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Here’s some good news. The libertarians at the Mercatus Center did a cost breakdown of Bernie Sanders’ Medicare for All plan and concluded that it would save $2 trillion during its first ten years:
Now, as you might guess, this was not the spin the Mercatus folks put on their study. Their headline is “M4A Would Place Unprecedented Strain on the Federal Budget.” This isn’t really true, of course, since M4A would absorb all the costs of our current health care system but would also absorb all the payments we make to support it. That includes current taxes (for Medicare, Medicaid, and Obamacare), premiums paid by employers, premiums paid by individuals, and out-of-pocket costs from individuals. Instead of going straight to doctors, hospitals, and insurance companies, it would go instead to the federal government, which would then pay everyone else. It’s a lot of money, but it’s no particular “strain” on anything.
And overall we’d save at least $2 trillion over ten years. Blahous thinks the number would be be less because lots of people would flock to use free health care that they hadn’t used before, but most health economists disagree. Demand for health care would probably stay about the same, while costs would be more strongly contained because everything would be paid for out of tax dollars—and voters are strongly motivated to keep taxes low.