The Associated Press reports that a study by the libertarian Mercatus Center has found that the cost of “Medicare for all” would be $32 trillion over 10 years:
WASHINGTON (AP) — Sen. Bernie Sanders’ “Medicare for all†plan would boost government health spending by $32.6 trillion over 10 years, requiring historic tax hikes, says a study released Monday by a university-based libertarian policy center.
That’s trillion with a “T.â€
The latest plan from the Vermont independent would deliver significant savings on administration and drug costs, but increased demand for care would drive up spending, according to the analysis by the Mercatus Center at George Mason University in Virginia. Doubling federal individual and corporate income tax receipts would not cover the full cost, the study said.
and that assumes that the savings assumptions of the plan were fully met:
The Mercatus study also takes issue with a key cost-saving feature of the plan — that hospitals and doctors will accept payment based on lower Medicare rates for all their patients. Medicare rates are currently about 40 percent less than private insurance, according to the analysis.
The study found U.S. health care spending under Sanders’ plan would drop over time — about $300 billion lower in 2031.
However, it also found that potential savings would vanish if hospitals and doctors aren’t willing to accept lower fees for patients who are now privately insured. In that case, the U.S. would spend about $400 billion more in 2031.
Fans of such a plan, like the folks at Jacobin, are chortling over the $300 billion in savings.
I’m going to go out on a limb and predict that any assumptions of savings will not be met. There is presently very little if any excess capacity in our health care system. I doubt that people who work in health care will work longer and harder to earn less money. Any belief to the contrary is fanciful.
We have a very bad track record in predicting future costs of publicly-funded health care. The original projections back in 1965 of Medicare spending predicted a small fraction of today’s per patient costs in real terms. They weren’t even close.
I would also point out that every state, even the most progressive, that has considered a single-payer system has found it to be prohibitively expensive. Will making such a system nationwide result in spending less than the sum of spending in state-run plans? Canada’s system is operated by the provinces. Costs in bureaucracies increase faster than linearly.
How do we solve our present problem? We can’t solve it using any method we’re willing to put in place. For the foreseeable future spending will increase beyond our ability to pay, gradually pushing any other priorities aside.






