Medicare for all

In the past I have presented my plan for health insurance whereby companies provide annual payments to employees in the form of health saving accounts but this is not politically feasible. The next best thing is single payer or what is sometimes called Medicare for all. Both Trump and Sanders have indicated they would be willing to go this way. Administrative cost in Medicare is 2% and in the private sector it is 17%. Since private insurance cost about 1.5 trillion dollars this could be a 15% or 225 billion dollars savings. This is enough to provide free health care for all those living below the poverty line. These policies would be much like Obamacare in that they would have high deductibles. This eliminates the casual use of health care. In addition there would be only one government plan so they could ration benefits. Since most health cost occur in the last year of life the big saving in rationing will come from the elderly, the so called death panels. What is not mentioned in this change is that over 2 million jobs in the health care industry would be lost.