Politics How the Bernie Sanders Plan Would Both Beef Up and Slim Down Medicare

02:24  14 september  2017
02:24  14 september  2017 Source:   The New York Times

Sanders brushes off Clinton criticism: 'Look forward and not backward'

  Sanders brushes off Clinton criticism: 'Look forward and not backward' "I’ll let the people decide," Sanders says of Clinton's barbs in new book.

How Single-Payer Health Care Could Trip Up Democrats SEPT. 11, 2017. A Single-Payer Plan From Bernie Sanders Would Probably Still Be Expensive MAY 16, 2016.

But the Bernie Sanders tax proposals intended to pay for it all – including a tax on overseas corporate profits and higher taxes on the wealthiest Americans – only add up to about trillion. The FTT is intended to pay for both the free public college tuition and part of Sanders ’ plan to expand Medicare .

Bernie Sanders greeting supporters after a rally on behalf of the Affordable Care Act in Convington, Ky., in July.© Jay Laprete/Agence France-Presse — Getty Images Bernie Sanders greeting supporters after a rally on behalf of the Affordable Care Act in Convington, Ky., in July.

In his big new single-payer health care bill, Senator Bernie Sanders says he wants to turn the country’s health system into “Medicare for all.” But his bill actually outlines a system very different from the current Medicare program.

The Sanders plan envisions changing Medicare in two important ways. First, it would make it more generous than it has ever been, expanding it to cover new types of benefits and to erase most direct health care costs for consumers. Those changes would tend to make it more expensive.

Bernie Sanders Responds to Hillary Clinton Book Criticism: Stop ‘Arguing About 2016’

  Bernie Sanders Responds to Hillary Clinton Book Criticism: Stop ‘Arguing About 2016’ ‘We need her help to go forward,’ the Vermont senator told Stephen Colbert.In her new campaign memoir, What Happened, Clinton writes that Sanders’ “attacks” on her progressive credentials “caused lasting damage, making it harder to unify progressives in the general election and paving the way for Trump’s ‘Crooked Hillary’ campaign.” She adds, “President Obama urged me to grit my teeth and lay off Bernie as much as I could. I felt like I was in a straitjacket.

I know it’s astounding that something that shows up on 4Chan might not be 100 percent absolutely, verifiably true, but there’s roughly zero evidence that Sanders has used campaign contributions for anything like this, or even if that guy in the R8 is Bernie Sanders at all.

Bernie Sanders 's " Medicare for All" plan . The plan follows a week of attacks from Hillary Clinton's campaign against Sanders 's health care thinking, assailing Sanders for not explaining how he'd pay By signing up , you agree to our Privacy Policy and European users agree to the data transfer policy.

But it also would put the Medicare program on the sort of diet it has never attempted. Those changes, still in sketch form in the legislation, are in many ways the heart of its long-term overhaul plan. The changes are intended to make the health care system more affordable, but the details could have big effects on what sorts of care might be developed and made available.

Sign Up For the Morning Briefing Newsletter

Medicare, the 52-year-old health insurance program for older people and the disabled, is enormously popular. Structured as an essentially open-ended entitlement, Medicare establishes a menu of covered medical treatments at certain prices, and then pays doctors and hospitals whenever a beneficiary uses them. The total amount that Medicare spends increases depending on how many people enroll, and how many medical services they use. So far, there is no real cap on how much money Medicare can spend.

Bernie Sanders wants Hillary Clinton to stop ‘arguing about 2016’

  Bernie Sanders wants Hillary Clinton to stop ‘arguing about 2016’ Bernie Sanders is ready to move on — and he thinks Hillary Clinton should do the same. The Vermont senator joined Stephen Colbert on “The Late Show” Thursday night, just days after Clinton accused him in her memoir, “What Happened,” of causing “ lasting damage, making it harder to unify progressives in the general election and paving the way for Trump’s ‘Crooked Hillary’ campaign.” In response, Colbert asked Sanders what he would ask his former opponent if he was hosting the show.

However while Sanders ’ plan offers a detailed vision for how Americans would receive health insurance in his so-called “ Medicare -for-All” system, it offers no details on how the plan would be financed, nor Sign up to get your daily read on how the country is changing under Donald Trump.

‘ Medicare for all’ is a terrible idea, but Democratic primary voters love it.

The Sanders plan — which has no near-term chance of advancing with Republicans in power — would change that. Most crucially, it would expand the program so that every American would eventually get insurance from Medicare instead of private companies or other public programs. The employer health insurance system, the Affordable Care Act exchanges and most of Medicaid would be eliminated.

Mr. Sanders says that the transition to the Medicare program would achieve several goals: It would ensure universal coverage, it would improve the affordability of health care for many Americans and it would save the country money.

Whether it can achieve that third goal depends a great deal on how the new Medicare-for-all system would be managed, and the Sanders plan leaves a lot of those details unclear for now. Covering everyone would not, by itself, make the health care system in the United States as inexpensive as those of other nations with universal health care systems. That sort of cost control would require its own set of policies and difficult choices.

Booker signs on to Sanders's 'Medicare-for-all' bill

  Booker signs on to Sanders's 'Medicare-for-all' bill Sen. Cory Booker is throwing his support behind a "Medicare for all" bill being introduced by Sen. Bernie Sanders (I-Vt.), becoming the latest Democrat floated as a 2020 contender to back the legislation. The New Jersey senator told NJTV News that he would sign on as a co-sponsor of the bill, which is scheduled to be rolled out on Wednesday. "This is something that's got to happen. ObamaCare was a first step in advancing this country, but I won't rest until every American has a basic security that comes with having access to affordable health care," Booker told the New Jersey outlet.

Friends of Bernie Sanders PO BOX 391 Burlington, VT 05402. Paid for by Friends of Bernie Sanders . (not the billionaires).

Skip to secondary content. Bernie Sanders . Menu. How Much Will It Cost? This plan has been estimated to cost .38 trillion per year. The Plan Would Be Fully Paid For By

In his news conference introducing the bill on Wednesday, Mr. Sanders focused his ire on insurance and drug companies, two profitable sectors of the health care system. But insurance and drug company profits don’t make up the bulk of America’s health care spending. Single-payer advocates argue that the simplicity of a single, government payer would reduce paperwork and office staff, and that is almost certainly true. But most spending in the health care system is on medical care from doctors and hospitals — and squeezing savings there may beharder.

To get savings from those areas might require reducing doctors’ pay or hospitals’ numbers of medical professionals. It could require eliminating some medical treatments that are currently offered. Even cutting spending on pharmaceuticals would have ripple effects, potentially limiting access to new or expensive treatments, or reducing investment in new technologies.

The bill specifies that Medicare would be run with an annual budget, leaving government officials to decide how to make the country’s medical spending conform to such totals every year. It also says that the government should evaluate the effectiveness of different medical treatments. Such a system has precedent: Several countries, including Canada and Britain, establish health care budgets that must be met and assess the value of medical services to determine what should be covered.

The Other Name For Bernie Sanders’ Single-Payer Plan: Benefits For Billionaires

  The Other Name For Bernie Sanders’ Single-Payer Plan: Benefits For Billionaires The non-partisan budget office found that at every income level, seniors received more in Medicare benefits than they paid in Medicare taxes. Men in the highest income quintile—the top 20 percent of income—received a net lifetime benefit from Medicare of nearly $50,000, even after taking into account the Medicare taxes and premiums they paid. Women received an even greater net benefit between taxes paid and benefits received at all income levels, reflecting both longer life expectancy (i.e., more benefits paid out) and shorter working histories (fewer taxes paid in).

Sanders ’ plan does address one of the stickier questions facing such proposals: how to phase out the current system, which depends primarily on The law would beef up Medicare — adding dental, vision and hearing aid coverage — in its first year, while reducing the eligibility age to 55.

Conversations with the TPM community

But such budgets and limits have been politically toxic in the United States, where politicians have been reluctant to say that the government should restrict care. The Affordable Care Act established a theoretical limit on spending per Medicare beneficiary, establishing a board that would reduce costs if a cap were met. But that provision, assailed as a “death panel,” has never been called upon to make such choices, and no members have been nominated to the board.

Mr. Sanders sells the bill as a broad expansion of care, by ensuring that all Americans have similar, broad benefits and little financial exposure to medical bills. At Wednesday’s event, he stood flanked by several prominent Democratic co-sponsors and medical providers who offered testimonials about how a Medicare-for-all plan would improve access to needed health care.

The plan increases the generosity of Medicare substantially. It adds coverage for dentistry, optometry and audiology care, not part of the traditional program. It also eliminates premiums, deductibles and most co-payments for medical care, which are significant costs for many people.

The size of the Medicare budget is also unspecified. In part, that’s because the Sanders bill does not establish a funding mechanism for its planned overhauls. In a separate white paper, Mr. Sanders’s office spells out some possible revenue sources, including increases to payroll taxes, and to high-end income taxes and some corporate taxes. But those funding streams, politically risky in their own right, would need to be debated and measured before the realistic scale of the Medicare-for-all budget would be clear.

This different Medicare would face the push and pull of expanded reach and fixed means: one that would tend to increase the cost to the government for care, and one devised to reduce it. Just what sort of Medicare program results would depend on the government that runs it.

The Upshot provides news, analysis and graphics about politics, policy and everyday life. Follow us on Facebook and Twitter. Sign up for our newsletter.

Bernie Sanders on Supporters Not Voting for Clinton: 'No Kidding!' .
Sen. Bernie Sanders chalked up the fact that some of his supporters during 2016's Democratic primary eventually voted for Trump to "the nature of politics.""People say not everybody who voted for Bernie ended up voting for Hillary, no kidding!" Sanders said on "Meet The Press.

—   Share news in the SOC. Networks

Topical videos:

This is interesting!