To the Editor:
Progressives propose destroying the existing health care system and replacing it with a single-payer system, “Medicare for All.” But that is a misnomer because Medicare as it exists now is part of what they want to destroy. They can’t stand that Medicare Parts B and D actually have premiums, and that less than 100% of everything is paid. They can’t stand that there is a role for the private health care insurance industry with Medicare Supplemental plans and for those who choose Medicare Advantage plans. Their plan is to destroy any role for private insurance by expanding Medicare benefits to cover everything for free, and giving it free to everyone.
And progressives actually believe that implementing single-payer health care would be slam dunk easier than fixing the current system. Nope! They are nihilists and defeatists who cannot summon the will to make the changes to optimize everyone’s health care experience by improving instead of killing our system. They keep using the excuse “but single-payer works in every other nation.” That is false and misleading. The European nations with the best health outcomes, Switzerland and the Netherlands, do not use single-payer systems. Both (among others) retain roles for private insurance, albeit tightly regulated. The nations with single-payer all transitioned decades ago, when health care overall was much simpler. Being smaller nations than the U.S., their previous plans were simpler, also easing the transition. And many of these nations have strong social welfare programs in their national DNA.
America is exceptional. We are much bigger, diverse and more complex than the single-payer nations. Destroying an entire infrastructure that took decades to build is not only a job crusher but also the antithesis of what America stands for. Complexity is our strength. We absolutely need to make health care affordable for every American resident. We can do so using our current system by tweaking premiums to be income sensitive (already part of Medicare). We can lower other cost-sharing provisions (e.g. deductibles) also on an income-sensitive basis and, through private and public reinsurance, enhance our system while remaining economically viable.
Just say “no” to Medicare for All.