Republicans are nonetheless in command of the White Home and the Senate, however the “Medicare-for-all” debate is in full swing. Democrats of each stripe are pledging assist for numerous variations on the theme of increasing well being protection to all Individuals.
This week, KHN’s “What the Well being?” podcast takes a deep dive into the often-confusing Medicare-for-all debate, together with its historical past, prospects and terminology.
This week’s panelists are Julie Rovner of Kaiser Well being Information, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Put up and Rebecca Adams of CQ Roll Name.
Among the many takeaways from this week’s podcast:
Medicare-for-all is a brand new rallying cry for progressives, however the present Medicare program has large limitations. It doesn’t cowl most long-term care bills, and consists of no protection of listening to, dental, imaginative and prescient or foot care. Medicare additionally consists of no stop-loss or catastrophic care restrict that protects beneficiaries from large payments.
Although latest feedback by Sen. Kamala Harris on eliminating non-public insurance coverage with a transfer to Medicare-for-all stirred controversy, non-public insurance coverage is certainly concerned in lots of elements of the federal government program. Non-public corporations present the Medicare Benefit plans utilized by greater than a 3rd of beneficiaries, the Medicare drug plans and far of the invoice processing for all the program.
Many shoppers — and politicians — are confused by the phrases being thrown round within the present debate about Medicare-for-all. The plan supplied by Sen. Bernie Sanders (I-Vt.) and a few of his supporters can be a “single-payer” system, by which the federal government can be in command of paying for all well being care — though docs, hospitals and different well being care suppliers would stay non-public. Others typically use the time period Medicare-for-all to imply a a lot much less drastic change to the U.S. well being care system, equivalent to a “public possibility” that will supply particular teams of individuals — maybe these over age 50 or shoppers buying protection on the insurance coverage marketplaces — the chance to purchase into Medicare protection.
Sanders’ imaginative and prescient of Medicare-for-all relies on Canada’s system. However even there, hospitals and docs are non-public companies, medicine should not coated in every single place, and advantages differ among the many provinces.
The well being care business is sort of united in opposing the discuss of shifting to a Medicare-for-all program due to issues about disruption to the system and fewer pay. At present, Medicare reimbursements are about 40 p.c decrease than non-public insurance coverage.
If you wish to know extra in regards to the subsequent large well being coverage debate, listed below are some articles to get you began:
Vox’s “Private Health Insurance Exists in Europe and Canada. Here’s How It Works,” by Sarah Kliff
The Washington Put up’s “How Democrats Could Lose on Health Care in 2020,” by Ronald A. Klain
The American Prospect’s “The Pleasant Illusions of the Medicare-for-All Debate,” by Paul Starr
The Week’s “Why Do Democrats Think Expanding ObamaCare Would Be Easier Than Passing Medicare-for-All?” by Jeff Spross
The New York Occasions’ “The Best Health Care System in the World: Which One Would You Pick?” By Aaron E. Carroll and Austin Frakt
The Nation’s “Medicare-for-All Isn’t the Solution for Universal Health Care,” by Joshua Holland
The New York Occasions’ “’Don’t Get Too Excited’ About Medicare for All,” by Elisabeth Rosenthal and Shefali Luthra
Plus, for additional credit score, the panelists advocate their favourite well being coverage tales of the week they suppose you need to learn too.
Julie Rovner: Yahoo Information’ “What Trump Got Wrong About ‘Right to Try,’” by Kadia Tubman
Joanne Kenen: STAT Information’ “The Modern Tragedy of Fake Cancer Cures,” by Matthew Herper
Rebecca Adams: The Texas Tribune’s “Thousands of Texans Were Shocked By Surprise Medical Bills. Their Requests for Help Overwhelmed the State,” by Jay Root and Shannon Najmabadi
Paige Winfield Cunningham: STAT Information’ “The ‘Big Pharma’ Candidate? As He Runs for President, Cory Booker Looks to Shake His Reputation for Drug Industry Coziness,” by Lev Facher
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