• At Fox Town Hall, Bernie Sanders Still Can't Explain How He's Paying Fo

    From Ubiquitous@21:1/5 to All on Tue Apr 16 21:05:02 2019
    XPost: alt.tv.pol-incorrect, alt.politics.usa, alt.politics.democrats
    XPost: alt.fan.rush-limbaugh

    Appearing at a Fox News town hall in Bethlehem, Pennsylvania on Monday,
    Vermont senator and socialist presidential candidate Bernie Sanders turned in
    a fiery and combative performance. One moment in particular seems to be generating a lot of excitement.

    After an audience member asked about his “Medicare for all” health plan,
    which would require eliminating private health insurance, Fox host Bret Baier decided to poll the audience to ask if they would prefer Bernie’s plan to
    their existing health insurance. Here’s what happened:

    Bret Baier just polled the Bernie Town Hall audience who would
    be willing to switch to #MedicareForAll. It backfired spectacularly.
    pic.twitter.com/dQJ9gfQ137

    — jordan (@JordanUhl) April 15, 2019

    This is a bit unfair to Baier, since it assumes he asked the question in bad faith, rather than knowingly asking the politically diverse crowd Fox
    assembled for the event their opinion on the matter. Further, it doesn’t
    really tell us much that a room half full of Democratic voters and Bernie supporters prefer some imaginary, aspirational future where the government
    pays for health care and there are minimal problems, as opposed to the warts-and-all reality of what we have now. (Certainly, it’s appealing enough that four other Democratic presidential candidates have chosen to co-sponsor his recently introduced “Medicare for all” legislation in the Senate.)

    That’s especially true since Sanders hasn’t done a good job of explaining “Medicare for all,” to put it mildly. Asked about the specifics of his plan, Sanders employed the tried and true three-step explanation for how it works.

    Step one, point out that the United States is the only “very highly
    developed” country without socialized health care and note that U.S. per
    capita health spending is much higher than in these other countries. Make
    sure you do this without noting the problems inherent in the way these other countries ration lifesaving treatments (and even prevent you from leaving the country to seek potentially lifesaving treatment, presumably just to make
    some stupid nationalistic point about how great it is that everyone is
    trapped in the same system together). Also, under no circumstances note that these other countries often have vastly inferior medical technology and infrastructure–the average wait time for an MRI in Canada can be longer than five months, which is unthinkable here.

    Step two, elide over all the details of how to implement a socialized system that addresses the size and diversity of American health care, which is radically different than the challenges faced by much smaller and more homogeneous European countries with supposedly superior care. Most
    importantly, also elide over the fact that the socialized health care system
    we have that’s supposedly so appealing, Medicare, is a money black hole with trillions in unfunded liabilities that is the single largest driver of our enormous debt that threatens to precipitate a republic-destroying financial crisis.

    Step three, after having said nothing particularly illuminating or specific, bask in the glory of being a radical reformer that dares to imagine a future where greedy insurance companies are put out of business by a selfless and incorruptible federal government.

    That was roughly the template Sanders followed during his Fox town hall, and from the video above you can see he scored debate points on health care. (Or
    at least, Vox, HuffPo and much of the left-of-center Twitterati seem to think so.)

    But if you were listening, Sanders made some telling admissions. “You’re
    gonna pay more in taxes but your health care will be cheaper,” he said. For a long time now, Sanders has owed us an actually detailed explanation for how
    our health care is going to get cheaper under “Medicare for all,” and it
    hasn’t been forthcoming.

    The Associated Press summed up a study done by the Mercatus Center last year this way, “Sen. Bernie Sanders’s ‘Medicare for all’ plan would boost
    government health spending by $32.6 trillion over 10 years, requiring
    historic tax hikes.” Of course, Bernie Bros would protest that the Mercatus Center is a libertarian think tank not predisposed to give Sanders’s plan a fair shake. But what about The New York Times?

    When Sanders was running for president in 2016, New York Times domestic correspondent Margot Sanger-Katz kicked the tires on Sanders’s “Medicare for All” plan he proposed then and concluded, “Bernie Sanders’s Health Plan Is
    More of a Tax Plan“:

    [T]he plan … was full of details about the taxes that would be
    collected to finance it. The plan would charge a special income
    tax, called a premium, increase payroll taxes and raise a variety
    of taxes on high-income Americans, including income and capital
    gains taxes. Those are big, specific changes, worthy of detailed
    coverage. Missing, however, were more than a few sentences about
    how the proposal would change the health care system in the United
    States.

    Further, “Medicare for all” doesn’t have much to do with Medicare as we know it:

    But the program he describes isn’t an extension of the existing
    Medicare program, which provides health insurance for older people
    and the disabled. Medicare includes premiums, co-payments and
    deductibles, and excludes coverage for long-term care or dentistry.
    A lot of important details have been left out. Here are some things
    it doesn’t say: What would the new system pay doctors and hospitals
    for their services? How would it decide which medical treatments it
    should and shouldn’t cover? What strategies would it use to contain
    health care costs and keep the system affordable? Who would make the
    decisions, big and small, about how the program would work?

    Finally, Sanders’s own campaign economist couldn’t explain to Sanger-Katz how his plan was supposed to work:

    I spoke with Gerald Friedman, a professor of economics at the
    University of Massachusetts at Amherst, who provided the campaign
    with estimates of the program’s cost. … Mr. Friedman calculates,
    for example, that the cost of physician services in a single-payer
    system could be lowered by 10.7 percent — his estimate of how much
    doctors currently spend on billing and administration staff that
    they would no longer need. I asked him how the payer would get to
    that number — would the government pay lower prices for treatments,
    or change which treatments it paid for, or switch doctors to a
    system in which they earn government salaries?

    He couldn’t say with certainty. ‘The pleasure of being an academic
    is I can just spell things out and leave the details to others,’ he
    said. ‘The details very quickly get very messy.’

    Well, that’s quite an admission. But in the three years since Sanger-Katz
    tried to understand how Sanders’s plan worked, it seems everyone in Sanders’s orbit, himself included, has been leaving the details to others. After being embarrassed in the pages of The New York Times in 2016, apparently they
    learned nothing.

    Astonishingly, when the AP reported on the Mercatus study last year, Sanders wasn’t even able to begin to refute the report’s conclusion that his plan was financially unsustainable. Why? “Sanders’ office has not done a cost
    analysis, a spokesman said.”

    His recently proposed “Medicare for all” legislation doesn’t much improve on prior attempts to flesh out how health care will be administered in a cost- effective manner, even as it’s full of tax hike proposals such as 70 percent marginal tax rates on income over $10 million, 77 percent estate taxes on the rich, and taxes on big banks. Even the liberal outlet Vox once again admits
    the “plan has lots of details about what single-payer would cover. It has
    less information on how to pay for it.” Sanders can try to soak the rich all
    he wants, but it doesn’t mean much when credible estimates suggest “doubling all currently projected federal individual and corporate income tax
    collections would be insufficient to finance the added federal costs of the plan.”

    In the end, Sanders doesn’t have a health care plan, so much as a branding strategy for one. Medicare, despite its fiscal unsustainability, is very popular. So calling government-run health care “Medicare for all” is a stroke of genius, insofar as it makes the American public more receptive to
    socialist ideas. That’s why other Democratic candidates are happy to
    associate themselves with “Medicare for all” as a slogan, but appear to be distancing themselves from the actual policy.

    Kamala Harris may be co-sponsoring Sanders’s legislation, but ultimately she “backs many incremental, go-slow plans that aren’t as radical and add up to something more like ‘Medicare for more’ or a strengthened version of Obamacare,” notes Politico. Similarly, another candidate and Senate co- sponsor, Elizabeth Warren, has taken a similarly less radical approach,
    saying she’s “open to different paths” to getting “Medicare for all.” In reality, her plan is more like the “ACA 2.0.”

    In a lot of polls, Sanders is the frontrunner for the Democratic nomination.
    He cannot be allowed to offer a radical plan he freely admits will cause 180 million Americans to lose their existing health care coverage and not bother explaining how it works.

    Yet he’s gotten away with it for three years. The press, as well as his competitors in the Democratic primary, need to grow a spine and demand some real answers here.


    --
    Trump: A president so great that Democrats who said they would leave
    America if he won decided to stay!

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)