Why is Everyone Against Medicare for All?
Is it because we don’t really know what that means? Is it because all anyone can say is “Tax the Rich More”? Does anyone, including your congressional Representative, understand why the system works in places like France, Finland, Norway, Germany and Canada?
Let me explain, in simple terms, what Medicare for all would need to look like to work effectively.
In Germany, the system works well for most people. Everyone kicks in what they need to in Taxes. Taxes that are fairly qual across the board. The Government then controls costs of services in some manner. The manner is how much prices for tests, drugs, and procedures can be set initially and then also increased to account for inflation. The other reason it works so well: Less Administration, more Healthcare Workers. Germany’s system runs on 10-15% of all healthcare jobs, including at the insurance level, being administrative, non-billable persons. The US is more than Double this rate at 23%. That is up from 8.3% in 2016.
In France, the Taxes are around 46% of income. Do you know what they are in the US? 24%. Thats right. Just above half. Now, I am not saying that you can not tax the rich more, but everyone has to have a tax increase. One of the benefits of the systems in Europe that are Thriving is that all persons believe that healthcare is needed. They all know that they need to contribute when and where they can. And They ALL understand that everyone plays a part, not just the wealthy. What we need, to support the claim of Healthcare and Education for all, Is Higher Taxes. I know, shoot the messenger. But with Trillions of dollars in deficit, How do we expect to cover this “Right” as some like to call it.
Where is all the Money in Healthcare Going?
In the US, Administrative jobs in healthcare have grown 3000% since 2007. If you don’t believe that the cost of healthcare has gone up because the cost of employing these persons, think again. But why do we need so many non-billable persons administrating what gets done? Rules and Regulations put in place by Insurance companies. Legal Suits Filed for the smallest incidence of something going wrong in a surgery, that maybe couldn’t be helped. The act of trying to “Manage Costs”. The staggering statistic that 1 in 8 Americans or 16million persons are employed in Healthcare in the US, yet this number does not include the Insurance and Pharmaceutical industry according to the US Bureau of Labor and Statistics.
To Summarize what we need to make Medicare for All Work:
- A Global across the Board increase in Income taxes by no less than 10%. At EVERY tax bracket.
- Decrease in administrative Roles in Healthcare to bring back the 1 admin for every 4 providers ratio (according to the 2015 AAFP the ration is currently 3 admin for every 1 Provider)
- Limits in Prescription Drug Costs
- Personal Accountability for Health in Nutrition and Exercise Recommendations that are Followed by the Patient
- Decrease the Hoops to Jump through to Access Care.
- Lawsuits only filed in case of wrongful death or injury due to negligence or not following the Gold Standard of Care
So when you see that A. O-C. or other Democrats are asking for, look at all of their statements. Alexandria Ocasio-Cortez Clearly states that she thinks healthcare and education programs like those in Finland, Germany and Norway could work here in the US. Her statements clearly include Trade School Education too, not just 4 year university.
Yes, it’s a socialistic ideal, but so is Medicare, Medicaid, and Social Security as well as Welfare, Food stamps, Section-8 housing, Headstart Programs, and Daycare assistance Programs. In some extent, so are Pension Plans that are outdated and bankrupting companies.
*Statistics taken from Taxinfo.org and BLS National website.