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Berni Sanders' new health plan is even more absurd than his old one



The struggle for the presidential elections in democratic countries almost has not begun in 2020, but Senator Berni Sanders (I-Vt.) Already had an incredible feat: he came up with a new health plan, even more absurd than his old one. .

A new version of Sanders' plan, which he marks as "Medicare for all", because it is better than socialized medical care supports the central structure of a plan version that is valued as a huge $ 32 trillion but then makes the promised benefits even more generous. However, he was endorsed by several rivals for nominating Democrats: Sens. Cory Booker, DN.J., Kirsten Gillibrand, DN.Y., Kamala Harris, D-Calif., And Elizabeth Warren, D-Mass.

Under this offer, Sanders will turn the entire population into a new health plan for four years. This is one reason why the term "Medicare for all" is a bit wrong. Legislation not only makes the accessible Medicare program accessible to everyone, but it transfers all Medicare beneficiaries from the current program to the new government plan.

His bill will effectively eliminate private insurance. In particular, it prohibits the sale of private insurance, either directly to individuals or through employers, which duplicates any of the benefits of a government plan. Given that the government plan he envisages will cover such a wide range of privileges, it will not leave room for private coverage. This would mean that nearly 1

80 million people would be driven out of their health plans, which they love, or more than half of the US population.

This plan not only promises to cover benefits, including hospital services, visits to doctors, prescription drugs, mental health treatments, tooth and vision treatments, but promises to do so at no cost to yourself. That is, the plan promises to eliminate premiums, joint payments and deductibles.

Ensuring effective unrestricted medical care for every American free of charge will lead to an explosion in demand for services, but Sanders does not tell how he expects the healthcare system to meet this new demand without causing significant barriers to access , such as excessive waiting times and difficulties with appointment to first place. In addition, one of the arguments in favor of the socialized system is that it allows the government to use its negotiating power to force health workers to reduce costs. But if Sunders had put too much pressure on providers, it would have led to some of them leaving the business, exacerbating access problems. If he did not have enough pressure on them and paid high rates, costs would increase.

Although all this can be said about previous versions of the Sanders plan, the latter iteration also adds value to home and community. long-term care services.

Not surprisingly, Sanders does not offer details on how he will pay for his plan in the law itself. All we have is a white book, which contains balls such as the call for "extraordinary wealth tax" and the abolition of "corporate accounting tricks." However, the previous, less generous version of his plan was so expensive that the doubling of projected corporate income of the tax will cover a little more than one tenth of its value.

Other ideas would be noticeable in the middle class, including an additional 4% wage tax for employees (the release of the first $ 29,000 in income for seven out of four people) and 7.5% imposed on employers which ultimately will get the worker. Sanders likes to respond to those who explain why his vision is fantasy, pointing to other countries who have national health systems. And yet what he offers is even more generous. For example, the Canadian system does not cover teeth and vision treatment, and 60% of the cost of prescription drugs is paid privately . France allows expenditures on own resources and has three different forms of cost sharing . In Germany and as well as in most other systems, there are also costs for own funds.

Even rejecting the question about the finish, the whole scheme depends on the idea that he will be able to get 51 votes to support the main draft law. In fact, he does not get close. The current bill has only 14 sponsors, or 10 if you do not include presidential candidates who are afraid to leave any space on the left. The Senate's map for 2020 is not a farewell to Democrats, and any majority they receive is likely to be insignificant and dependent on places in more conservative states.

         


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