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Medicare-for-all needs a better answer to the public’s fears.
www.vox.com
Why aren’t voters more willing to abandon a health system that’s failing?
Medicare-for-all needs a better answer to the public’s fears.
By Ezra Klein on July 29, 2019 9:00 am
Health care reform supporters participate in a sit-in inside the lobby of a building where Aetna insurance offices are located. Mario Tama/Getty Images
What does it mean to say “if you like your health insurance, you can keep it”?
Some will remember this as a defining debate around the Affordable Care Act. One lesson Democrats took from the collapse of the Clinton administration’s 1994 reforms was that Americans hated the idea of the government canceling their insurance plans. In deference to that view, the ACA was designed to leave most existing health coverage intact, and President Obama repeatedly promised that no one would lose insurance they liked. Even so, about 3 million plans did get canceled because they were beneath the ACA’s minimum standards for health insurance, and the political backlash was fierce.
This debate has reemerged in the runup to 2020. Bernie Sanders’s Medicare-for-all plan, as currently written, would cancel every private insurance plan in the country. Polling suggests that’s lethal: When told that Medicare-for-all would abolish private insurance, respondents flip from favoring the plan by a 56 percent to 38 percent margin to opposing it by a 58 percent to 37 percent margin. These numbers, when combined with the Obamacare backlash and the Clintoncare experience, have underscored reformers’ view that a plan that takes away the private insurance people have and like is doomed.