The Trentonian (Trenton, NJ)

Study: ‘Medicare for All’ not only way to universal coverage

- By Ricardo AlonsoZald­ivar

Health care memo to Democrats: There’s more than one way to get to coverage for all.

A study out Wednesday finds that an approach similar to the plan from former Vice President Joe Bide n can deliver about the same level of coverage as the government-run “Medicare for All” plan from presidenti­al rival Bernie Sanders.

The study from the Commonweal­th Fund and the Urban Institute think tanks concludes that the U.S. can achieve a goal that has eluded Democrats since Harry Truman by building on former President Barack Obama’s health care law.

Health care has sparked sharp exchanges in the Democratic presidenti­al debates, and Tuesday night was no exception. Massachuse­tts Sen. Elizabeth Warren was challenged for being unwilling to say whether her support for Medicare for All would translate to higher taxes for the middle class. Warren said “costs” would be lower, but Sen. Amy Klobuchar of Minnesota suggested that was a dodge.

“I’m sorry, Elizabeth,” said Klobuchar. “I think we owe it to the American people to tell them where we’re going to send the invoice.” She urged Democrats not to “trash Obamacare” but build on it.

The study suggests such heated discussion­s may have more to do with difference­s over the scope and reach of government than with the ultimate objective of providing universal coverage.

“A goal that they all share — universal coverage — can be reached in different ways,” said Sara Collins, the Commonweal­th Fund’s vice president for coverage and access.

The researcher­s modeled a range of health care overhaul scenarios from tweaks to Obama’s law to a full government-run single-payer plan like Sanders is proposing. Collins said the options studied are not carbon copies of the candidates’ proposals, partly because many details are still in flux. However, they are generally similar.

The study found that a full government-run plan like Sanders’ would cover all U.S. residents, including people in the country without legal authorizat­ion. That adds up to more than 30 million currently uninsured people.

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