I support some form of M4A. It is the only and most efficient way to assure everyone American has coverage and access to health care.
Beyond that it gets real complicated and the wild claims of savings and better health care for all based on any number of questionable assumptions muddy the waters.
For example, we would save billions if we set drug prices at the same level of other countries. We would save billions when we reimburse all health care providers at current Medicare rates. Both have significant consequences possibly related to access to health care.
Proponents of M4A make unjustified and unrealistic statements such as “savings from negotiating care prices and drug prices.” Medicare does not negotiate prices, it dictates them, sometimes as a result of laws. Medicare reimburses 20-30% less than private insurers. Those who propose negotiating drug prices are not really talking about negotiating at all. They are thinking setting price limits with severe penalties for exceeding them.
Moving to something better than we have – for all Americans- is further complicated by misinformation- often promulgated by politicians. The cost problem is not the result of insurance companies, their profits or their CEOs pay. It’s not even pharmaceutical companies or the price of some drugs.
Then we have physician compensation. The US has the highest compensation in the world, in some cases nearly double. What will we do about that? Getting into the weeds we find the US has 42 CT scanners per million population, Canada has 14. More equipment means greater access which means greater use which means more convenience and most spending.
Oh yeah, America is the most obese country in the world and among the highest with chronic medical conditions. Think that has anything to do with what we spend?