Bernie Releases Outline of Universal Health Care Plan…

 

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Bernie Sanders has finally dropped his universal health care plan. Exciting! I imagine that Team Clinton is poring over it pretty carefully right about now. Here’s what he says it does:

Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments…As a patient, all you need to do is go to the doctor and show your insurance card. Bernie’s plan means no more copays, no more deductibles and no more fighting with insurance companies when they fail to pay for charges.

….Under this plan, a family of four earning $50,000 would pay just $466 per year to the single-payer program, amounting to a savings of over $5,800 for that family each year.

Well, that sure sounds good. And I’m all in favor of universal health care. But I’m also curious about how he’s going to provide comprehensive care like this with no payment
by patients at all and at such a low cost. Here are his basic claims:

  • He will raise $630 billion by increasing the employer part of the payroll tax by 6.2 percent.
  • He will raise $220 billion via a 2.2 percent progressive income tax on everyone (he calls it a “premium”).
  • He will raise $548 billion in various taxes on the rich along with the end of current tax breaks that subsidize health care.
  • That’s a total of $1.4 trillion.
  • Current public spending on health care (mostly Medicare and Medicaid) runs around $1.2 trillion.
  • This means that Sanders is figuring that under his plan total national health care spending will be about $2.6 trillion.

This is considerably less than the $3 trillion we spend now, and Sanders also says his plan will keep spending growth down. This accounts for his claim that his plan will reduce total national spending on health care by $6 trillion over 10 years.

So is this credible? It’s close. His taxes will probably raise about what he says. I’m not sure that he can reduce spending as dramatically as he hopes, but he can probably reduce it some. In other words, his sums might not add up perfectly, but they’re pretty close.

If there’s anything to criticize, it’s his statement that the average family of four will pay only $466 per year. The problem here is that while his payroll tax might come from employers, it will end up being paid for by workers—just as existing employer health plans are ultimately paid for by workers. That would cost his family of four about $3,100, putting their total at around $3,600. And if you figure that Sanders is being optimistic about cost savings and will probably need to raise taxes more than he says, our family’s total bill probably clocks in at around $4,000.

That’s still not bad. An average family pays a whole lot more than that right now via employer health coverage and copays. There’s a wee bit of smoke and mirrors here—counting employer plans when he talks about savings but not counting employer taxes when he talks about costs—but that’s a small thing. Overall, his numbers are pretty honest.

As for the details of exactly how the plan would work, I don’t know. The document on Sanders’ website doesn’t say much about that. I assume there’s another document somewhere, or maybe more to come…
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3 Comments

Go Bernie!

The federal government is Monetarily Sovereign. It is an absolute, 100%, undeniable fact that the U.S. pays its bills by crediting bank accounts, and this ability to credit is not dependent on taxes or borrowing. Those who think otherwise simply do not understand how federal financing works, nor do they understand the difference between Monetary Sovereignty and monetary non-sovereignty. The federal government can afford anything for sale in the (world) economy.

The primary concern with any large expanse of federal government spending should be the existence of sufficient real resources in the economy owing to private and public investment today and into the future.

Too much inflation could possibly become a problem in the future if Medicare-For-All is initiated, but the Fed has the necessary tools to reduce any excess inflation. Worse case scenario-cut (federal) spending on HIC or increase (federal) taxes.

Sen. Sanders’ chief economic adviser is Stephanie Kelton, Economics Professor at UMKC. Kelton is extremely knowledgeable about Monetary Sovereignty. She knows the federal government cannot run short of dollars; she knows federal deficits are necessary for economic growth.

Bernie wouldn’t have hired Stephanie unless he (eventually) plans to educate the public about the facts.

Those of us who have been involved in the movement for a Universal Single-Payer Healthcare system know that all the details will have to be hammered out in detail later, but that the concept of EVERYBODY IN / NOBODY OUT will be the key to making healthcare ACCESSIBLE AND AFFORDABLE FOR EVERY AMERICAN and, of course, getting the profit motive out of the picture! Bernie’s formula will probably have to be re-tweaked by the economic and accounting experts before it is enacted, but every other developed (“industrialized”) nation in the world is already doing this with hugely cost saving benefits to patients. Let’s not get stuck on the minute details and move forward in this critical fight to make health care a RIGHT OF EVERY AMERICAN CITIZEN. We have waited way to long to make this a reality. We must maintain a positive “can do” attitude and FIGHT LIKE HELL against the profiteers who have kept us down for so long. “YES WE CAN” is needed now more than ever! Where’s the “poetry” in us? Dig deep, put on your armor and let’s move FORWARD.