Rep Jayapal writing in the Washington Post states in part:
Fifth, we simply cannot expect to bring down the costs of health care in the United States without taking on the for-profit insurance and pharmaceutical corporations, which are raking in billions of dollars at the cost of American lives. Incremental steps such as a public option might sound appealing but would still leave more than 10 million people without coverage while keeping in place a costly private-insurance middleman that eats up 25 to 30 percent in administrative waste and profits. If we want to achieve true universal health care while containing costs, Medicare-for-all is the only answer.
You have heard it all before, it’s a common theme; blame insurance. The problem is, it’s not true. The existence of insurance is not the driver of costs, most Americans are not even covered by health insurance.
It is true there is a great deal of lack of coordination, there is duplication and inefficiency, but don’t blame it on insurance, blame it on our delivery system.
Medicare for all simply means trading the insurance middleman for the federal bureaucracy middleman. Let’s be generous and say the average person’s premium cost or taxes drops by 10% initially under M4A. All the savings have been captured, that’s it.
Now, how will government manage costs going forward? What will it do to guarantee the cost of care does not rise more than general inflation without affecting the access to or quality of care?