Offbeat Bernie Sanders’s $32 trillion Medicare-for-all plan is actually kind of a bargain

14:01  31 july  2018
14:01  31 july  2018 Source:   vox.com

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  Sanders and Ocasio-Cortez on their progressive push in deep-red states One a longtime figure and the other a rising star in Democratic politics, they're trying to make waves in unlikely placesCBS News' "Face the Nation" moderator Margaret Brennan sat down with Vermont's Sanders, a well-known face in Democratic politics, and New York's  casio-Cortez, a rising star in the party after she defeated incumbent Rep. Joe Crowley, as they stumped in the Sunflower State.

Bernie Sanders ’ s $ 32 trillion Medicare - for - all plan is actually kind of a bargain . In terms of overall health care spending in the United States over the same period, however, they are actually projecting a slight reduction.

Bernie Sanders (I-Vt.) speaks during a health care rally on Sept. 22, 2017, in San Francisco. A recent study suggested that Sanders ' " Medicare for all " plan would cost taxpayers $ 32 .6 trillion over a 10-year period.

Elizabeth Warren standing in a dark room: Sen. Elizabeth Warren is one of several high-profile Democrats who have embraced Sen. Bernie Sanders’s single-payer plan. © Win McNamee/Getty Images Sen. Elizabeth Warren is one of several high-profile Democrats who have embraced Sen. Bernie Sanders’s single-payer plan.

$32 trillion.

That is how much federal spending would increase over 10 years under Bernie Sanders’s Medicare-for-all bill, according to a brand-new estimate from the libertarian-leaning Mercatus Center at George Mason University.

Before you question the source (like Sanders did), you should know the left-leaning Urban Institute came up with the exact same number in 2016.

It sure sounds like a lot of money, and conservatives hopped all over the figure on Monday morning. But there are a lot of ways to think about $32 trillion — and one might be that it’s actually kind of a bargain.

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Working Americans wouldn’t have to choose between bargaining for higher wages or better health insurance. Major Savings for Families and Businesses. Bernie ’ s plan will cost over trillion less than the current health care system over the next ten years.

Medicare for All (M4A) would expand the range of services covered by federal insurance (for example, dental, vision, and hearing benefits). But there are a lot of ways to think about $ 32 trillion — and one might be that it’ s actually kind of a bargain .

Mercatus is projecting a $32 trillion increase in federal spending, above current projected government expenditures, from 2022 to 2031.

In terms of overall health care spending in the United States over the same period, however, they are actually projecting a slight reduction.

There is the rub. The federal government is going to spend a lot more money on health care, but the country is going to spend about the same.

“Lower spending is driven by lower provider payment rates, drug savings, and administrative cost savings,” Yevgeniy Feyman at the right-leaning Manhattan Institute told me. “It’s not clear to what extent those savings are politically feasible, and socially beneficial.”

(One concern is whether cuts to prescription drug spending would discourage medical innovation. It’s simply hard to know — Mercatus projects a $61 billion drop in drug spending in one year, but there would still be hundreds of billions of dollars spent annually on medications.)

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  Trump Officials Scoff at ‘Medicare for All’ Drive The proposal has gained steam among some Democrats, but one health official said that such a plan would “run the risk of depriving seniors of the coverage” they have.Alex M. Azar II, the secretary of health and human services, said on Thursday that the administration had a vision for “reforming the American health care system” that would shrink, not expand, the federal role.

“Enacting something like ‘ Medicare for all ’ would be a transformative change in the size of the federal government,” said Charles Blahous, the study’ s author. In other words, despite the plan ’ s unprecedented spending that would jack up the U. S . national debt to nearly trillion , Sanders still

A new study revealed that the so-called “ Medicare for All ” plan promoted by Sen. Bernie Sanders and endorsed by a host of Democratic Party candidates seeking election would increase government health care spending by $ 32 .6 trillion over 10 years.

When you consider a universal single-payer program would 1) cover every single American, eliminating uninsurance and 2) provide much more robust benefits, covering more services than get covered right now, then it starts to look like a good deal.

More people covered. More services covered. Same price, more or less.

The Mercatus Center bakes in some assumptions that could vary the actual cost quite a bit. For example, its scholars assume (as the Sanders bill dictates) that hospitals and doctors would be paid at Medicare rates, a cut from private insurance rates but an increase from Medicaid rates. If the real payment rate were different, it could affect the price tag significantly.

Still, this seems like a reasonable estimate from a group that we would expect to be pretty skeptical of single payer — and it still looks like kind of a good deal.

This is where politics enters into the mix. Conservatives are going to recite that large-sounding cost as often as they can. They were already jumping on it Monday morning. Many Americans still hold real reservations about making Big Government any bigger.

Medicare for All makes a lot of sense

  Medicare for All makes a lot of sense Jeffrey Sachs says the Medicare for All plan would save money and provide greater health coverage for Americans. It's an unbeatable system, and much of the rest of the West already has something like it.Load Error

Bernie Sanders plans to introduce a new ' Medicare for all ' bill this week, but his proposal last year cost nearly .4 trillion . Vermont Senator Bernie Sanders is not giving up on his desire to extend Medicare to all Americans.

Bernie Sanders ’ s $ 32 trillion Medicare - for - all plan is actually kind of a bargain . By Dylan Scott. He killed someone in a parking space dispute.

Single-payer supporters are going to have to come up with a persuasive case that, yes, the federal government is going to spend more, but overall spending won’t go up. Taxes are going to rise for somebody, but many or even most Americans could end up saving money on their premiums or on out-of-pocket costs.

We still haven’t seen the fine print on financing, and that will be a big part of this debate. We shouldn’t minimize that. There will be winners and losers, as there always are in health care reform.

It could be a winnable case, given evolving attitudes about a person’s right to health care. But polling shows many people’s opinions on this are still malleable. Persuasion is necessary.

But setting the politics aside, a closer look at these new estimates reveals “$32 trillion” isn’t quite as much as you might think.

This story appears in VoxCare, a newsletter from Vox on the latest twists and turns in America’s health care debate. Sign up to get VoxCare in your inbox along with more health care stats and news.

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Ocasio-Cortez asks why US pays for 'unlimited war' but not Medicare-for-all .
Democratic congressional candidate Alexandria Ocasio-Cortez questioned why Republicans are happy to pay for tax cuts and "unlimited war" but the GOP, and some Democrats, don't see "Medicare-for-all" or other progressive ideas as financially feasible. "People talk about the sticker shock of Medicare-for-all, but not of our existing system," Ocasio-Cortez said during an interview on CNN's "Cuomo Prime Time." "This is not a pipe dream. Every other nation does this -- why can't America?" she added.

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