We’re doing one thing a little bit totally different this vacation week. As a result of “Medicare for All” is a lot within the information, we’re rerunning an earlier explainer episode.
However first, KHN’s “What the Well being?” host Julie Rovner talks with KHN correspondent Shefali Luthra about how well being care performed within the Democratic presidential candidate debates June 26 and 27.
This replay of KHN’s “What the Well being?” podcast from February takes a deep dive into the often-confusing Medicare for All debate, together with its historical past, prospects and terminology.
The panelists are Julie Rovner of Kaiser Well being Information, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Publish and Rebecca Adams of CQ Roll Name.
Among the many takeaways from the 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 contains no protection of listening to, dental, imaginative and prescient or foot care. Medicare additionally contains no stop-loss or catastrophic care restrict that protects beneficiaries from huge payments.
Although latest feedback by Democratic presidential candidates on eliminating personal insurance coverage with a transfer to Medicare for All stirred controversy, personal insurance coverage is certainly concerned in lots of points 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 your entire program.
Many shoppers — and politicians — are confused by the phrases being thrown round within the present debate about Medicare for All. The plan provided by Sen. Bernie Sanders (I-Vt.) and a few of his supporters could be a “single-payer” system, wherein the federal government could be answerable for paying for all well being care — though docs, hospitals and different well being care suppliers would stay personal. 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, reminiscent of a “public possibility” that will provide 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 personal companies, medicine usually are not lined in every single place, and advantages range among the many provinces.
The well being care business is almost united in opposing the speak of transferring to a Medicare for All program due to issues about disruption to the system and fewer pay. At present, Medicare reimbursements are about 40% decrease than personal insurance coverage.
If you wish to know extra concerning the subsequent large well being coverage debate, listed below are some articles to get you began:
Vox’s “Non-public Well being Insurance coverage Exists in Europe and Canada. This is How It Works,” by Sarah Kliff
The Washington Publish’s “How Democrats Might Lose on Well being Care in 2020,” by Ronald A. Klain
The American Prospect’s “The Nice Illusions of the Medicare-for-All Debate,” by Paul Starr
The Week’s “Why Do Democrats Assume Increasing ObamaCare Would Be Simpler Than Passing Medicare-for-All?” by Jeff Spross
Vox’s “The best way to Construct a Medicare-for-All Plan, Defined By Anyone Who’s Thought About It for 20 Years,” by Dylan Scott
The New York Occasions’ “The Finest Well being Care System within the World: Which One Would You Decide?” By Aaron E. Carroll and Austin Frakt
The Nation’s “Medicare-for-All Is not the Answer for Common Well being Care,” by Joshua Holland
The New York Occasions’ “‘Do not Get Too Excited’ About Medicare for All,” by Elisabeth Rosenthal and Shefali Luthra
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This text was reprinted from khn.org with permission from the Henry J. Kaiser Household Basis. Kaiser Well being Information, an editorially unbiased information service, is a program of the Kaiser Household Basis, a nonpartisan well being care coverage analysis group unaffiliated with Kaiser Permanente.