Medicare Blog

why won't medicare for all work

by Percy Mosciski MD Published 2 years ago Updated 1 year ago
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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.

Will Medicare for all disrupt the job market?

Medicare for All isn’t predicted to disrupt all job types and could even potentially benefit certain types of health care workers ― for example, by expanding the need for caregivers because of a proposed expansion of long-term care benefits.

What would Medicare for all mean for the medical profession?

And Medicare for All would provide health benefits to tens of millions who are still uninsured, creating additional demand for doctors and other providers. Still, others are likely to be lost in the short term.

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.

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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 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.

What would happen if we had no Medicare?

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.

How many senators support Medicare for All?

Bernie Sanders (I-Vt.) and fourteen of his colleagues in the Senate on Thursday introduced the Medicare for All Act of 2022 to guarantee health care in the United States as a fundamental human right to all.

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.

Is Obamacare the same as universal health care?

Moving on, Obamacare does not promise universal coverage. Although it broadens the coverage, there is a fundamental principle that compels the Americans to buy the insurance in order to get the healthcare. There are more affordable insurance plans available to Americans.

Can I stay on Obamacare instead of Medicare?

A: The law allows you to keep your plan if you want, instead of signing up for Medicare, but there are good reasons why you shouldn't. If you bought a Marketplace plan, the chances are very high that you do not have employer-based health care coverage.

What was life like before Medicare?

Life expectancy — Life expectancy of a 65 year old increased from 79.3 years in 1965 to 83.6 years in 2007. Poverty — Before Medicare, 33% of all seniors were living in poverty. Today, less than half that number, or 14%, live in poverty. There have been other social benefits.

Is Medicare running out of money?

A report from Medicare's trustees in April 2020 estimated that the program's Part A trust fund, which subsidizes hospital and other inpatient care, would begin to run out of money in 2026.

Is Medicare for All single-payer?

Medicare for All is only one type of single-payer system. There are a variety of single-payer healthcare systems that are currently in place in countries all around the world, such as Canada, Australia, Sweden, and others.

How did Obama care work?

When you enroll in a health insurance plan, you typically pay a monthly premium to keep that plan. Obamacare includes subsidies to help lower income individuals cover the cost of their plans. These subsidies, also known as tax credits, are still in effect in 2021.

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).

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.

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.

How many health care jobs were there in 1990?

Health care jobs in Allegheny County, the region surrounding Pittsburgh, grew from roughly 90,000 in 1990 to around 140,000 this year, according to the Pennsylvania Department of Labor and Industry.

Who voted for Bernie Sanders?

Claire Cohen, a Pittsburgh-based child psychiatrist, voted for Bernie Sanders, the architect of the most sweeping version of Medicare for All, in the 2016 Democratic presidential primary.

Will Medicare for All be available to uninsured?

And Medicare for All would provide health benefits to tens of millions who are still uninsured, creating additional demand for doctors and other providers. Still, others are likely to be lost in the short term.

Is Medicare for All a national health plan?

The idea of one national health plan covering all Americans has steadily grown more popular in public opinion po lls over time, a sea change that coincides with Medicare for All becoming near orthodoxy for progressive Democrats. Prior to 2016, when Sanders made it the linchpin of his insurgent run for president, less than half of Americans supported setting up a such a system, according to Kaiser Family Foundation polling. Now, just over half of the public backs it.

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