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A6   U.S. NEWS
                Thursday 17 OcTOber 2019


























            Study: 'Medicare for All' not only way to universal coverage


            Associated Press                                                                                                    on  Medicare.  People  with
            WASHINGTON       (AP)    —                                                                                          employer coverage would
            Health care memo to Dem-                                                                                            be  able  to  pick  the  pub-
            ocrats:  There's  more  than                                                                                        lic plan. There would be a
            one  way  to  get  to  cover-                                                                                       mechanism  to  sign  up  all
            age for all.                                                                                                        those eligible for coverage.
            A  study  out  Wednesday                                                                                            Such  an  approach  would
            finds that an approach sim-                                                                                         reduce  the  number  of
            ilar to the plan from former                                                                                        uninsured  by  about  80%,
            Vice  President  Joe  Bide                                                                                          the  study  estimated.  That
            n  can  deliver  about  the                                                                                         would  still  leave  nearly  7
            same level of coverage as                                                                                           million U.S. residents without
            the government-run "Medi-                                                                                           coverage,  mainly  people
            care for All" plan from presi-                                                                                      who  don't  have  legal  per-
            dential rival Bernie Sanders.                                                                                       mission  to  be  in  the  coun-
            The  study  from  the  Com-                                                                                         try. Under Biden's plan tax-
            monwealth  Fund  and  the                                                                                           payer subsidies would only
            Urban  Institute  think  tanks                                                                                      be available to U.S. citizens
            concludes that the U.S. can                                                                                         and legal residents.
            achieve  a  goal  that  has                                                                                         Employer  coverage  would
            eluded  Democrats  since                                                                                            decline  by  about  10%  as
            Harry  Truman  by  building                                                                                         some  low-income  workers
            on former President Barack                                                                                          switch to the public option.
            Obama's health care law.                                                                                            Assuming  the  plan  was
            Health  care  has  sparked   Democratic presidential candidate Sen. Bernie Sanders, I-Vt., left, and former Vice President Joe   fully effective in 2020, total
            sharp  exchanges  in  the    Biden hug during a Democratic presidential primary debate hosted by CNN/New York Times at   U.S.  health  care  spending
            Democratic      presidential   Otterbein University, Tuesday, Oct. 15, 2019, in Westerville, Ohio.                  would  decline  by  about
            debates,    and    Tuesday                                                                         Associated Press  $20 billion, a relatively small
            night  was  no  exception.                                                                                          amount  considering  the
            Massachusetts  Sen.  Eliza-  "A goal that they all share  30  million  currently  unin-  "It is a big lift to get this kind  nation's  tab  is  now  more
            beth  Warren  was  chal-     —  universal  coverage  —  sured people.                  of  money,  for  sure,"  said  than $3.5 trillion a year. The
            lenged  for  being  unwilling  can  be  reached  in  differ-  However, it would increase  John Holahan, a top Urban  decline  would  be  partly
            to say whether her support  ent ways," said Sara Collins,  U.S.  health  care  spend-  Institute  health  policy  ex-  due  to  the  public  option
            for  Medicare  for  All  would  the Commonwealth Fund's  ing  because  of  generous  pert.                          paying  hospitals  and  doc-
            translate to higher taxes for  vice  president  for  cover-  benefits  with  no  copays  A Kaiser Family Foundation  tors  less  than  what  private
            the  middle  class.  Warren  age and access.              and  deductibles.  Expand-   poll  out  this  week  found  plans do now.
            said "costs" would be lower,  The  researchers  modeled  ed  benefits  would  include  slippage  in  public  sup-   The  federal  government
            but Sen. Amy Klobuchar of  a  range  of  health  care  home       and    community-    port  for  Medicare  for  All.  would  have  to  raise  from
            Minnesota  suggested  that  overhaul  scenarios  from  based  long-term  care  ser-    Fifty-one  percent  support  $108  billion  to  $147  billion
            was a dodge.                 tweaks  to  Obama's  law  vices.  Assuming  the  plan  such  a  government-run  more  in  2020  to  cover  the
            "I'm  sorry,  Elizabeth,"  said  to  a  full  government-run  was  fully  effective  in  2020,  approach,  down  5  per-  additional cost of expand-
            Klobuchar. "I think we owe  single-payer plan like Sand-  total  U.S.  health  spending  centage points since April.  ing  subsidized  coverage
            it  to  the  American  people  ers is proposing. Collins said  would grow by nearly $720  Opposition has risen signifi-  options,  a  fraction  of  the
            to  tell  them  where  we're  the options studied are not  billion.                    cantly, from 38% in April to  cost of Medicare for All.
            going to send the invoice."  carbon copies of the can-    The  federal  government,  47% in the latest survey.      South Bend, Indiana, Mayor
            She  urged  Democrats  not  didates'  proposals,  partly  which would take on costs  The  Commonwealth  Fund-       Pete  Buttigieg's  plan  over-
            to  "trash  Obamacare"  but  because  many  details  are  now  paid  by  employers  Urban  Institute  study  also  laps  in  many  details  with
            build on it.                 still  in  flux.  However,  they  and   individuals,   would  modeled  options  resem-  Biden's.
            The  study  suggests  such  are generally similar.        have  to  raise  nearly  $2.7  bling the plan that Biden is  The  two  think  tanks  are
            heated  discussions  may  The  study  found  that  a  trillion  more  in  revenue  in  pushing.                     nonpartisan  research  or-
            have  more  to  do  with  dif-  full  government-run  plan  2020. Such amounts would  It starts with more generous  ganizations that have long
            ferences  over  the  scope  like  Sanders'  would  cover  require  a  mix  of  broad-  subsidies  for  "Obamacare"  supported  expanded  cov-
            and  reach  of  government  all  U.S.  residents,  includ-  based taxes, the research-  plans and Medicaid expan-   erage.  Their  health  care
            than  with  the  ultimate  ob-  ing  people  in  the  country  ers said, although the report  sion  in  states  that  have  so  work  is  particularly  influen-
            jective of providing univer-  without legal authorization.  steered  clear  of  how  the  far refused it. Then it adds a  tial  with  policymakers  on
            sal coverage.                That adds up to more than  plans would be financed.       "public option" plan based  the political left.q
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