Medicare for All

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Medicare for All
Medicare for All.
Everybody In. Nobody Out.

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Health Care for America Now
(HCAN)

What HCAN members want
compared to
what single-payer health care supporters want


Members of the Health Care for America Now (HCAN) organization are unified as per their “Statement of Common Purpose.” The following table highlights parts of their common purpose. and compares those members’ purpose with the purpose of supporters and endorsers of national single-payer health care, improved Medicare for All.


HCAN Members


Single-Payer Health Care Supporters


Supported Solution(s) for How to Pay for Health Care

The Affordable Care Act of 2010 (ACA) is the supported solution by HCAN Members.

As part of their support the organization states that "The ACA takes our health care out of the hands of insurers ..." [Comment: This is an incredible communication by HCAN about the ACA, which forces Americans to get health care access by buying health insurance from an insurer, indicating that health care is very much in the hands of insurers.]

National single-payer health care, improved Medicare for All, particularly via U.S. House Bill H.R. 676. is the supported solution by single-payer health care supporters.

Americans will not need to buy health insurance to get medically-necessary health care. Every American will simply show their health care card to get the health care that they need.

Status = In Progress; efforts are in progress to help get it, such as the example activities of the education and communications campaign titled Million Letters for Health Care.


  Resulting System for How to Finance Health Care

The resulting system from the ACA maintains and increases the complexity of how health care is paid for.

HCAN members want private health insurance to be maintained, but everyone to be covered with help from the government. With the ACA that means more government, including government subsidies (so-called "reduced cost sharing) that are paid DIRECTLY to the private health insurance companies; as part of that process, the IRS (Internal Revenue Service) shares our income information with the HHS (Health and Human Services).

The resulting system will implement a truly reformed health care system that establishes simplicity of how to pay for health care. Only one payer (the "single-payer": one public agency) and only one plan. Maximum efficiency.

Less government and use of a single public agency
to have medical bills paid by the single-payer:
one health care payer; one health insurance plan


Accessibility

What HCAN members want for accessibility:
A “truly inclusive and accessible health care system in which no one is left out.”

 Status = Failure: HCAN has failed and is failing to promote or help achieve a system in which no one is left out. HCAN is actively supporting and promoting the Affordable Care Act of 2010 (ACA), which is not a healh care for all system (not universal health care and never will be.).
An estimated 23.1-40 million uninsured Americans will be the status when
the ACA is fully implmented by 2018 (with a majority of the law being implemented by 2014).

The number of uninsured Americans will continue to be staggeringly high.

NOTE: Any small amount of progress in the number of uninsured that might result from the ACA will come with a higher cost in taxes and a higher cost in health insurance premiums, and a higher cost via intrusions in people's lives, such as this one example from the law:

— automatic enrollment of citizens into onto Medicaid and onto “estate recovery”, a process in which the government takes property/money when patients die

What single-payer health care supporters want for accessibility:

Health care for all.

100%: everybody in;
nobody out.

There will be zero uninsured Americans, like all other free-market countries.


Choices

What HCAN members want for choices:

Choice of insurance plans and health care providers

A “choice of a private insurance plan, including keeping the insurance you have if you like it, or a public insurance plan without a private insurer middleman that guarantees affordable coverage.”

This objective of keeping health insurance companies in business has been successful via the Affordable Care Act of 2010, ACA. The Senate's starting point for the law, the Senate Committee's bill, was authored by a former Wellpoint (major health insurance company) Vice President Liz Fowler.

Status: The desired choice of HCAN supporters, the choice of a private health insurance plan, is (unfortunately!) maintained. The variations in health care benefits among thousands of plans among over 1300 health insurance companies will maintain a complexity of choices.

HCAN members got what they wanted via the Affordable Care Act of 2010. Significantly higher spending by the federal government will help the private health insurance companies.

But what about "choices"? ...

Status: Failure. Unfortunately, the HCAN statement of common purpose refers to " ... health care from a provider of our choice ..." It's unfortunate because the ACA does not specify that Americans will always have the choice for what provider they want.

Choices mandated by the government

— citizens purchase of health insurance plans or be automatic enrolled; pay or be fined by IRS; pay fine or face possible jail time

What single-payer health care supporters want for choices:

Choices of lifestyle & health care

such as choices of
— profession, employer, job, leave of absence, early retirement,
— health care providers (such as physicians)
— medical facilities

BONUS: Americans will not just the choices, above, but also more freedoms that are associated with the incredible peace of mind that we'll have.

Get more: Full benefits

See the health care services that we’ll get.

Cover everyone for our entire lives with all medically-necessary care.
— providing peace of mind
— helping our life expectancy.

 


Affordability

HCAN and its members refer to the word "affordable" seven times in their "Statement of Purpose".

 Status = Failure: HCAN has failed and is failing to support affordable health care, because the ACA provides the following results: Higher Premiums and Higher Taxes, as explained below.

Higher Premiums

— caused by new regulations on health insurance companies.
— causing continuing hardships.
Two examples of health insurance premiums from the state of New York after the implemented stiffer health insurance company regulations, which is what the law of March 2010 law will do. A family policy in New York can be purchased for premiums that are over $3,000 per month. See the regulations web page for the source.

Pay less: no cost at the time of getting care

Show your health care card and get care.

How? Due to the excellent efficiency via citizens (who can) paying into one national fund, like traditional Medicare, that pays medical bills. Little or no additional costs. Pay much less, such as: no deductibles; no co-pays; no major bills. The lower costs per person from the efficiency will be far greater than what most people will experience in required new payments, such as a few percent increase in the Medicare payroll tax.


Higher taxes from more government

more government agencies; more regulators; more government programs, including “cost-sharing assistance” (subsidies) to help pay the high premiums; expansion of Medicaid

Lower taxes from less government

fewer government agencies,
fewer government programs,
fewer regulators

Two of the factors that are not in the
HCAN Statement of Common Purpose
1. BUREAUCRACY:

More bureaucracy
influenced by corporate lobbyists


1. BUREAUCRACY:

Public agency with less bureaucracy
influenced by us, the public
2. JOBS:

Fewer jobs

including the impact of medical tourism that will continue is expansion of number of Americans going outside of the United States for health care.
2. JOBS:

More jobs

from both manufacturing and services businesses that will be more globally competitive at their United States locations as a result of lower labor costs, which result from drastically lower U.S. health care costs

 

Additional Information.  The following quote is from the program "The Health Show" (program #1259):
"... someone ... who remembers is Richard Kirsch, the Senior Fellow at the Roosevelt Institute and former National Campaign Manager and chief spokesman for Health Care for America Now, a member coalition led by major progressive organizations that deployed staff in 44 states and spent $47 million to organize for comprehensive health care reform."

Comment:  Wow. $47 million! Sounds like an organization that is extremely well-funded. We can wonder where all that money came from to advocate keeping health insurance companies.

 

We want true universal health care, true health care for all. Everybody (100%) automatically having access without the unnecessary administrative activities and functions of three types of bureaucracy.

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