ACA Repeal/Replace: Progressives Face Moral Dilemma

[David Horn]

(01-17-2017, 07:06 AM)SomeGuy Wrote: Am largely in agreement.  I am not sure that it is politically feasible, though a "Medicare for all" option would probably look a lot more like Medicare Advantage for all once people actually grasp with the cost.  Is largely what I meant earlier.

I mean, there are the equity issues that are politically powerful, and certain issues with health care versus other types of goods/services (that Dave touched on before), but it is still a rival, excludable good/service, and so it should be primarily handled by the private sector.

Medicare Advantage still has a providers list and out-of-network charges.  Avoiding out-of-network is nearly impossible outside a major metropolitan area.  The Advantage providers use cost shifting just like any other insurance provider.  They also take profits, so the cost of the program is lot higher than Medicare in its traditional form.  That's not to say that Medicare is fully realized as-is.  Improvement is certainly possible, and should be pursued aggressively. It's just not the Advantage model that gets it done.