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The Facts on Medicare for All

Sen. Bernie Sanders introduced the latest version of his Medicare for All legislation on April 10, with 13 Democratic co-sponsors. Four of them, plus Sanders himself, are running for the Democratic presidential nomination.

Sander says the bill, S. 1129, “would provide comprehensive and cost-effective health care for everyone,” while the White House has said the plan would “mandate a decrease or elimination of choice and competition.” Once again, health care is shaping up to be a focal point of the presidential campaign. Let’s look at the details of this proposal.

What is the overall plan?

As the name indicates, the plan would expand Medicare, which now covers primarily those age 65 and older and some with disabilities, to everyone, creating a new universal, single-payer health care system in the United States. The country would move from a fragmented system — in which nearly half the population has employer-sponsored, private insurance with the rest a mix of Medicaid, Children’s Health Insurance Program, Medicare, private individual market coverage and no insurance at all — to a system in which everyone’s insurer is Medicare. Or nearly everyone. Under the plan, the Veterans Health Administration and Indian Health Service would remain.

What health

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