Quick Facts


Is It Government takeover of healthcare?

  • Medicare for All: private hospitals and doctors.
  • Health care providers bill central agency for services.
  • Centralized system is the only way to effectively control prices. Medicare pays 20% less for medical services. Also more effective in combating fraud.

How will we pay for it?/Will it affect our taxes?

  • How do you pay for what we have now? Premiums have doubled over past ten years.
  • Medicare for All would be paid for by a payroll fee just like we do with Medicare. This would be significantly less than the current premiums paid by employers.


  • We don’t currently have choice: employers choose health insurance plans, based on cost.
  • Can only use healthcare providers in network.
  • Medicare for All: use any healthcare provider we choose.

Rationing of healthcare?

  • US healthcare system most rationed system in the world
  • 1/3 of Americans do not get healthcare they need.
  • Americans much more likely to defer medical care because of cost
  • 84,000 deaths a year from preventable causes.

People 50-64

  • Employers pay up to three times more for older employees.
  • Extremely difficult to find jobs: job discrimination based on healthcare costs.
  • Companies cannot hire who they want and need

Waiting time?

  • Not one single-payer system in the rest of the world where has waiting time for emergency care.
  • Taiwan and Germany: no wait time.
  • Canadian system deliberately set up to include wait time for elective procedures to increase efficiency.
  • Medicare for All system could have same priorities.

Job Loss?

  • Majority of jobs in the health insurance industry low-paying, tedious, and stressful. They spend much time denying claims.
  • Single-payer bill provides for extended unemployment compensation and retraining.
  • Medicare for All will result in higher wages, creating greater demand for goods and services, and creating jobs.

Advantages of Medicare for All

  • We can’t afford the current system. Medicare for All is the only way to bring healthcare costs under control
  • Every study has found that there would be savings from Medicare for All

High Premiums

  • Private insurance premiums doubled over past 10 years.
  • Family of four: $23,000 (premiums and out-of-pocket expenses)
  • Full-time minimum wage workers cannot earn enough to pay premiums


  • Many employers offer health insurance to their full-time employees which may include high deductibles and co-pays.
  • Many people who have health insurance assume they are adequately covered and it is not until they have a serious health problem that they find out what is not covered.
  • The major cause of personal bankruptcies is medical expenses.

Healthcare providers

  • Every physician spends $84,000 a year to deal with private insurance
  • There are many nurses whose full-time job is to deal with paperwork related to insurance claims
  • Insurance not doctors determines length of stay, drugs allowed, tests


  • Penalized for the health of their employees.
  • Have to pay as much as triple penalty on account of employees’ age. Health conditions can also raise rates.
  • A few sick people can bring down a company.

Controlling costs

  • US: most free-market driven healthcare system in world results in our paying twice as much.
  • One out of three dollars in healthcare is wasted: that’s one trillion dollars a year

Skin in the Game

  • · Research: even minimal cost-sharing requirements reduce healthcare utilization.
  • We go to the doctor 4.2 times a year. Japanese: 13 times.

Purchase Insurance across State Lines

  • Republicans claim that state restrictions stifle competition and drive up costs. Nowhere is there data that indicates that this is true.
  • Where states have opened their borders, new insurers came in and quickly left: couldn’t compete. Allowing sales across state lines had no impact on prices.

Health Savings Plans

  • Only work for people who are relatively healthy.
  • Any serious illness will wipe out any savings very quickly.


  • Lawsuits only account for 2% of healthcare costs.
  • 2% of these are frivolous
  • Defensive medicine not a big driver of cost. Most of the cost: expensive procedures.
  • Heart surgery: US: $150,000 Canada: $60,000



Physicians for a National Health Program www.pnhp.org

U.S. House Medicare for All bill (H.R. 676) https://www.congress.gov/bill/115th-congress/house-bill/676

U.S. Senate Medicare for All bill (S. 1804) https://www.congress.gov/bill/115th-congress/senate-bill/1804