Can Medicare for All continue under current law?

Medicare for All is thrown around like we can just push a button and all Americans are enrolled in today’s Medicare (with greatly enhanced benefits). That simply can’t happen. No system in the world operates on a hands off basis. They all are involved in managed of health care one way or the other.

But look at the Medicare law today. All the following will have to change if there is any chance of fulfilling the promise of lower costs.

Social Security Act Medicare Amendments


Sec1801[42 U.S.C. 1395]  Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person.


Sec1802[42 U.S.C. 1395a] (a) Basic freedom of choice.—Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate under this title if such institution, agency, or person undertakes to provide him such services.


  1. Today there is an opinion piece by the South Jersey Times editor that states the M4A won’t work without changes. I was in shock. I could not believe that a newspaper was against it without major changes. They understood that Medicare is not allow to negotiation its prescription prices, freud is uncontrolled, the CEO’s salaries do not affect the price of unnecessary tests. They also claim that according to AARP only 15% of Medicare eligible people sign up for Medicare and you need everybody enrolled to solve the lack of healthcare. They also understood that it was too expensive.

    Maybe the media is starting to ask the hard questions instead of just following these dreamers running for president.


    1. Negotiating Rx prices is a two edge sword. To do that like the VA does requires a very strict and limited formulary or there is nothing to negotiate. Fraud is about 10% of total spending. That 15% enrollment figure is wrong. There are 60 million with Medicare and only about 49 million people 65+ the balance are disabled.


      1. Totally understand the two edge sword part. But what if Medicare is paying list price for every drug instead of what most insurance companies pay? It would explain why drug pricing is out of control.
        Drug pricing is so opaque who knows what the government is paying. I am guessing the the supplement D plans get to negotiate but I am not sure sure.


      2. Medicare doesn’t pay list. Each of the Part D plans negotiate for drugs, just like employer plans. That’s why talking about letting Medicare negotiate means very little practically.


  2. This looks like the same scheme that gave us the ACA with its massive increases in Premiums and Deductibles. They lied to get that passed, and also didn’t even know what was in it. Remember the famous quote from that member of Congress from California ‘we need to pass it to find out what is in it”. The the same person is running Congress now that was running Congress during the ACA drafting and passage.

    This will be more of the same perpetuated by the same the same clowns that lied to us about ACA,


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