As someone who works in the healthcare profession M4A would be a disaster.
Bernie’s M4A act is extreme, even compared with other “single-payer” plans internationally. It intentionally sets up a monopsony, allowing a single payer (govt) to push prices through the floor in order to get coverage for everyone. It explicitly bans private insurance coverage after a 4-year phase-out, slashes reimbursement to providers, and makes balance billing illegal.
Medicare just BARELY covers hospital costs. Pure Medicaid hospitals don't exist, because they're already bankrupt. Already, physician reimbursements and salaries are well behind growing with inflation and have been for nearly 20 years. If you cut Medicare reimbursements, and insure everyone, those little mom and pop rural hospitals and clinics are going to be annihilated in short order.
Make no mistake, it would lead to an immediate recession/depression, as you would lose the entire health insurance industry and many, many clinical providers as clinics tried to stay afloat. Doctors, nurses and other health care professional would see an immediate and drastic cut in their pay- at least those who managed to stay open. Hospitals and clinics are running through thin margins. There is only a handful of hospitals that turn a profit without govt assistance.
I’m all for universal coverage, but M4A would be a disaster. If President Bernie somehow passes it Republicans would win big in 2022 midterms and a Republican would win in 2024. Health care is very complicated and it’s a massive part of our economy that any drastic changes would lead to an economic downturn. America is a unique country with a poor health literacy and even poorer health habits.
Fair enough. I appreciate the perspective. This is where desperation comes in. I've started a small business and it's going well, but health insurance is my biggest fear. I'm not broke enough for Medicaid, and since I work for myself I can't get on some other company's plan.
My business is fitness related, so even though I take great care of myself, eat well, only in my 30's, and have no pre-existing conditions, I've got something like an $8,000 deductible through Healthcare.gov as well as a ridiculous monthly premium. On top of that, I have a pretty shytty network of coverage.
I cannot afford it, and I need health insurance. I can't not have it. I'm too scared on the off-chance something catastrophic happens. I don't want to bankrupt my family overnight if I get cancer or something unexpected.
At this point I just don't really believe anyone but Bernie will actually attempt to change the system. And I don't want to fukk anything up for other Americans, but the health insurance industry in this country has fukked me from 2006 to now with the exception of a few years where I tried to play the corporate ladder desk job game (they took a portion of my income and the coverage was solid.) But I don't wanna have to go back to that life just to not go broke if something happens to me.
So I'm desperate right now for an alternative. I'm middle class, and I need every penny I can get right now, but I'd gladly pay more in taxes if I can reduce the co-pays, premiums, and deductibles for myself and my fellow citizens.
I'm able to be sold on another candidate, maybe Warren, if I can actually be convinced that they'll make an effort.
But it's hard for me to have faith in these politicians that are clearly owned by big pharma.
I work really hard for my family. I do a lot for my community. I just want some shelter from the storm. Right now Bernie does have my vote because even if his ideas are flawed, he's the only one that I think gives a fukk about us. Him and maybe Warren. Everyone else seems too rich, bought off, and out of touch.