Medicare Blog

why not expand medicare for all

by Ally Kovacek IV Published 3 years ago Updated 2 years ago
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The answer is less government, not more. Doctors won’t work for Medicare rates. 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.

Full Answer

Are Americans with Medicare ‘satisfied’ with their insurance?

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.”

Will Medicare for all lower your health care costs?

Though Medicare for All would likely lower the healthcare costs in the economy overall and increase quality care while also facilitating more preventative care to avoid expensive emergency room visits, you could end up paying more if you make more than $250,000 a year or are in the top 0.1 % of households.

What are the other Medicare expansion options lawmakers have introduced?

Lawmakers have introduced other Medicare expansion options, which would be much more limited than Medicare for All. Senators Debbie Stabenow (D-Michigan), Sherrod Brown (D-Ohio) and Tammy Baldwin (D-Wisconsin) introduced the Medicare at 50 Act in February of 2019. Under the Medicare at 50 Act, people between 50 and 64 could buy into Medicare.

Will Bernie Sanders'Medicare for all plan eliminate all other forms of insurance?

Though Bernie Sanders’ (D-Vermont) version of Medicare for All would eventually eliminate all other forms of insurance, other Democratic candidates have varying degrees of support and versions of Medicare for All as a universal healthcare system.

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Why Medicare should not be expanded?

Expanding government coverage at the expense of private coverage will make it harder for providers to continue shifting costs to higher-paying private patients. The result will be longer lines, less care, and decreased incentive for innovation in treatment and care.

Why should healthcare not be free for all?

"Free" health care isn't really free since we must pay for it with taxes; expenses for health care would have to be paid for with higher taxes or spending cuts in other areas such as defense, education, etc. Profit motives, competition, and individual ingenuity have always led to greater cost control and effectiveness.

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 public option is better than Medicare for All?

Unlike Medicare for All, enrolling in the Public Option would be entirelyoptional. The Public Option would offer essential health benefits, which include: inpatient and outpatient hospital care. mental health and substance abuse care.

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 is the downside of universal health care?

Cons of Universal Health Care This effectively leaves healthy people paying for the care of sick people. Other disadvantages of universal health care include: More government control in individual health care. A universal health care system may limit costly services that have a low probability of success.

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.

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.

Would free healthcare help the economy?

The most obvious benefits would be higher wages and salaries, increased availability of good jobs, reduced stress during spells of job loss, better “matches” between workers and employers, and greater opportunity to start small businesses.

What are the pros of having a public option?

It increases competition and gives both businesses and individuals the freedom to choose a health insurance plan that's more affordable and dependable. A public health insurance option allows the state or federal government to ensure that prices are reasonable, while benefits and care remain high-quality.

Why we need a public option?

A common rationale for creating a public option is that a public option could pay health care providers less than existing private plans, just as the Medicare program pays providers less than commercial insurance plans.

Would a public option increase taxes?

The Congressional Budget Office expects that if the public option was offered by employers in the group market at premiums below current private premiums, employers would increase wages, which would increase taxable compensation and, in turn, federal tax revenues.

What is Medicare for All?

Medicare for All is a proposed new healthcare system for the United States where instead of people getting health insurance from an insurance company, often provided through their workplace, everyone in America would be on a program provided through the federal government. It has become a favorite of progressives, ...

Why do governments limit health care spending?

Governments have to limit health care spending to keep costs down. Doctors might have less incentive to provide quality care if they aren’t well paid. They may spend less time per patient in order to keep costs down. They also have less funding for new life-saving technologies.

What would be replaced by Sanders' bill?

Sanders’ bill would replace all other insurance, with limited exceptions, such as cosmetic surgery. 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.

How much will healthcare cost in 2026?

If everything stays the same as it is right now, the combined healthcare spending by private and public sectors is projected to reach $45 trillion by 2026.

Why is universal healthcare important?

Pros. Universal healthcare lowers health care costs for the economy overall, since the government controls the price of medication and medical services through regulation and negotiation.

Is Medicare for All single payer?

Medicare for All is effectively single-payer healthcare. Single-payer health care is where the government pays for people’s health care. The new name just makes the concept more popular. A Kaiser Family Foundation poll found that 48% of people approved of single-payer healthcare, while 62% of people approved of Medicare for All.

Is Medicare for All the same as Obamacare?

The Affordable Care Act, commonly referred to as Obamacare, would also be replaced by Medicare for All. Medicare for All is actually more genero us than your current Medicare program. Right now, Medicareis for Americans 65 and older. They receive care, but they’re also responsible for some of the cost.

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.

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.

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 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. ...

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.

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.

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.

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?”

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.

Does Medicare for All hurt the health care system?

Medicare for All will hurt the quality of health care in America. Sen. Bernie Sanders and other M4A advocates rely on misleading international comparisons that make the quality of U.S. health care look bad. In reality, Americans have access to world-class health care, especially the Americans with private insurance.

How much does Medicare cost?

Medicare’s costs are 15,000 dollars per Medicare recipient and many of those recipients also have a supplemental healthcare insurance policy and a prescription insurance plan and all that AFTER paying taxes for 50 years. Money does not grow on trees people.

What happens if you don't have healthcare?

Humanitarian Analysis. If people do not have healthcare and cannot go to the doctor without going bankrupt, you leave people with the choices of bankruptcy or death. That is fundamentally inhumane. No one should have to choose between a life of debt or death for themselves, or for their loved ones.

Is Medicare a 30th place in the world?

This in large part drives the fact that the US ranks about 30th in the world in health care outcomes. Yes. For all the lies about Medicare’s inefficiencies (I dare you to compare administrative costs of Medicare compared to any BCBS plan), Medicare has the infrastructure to expand coverage that no other health plan has.

Does Obamacare require people to insure their own health?

Obamacare has begun that by requiring more people to insure their own health, who otherwise would end up relying on the government. It should mean that people that the taxpayers collectively subsidize via Medicare / Medicaid now pay more of their own way, and so the government program can spend less.

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.

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 do pharmaceutical companies give up research?

Amid a growing global crisis of anti-microbial resistance, in which microbial evolution is defeating antibiotic after antibiotic and patients are routinely dying from routine infections, pharmaceutical companies have all but given up research into new families of the life-saving drugs, simply because they are not profitable enough. That amputation or surgery to scrape out infected areas might return as common medical responses is not a pleasant thought. But this alternative was the only one left to the doctors of 19-year-old Antonio Ricci of Seattle when they surgically removed part of his leg, following repeated infections from drug-resistant bacteria—acquired in a train accident in India—that could not be treated, even with highly toxic last-resort antibiotics. Each time the infection returned, more and more of the leg had to be cut off. Although Ricci has since recovered, he has lived in perpetual fear of the reappearance of bugs that cannot be fought. 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.”

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.

Why is the GOP terrified of Medicare for all?

Now we know why the GOP is truly terrified of “Medicare for all”: It will wipe out the Republican Party’s control of the House, Senate, White House, and most state governments. Because it could make it very easy for every citizen over 18 to vote.

What would happen if the GOP was out of power?

With the GOP out of power at the state level, Democrats (and the few remaining ethical Republicans) could replace gerrymandering with good-government solutions like the non-partisan district-drawing commission put into place by California.

How many people were purged in 2014?

Republican voter suppression is thriving in the U.S.: The Brennan Center documents a 33 percent increase in voters purged during the 2014-1016 election cycle (16 million), compared with the 2006-2008 cycle (12 million purged), as the GOP has made ID and purges (along with fear mongering about brown-skinned people) their main electoral strategy. In just the past year, as many as an additional 14 million voters have been purged from rolls nationwide, while over the past two decades every Republican-controlled state has introduce rigid ID laws.

When did the GOP start a voter suppression campaign?

The GOP stepped up their voter suppression game in 1980 when Heritage Foundation, ALEC, and Moral Majority co-founder and Reagan campaigner Paul Weyrich famously said, “I don’t want everybody to vote. Elections are not won by a majority of people; they never have been from the beginning of our country, and they are not now. As a matter of fact, our leverage in the elections, quite candidly, goes up as the voting populace goes down .”

What did the white conservatives do to prevent poor people from voting?

Here in the U.S., ever since Jim Crow, racist white “conservatives” have used a variety of means to prevent poor people, people of color, low-income working people, students, and older people from voting. Techniques have varied over the years, starting with poll taxes and so-called “literacy tests,” and now are carefully calibrated by cutting voting sites, reducing early voting, and even disenfranchising North Dakota’s Native American population.

Does Canada have Medicare?

But it’s a virtual certainty that the deep-dive think tanks and “wise elders” of the GOP also know how easy it is to vote in Canada and other developed countries, in very large part because of the national ID card that Canada’s (and most of Europe’s) Medicare for all programs provide at great ease and no cost.

Does the GOP need voter registration?

But with a national ID system in place that’s universally used because it’s the key to getting your health care and medications, there’s no need for “voter registration” and thus no ability for the GOP to purge voters. Voter registration, after all, is a practice we largely got after the Civil War because Southern white politicians warned of “voter fraud” being committed by recently freed black people, and some Northern states used it to prevent poor whites from voting.

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