Funding Improved Medicare for All Would be Progressive, Lifting Burden from Individuals

“Government spending on health care would increase substantially under a single-payer system. In 2017, just under half of the $3.5 trillion in national health care spending came from private sources. Shifting a large amount of expenditures from private to public sources would significantly increase government spending and require additional government resources, but it would also reduce or eliminate the costs incurred by private sources, such as employers’ and employees’ contributions for employment-based insurance…”

“Because health care premiums per person and cost sharing per service are typically set at the same level for beneficiaries of private health insurance, those types of payments tend to be regressive. In a single-payer system, beneficiaries’ out-of-pocket spending on premiums and cost sharing could be made more or less progressive through income-based subsidies or additional contributions from high-income beneficiaries, as is the case for some existing public insurance programs.”

Congress of the United States Congressional Budget Office, “Key Design Components and Considerations for Establishing a Single-Payer Health Care System.” May 2019, pp. 27-28

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