Is Medicare For All The Best Solution?

What is the attitude on proposals to expand Medicare and Medicaid? Here is what the CBO is saying currently about MEDICARE FOR ALL: [1]

“Some Members of Congress have proposed establishing a single-payer health care system in the United States to ensure that virtually everyone has health insurance. In a typical single-payer system, people enroll in a health plan operated by the government, and the receipts and expenditures associated with the plan appear in the government’s budget.

This report describes the primary features of single-payer systems, and it discusses some of the design considerations and choices that policymakers will face as they develop proposals for establishing such a system in the United States. The report does not address all of the issues involved in designing, implementing, and transitioning to a single-payer system, nor does it analyze the budgetary effects of any specific proposal.

Some of the key design considerations for policymakers interested in establishing a single-payer system include the following:

  • How would the government administer a single-payer health plan?
  • Who would be eligible for the plan, and what benefits would it cover?
  • What cost sharing, if any, would the plan require?
  • What role, if any, would private insurance and other public programs have?
  • Which providers would be allowed to participate, and who would own the hospitals and employ the providers?
  • How would the single-payer system set provider payment rates and purchase prescription drugs?
  • How would the single-payer system contain health care costs?
  • How would the system be financed?

For each question, this report discusses various options and provides a qualitative assessment of the trade-offs they present.

The issue is how you package it and “name” it.[2] [3]  As well as PAY FOR IT. We discussed that in Dollars & Sense

“MEDICARE FOR ALL”-59% of the public supporting the idea (Kaiser Family Foundation)

“Medicare for All” generates more positive responses (62%) than “national health plan” (57%) or “single payer” (48%).


-INCREASES-ensuring that all Americans have health insurance or reducing administrative costs/allow people to keep their current coverage/50-64 year olds to buy in to Medicare

-DECREASES-higher taxes or increased government control

next gen blog 11-public attitudes

In closing, let us once again look at the detailed comparison of other health care models not practiced in the United States.  The authors utilized 40 indicators, representing the four broad categories:

  • availability of resources
  • use of resources
  • access to resources
  • quality and clinical performance

Five measures of the overall health status of the population are also included. But these indicators can be influenced to a large degree by non-medical determinants of health that lie outside the purview of a country’s health-care system and policies. We have talked about the non-medical determinants of health.[4]

next gen blog 11-five measures

As you experienced while playing FOLLOW THE YELLOW BRICK ROAD, the current American FOR-PROFIT HEALTH INSURANCE (MULTI-PAYOR) MODEL is broken. The people have spoken as to what they will accept in a new health care model. The BISMARK MODEL offers the closest match between the need to address COST, ACCESS, QUALITY, and the NON-MEDICAL DETERMINANTS OF HEALTHCARE and the voice of the people (and the political spectrum by the way).


[1] CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE. “Key Design Components and Considerations for Establishing a Single-Payer Health Care System,” May 2019,

[2] Altman, Drew, “Medicare for All is a double-edged sword for Democrats,” AXIOS 3 Dec 2018,

[3] “Poll: Majorities Favor a Range of Options to Expand Public Coverage, Including Medicare-for-All,” Henry J. Kaiser Family Foundation,23 Jan 2019,

[4] Barua, Bacchus and David Jacques, “Comparing Performance of Universal Health Care Countries, 2018,” Fraser Institute, 2018,

By | 2019-09-24T16:53:48+00:00 September 24th, 2019|Categories: Healthcare|0 Comments

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