Regarding “How a libertarian analyst inadvertently made a good case for Bernie Sanders’ Medicare for All” (July 31): In the moral universe of libertarian thinkers like Charles Blahous, spending private money for goods and services is always better than spending public money. Yet publicly-funded Medicare is hugely more efficient than private insurance .
Blahous predicts that, by 2031, federal healthcare spending will be $4.2 trillion more under Medicare for All. On the other hand, the LA Times reported that economist Ernie Tedeschi used Blahous’ analysis to determine that Medicare for All will reduce national health expenditures by $2 trillion over 10 years.
The Centers for Medicare and Medicaid Services reported that U.S. healthcare costs are growing at 5.5 percent a year. Sooner rather than later, we will be paying $4.2 trillion more than we are now. The real question is whether all of that extra cost goes toward keeping us healthy, or toward profit and compensation for over-paid executives.
Under Medicare for All, there will be no pre-existing condition exclusions, no premiums, and no deductibles or co-payments. Most Americans will pay less for health care that will be accessible to all. That’s the moral universe I prefer to live in.
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