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George II

(67,782 posts)
Mon Jan 7, 2019, 05:44 PM Jan 2019

Progressives Will Get Their Debate On Medicare For All -- And Questions Abound

Democrats have put the issue on the House’s agenda, so now the real scrutiny begins.

The debate about Medicare for All is about to get more serious ― and more complicated.

The idea of creating a single national health insurance program for all Americans has been a big topic of political conversation since 2016, when Sen. Bernie Sanders (I-Vt.) touted it during his Democratic presidential campaign. But Medicare for All couldn’t be anything more than a rallying cry as long as Republicans controlled the levers of power in Washington.

Political circumstances are different now. Democrats hold the House majority and, as Speaker Nancy Pelosi’s office confirmed to The Washington Post on Thursday, at least two committees will hold hearings on Medicare for All this year. Exactly what those hearings will entail isn’t clear ― Democratic leaders aren’t saying ― but one focus will be a bill that Rep. Pramila Jayapal (D-Wash.) plans to introduce in the next few weeks.

Jayapal is a leader of a Medicare for All House caucus that had 78 members as of late November and, with an infusion of newly elected Democrats, should soon have more. The new bill will be similar to one she co-sponsored in the last Congress, which in turn was similar to a bill Sanders introduced in the Senate.

(MUCH more....)

https://www.huffingtonpost.com/entry/medicare-for-all-bernie-sanders-democrats_us_5c2cf914e4b05c88b70514b5

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guillaumeb

(42,641 posts)
1. From the article:
Mon Jan 7, 2019, 06:10 PM
Jan 2019
How Aggressively Should Government Control Prices?
The reason Medicare for All can provide coverage to everybody, while spending less money, is that the government would regulate prices throughout the health care sector ― not just on prescription drugs, but for doctors and hospitals and everything else.

Studies have shown that health care prices in the U.S. are outrageously high by international standards. Knee replacements cost $28,000 on average in the U.S., for example, while they cost $18,000 in the U.K. In a Medicare for All system, the government would force American prices down ― not all the way down to European levels, but enough to get a better handle on costs here.


The US system is a providers' market, where the providers and insurance companies basically decide what to charge and what to cover. And that is the reason that, as the excerpt shows, prices are so much higher in the US. The profit margin is baked in.

Demsrule86

(68,565 posts)
2. I am absolutely against trying to do Medicare for all in one giant bill...it will be a mess
Mon Jan 7, 2019, 06:25 PM
Jan 2019

and some with work insurance won't want it...could end up like Clinton care...shore up the ACA and add a public option...we will get there... universal health care eventually.

George II

(67,782 posts)
3. The only successful "medicare for all" (which they really aren't) programs are in countries....
Mon Jan 7, 2019, 06:33 PM
Jan 2019

...with a fraction of the people that are in the US, and have homogeneous populations, not a diverse population of more than 320 million people.

AlexSFCA

(6,137 posts)
5. UK, France, Germany, etc.
Mon Jan 7, 2019, 07:00 PM
Jan 2019

There are no developed countries with even half the US population. Germany is pretty big - 83M. The good news is the bigger the population the more efficient and cost effeftive univeral healthcare is. You get one giant 320M insurance pool. Medicare right now is nightmare insurance with the worst possible pool - old folks only. All you need to do is open it to all ages. Healthcare should never be tied to employers, it has nothing to do with it. Employers can still provide supplemental insurance.

guillaumeb

(42,641 posts)
6. We are talking about industrialized nations.
Mon Jan 7, 2019, 07:38 PM
Jan 2019

France has over 67 million people. A very diverse population as well.

GulfCoast66

(11,949 posts)
4. Good. Then everyone can see it is a talking point, not a feasible policy
Mon Jan 7, 2019, 06:56 PM
Jan 2019

The now popular ACA is just sitting there ready to be turned into a vehicle of Universal Coverage.

It can be turned into a system that mirrors the French system without starting from scratch. More importantly it keeps employers in the game. No way the 50% of Americans that get their coverage from their employer will vote for a system that eliminates that. Or for a party that espouses doing so.

GulfCoast66

(11,949 posts)
8. Well, Medicare for all is not the only, or best way toward Universal Healthcare.
Mon Jan 7, 2019, 08:12 PM
Jan 2019

Neither France nor Germany, 2 of the best health systems in the world do Medicare for all. Germany comes closer. France keeps the employer in the game and gives people several nonprofit insurance option with the government covering the cost of those who can’t afford it. It would be the system we could pivot to using the ACA. And good luck getting the half of Americans who get their healthcare from their employers to vote for a party that promises to eliminate it.

I do not support medicare all because it is almost impossible to get to, and not the best model out there.

Do not confuse Medicare for all with Universal Healthcare. They are not the same. I am as strong a supporter of Universal Healthcare as you will find.

Finally, if we do not find a way to greatly reduce our military spending no system is affordable.

Affordable Universal Healthcare is the goal of all of us.

Have a nice evening.


brooklynite

(94,552 posts)
10. Hope they can make a compelling argument, because I'm not convinced...
Mon Jan 7, 2019, 08:43 PM
Jan 2019

...GOvernment sponsored health care AS AN OPTION is fine. I think imposing it as a mandate won't gain public support.

rgbecker

(4,831 posts)
11. Great! Finally a DU thread where everybody that hates Medicare can air it out!
Mon Jan 7, 2019, 10:06 PM
Jan 2019

Don't hold back, I'm eager to hear all the RW talking points.

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