Medicare Blog

why medicare for all wont work

by Prof. Aliza McCullough Published 2 years ago Updated 1 year ago
image

Medicare for All is one of those things. There are two fundamental reasons that a public option cannot work. The big, solvable issue in our healthcare system is the 30 percent of every healthcare dollar that is squandered on administrative overhead — paperwork, the pre-approvals, denials, and appeals that are an integral part of myriad for-profit private insurance companies.

Full Answer

Will Medicare for all work?

Medicare for all won't work. We government and private health choices. 'Medicare for All' isn't the answer. We need a basic health care safety net for all. Mandatory Medicare for All won't work. We need a basic government health safety net plus private insurance for those who want it.

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.”

Was Kennedy’s Medicare plan too wonky?

“It was too wonky, and no one knew what it meant,” Dr. Philip Caper, a single-payer advocate for nearly 50 years who worked with Kennedy from 1971 to 1976, said during a phone interview from his home in Maine. “I said: What we’re really talking about is expanding Medicare for everybody.

Why is Medicare-for-all bad for physicians?

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.

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.

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.

Why Medicare for All not a public option is the best solution?

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.

Would Medicare for All cause long wait times?

Question: Won't Medicare for All lead to long wait times and rationing of care? Answer: No. It will eliminate the rationing going on today. The U.S. already rations care based on ability to pay: if you can afford care, you get it; if you can't, you don't.

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 would happen if the US 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.

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.

Why was public option removed?

The public option was initially proposed for the Patient Protection and Affordable Care Act, but was removed after independent Connecticut senator Joe Lieberman threatened a filibuster.

Is Medicare for All the same as single payer?

Single payer refers to a healthcare system in which only the government pays. The term “Medicare for All” means the same thing. Therefore, in this case, the two terms are interchangeable. However, in the broader sense, single payer could refer to healthcare that a government other than the U.S. government finances.

Which country has the best healthcare?

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.

What is the average wait time to see a doctor in Switzerland?

Health Care Wait Times by Country 2022Country% Waiting > 1 DayMedian Days Wait - Knee ReplacementSwitzerland12.00%Estonia0.00%461Finland0.00%99Denmark0.00%4416 more rows

Do countries with free healthcare have long wait times?

Data from other nations show that universal coverage does not necessarily result in substantially longer wait times. In fact, there are a variety of circumstances in which the United States' peer nations have shorter wait times.

What would happen if there was a single payer?

“The immediate effect of having a single ("stingy") payer would be lower incomes for physicians and a reduction in the supply of active physicians, thereby impairing access to health care for all patients.”

What did Bernie Sanders want to do?

Senate as a direct response to the GOP’s failure to repeal and replace the Affordable Care Act (a.k.a. Obamacare). House Democrats are also pushing a similar proposal; however, the lack of understanding of the benefits of a market-oriented health care system is apparent throughout the ranks of Congressional progressives.

How much money can Medicare for All cut in half?

Only a single-payer system like Medicare for All can cut that trillion dollars in half, by eliminating that bureaucratic waste. That half — $500 billion — can be redirected to providing comprehensive healthcare to all Americans. It’s not free.

Does Medicare for All have deductibles?

Medicare for All offers free choice of doctors and hospitals, with no deductibles and co-pays.

Is it reasonable to allow people to choose between keeping their current restrictive plans or a Medicare for All option?

Allowing people to choose between keeping their current restrictive plans or a Medicare for All option sounds reasonable, but it just won’t work . As with Emancipation, the Declaration of Independence, and World War 2, this is a time for major change that will benefit the most people.

What would happen if Medicare for All was cut?

If the “Medicare for All” program were to cut costs through centrally planned rationing, it would exacerbate the expected 130 thousand physician shortage, as well as increase wait times, decrease quality and perhaps even stoke xenophobic tensions. It could also impede us from finding life-saving cures.

Who is the Senator that is pushing for Medicare for All?

Just last week, Senator Bernie Sanders put forth a “Medicare for All” bill with the intention of curbing health care spending. As many as half of all Americans support him in his efforts.

What is Bernie Sanders' success story?

Bernie Sanders frequently points to the “success stories” of Nordic health systems, which spend less than us but frequently rank among the best in the world. While the Nordic nations spend less on health care, they spend substantially more on social safety net services, like unemployment coverage, education and foster care.

The Failing Health Insurance System Is Obamacare

Democrats claim M4A is necessary because health care costs too much and the private insurance system isn’t working. But that “system” they’re criticizing is the Affordable Care Act, crafted and passed by only Democrats, which was supposed to provide excellent coverage with a wide range of affordable options.

How Single-Payer Systems Control Health Care Spending

M4A proponents point out that single-payer countries spend less on health care—often much less—than the U.S. But that’s not because those systems are more efficient. 1

Some Single-Payer Countries Allow Opt-Outs

Many U.S. single-payer advocates—including Sanders, the new House bill, and the group Physicians for a National Health Program—want everyone to be in the single-payer system. They believe that, if allowed, higher-income people would opt out of the national plan, reducing the pressure on Congress to keep the government program adequately funded.

Care Will Be Rationed

All government-run health care programs ration care. Some rationing is subtle, some is blatant. But they all do it.

The Government Decides Which Treatments You Can Have

Government-run health care systems decide how to allocate funds in two primary ways: cost vs. benefits or political power. If bureaucrats believe a new drug or medical device is too expensive compared to the benefits, they likely won’t cover it—even if that is the best option for some patients.

Conclusion

The same people who designed Obamacare, with all of its problems, now want the public to trust them with creating a whole new health care system.

Endnotes

1. Bradley Sawyer and Cynthia Cox, “How Does Health Spending in the U.S. Compare to Other Countries?,” Peterson-Kaiser Health System Tracker, Dec. 7, 2018. https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries/#item-relative-size-wealth-u-s-spends-disproportionate-amount-health

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 ...

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.

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.

Mandatory Medicare for All won't work. We need a basic government health safety net plus private insurance for those who want it. More choice, not less

When I was president of the American College of Cardiology nearly 20 years ago, I believed so firmly that everyone in the United States should have health coverage that I put “Health Care for all of U.S.” on bumper stickers. Two decades later, we're not a lot closer to that goal.

A safety net should catch people, not limit them

The term “single-payer” is often used interchangeably with universal health care or publicly funded health care, but there’s an important distinction. Under a single-payer system, private health insurance plays a tiny role. Only one major country in the world, Canada, uses a true single-payer health care system.

Let's create basic coverage and more choices

In the United States, where we value capitalism and competition and where the insurance lobby wields great power, the idea of eliminating private insurance is simply a nonstarter.

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.)

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