A Congressional Budget Office analysis laid out “opportunities and risks” of moving every American into a single government health plan.
By Amy Goldstein Amy Goldstein Reporter covering health-care policy and other social policy issues Email Bio Follow May 1 at 4:58 PM Liberal Democrats’ goal of transforming the U.S. health-care system into a single, government-financed model would be “complicated, challenging and potentially disruptive,” Congress’s budget analysts caution in a report.
The report says the government would have to figure out how to pay for virtually all of the nation’s $3.5 trillion in annual health-care expenditures, inheriting the nearly half now absorbed by private employers and consumers. Whether overall health-care spending would rise or fall — and how many of the 29 million uninsured residents would gain coverage — hinges on complex choices that policymakers would confront, the report says.
The ripple effects, the report said, are hard to predict. Wait times to see a doctor could increase, depending on whether physicians stopped practicing medicine if payments for care were reduced. On the other hand, the bloated U.S. health-care system could become more efficient, assuming a redesigned system would have lower administrative costs than those of private insurers and heightened incentives for patients to get preventive care.
Meanwhile, the term Medicare-for-all has become a whipping post for Republicans, including members of the Trump administration. Hours before the release of the much-anticipated report, GOP members of the House Budget Committee put out a video calling Medicare-for-all “radical” and “really expensive,” with conservative health-policy experts saying that it would swell the federal budget without a means to pay for it.
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