition project?

If progressives were to enact their massive demolition project, they claim that American health care will be superior. It will usher in a new era of universal coverage and care for all 331 million Americans, higher-quality care, superior medical outcomes, and lower costs for individuals and families and the nation at large. Don’t believe it. ...

Will the healthcare debate intensify in 2020?

Regardless of the outcome of the 2020 presidential and congressional elections, the health care debate will intensify. Americans must learn to ignore politicians’ promises, and instead scrutinize politicians’ actions, particularly the legislative language of the House and Senate bills they sponsor or co-sponsor.

Is health care bureaucratic?

Health care in America is too bureaucratic, costly, and complex. 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 ...

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It May Be The Right Thing to do.

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If President Trump really wants a healthcare plan that gives him a big win by covering all Americans, reducing insurance costs, and cutting the cost of healthcare, it could be done. And it would be far better than President Obama’s Affordable Care Act (ACA). Mr. Trump could push Senator Bernie Sanders’ (I-Vt.) …
See more on myamericannurse.com

Healthcare Costs Around The World

  • Ever bought your drugs in Canada or Mexico? If so, you know they’re cheaper. In Australia, I took my son to an emergency department, saw a physician, and got his medicines—all for $45.00. In Italy, I took a friend to the hospital at 9:00 pm, saw a doctor, went to a specialist, and got her medicines for less than $100—and all before 11:00 pm. It was fast, efficient, and cheap. As healt…
See more on myamericannurse.com

Power to The Patient

  • A single-payer model would eliminate the inefficiencies of the ACA with its fragmented payment system by converting public programs, such as Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), into a single administratively efficient financing system. Streamlined billing under a single payer would save vast amounts of overhead. ...
See more on myamericannurse.com

The Universal Advantage

  • Today’s fragmented system is akin to requiring each household in a community to anticipate their needs for the coming year and negotiate their own fees and scope of services with the local police and fire departments. Imagine how much money these lifesaving community services would be obliged to devote to marketing to and negotiating with each household and the disparities in ser…
See more on myamericannurse.com

Selected References

  • Anderson GF, Reinhardt UE, Hussey PS, Petrosyan V. It’s the prices, stupid: Why the United States is so different from other countries. Health Aff. 2003;22(3):89-105. Kahn JG, Kronick R, Kreger M, Gans DN. The cost of health insurance administration in California: Estimates for insurers, physicians, and hospitals. Health Aff. 2005;24(6):1629-39. Marmor T, Oberlander J. From HMOs …
See more on myamericannurse.com

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