Defenders of national health care proposals try to make the claim - in response to critics - that government-run health care is pretty good, citing Medicare (and Medicaid). So what's wrong with "Medicare for All"?
- Medicare's coverage is not that good
- Medicare recipients spend more per household (and a much a higher share of their income) on out-of-pocket expenditures than do non-Medicare households
- Over half of all Medicare recipients buy supplemental health insurance, or get it from their employer. An additional 22% are enrolled in Medicare Advantage, with additional benefits and costs (though Obama is looking to gut Medicare Advantage).
- Medicare has higher administrative costs per person than private insurance.
- Medicare is going bankrupt, with $89 trillion in unfunded liability.
- Medicare underpays doctors and providers, resulting in:
- An increasing number of doctors who refuse to accept Medicare patients.
- Cost shifting - Medicare shifts billions in costs on to providers, which results in increasing premiums for private coverage.