Medicare for all comes with a price tag and hard choices

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canada goose deals You see, the market oriented Mercatus Center, which takes funding from the Kochs, has a new report out on the costs of the senator’s pet project. health expenditures by about $2 trillion over a 10 year period. canada goose deals

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Canada Goose sale Er not quite. Where buy canada goose jacket he has to make assumptions, he canada goose uk black friday is as generous as possible to the Sanders plan. He assumes, for example, that it would pay all providers at the current Canada Goose Parka reimbursement rates set by Medicare, rather than by the higher rates that private insurers pay; that there would be substantial savings in administrative costs; and that Medicare can save lots of money on drug prices. Canada Goose sale

buy canada goose jacket cheap Having stacked the deck in canada goose uk outlet favor of “M4A,” as Sanders calls Canada Goose online his proposal, Blahous then comes up with a price tag: By 2031, the federal government would be spending an additional $4.2 trillion a year. government expects to spend this year. Suddenly doubling the federal budget has happened once before in modern history: during World War II. buy canada goose jacket cheap

cheap Canada Goose Medicare for all advocates will protest: Think of all the money that people wouldn’t need to spend on Canada Goose Outlet premiums! But the advocates already face an uphill battle persuading people to give up their current insurance which 70 percent of Americans say they’re quite happy with, according to Gallup cheap canada goose uk for a massive Medicare expansion that canada goose coats might not suit them as well. The climb would be stiff indeed after people found out that their taxes were being doubled to pay for it. Which leaves M4A dead in the water, unless Sanders can arrange cheap Canada Goose for Aetna to bomb Pearl Harbor. cheap Canada Goose

canada goose store And that’s if you make generous assumptions about costs assumptions that are not very realistic, as Blahous notes. canada goose store

Canada Goose online When the Affordable Care Act was canada goose being debated years ago, its supporters went on a quest for what I started calling the “magic pot of money”: many billions of dollars that could be taken out of existing health care spending without either lowering the quality of patient care or angering some large and powerful interest group, such as cancer patients or health care workers. Canada Goose online

Canada Goose Jackets Obamacare’s boosters were convinced canada goose black friday sale that the magic pot of money existed, and they searched for it everywhere. Excessive use of emergency rooms. Preventive care. Overpayments to Medicare Advantage. Unnecessary back surgery. The list went on and on. Canada Goose Jackets

Canada Goose Outlet In every case, when the boosters got to the end of the rainbow, no pot of money was waiting. A study of Oregon’s Medicaid expansion showed that emergency room usage went up, not down, after people received health care coverage. Preventive care, while excellent for patient health, costs more in extra visits and tests than it saves in canada goose outlet serious illness. And overpayments turned out to be providing care that patients valued and providing excellent livings to millions of health care workers, who were uk canada goose prepared to march on Washington if their incomes took a serious dent. Canada Goose Outlet

canada goose clearance That’s why the government has been struggling for years to lower Medicare payment rates for doctors and hospitals; whenever government made more than token cuts, the lobbies fought back and largely won. It turns out there is no magic pot of money. There are only hard choices. canada goose clearance

canada goose coats Blahous shows with his study how hard the choices are, even when making generous allowances for the M4A plan. Leftists can mock him all they want for trying to meet them on their own Canada Goose Coats On Sale turf, but if Democrats at some point actually try to pass Medicare for all, the Congressional Budget Office would perform much the same calculations, with much the same results. And laughter won’t make the hard numbers, or the hard choices, go away. canada goose coats

canada goose Alas, the Wolf Sheep Friendship Dinner will have to be canceled until further notice. Sanders, canada goose factory sale the keynote speaker, would have been anyway unable to attend; he’s still off chasing rainbows canada goose.