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Policy


MEDICARE FOR ALL WOULD FAIL PATIENTS

Grace-Marie Turner
ContributorOpinions expressed by Forbes Contributors are their own.
Focusing on free-market ideas for health reform
Nov 8, 2019,12:57pm EST|

This article is more than 3 years old.

“Before now, Warren’s radical proposal never would have been introduced by
someone with a serious shot at becoming president,” Galen Senior Fellow Brian
Blase explains in a piece for RealClearPolitics. 



“But the health care status quo is failing too many Americans. She is right that
health care prices are generally too high, that provider consolidation is a
serious problem, and that health outcomes are generally disappointing,” Brian
writes.




However…“Her prescription to address these problems is all wrong,” he explains,
including evidence of the harm a Washington-centric system does to innovation.



“For evidence of the devastating impact of Medicare’s control of payments, look
no further than the sorry state of American kidney care, with high death rates
and outdated, inefficient treatments. Only 12% of American patients undergo
dialysis at home, where they could receive treatment while they sleep, compared
to 80% in Hong Kong and 56% in Guatemala.




“One kidney care administrator has remarked: ‘The last 30 years as a country,
all we’ve done is wait for kidneys to fail and we put people on dialysis.’  



“The reason for this devastating outcome? Medicare has covered all end-stage
kidney disease treatment since 1973. Dialysis providers can send large bills to
Washington to cover inefficient care. They stand in the way of reform while
patients, particularly the most vulnerable, suffer. And Medicare — as the single
payer for end-stage kidney disease — is the primary culprit for lack of market
innovation and the resulting death and destruction.”

Galen Senior Fellow Doug Badger looks at the significant threat to our economy
of today’s health spending in the article and video for FoxBusiness. “Health
entitlements are the largest and fastest-growing component of the federal budget
and the leading cause of long-term fiscal instability,” he writes.



But Medicare for All is not the answer. “A RAND Corporation analysis found that
it would increase health spending, enlarging the gap between the U.S. and other
countries.

“The U.S. is hardly unique in struggling with rising health spending. U.S.
health spending is projected to grow more slowly than the OECD average through
2030, meaning it will outperform many countries with centralized financing,”
Doug writes.

“Shifting the entire burden of health financing onto the U.S. government is more
likely to worsen fiscal strains than to relieve them.”

We’ve been saying all along that the more people learn about M4All, the less
appealing it becomes.  It turns out that even many of its ardent supporters
(67%) think they will be able to keep their private insurance. “Of the 50
biggest stories over the last two weeks about Elizabeth Warren's plan to pay for
Medicare for All, 70% were negative,” Axios reports based upon NewsWhip data.

In addition to the promise that you can’t keep your current plan, objections
include the battery of new taxes—which inevitably will hit the middle class—but
many also are worried about the millions of jobs that will be eliminated,
including an estimated two million in the health insurance industry.

Sen. Warren’s poll numbers have been impacted, but not in a good way.  She was
briefly #1 in the 2020 Democratic polling average, but she now is behind former
VP Joe Biden by 7.2 points.



I was interviewed on Fox Business.com about the Warren pay-fors, explaining,
among other things, that Warren comes up tens of trillions of dollars short.  



Doug Holtz-Eakin, president of American Action Forum and a former director of
the Congressional Budget Office, gives a clear breakdown of how unrealistic the
numbers are.


Get the best of Forbes to your inbox with the latest insights from experts
across the globe.
Follow me on Twitter. Check out my website. 
Grace-Marie Turner

Grace-Marie Turner runs the Galen Institute to promote an informed debate over
ideas to transfer power over health care decisions to doctors and patients. She
speaks an…

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