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![handle is hein.amenin/aeiaazb0001 and id is 1 raw text is:
By Charles Biahous
rebri ary 2019
The irrge-paver health ir:ur-ar.ce propoa:: kw., wPide::y Meas. rre co All (M4A) cannot
be enfirsec- w: ut hrst answer i-1 certlai: q eo. Fir emot - ai.rg- I h'e is wther the
pubic 'vuld crsupport shifting more than $32 tr: In in M4A' fi:st i years from private heith
sprrding, over which corvumer- retan sore discreLian, to fedea- health soendirg, over
onsmers do not. A rei-ted oper qs c whether th federa goverrment caf
euately itac is a mount of sper.din wi-o reil geri.t g signfic r i a Fdve rse ecoomic
effects Otlherr u nar,-ered o-stions ecirue M14/Aseffects on heaith providhers, th- prescrotion
drug r:ri, ind p-rilvate hea:th inurane A' wond add furiher F.o national hejiatcos
Sr- *wrh i-ss n, rovider rein:tire are cut mo-: shr;:-:iv than .rarnnkers have.
wrllergtodo h1 lco r-lly. Ye! the or,conture i ecucin..r pavrnrltts irri erusiv
w:th a Su irti ; increase in heath service .:ie-nrid are unore t:-d e
The Medicare for All (),4A) cost esrinate I
pubished wi h the Mercaes (einter last year
rBiahous 2oi8) intensified an already vigorous
national debate on whether to replace current US
health insurance wit a muckepaycr system, The
study achieved its central infk rmational goal, in
that hardly an article about sinle-payer .ealth care
now appears vthbout rioting that sunch a system
would cost at least $3,,6 trillion in new federa]
spending over its first to years (-Alonso-Zaldivar
to18),a Y--t without ny ite.ding it, the study ended
up revealing mch mre., Policy advocates' dierse
reactions to thcost anaisis illuminated a stoking
lack of rational consensus on fundamental value
judgments that must be made it the tourse of
crafting future health care policy.
While r.eorcal slogans such as Medicare for
All! can be 'voiced without confronting any difficult
tade-.o-s, legislating health f are po ti nevertheless
requires making such trade-offs. Americans
approach these trade--ffs differeriyt,. as tdie
widely divergent reactions to the study make clear.
l emt M4A, or ndeed aty other fiundamental
change to national health pole.W, legislators must
find cormnon ground on answers to certain critical
policy questions.
Costs and Conseuences
First and foremost a aotng tiese considcrations
is the unavoidable issuc of cost. The aim of my
research Was purposely nuarrows: not to opine on
the merits or demerits of single-paer health care
itself, but to estimate its effet on the federal
budget. Apart from the many other important
policy considerations in playI now'ng this budget:
impact is essential because it largey d.etaratines
Congress' legislative procedures. Any legislation
f-'i£ :/ f :: NiT: 'i i'Uf
The Unanswered Ouestions of
Medicare frAll](ViewImageLocal?handle=hein.amenin/aeiaazb0001&div=1&collection=&method=preview&ext=.png&size=3)