Medicare for All is being bandied about in various forms these days. If the model is the current Medicare system, I don’t see how Medicare for All can work. I see two problems: There’s already a lot of money going into Medicare, yet medical providers are not receiving adequate payments.

If you receive a paycheck, 1.46 percent of your gross pay goes to Medicare. Those receiving Medicare also make payments. There is no fee for Medicare Part A-Hospitalization. But Part B costs each Medicare recipient $144.60 per month. If you only have Parts A and B, you don’t really have comprehensive coverage. This is why there is a proliferation of supplement plans. These plans range in cost, but you get what you pay for.

If you want drug coverage, you will need Medicare Part D, which again involves a cost. After all these costs, Medicare does not include vision or dental coverage.

How are all these payments into Medicare reflected in payments to providers? Based on the explanation of benefits I see, providers are receiving a small fraction of their costs. Medicare payments can be so low that many providers will not accept Medicare patients.

Register for more free articles
Stay logged in to skip the surveys

I am all for everyone being able to receive adequate medical care. I just haven’t seen a proposal that can make Medicare for All work

Bob Hazleton


Be the first to know

* I understand and agree that registration on or use of this site constitutes agreement to its user agreement and privacy policy.