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New study: Medicare for All Act would cost $32 trillion+ over next ten years

Discussion in 'BBS Hangout: Debate & Discussion' started by Os Trigonum, Jul 31, 2018.

  1. Os Trigonum

    Os Trigonum Contributing Member
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    http://theglitteringeye.com/point-counterpoint-on-m4a/

    Point/Counterpoint on M4A
    Dave Schuler August 5, 2018


    The debate over “Medicare for All” goes on and, presumably, will through the 2020 presidential election. Today I’ve found a debate of sorts, an affirmative and negative argument. The affirmative is taken by economist Jeffrey Sachs at CNN. He states his case succinctly:

    M4A would reduce health care costs for three reasons. First, Medicare pays hospital and doctors at lower rates than private insurers. Second, drug prices would be lower. And third, there would be administrative savings.

    The negative is taken by physician Marc Siegel at The Hill. His arguments aren’t quite as clearly stated as Dr. Sachs’s but they boil down to a) it will inevitably result in rationing; b) there are other, less expansive means of addressing the problems with our present system and c) it will be opposed by physicians, insurance companies, and, in all likelihood, voters.

    For 30 years I supported a single-payer system for the United States but over the last 20 years I have become skeptical. Without a commitment to cost control a single-payer system will be unaffordable and the singular lesson of Congress’s ritual of passing “doc fixes” to override their own affordability criteria is that there is no commitment to cost control.

    I also find the arguments of both sides dismaying—facetious and laden with sophistry. There is no free market system here to defend. If costs are to be controlled some form of rationing will be necessary—we already have rationing. The savings in administrative costs are likely to be much lower than proponents of M4A suggest. The assumptions that produce savings under M4A are unlikely to materialize.

    Most importantly, current proposals for “Medicare for All” are not really comparable with any system anywhere in the world other than, possibly, British National Health, because there is an explicit requirement for no cost-sharing measures.

    Take Canada’s system, for example. Canada’s system is administered by the provinces, paid for through personal and corporate income taxes, and there are many things that Canada’s Medicare system does not cover, notably pharmaceuticals. Private hospitals, whether for profit or not, are something of a rarity. Furthermore Canada has much tighter immigration law than we do. In the absence of tight immigration controls there is a risk of underwriting the health care of the entire world.

    France’s system by comparison is administered by the national government and covers even less of total expenses than the Canadian system does.

    Germany’s system is tremendously different and administered by hundreds of insurance companies.

    In other words there is no singular “single-payer” system to emulate. Every country has its own. That’s what makes pointing to the savings of single-payer facetious. Which system? And, importantly, they are systems. You cannot treat their features as a cafeteria.

    The United States is vastly larger in population, enormously larger geographically, and not only more diverse than any European country it is more diverse than Europe. It is less centralized and far more individualistic. Those factors affect the politics of health care. It also affects the cost of administration since the cost of bureaucracies do not increase linearly but at n log n.

    More Americans have private insurance than did in any European country when they adopted their social insurance-based systems. That affects the politics, too.

    Health care was much cheaper when European countries adopted their systems and began controlling costs. And they do control costs and they do ration.

    Finally, everything the government does is more expensive here than anywhere else. We pay more for every foot of bridge constructed and every foot of road built. Not to mention that our military costs more than any other.
     
    joshuaao likes this.
  2. DreamShook

    DreamShook Member

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    Watch on 1.5x-2x speed, it goes by faster.

     
    FranchiseBlade likes this.
  3. FranchiseBlade

    FranchiseBlade Contributing Member
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    That's a great video. The Young Turks generally do a good job fact-checking stories, and also the delineate well between what is their own supposition and what can actually be proven or is established fact.
     
  4. Bobbythegreat

    Bobbythegreat Member
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    TYT is essentially InfoWars from the fringe left.
     
    cml750 likes this.
  5. glynch

    glynch Contributing Member

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    Real question. Are you the type of conservative who views Hillary and Obama as the "fringe left"?

    It has been amusing when throughout the years I have told folks who are now Trump voters that I was a socialist. Much to my surprise, they say essentially: "I thought so" -- because I had previously admitted to supporting Democrats.
     
  6. Bobbythegreat

    Bobbythegreat Member
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    You understand this doesn't address what I said at all right?

    Having pointed out that, there were times that both Hillary and Obama were pretty far to the left of center, but never quite "fringe left". The left has moved so far left now that both of them are MUCH closer to the center of the country than they are to the center of the Democratic Party making them now appear as moderates when they weren't just 10 years ago.

    As to people not being surprised by you being a socialist, it probably has to do with your adorable economic takes. When I talk with people that know the least about economics, I assume that they are either socialists of some kind or anarchists of some kind. You know, the favorite politics of short sighted, simple minded people.
     
    cml750 likes this.
  7. pgabriel

    pgabriel Educated Negro

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    Tax cuts for the rich is not a good counter argument.

    The rich are like yeah, i dont want to pay for your healthcare
     
    #67 pgabriel, Aug 21, 2018
    Last edited: Aug 21, 2018
  8. glynch

    glynch Contributing Member

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  9. peleincubus

    peleincubus Member

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  10. DreamShook

    DreamShook Member

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    Holy M4A, Batman. That was a free 20 minute ad for Bernie and Warren free on YouTube, It's pretty trash it took a damn comedian to break it down while 24 hour news stations couldn't do it or refused to do it because of who is giving them money. I wonder if this gives Bernie and Warren a bump. I wonder if this gets played on MSM.

    I wonder if Mayo Pete changes his positions if this goes viral.
     
    ThatBoyNick likes this.
  11. fchowd0311

    fchowd0311 Contributing Member

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    i don't think John Oliver has as much influence as someone like John Stewart.

    John Oliver makes some really solid arguments especially when explaining how the problems people have with M4A already exist in the current private markets system except a portion of the country just doesn't have any health coverage. Also I'm glad he acknowledges the short term problems it will create and emphasises that it will need a lengthy transition period.

    I think being more upfront and honest of the short term fears that people have and addressing them will make independent voters understand that at least one side isn't selling their **** as perfect infallible from direct from God rhetoric and is being honest.
     
    #71 fchowd0311, Feb 17, 2020
    Last edited: Feb 17, 2020
  12. ThatBoyNick

    ThatBoyNick Member

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    This was a really nice piece for him to do, this will hopefully wake a couple of people up to all of the gaslighting around M4A in the media.

    An example of gaslighting on healthcare in the debates.



    I can't get over how Biden told the American people that his healthcare plan only cost 750 billion per decade in comparison to Bernie's plan costing 30 trillion per decade. Biden legitimately suggested that his healthcare plan would only cost the American people 75 billion a year by phrasing the comparison the way he did. We currently spend 3.5 + trillion per year on our healthcare. Have I gone mad or does every candidate proposing "medicare for all who wants it/public option/build on ACA" always leave that out of their "very not pie in the sky fiscally responsible plan" speech?

    3.5+ trillion per year, that's (you guessed it) 35 trillion per decade (5 trillion more then Bidens 30 trillion # for M4A) for our current healthcare system that leaves over 80+ million Americans un or underinsured, that leaves 30k+ dead per year due to lack of access, 500k Americans bankrupt, and attributes a lot to some of America's abysmal health outcomes compared to the majority of high developed countries. But don't worry, uncle Joe is going to add a measly 75 billion per year to this plan and that will totally fix the majority of these problems, at a fiscally responsible price of 35.75 trillion that Americans can afford unlike crazy Bernies silly 30 trillion dollar M4A plan that we can't afford.

    The moderates are lying about their healthcare plans. They disingenuously throw out how much the federal government would spend on a single-payer PUBLIC healthcare plan while comparing it to "their" plans which are majority PRIVATE plans that don't show up on federal budgets. They don't mention that the American people are going to spend just as much if not more on our current healthcare system. They spit and lie in the face of the American people every time they try to pretend M4A costing "30+ trillion" is some sort of disgusting gigantic number that is so much more then what we are spending.
     
    #72 ThatBoyNick, Feb 17, 2020
    Last edited: Feb 17, 2020
    mdrowe00 likes this.
  13. Amiga

    Amiga 10 years ago...
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    It’s up to the M4A candidates to explain and dumb it down to a level most American would understand while acknowledging all the risks. It’s hard to do because politician are scared to death that whenever they acknowledge a weakness, it get used to kill them. But by not doing the compare and contrast, the pro/Con, they leave it to imagination and imagination run wide while
    opponents get to dictate the conversation, constantly bringing up the OMG how bad it could be. They also gain credibility about being straight and truthful . Warren stay too complex and try to hide and avoid the difficult answers - people see through that. Bernie stays too simple and just yell without explaining too much. A bit more coloring would help him. The failures are on them more than the reactions.

    His last two points are legitimate fear - do you trust the gov to run such a large program, what do you do with the millions who would lose their current jobs.
     
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  14. Amiga

    Amiga 10 years ago...
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    I don’t see it as a lie. Biden is highlighting the diff in what it cost the gov. Neither Bernie nor warren attack that directly and tell Biden his plan cost 30 trillion also (with less coverage plus all these issues) - because xyz. They stayed at show casing the benefits, who pay for it, but the huge price difference wasn’t explained to the public.
     
    Nook, joshuaao and RayRay10 like this.
  15. Sweet Lou 4 2

    Sweet Lou 4 2 Contributing Member
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  16. jiggyfly

    jiggyfly Member

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    It's not going viral.

    Sorry.
     
  17. jiggyfly

    jiggyfly Member

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    This has been my whole issue around the M4A debate.
     
  18. fchowd0311

    fchowd0311 Contributing Member

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    You do know both Warren and Bernie have a transition period right and a plan for the loss of jobs in the health insurance industry?

    I think Bernie is up front about the costs and the short term issues. Warren not as much.
     
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  19. jiggyfly

    jiggyfly Member

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    What does this have to do with what I said?
     
  20. fchowd0311

    fchowd0311 Contributing Member

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    Well then I don't know what you exactly meant when you said "This has been my whole issue around the M4A debate".

    Can you be more specific so I don't incorrectly make an assumption?
     

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