Podcast KHN’s ‘What The ‘ Is ‘Medicare For All’ Losing Steam

 

LIVE DEBATE – Replace Private Insurance with Medicare for All

Video taken from the channel: IntelligenceSquared Debates


 

What The Presidential Candidates Won’t Tell You | Medicare For All Explained (By A Doctor)

Video taken from the channel: ZDoggMD


 

Medicare For All: What Does it Actually Mean?

Video taken from the channel: Healthcare Triage


 

DEBUNKED: Medicare for All MYTHS! | Louder With Crowder

Video taken from the channel: StevenCrowder


 

Is a vegan diet better for your health? BBC World Service, CrowdScience podcast

Video taken from the channel: BBC World Service


 

Medicare for All: Last Week Tonight with John Oliver (HBO)

Video taken from the channel: LastWeekTonight


 

David Pakman Explains the Problem with Medicare for All | Joe Rogan

Video taken from the channel: JRE Clips


[Correction: The description of this podcast was corrected at 8:30 p.m. ET on May 23 to remove a reference suggesting that the House “Medicare for All” bill had not yet had a hearing. A second House committee this week held a hearing on proposals for a single-payer health system, such as “Medicare for All,” featuring experts from the Congressional Budget Office. This week, KHN’s “What the Health?” podcast takes a deep dive into the often-confusing Medicare-for-all debate, including its history, prospects and terminology. This week’s panelists are Julie.

A second House committee this week held a hearing on proposals for a single-payer health system, such as “Medicare for All,” featuring experts from the Congressional Budget Office. But it appears the enthusiasm for a dramatic overhaul of the nation’s health system is waning, as even some Democratic supporters clarify that they are in. This week, KHN’s “What the Health?” podcast takes a deep dive into the often-confusing Medicare-for-all debate, including its history, prospects and terminology.

This week’s panelists are Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call. The “Medicare–for-all” debate is already in full swing, but what does that phrase even mean? Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner for a beginner’s guide to the next big health policy debate. For “extra credit,” the panelists provide their favorite health policy stories of the week, and. The health care industry is nearly united in opposing the talk of moving to a Medicare for All program because of concerns about disruption to the system and less pay.

About one-third of national health spending goes to hospitals, and they are worried that a change in health policy would cut that. The growing concern among hospitals about “Medicare-for-all. Among the takeaways from this week’s podcast: * The increasing interest in Democratic proposals such as “Medicare for All,” which would set up a government-run health. Case counts for COVID-19 are rising in nearly every state, yet a major campaign by the Trump administration this past week was an attempt to discredit Dr.

Anthony Fauci, a.

List of related literature:

Trulock EP, Christie JD, Edwards LB et al: Registry of the International Society for Heart and Lung Transplantation: Twenty-fourth Offical Adult Lung and Heart-Lung

“Clinical Anesthesia” by Paul G Barash, Bruce F Cullen, Robert K Stoelting, Michael Cahalan, M Christine Stock
from Clinical Anesthesia
by Paul G Barash, Bruce F Cullen, et. al.
Wolters Kluwer Health, 2011

Managed care paid for each episode of hospitalization based on the plans assume a significant portion of the risk of proclient’s age and principal diagnosis and on the presviding health care and, consequently, encourage pruence or absence of surgery and comorbidity (simultadent use by both consumers and providers.

“Medical-surgical Nursing: An Integrated Approach” by Lois White, Gena Duncan
from Medical-surgical Nursing: An Integrated Approach
by Lois White, Gena Duncan
Delmar Thomson Learning, 2002

Decade BaJ: Health care utilization and economic cost of musculoskeletal diseases.

“Kelley and Firestein's Textbook of Rheumatology E-Book” by Gary S. Firestein, Ralph C. Budd, Sherine E Gabriel, Iain B. McInnes, James R O'Dell
from Kelley and Firestein’s Textbook of Rheumatology E-Book
by Gary S. Firestein, Ralph C. Budd, et. al.
Elsevier Health Sciences, 2016

This section of the podcast connects Sickboy to ‘citizenship making’ through everyday talk (Dahlgren 2006) and combatting the stigma around illness.

“Podcasting: New Aural Cultures and Digital Media” by Dario Llinares, Neil Fox, Richard Berry
from Podcasting: New Aural Cultures and Digital Media
by Dario Llinares, Neil Fox, Richard Berry
Springer International Publishing, 2018

The Liblackeys on talkback radio attacked Medicare Gold relentlessly, supported by the self-serving AMA-as ever, opposed to policies that put downward pressure on doctors’ fees.

“The Latham Diaries” by Mark Latham
from The Latham Diaries
by Mark Latham
Melbourne University Press, 2005

There are two components of ACPs: first, the living will, which includes any plans related to treatment; and second, the information about who will take over making decisions when patients can no longer speak for themselves (surrogate decision makers or health care proxies).

“Case Studies in Geriatric Primary Care & Multimorbidity Management E-Book” by Karen Dick, Terry Mahan Buttaro
from Case Studies in Geriatric Primary Care & Multimorbidity Management E-Book
by Karen Dick, Terry Mahan Buttaro
Elsevier Health Sciences, 2019

HMOs that remain in Medicare for the time being predict cuts in benefits or increases in premiums or co-payments to cover costs (Pear 2001).

“Pathologies of Power: Health, Human Rights, and the New War on the Poor” by Paul Farmer
from Pathologies of Power: Health, Human Rights, and the New War on the Poor
by Paul Farmer
University of California Press, 2004

Much of the discussion that follows is derived from Sean Sullivan, Managing Health Care Costs; Karen Davis et al., Health Care Cost Containment; and Tell, Falik, and Fox, “Private-Sector Health Care Initiatives.”

“Health Care Politics and Policy in America” by Kant Patel, Mark E. Rushefsky
from Health Care Politics and Policy in America
by Kant Patel, Mark E. Rushefsky
M.E. Sharpe, 1999

Its loss over Medibank affected its ability and willingness to oppose the introduction of Medicare.

“Successful Public Policy: Lessons from Australia and New Zealand” by Joannah Luetjens, Michael Mintrom, Paul ‘t Hart
from Successful Public Policy: Lessons from Australia and New Zealand
by Joannah Luetjens, Michael Mintrom, Paul ‘t Hart
ANU Press, 2019

In those cases, Medicare beneficiaries sign up with private managed care organizations that contract with and are paid by CMS to manage the beneficiary’s care.33 As of December 2008, 10.1 million (23%) of the nearly 45 million Medicare beneficiaries have enrolled in MA plans.34 Enrollment has steadily grown each year.

“Geriatric Physical Therapy eBook” by Andrew A. Guccione, Dale Avers, Rita Wong
from Geriatric Physical Therapy eBook
by Andrew A. Guccione, Dale Avers, Rita Wong
Elsevier Health Sciences, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

View all posts

81 comments

Your email address will not be published. Required fields are marked *

  • My wife worked at the VA here for over 10 years. A lot of doctors that failed in private sector go there. Foreign doctors ironically from places that our vet lost their limbs are treating men with PTSD for people that look just like the ones that did this to them. Lastly, she had a co worker that just cancels patients all the time. I don’t even know if they ever got treated. But the federal government doesn’t have to comply with state law. You can even work without a license for the federal govt. Her dad is a vet and never went to the va. Her best friends dad is a vet and never went to the va. My grandfather was a vet and I never even heard of the va as a kid. He never would have went there. DMV, VA, IRS, EPA, SOCIAL SECURITY all fail

  • How does universality increase cost? Shouldn’t it have the opposite effect since many more healthy people would be insured thus decreasing the average spending per user?

  • An american’s real life experience in a Barcelona health system.

    https://www.youtube.com/watch?v=Mwantba05Y0

    British people react to american health care

    https://www.youtube.com/watch?v=Kll-yYQwmuM

    German Health system vs American
    https://www.youtube.com/watch?v=1d3QLPdHysc

  • All the democrats act as if privatization isn’t an option…. Medicare for all would lead to 2 million jobs lost(they don’t account for this), hospitals being underfunded, specialists having their salaries lowered. Now, an option to fix the current medical system we can completely privatize and go free market. I noticed he brought up diabetes, I don’t think he realizes that 90% of the insulin market is owned by 3 major companies. Why do you think that is? Because of the government. Because of regulation, subsidies, and laws that the government has implemented. Under a free market this wouldn’t happen. The government wouldn’t be in the healthcare system at all so they wouldn’t be able to create these laws that give these companies these medical monopolies. Another example is epipen. And for medical procedures, we can look at LASIK eye surgery. A free market will allow for more hospitals to be built, more competition which drives down costs, and innovation. The main problem with the healthcare system is the government.

  • When you have dying people on one side (so, their “right to LIFE”), and the people’s “right to choice” on the other side, there shouldn’t even be an option saving a dying person beats “right to choice” (which, BTW, is NOT a right) EVERY TIME. Now, I say, if you want a choice, this is what you do:

    1) Have medicare for all a single payer system (which is the only option). It doesn’t have to be Bernie’s system (including dental, prescription, etc.), but just the actual basic healthcare (doctors, surgery, etc.). In Canada, ours covers the basic healthcare, although there is a program for help with prescriptions and mental healthcare (dental, only if you’re on assistance, plus prescription). So, private insurance still exists for prescriptions (usually group insurance), dental, and extras, like private rooms, as well as other insurance such as life insurance, job insurance, car insurance, business insurance… (John clearly forgot about all of that; a universal healthcare would NOT eliminate the private insurance companies). BTW, your prescriptions are so damn expensive in the USA, because your presidents haven’t put any type of cap on it, which is necessary when you’re talking about people’s lives.

    2) Go ahead and still have private hospitals and clinics that rich people can go to, and pay out of their pockets AS LONG AS THEY DON’T GET ANY PUBLIC MONEY. This would STILL give them the choice, and would make additional room for the remaining 99%.

    What a lot of Americans don’t get when they say, “Hospitals [in the USA] have to help you when you’re dying,” it tells me they don’t really know their system. Yes, hospitals have to help you during an EMERGENCY, but:
    1) They don’t have to make you better, they just have to “treat you” (i.e. if you need a heart transplant and can’t afford it, they will just make you comfortable), and
    2) It, of course, doesn’t cover the slow death, which is what kills most of us. Like that lady who had to choose between her kidneys and her heart that’s a perfect example. By the time it’s the EMERGENCY where a hospital has to help, it’s FAR TOO LATE to save the persons life.

    Think of it Remote Area Medical Services do 80% of their work in the USA!!!! What does that tell you?!!!

    “When I hear health care is a RIGHT,” I hear that people have a right to life, only in countries with universal health care. It’s bizarre that you have to worry about going to the right hospital when you’re severely sick! Let rich Americans pay extra to go to private clinics (as long as there’s no public funding), but the REST of the USA (so 98 99% of the population) get healthcare!

    Pete Butigieg’s idea is just a bad idea. If your rich people don’t want to wait in line, let them have private hospitals/clinics that they pay out of their pockets for (on top of the private system, which wouldn’t be a bad idea). The rich people wouldn’t have to wait, and the poor people would get that much closer to the front of the line, and would have that much more money to be spread around.

  • Coverage does not necessarily equal realistic access. My father is technically “covered” by Medicare and to call it shit would be an insult to shit.

  • Why do people support these for profit insurance companies? Every other nation kicks our ass in healthcare. The US is already very socialist in nature. And a universal healthcare plan seems like a logical step. Also, adding universal healthcare isnt automatically turning the US into Vuvuzuela. It’s just gonna make us catch up with every other developed country on the planet. Canada has Universal Healthcare and they are NOT VENEZUELA. Everyone is living there just fine and dandy. Second, we DO NOT need to increase taxes. We need to lower prices for drugs and cut the fucking military budget. We spend 670 billion on the military. We dont need to spend that much. We can spend less and have better health outcomes. Its possible. The argument of choice is stupid. When the fire department comes to a fire, and you h the “choice” to save certain rooms, the FIRE IS STILL FUCKING THERE. Same with healthcare. The notion of choice in healthcare is fucking ridiculous

  • Read your sources carefully Steven, they contradict what you say Steven. You are a walking piece of shit. Keep going to colleges to debate because you can only debate people with 3 brain cells.

  • “Study: 1.2 Million Healthcare Jobs at Risk Under Medicare for All”
    https://www.breitbart.com/politics/2020/01/13/1-2-million-healthcare-jobs-risk-medicare-all/
    More than 1.2 million healthcare jobs are at risk under Medicare for All, according to a study released Monday.

    FTI Consulting and the Partnership for America’s Health Care Future released a study that found the single-payer Medicare for All program “could have a significant negative impact on the adequacy of the country’s health care workforce, access to care, and, ultimately, patient outcomes.”
    https://americashealthcarefuture.org/wp-content/uploads/2020/01/FTI-Medicare-for-All-and-the-Future-of-Americas-Workforce.pdf
    The study found that Medicare for All could have a devastating effect on Amerca’s healthcare workforce, which could reduce the number of physicians by 44,693 by 2050 relative to current projections.

    The study found that primary care physicians could be particularly affected, as Medicare for All could reduce the number of those healthcare workers by 10,0286 within the next 30 years.

    Medicare for All’s reduced Medicare reimbursement rates would also result in 90 percent of hospitals running consistent deficits, which would put hospitals at risk.

    FTI Consulting and the Partnership predict that the nursing workforce will reach shortage levels by 2030; however, Medicare for All may reduce the number of nurses and other workers by 1.2 million by 2050.

    Medicare for All would also reportedly decrease the number of U.S. physicians by 5.4 percent, which would particularly impact rural communities.

    Lauren Crawford Shaver, the Partnership’s executive director, said in a statement Monday:

    This new issue brief adds to the mounting evidence that Medicare for All would threaten Americans’ access to quality health care. Instead of forcing Americans into a one-size-fits-all government health insurance system controlled by politicians, our elected officials should instead focus on building on what’s working and fixing what isn’t.

    Robert Pollin, a healthcare expert who consulted for Sens. Bernie Sanders (I-VT) and Elizabeth Warren on Medicare for All, admitted in November that Medicare for All will achieve healthcare savings through reducing the healthcare workforce.

    Pollin said in November, “The savings don’t come out of the sky. … That means layoffs. There’s just no way around it.”

    Rep. Pramila Jayapal (D-WA), another architect of a House Medicare for All bill, said in May 2019 that one million private health insurance workers will get “displaced” under Medicare for All.

    The study stated:

    “The impact of Medicare for All on America’s health care workforce would undermine the policy’s central objective: expanding access to care. With many areas of the country already on the brink of a crisis when it comes to provider shortages, policymakers must consider the impact of Medicare for All and related policies on the ability of these communities to attract and retain the next generation of health professionals.
    “The effects of reduced reimbursements under Medicare for All would directly impact not only health care workers and their patients, but the health of communities across the country as they contend with delayed access to care, decreased quality and widening health disparities.”

  • people not working don’t pay taxes well hurt taxpayers. the more you make the higher your taxes are or taxes on all that are working are the same don’t know. people out their well find a way to compensate.

  • why did she flat out lie that bernie’s plan will use current medicare fee schedule? there is a whole section in there saying the secretary of health will make a new fee schedule

  • When theres a single payer you can negotiate with hospitals to lower the prices of saline bags, kleenex, etc…why is it so much less expensive in other countries for these things.

  • The president gets elected by the dumbest fucking people because of the antiquated electoral college. Abolish that crap person with the most votes wins fucking common sense the majority rules idiots

  • Leave the money out of it! People keep touting Canada as some kind of model for government-run healthcare. I’m from Canada. Our Healthcare sucks! I needed to get a blood test about 5 years ago it took me three doctor visits in 4 months to get the test done and the results back to me. Governments can’t run Healthcare efficiently. Just look at the VA in this country, veterans die waiting for treatment. Don’t fall for the bullshit no government-run Healthcare in any country will ever be a good thing.

  • I was excited to hear your point of view. But I’m not quite understanding how your plan would help the working poor who don’t qualify for Medicaid but can’t afford a primary care visit. Can you please elaborate on that?

  • Americans talking about the left, and then i get disoriented… and there is this Steven Spielberg lens racking thing that happens and I go… OH YEAH they aren’t talking about THE LEFT. And then I just forget it because fuck it, ya know. It just all right wing BS.

  • Actually sounds like how health ‘insurance’ started pooling money to pay for and negotiate with primary care physicians while setting aside money for emergency care. Employer involvement in ‘health insurance’ was driven by salary caps under FDR, which is part of how we are in the current mess.

  • Who pays for it? I just want to be able to pay for my own care. I dont want to pay for others, I dont want them paying for me. Why does it have to be government single payer? Why can’t the gov just provide their own insurance/product that consumers can choose to pay into instead of forcing? If they did that, you’d have people choosing it if it is truly better.

  • Medical expenses are now #1 reason for personal bankruptcies. As a neurologist, I know that many of my patients will lose their job-related “health insurance” d/t their condition. A “free market” approach might work for LASIK. It is not going to work for acute severe medical illness. Show me YOUR plan.
    “For every complex problem there is a simple and straightforward solution that is wrong.” Mencken

  • Isn’t this just wrong and a bait and switch, or leaving out details? We’re not expanding medicare. We’re making medicare for all. Difference? No self regulated medical pricing, no co-pays, no deductibles. Hence, saving money, but paying a little extra tax.

    Read every medicare for all economist study. ZDoggMD, you are a lying charlatan; at least in this. Please correct me where I’m wrong.

  • My dad turned 65 and signed up for Medicare….what a joke! The process was more confusing than what you go through to buy a house! We have no damn idea what he’s actually covered for.

  • Amazing that when we talk about healthcare “coverage” no one mentions how we need:

    more doctors (100,000 short right now because the AMA uses schooling, licensing, and Medicare funding to keep the number of residencies at a minimum)
    -more drug companies
    -more insurance companies
    -more insurance PLANS
    -more cash only doctors
    -more doctors with their own monthly memberships (already happening where I live in Georgia)
    -cheaper medical supplies for hospitals (they’re stuck buying from GPO’s that have a monopoly on the supply chain)
    -less employee provided health insurance and government health insurance which are demand subsidies that drive the price up for everyone else

    But no…..apparently the only thing we have a shortage of is yet another government bill that’s gonna squeeze us all into one big government health insurance plan. Spare me from these do-gooders!!!!!!

  • I personally feel like as a fiscally liberal and and socially conservative person, there’s no place in the political arena for someone like me

  • Defund the US Post Office, and use that money for a healthcare system. We already have several private companies who can take that over, and probably employee the Postal employees.

  • Pharmacist here.

    Excellent commentary. One thing I would add is that PATIENTS, as well as providers, should be incentivized to produce optimal health outcomes. Part of the problem in the U.S. in terms of health care costs, I think, is that we are all just too sick in the first place. We don’t take care of ourselves sometimes until we experience a major health episode, at which point it’s already too late.

    Before we subsidize even more care, we need to start subsidizing healthy habits. This should start with making certain whole-food, plant-based products cheaper or free.

    People should be given discounts on their premiums (or rewarded in cash) for meeting and maintaining a healthy weight and good blood pressure and cholesterol numbers.

    Why aren’t we doing this already? All signs point to money. Too many people are making too much money from procedures, devices, and drugs. As long as the dollars keep flowing, health outcomes don’t matter.

  • You Americans spend every year about one SEVENTH of your GDP for health care, but in most countries with universale health care, it’s about one eleventh or one twelveth -> “Medicare for all cost a lot of money” right?

  • I’m from the U.K. & don’t want to get into the pros & cons of universal healthcare but can someone explain why healthcare costs in the USA are sooooo high? A couple of years ago I was admitted to hospital with an enlarged prostate, I was given the option of going on the NHS waiting list (approximately 12 months) or paying privately around £4,000 to have the operation almost immediately. Btw, that price included the hospital stay, anaesthetist & surgeon; in the end I decided to wait but the important thing was that I had a choice. Does anyone have any idea how much this operation (a resection of the prostate) would cost in the USA?

  • what total dipsh*tery-who has time or inclination to take apart the massive logical, factual errors in this-stick to what you know/do and find a better outlet for acting ambitions

  • Immigration/Refugees: Wait in line.
    Healthcare: BUT WHAT ABOUT THE LINES? (Imagine The Scream, Edward Munch)
    Hmmm, so maybe you can see where they’re coming from now?

  • We have exorbitant health-care costs because of “Group Purchasing Organizations (GPOs) and Pharmacy Benefits Managers (PBMs). There is absolutely no reason why our country, the richest on Earth, can’t afford basic healthcare for everyone with a single-payer system. The system would reward competence and punish incompetence in medical care. It would start with primary-care physicians being the front-line defense against illness by emphasizing preventative care. Basic emergency care would also be covered with the exception of accidents that occurred from patient stupidity. That is, if you tried to skateboard down a handrail you would be responsible for your own medical costs unless you were covered by supplemental accident insurance. It would be the same with illness. If your lifestyle caused your illness then you would need supplemental insurance to cover all but basic treatments. We know certain lifestyle choices lead to predictable illnesses so this would encourage and help people to eliminate those lifestyle choices under the preventative care part of the plan. People would also need to buy supplemental insurance for elective surgeries such as knee and hip replacements. The idea is that everyone would be entitled to preventative and basic care for illness and injury. Hospitalization would be in wards except for rare instances, such as infectious diseases, unless a person had supplemental insurance that covered semi-private or private rooms. We can provide health care for everyone without breaking the bank. Furthermore, this way people wouldn’t be put out of their jobs in the health-care insurance industry because everyone who could afford supplemental insurance would buy it just like we do today when we choose a higher-priced insurance for its extra benefits. The only people who would have to change job titles, or jobs, would be the GPOs and PBMs.

  • One of the problems with Medicare for all is that you can move to any part of the country for another job say and you don’t have to worry about the healthcare needs of your family. How terrible.

  • I’m going to watch the video later, but I’m going to make a prediction in advance. Nick Gillespie will argue that medicare for all is too expensive and that the free market provides better coverage for cheaper, despite the exact opposite result that can be empirically observed in countries with universal healthcare.

  • The fact that this show even exists is worrying. Because I ask myself “what idiot swallows this shit?”. And troublingly, a lot. This show is viable because the audience for it is out there. It’s a statement on the limited curiosity and factlessness of the population.

  • I always knew the average american is ignorant but going against health care is beyond stupidity.
    The mafia of insurance companies have stolen you for decades, in every single matter.
    Even underdeveloped countries have free medical care. Republicans will never agree with that idea because they like death.

  • Superb commentary on this really well stated. I would add one thing that precedes ACA that we should be able to look more seriously at is removing state by state coverage where BCBS isnt limited to (for example) Texas or Kansas as BCBS Texas or BCBS Kansas but BCBS where you can buy across state lines easier. Additionally, I like the idea of preventative and primary care being a huge emphasis and insurance truly covering catastrophic.

    Separate from the above, Id like to see taxes increase on tobacco sales and a good portion of those sales go towards helping people stop smoking, hopefully a self-eliminating problem over the years. I think NZ, from a friend who was a physician there, does a good job of offering help to people to stop smoking. Obviously its not the only reason there are so few smoking but it certainly helps mitigate the issue.

  • Employer-based insurance is obviously a terrible idea with 50 million people out of work and a global pandemic. Medicare for All is needed now!

  • My contribution in the fight for Medicare for All -> https://medium.com/@DavidS_LP/m4a-hr1384-a-break-down-b60e02fb376f and read my column on Medicare for all.

    I’m not some industry insider or paid to get clicks… I’m a public school bus driver these past eleven years who happened to do a lot of research on the solution of M4A.

    I’m not asking anyone to change their mind, I’m just asking you to read it with an open mind. If you read it and still come out of it being against M4A that’s fine. But at least you’ll have read something outside your current choices for information on the subject.

  • The IRS alone netted 3.1 trillion dollars last year after tax returns. Yet we go in the red every year. Till we actually lower the deficit without punishing the middle class I’m going to vote against more spending every time… The government is extremely ineficient, ineffective, and fiscally irresponsible.

  • Ok I am going to say it because no one else is. You want to why healthcare costs are so high? Obesity! Surprised? Bear with me. The reason why premiums are expensive is because there are more people with preexisting conditions. Obesity happens to be linked to Diabetes, cancer, and heart disease. These are preexisting conditions that make people more expensive to treat. It is not immoral to charge someone with preexisting conditions more. It is common sense. A person who has cancer is going to be more expensive to treat than someone who goes in for a checkup twice a year. The reason why other countries don’t need to spend as much on their healthcare is because they are much healthier nations. THE NUMBER ONE CAUSE OF DEATH IN THE UNITED STATES IS HEART DISEASE AND THIS IS MOSTLY CAUSED BY POOR DIET!!! Now there will always be people who get these preexisting conditions and are healthy. My point is that if we were healthier as a nation, we would have less people with preexisting conditions, and then insurance companies would not have to charge as much for premiums. This is why it is a lot easier to look at healthcare as a commodity instead of a human right. Because as I’ve stated earlier, there is getting treated for cancer healthcare and there is getting a checkup once a year healthcare, both of which have two very different costs. You will hear progressives blame the insurance companies and blame high premiums but not one thing about obesity which killed 2.5 million Americans in 2010!!! That is MY problem with the universal health care argument.

  • THIS IS AMAZING. The only thing I can think about is that at this moment, nearly everyone in American population has some pre-existing condition, due to the previous ignoring of preventive care. So decades of no preventive care created a situation where it is sort of late to focus on preventive care, because most people who go to doctors, are chronically or even terminally ill. What to do with them? Many of them are also poor or unemployed (because a stressful living contributes to chronic conditions and cancer and because once you are really ill, you are most likely to become unable to work and will lose your job). It looks like before we focus on preventive care, we have to deal with the “catastrophe” that you describe for quite a while. I think this is the main reason why the politicians want to maintain this broken system, because there are too many severely ill people.

  • Why wouldn’t you win if you ran on that platform? One of the things that always pissed me off is that I can’t see a dietitian, or have my insurance cover a gym membership. How many fat people do you see over 70? Man, I need to lose weight, and eat the right type of foods, and proper exercise that won’t put me in the hospital while I’m trying to lose weight. Otherwise, I won’t see 60, or maybe even 50. Hell…you’d think helping people with diet, and proper exercise would be far cheaper than major surgery in the long run. Gym memberships are not cheap, and diet is proper diet confusing, especially if we’re poor or haven’t been properly educated in diet. BTW…I bet Trump would hire you as a consultant when it comes to fixing our health system. Can’t do more of the same anymore.

  • There is no reason why any reform of health care can not work with the system we already have, preserving the legacy of the Affordable Care Act, and what people already know and use.

  • Wow did you strike a deal with the Elite to say this John….. The bottom line is the reason you don’t have what much of us in the World have is Democrats. I have Universal Healthcare, never been charged going to a doctor, we have protections against drug price gouging. Obama had no opposition 2008 to 2010. It was a slam dunk. You Got a right wing health plan written by Mitt Romney. Ahh there we go John, Healthcare is free all over the World but in America there is no bar with which to measure the gains vs the losses. We started by a minor tax on pay, a couple bucks specifically stated for OHIP which is what pays for our Medical Provincially. Now we don’t have that and our healthcare is still accessible and saves lives daily. We have some of the best Cancer and Childrens hospitals in the World. Don’t listen to the lie, your defense budget is thousands of times more than the nearest enemy you have, spend some of that on Taxpayers and not the rich who rarely pay tax through creative accounting and friends in Congress. I call my doctor and I get in next day sometimes same day. I need surgery, I get it. If I want surgery, maybe not. Ridiculous. Doctors always get paid, if the cost is so much and people can’t pay how is that good for doctors? I cover meds, which I could get some coverage but I am healthy. Coincidence, I think not. Funny how Americans don’t want choice when the Banks need a bailout or Wall Street, then there is no choice ahhh hypocritalism.

  • Majority of people I have spoken to about Medicare for all. All think that you would receive a healthcare plan and not have to pay a penny. Guess as a grandma grandpa is receiving Medicare they don’t have to fill out a form they don’t have to fill out a check and send it in every once a month. Or once a week. Is automatically taken out of their social security check. But under the impression these people think did you receive Healthcare and not have to work and you’ll have health care. Medicare for all. They’re trying to word it ask Medical Healthcare for everyone employed or not..
    All Medicare for all we do is put too many people on the Medicare Plan driving the price up from $148 a month to $428 a month. Or even higher. Because you’ll put that me people on plan it shouldn’t be having a plan that don’t work never work and we’ll never plan on working. People will not put it up into it will be taken out of it to pay for all the medical needs.

  • I’m on the right, and his “earned” mentality is not a part of the thought process or value judgement at all. Have never heard that from anyone on my side while talking about it within my bubble. Not a legitimate representation of a Republican argument.

  • Thinking about the economics of the health care system in the US while ignoring the medico-legal component is not going to lead to a complete enough evaluation. Pakman admitted to not knowing much about this, which made me sigh and sadly shake my head.

  • That’s pretty f**** silly ��
    None of the politicians holding out on supporting Medicare for all are offering an alternative. Joe’s expanded coverage is crapI’ve already considered it.
    I get that people are being very tribal but come talk to me when there’s a real alternatives being proposed.

  • Many people nowadays are working to find out the best way to drop weight. Then again, being able to discover a diet plan that can work for you is tough to find. A very important factor you need to understand is that a diet is effective for one person might not work for another. So you have to understand what your getting into before you start one of these diets. This can give you enough information to learn if this is something which is suitable to your requirements. Read more here https://rb.gy/xxjiq2

  • ZDogg, last 5 years I hadn’t gone to the doctor at all, didn’t need to, and I had no health insurance because the deductibles were too high. I had about 1k in HSA which I would just use for urgent care if I needed it (typically $150 a visit). I got severe laryngitis and then a severe nosebleed that wouldn’t stop for about 12 hours. Went to urgent Care, they stuffed it with balloons, then it still wouldn’t stop, went to the ER, they told me it’s normal to continue to bleed, didn’t even check into it at ALL, I sneezed on the way home and the blood clot went into my throat and was choking me, called 911, got an ambulance to take me back to the ER (roommate was at school), then saw them, sat there 3 hours, they finally gave me afrin and stopped up the bleed with 2 pieces of gauze, and then I went a week later and got it cauterized. $6100. Six thousand dollars to have afrin & 2 pieces of gauze and a cauterization and to get my vitals. And one blood test which came out normal immediately. And for 2 triage units that did nothing. Amazing. And it’ll just go into collections because I have no money to pay for it. At all.

  • Bernie2020! Because nobody should die due to the fact that they are poor full stop! I’m sick of this shit. This country is fucked!

  • This issue doesn’t need to be debated, its obvious America needs it. if everyone is not covered then it is not a plan its corruption.

  • All that BS about quality is pointless, what’s the point of good quality healthcare that isn’t accessible to most people. In the U.K. the NHS isn’t the only option available, if you want better quality you can always get private healthcare. The NHS just provides basic healthcare to keep people alive.

  • People keep pointing to the Medicare systems in Europe i.e. Germany. But those systems are suffering: Premiums r going up and coverages down. Would b good to hear a local (european) expert on this to point out the differences and maybe burst some bubbles.

  • today Sept. 09, 2020, just finished watching you. i am so thankful that I live here in Canada. I wonder how the Americans felt about Universal Health care for all, once they got their hospital bill after Covid 19?

  • If you are interested in Medicare For All google HR 1384 Medicare For All and read it. Or use this link https://www.congress.gov/bill/116th-congress/house-bill/1384/text
    The Reason HR1384 is the best Medicare For All legislation is that it eliminates all cost sharing and is immediate. So everyone gets the best cost coverage for all cares without having to wait for a phase in plan. Since Medicare For All is a public health program that caps all costs and eliminates all competitive insurance from competing with it it gives everyone the best cost of care for all cares. Private Insurance can’t do that. So options or private market versions are all a waste of time that is more costly and provides less care.

  • This guys show is pretty funny. He makes no sense but he acts like he does.It’s April 13, 2020 and nobody has healthcare because everybody pretty much lost their jobs because of the coronavirus.

  • I’m republican but Democrats claim 66 percent of bankruptcies are due to medical reasons is that true I’m just looking for answers

  • 5:04 sounds like a simple point of view difference. He sees it as all under the same care is a shield where as others see it as a prison cell.

  • The Commonwealth Fund: “The United States health care system is the most expensive in the world, but this report and prior editions consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the 11 nations studied in this report—Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States—the U.S. ranks last, as it did in the 2010, 2007, 2006, and 2004. Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last or near last on dimensions of access, efficiency, and equity.” http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror

    h https://www.commonwealthfund.org/chart/2017/health-care-system-performance-rankings

  • Isn’t this exactly what we had prior to the 80’s? Everything was paid out of pocket, the patent system didn’t skew in the direction of big pharma and insurance was for catastrophes only…

  • Single payer is much efficient and that is why most countries have. The public option won’t be good enough. What is the point to have a private insurance if public option is good enough?

  • $ 30 to 50 trillion over 10 years, a gigantic behemoth government agency, and your good private health insurance banned and taken away. No.

  • When Sally Pipes, from the Pacific Research Institute (a right wing think tank funded by the Kochs and Scaife Organizations) says “313,000 Canadians leave Canada to get healthcare elsewhere”. The MFA team should have countered that with “Yes, that is true. In the United States you have nearly 1.5 million people leaving this country for healthcare abroad”. That’s 1 item they should have countered immediately.

  • it pisses me off that warren says 100% coverage. the govt doesnt get to decide people life choices. even if those choices are detrimental to themselves. i know that i am pretty extreme liberatarian though. i dont even think we should have to purchase car insurance. unfortunately though we would have to entirely change how car insurance works which would take a while. but still, i would rather live in a world of troubles and challenges than in a world where i have no freedom. i believe peace could prosper more in a free world. because when you put the control of the land in the hands of people. they are more likely to work together. i think we are better off facing challenges head on.

  • Ok. I’m not a doctor or even a college graduate. But I am a pretty avid reader and this subject is of great interest to me as I fall into the Medicaid gap in home state currently and do not have employer provided healthcare as my employer has less than 15 employees. So I’m gonna go ahead and comment and pose some questions that I would love to see answered and my positions that everyone should feel free to critique.

    Question 1: Isn’t the cost of primary care a pretty big contributor to “why” so few people seek primary preventative care? I paid close to $500 for a doctors visit and lab tests that resulted in an anxiety induced IBS diagnosis where the recommended treatment was, “try to calm the fuck down”. That $500 was a significant amount of money for my family. That all I could really look at it as was a complete waste of money. Primary Care and preventative care is cost prohibitive currently. So much so that no one without insurance wants to risk wasting money when they think something is wrong. And god forbid something is wrong and you have to actually go to a hospital and spend more in an hour than you will make in a year. So if you want to bolster people’s use of primary care doctors and preventative care, shouldn’t it being covered by a single payer system be pretty attractive to you? Do you believe that universal coverage wouldn’t help to increase the populations confidence in seeking regular medical advice from their doctors?

    Question 2: from everything I’ve read or seen the rising cost of actual healthcare has not been linked to actual increases in what hospitals pay for doctors or nurses or equipment but to the number of administrators hospitals must have on staff to bill for the healthcare. The primary reason this is necessary is due to the hundreds of different insurers and plans and varying levels of coverage amongst patients. If there is only one insurer, only one plan, wouldn’t that do A LOT to drive down the costs of healthcare?

    Question 3: pharmaceuticals also benefit from this insane “pay” system, in that they get to negotiate prices across hundreds of clients. America pays more for pharmaceuticals than any other OECD country. So much so that an actual insurer in California finds it cheaper to pay for their customers to fly to San Diego and bus them to Tijuana to pick up their prescriptions. Wouldn’t having a single customer, eg. single payer healthcare exert much greater leverage in negotiating drug prices than hundreds of different insurers? Also, totally agree we must do something to deal with how drug patents work. That system is broken.

    Question 4: capitalism’s self limiting prices only works when the consumer is able to go without a product. If I’m dying I don’t really have the option to forgo medical help. If I have a heart attack I also don’t really have time to shop around for the cheapest hospital. This would indicate that in our capitalist system commercially regulated healthcare has no incentive to regulate pricing. Capitalism is distinctly at a disadvantage when it comes to services that are immediately necessary. So why would we think capitalism can be what solves this problem? Our choices are already limited by insurer networks, insurance plan specifics, region, and pure affordability of your desired provider. How would having a single payer system limit your choice in healthcare providers if all healthcare providers receive their compensation from the same source? You theoretically would be able to seek treatment from any doctor in the US as they would all be in the same “network”.

    That’s it for now. Love to hear your thoughts.

  • I’m Canadian and have had to go to Emergency a few times. All times except one I had to wait about 1 hour…which is fine with me. The one time I went in with chest pains they took one look at me and took me right in…when there were over 30 waiting ahead of me.The rhetoric that Americans hear about our health care system being so bad…in my opinion…is being spread by politicians and lobbyists looking to protect the big money health care companies who are paying for the protection. I look at health care the same way I look at what the fire department does for me. Yes…I pay taxes for Fire Department services….so I don ‘t expect the fire department to send me an invoice for saving my house from burning down. Here in Canada we accept the taxes we have to pay for Health Care because we don’t want to make life and death decisions based on what it would cost.

  • All people really need is catastrophic insurance. Use cash for routine stuff. Costs will come down with competition. Urgent care is a great example.

  • maybe if they stop putting trillions upon trillions of dollars into their military budget and more into healthcare and adopt Canadas system then maybe America could have free health care.

  • Sally pipes, what procedures are they waiting on? Elective procedures. How many Canadians die because they can’t afford life saving procedures? None. How many Americans? Before the ACA 45,000 Americans were killed by for profit death panels every year. Lies through omission are still lies. And the lies you’re telling, will kill Americans.

  • People don’t wanna focus on prevention, are you kidding me?? Try telling a diabetic with high BP that they would likely be able to fix those issues and eliminate most/all of their medications dealing with those issues with a simple (CHEAP) diet change….or they can just take a couple pills and not change a thing. There would have to be deterrents for patients as well (I.e. higher costs for medications) to make any difference.

  • Medical innovation doesn’t come from private healthcare and insurance…. 83% of all medical innovations are publicly funded. She is speaking absolute nonsense.

  • 0:05

    ‘The problem isn’t free speech limited by the left…

    It’s not having every political view in line with the left?’

    If you listen carefully this intellectual is dumb af

  • Listening to this makes me love being Canadian. I can go fuck myself up and not worry about any bill. Oh ya our health care sucks. What did your last hospital visit cost? Oh ya mine didn’t cost me anything. FREEDOM YA RIGHT!!!!

  • You may be a doctor, but that doesn’t make you completely HONEST. It seems you left out a… few little details! What you left out is that our current system is not capitalism, it is monopolistic. When a simple procedure costs $25,000, you know something has gone wrong, and you know that you are not dealing with a truly competitive system. Maybe you don’t know this, but Bernie Sanders actually wrote a bill that would have allowed us to buy medications from Canada. That would have created a very healthy competitive situation. However, all the Republicans and a handful of Democrats, including Cori Booker, voted against it. Isn’t it curious that Cori Booker was one of the largest recipients of pharma legal bribes? You forgot to mention that, didn’t you? You might be a doctor, but more importantly, you either are part of the establishment or you don’t understand the establishment. The only way to fix this is to NOT VOTE FOR EVIL. If you vote Republican or Democrat, you are voting for one of the heads of the same snake.

  • https://m.youtube.com/watch?v=8e38rTWwI58
    I don’t know how anyone can take this moron seriously oh I know, in America this type of shit is always possible ���� ” ‘mUrIcA!! “

  • 0n 1:35 he says “and providing care for everyone” but thats not true because not everyone has healthcare in this country. And plenty of people go bankrupt trying to pay off their medical bills. So the current system that we have is not working. Something has to be done so that everyone is covered.

  • Working 20 years for my employer get you The same health care as when you were working, NO change.
    $535/mo and employer pays $1200. The company is self insured, with its own doctors and clinics.
    No Deductibles, low Copays.
    Wife had cancer, $425K, 10 surgeries, chemo, radiation, $3K over 3 years

  • America is truly on the wane. The last time I visited the infrastructure seemed to be crumbling, and people looked tired. People having to do 2 or more jobs to get by, and a palpable sense of anger and hatred. But the inequality is more painful to see than anything else. Everyone has access to good quality FREE healthcare in the uk. Wtf are you talking about? Making such a sweeping statement based upon what your friend told you??

  • Hahahahaha… im a disabled vet… i have both the va and medicare.. both suck… both are HORRIBLE… va SUCKS even worse… they are… disappointing is putting it lightly lol