Medicare for All

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


The Bottom Line About Universal Health Care

Other free-market countries have universal health care: simpler, more efficient ways to pay for health care. Their citizens all get health care, but they pay less and get more, including having no unnecessary hardships.

This web page gives you detailed explanations about what to know about this situation of the other countries and the United States.

If you have a specific question or concern that is not answered at this web page, then go to the Answers web page.

What the United States Needs to Do

To get similar results as those other free-market countries:

We must implement our version of universal health care, a Medicare for All Plan.

We need 1 fund, 1 payer, and 1 plan for all Americans.

We will have cost-efficiency for how we pay for health care.

That efficiency will be a primary basis for our getting the results and benefits listed on the remainder of this web page.

What Individual Americans Need to Do

One relatively small, one-time activity needs to be done by many individual Americans.

For many Americans that will be all that needs to be done.

Some of us will decide to do more by promoting the Medicare for All Campaign.

At the time of start-up of the activity, we can send you an email
to tell you about the one activity plus the promote options.
Select this link to sign up to receive that one email.


Details About Universal Health Care


Our personal USA health care cards for everyone of all ages will correspond to the fact that we moved from complexity to simplicity in how we pay for health care. We will show our card and get health care. We will be able to do that because we will have a much simpler, much less expensive way to pay for health care. We will move from complexity to simplicity in how we pay for health care.

From Complexity. —— Today and until we implement universal health care we have a complex (chart) way to pay for health care that is 69% efficient. We have hundreds of payers and thousands of plans within three types of bureaucracy:

— hundreds of government programs
— over 1300 health insurance companies
— thousands of related activities Costly health care.  The financial result of the complexity is costly health care:

— The United States cost per Person is an incredibly high 2.5 (250%) times the cost per person of other free-market countries. Since the 1980's the United States is uniquely alone with out-of-control health care spending relative to other free-market countries, as indicated in this graph by the very lonely top line:


Spending among 30 Countries
(click for larger image)

National Health Spending as
a % of G.D.P.
Also see a similar graph of Canada vs. U.S.A.
The United States implementation of free-market solutions (managed care and HMO's) and the U.S. failure to negotiate prices appear to be primary causes for the out-of-control costs. The former solutions started in the 1980's.

Obamacare, the Affordable Care Act, kept all of the existing bureaucracy and added more bureaucracy, such as the on-line market-place insurance exchanges and more government regulations

To Simplicity. —— With universal health care, Improved Medicare for All, we will have a simple (chart) way to pay for health care that is over 95% efficient. We will have one payer and one plan and dramatically less bureaucracy.
The financial benefits of the improved efficiency is over $400 billion per year that is being spent on unnecessary administrative functions, and the activities that result from those functions, instead of health care. Update: An additional report (pdf) has been provided by economist Gerald Friedman stated in his more recent study of December 2012 that the efficiency difference means conservatively $500 to $600 billion lower health care costs per year, as per his economic evaluation.

All medically-necessary care.
From H.R. 676 proposed legislation, Section 102:
"(a) In general - The health care benefits under this Act cover all medically necessary services, including at least the following: 
(1) Primary care and prevention.
(2) Approved dietary and nutritional therapies.
(3) Inpatient care.
(4) Outpatient care.
(5) Emergency care.
(6) Prescription drugs.
(7) Durable medical equipment.
(8) Long-term care.
(9) Palliative care.
(10) Mental health services.
(11) The full scope of dental services, services, including periodontics, oral surgery, and endodontics, but not including cosmetic dentistry.
(12) Substance abuse treatment services.
(13) Chiropractic services, not including electrical stimulation.
(14) Basic vision care and vision correction (other than laser vision correction for cosmetic purposes).
(15) Hearing services, including coverage of hearing aids.
(16) Podiatric care.
(b) Portability- Such benefits are available through any licensed health care clinician anywhere in the United States that is legally qualified to provide the benefits.
(c) No Cost-Sharing- No deductibles, copayments, coinsurance, or other cost-sharing shall be imposed with respect to covered benefits".
Note: As indicated by the H.R. 676 text, Congress will be considering having no requirement to pay any co-pays.
Discounted prices for prescription drugs.
Discounted prices for durable medical equipment.
The U.S. will join the rest of the free-market world and negotiate the prices of drugs and equipment. Until that point in time we our very high costs for drugs and equipment essentially subsidizes the low prices of all other free-market countries.
This injustice will stop.

No major medical bills.

We will have no major medical bills that result from getting the services listed above as "medically-necessary care". There will be no coinsurance: a percentage of a hospital bill. We will sign a form to acknowledge the care that we received, then leave the hospital.

No bankruptcies.
As for other free-market countries for decades, we Americans will not have people losing their homes and declaring bankruptcy due to medical bills ... instead of the hundreds of thousands of such bankruptcies that we've had every year. We have testimonials of Americans who have experienced the reality of no major medical bills when they lived and worked in other free-market countries.

Unnecessary Bankruptcies
(click for larger image)

Bankruptcies Due to Medical Bills:
Essentially zero medical-related bankruptcies
in the example of other six countries..
( more )
It's an injustice that we did not have this status decades ago.
Less government goes with simplicity.
We will eliminate unnecessary bureaucracy within our three types of health care  bureaucracy, including a long list of government programs and regulations regarding health care.
Simplicity was demonstrated between the years 1965, when Medicare for Americans 65 and over was implemented, and 2003, when the members of the U.S. Congress increased the complexity of Medicare. We cannot let those damaging health care decisions happen again, like they did in 2003. Instead, we will work to make sure that the legislation sets up a Medicare for All public agency, insulated from the day-by-day debates and decisions of the U.S. politicians.
More discretionary income (more money to spend)
As part of getting the elimination of premiums and deductibles, most Americans will experience a net savings and have more spending money. Most Americans will only experience a few percentage increase in the deduction from their pay and, in return, receive health care for their entire lives, as indicated by this List of Benefits. That will be an addition to the 1.45% "Medicare tax" that has been taken out in the past by payroll deduction to support the original Medicare. There will be no need for Americans 65 years of age and older to purchase Medicare Supplement policies or Medicare Advantage plans or similar plans.
Additional sources of financial contributions will be determined by the U.S. Congress, such as the list proposed in H.R. 676.
More businesses and more jobs.
A stronger economy will result from:
1) lower operating costs for companies who have offered health care insurance and had to manage that benefit.
2) more spending money in the hands of Americans.
The natural result of these two factors will be a recovery of and addition of businesses and jobs.
Happier health care professionals with higher net incomes.
Health care professionals will spend more time caring for people, which will do the following:
1) help their job satisfaction,
2) make them more interested in suggesting that students go into a health care profession, and
3) expand the number of students who are interested in becoming a health care professional.
Due to a dramatically reduced health care bureaucracy they and their staffs will spend less time and less money on administrative activities, such as billing activities and communicating with health insurance companies to get permission to make decisions.
Malpractice reform will occur automatically, so physicians' lower malpractice insurance rates will also contribute to their higher net incomes.
Care based on need that may save YOUR life or YOUR quality of life.
The delivery of health care will be based on combination of a person's need and the available resources, not on a combination of a person's ability to pay and the available resources. In other words, if there are a few other people who have a higher need than a certain patient does, then that certain patient might have to wait for some hours or days while other people's lives are saved. Those other people might include you getting high priority care that either saves your life or helps your quality of life by avoiding your becoming completely disabled!
Happier, healthier Americans with more freedoms for health care choices and life choices.
Reversal of the decline in health outcomes. A healthier life is a happier life. Our life expectancy rank and amenable mortality rank (deaths from preventable causes) will likely improve from better access to health care, instead of our many years of getting worse and worse compared to other countries. The United States was 47th (2008) and is now 51st (2013) in life expectancy rank among the world's countries as per the CIA.
 Multiple pleasures. We will enjoy what other free-market countries already enjoy that contribute to a happier life:
1) Long life expectancy from health care being based on need.
2) Peace of mind of getting care with no major bills.
3) We will have additional peace of mind due to our increase in freedoms: our ability to make health care decisions and life choices without unnecessary financial, physical and emotional stress.
This is another injustice: that we don't already enjoy these items.
More about our health outcomes. Our amenable mortality, our ability to avoid deaths due to preventable causes, has also been declining, according to a study of 19 countries in 2003 and in 2008. We went from 15th place down to 19th place out of 19 during that time.
Please note our tendency to compare the United States to six specific countries. Those countries were the top 6 countries among the 19 studied for amenable mortality.
As of 2014 their number of years of experience with their versions of universal health care are as follows:
France-69, Japan-53, Australia-40, Spain-28, Italy-36, Canada-42
The total is well over 250 years.

Our health outcomes bad and getting worse. Perhaps it's due to having a lack of access to health care due to the high cost of health care and our resulting low number of physician visits per year is low compared to other countries. See those two bar charts here:

Relative Cost

Relative Cost of Health Care.
(click for larger image)

Relative Cost of Health Care
( source )

Number of Visits to Physicians

Visits to physicians
(click for larger image)

Visits to Physicians
per 1,000 capita
( source )

Note: The "Average of Six" for this
and similar bar charts is a
population-weighted average
Maternal Mortality.  There will also be a likely improvement of our maternal mortality: the number of deaths among women during pregnancy, childbirth or in the 42 days after delivery.

Maternal Mortality
(click for larger image)

Maternal Mortality
per 100,000 live births
( source )

Elimination of unnecessary hardships.

Simplicity will be a root cause of the above benefits and the root cause for the elimination of the complexity and the resulting unnecessary hardships that have caused so much stress and unnecessary pain, suffering and deaths of Americans for so many decades.



Health Care Justice:

in other free-market countries

... and NOW coming in the USA

It is time for us to not only go back to the simplicity of the original Medicare, but also improve Medicare and provide it to everyone.
The Free-Market World OUTSIDE of the USA HAS universal health care. 
The majority of other free-market countries implemented their versions of universal health care between 1883 and 1972. Now all of 30 free-market countries have universal health care.
— They pay dramatically less per person than the United States. (financial health)
— Their citizens of all ages get health care and have life expectancies significantly longer than Americans. (physical health)

— Their cost-efficient health care helps them be economically competitive, including causing many of our health care and manufacturing activities to have moved to and be conducted in their countries. (global competitiveness)
The number of other countries around the world that have implemented and are implementing universal health care continues to increase.
Americans have been BLOCKED from getting the benefits of universal health care.
In the meantime the U.S. Congress has blocked the establishment of universal health care 8 times during the last 75 years. In other words, an extreme injustice on us, the American people, has been committed for 75 years.
It's time for the United States to experience the benefits.
We individual Americans will correct the injustices with a campaign designed to get the support is established among members of the U.S. Congress who decide to be strong supporters to help their chances of keeping their positions.

We can and will get the benefits.

Please sign-up to be notified when the campaign starts.

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Universal Health Care, Improved Medicare for All as per U.S. House Resolution 676
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