We had an inkling that the Medicare for All would find heavy opposition quickly. Was debating a supporter on FB just yesterday saying essentially exactly what this article states. A day later, here we are. Want to state clearly here and now that I support getting the U.S. to a universal healthcare place, but I’m very dubious that Medicare for All is a way that will garner enough support. Why? Because the government has done a terrible job of reimbursing front line providers for their time. Many front line providers are not accepting Medicare patients, or new Medicare patients. Hospitals are subsidizing this cost by higher costs elsewhere. This has to be fixed before this idea will gain ground with providers. While it would be great to tear down the whole system and start fresh, that just is political rhetoric to get the base motivated to vote next year, a non starter in this current climate with Republicans controlling two branches of government. And we haven’t yet seen the money from the special interest groups show up in any large scale way.
The article points out that the AMA, PHrMa, American Health Insurance Plans, and the Federation of American Hospitals have come out against it, asking Congress to “fix what’s broken and improve what’s working, don’t start over”. My guess is that for a start, raising reimbursals for Primary Care would be a good place for Congress to begin, to slow the bleeding of funds from hospitals etc. In fact, the article points this out, from a document from the coalition of these providers, showing that “66% of hospitals received Medicare payments less than the cost of care, for an industry wide shortfall of $53.9 Billion dollars. Locally, I know that Jefferson Healthcare would be considered part of that amount. While the nurses union claims that hospital coffers have ‘swelled’ there is no truth in that here locally. Of course, we are a public hospital, but the ACA has helped our bottom line, allowing for JCH to better support primary care by hiring more providers, for example. While proponents are arguing that the reduction in administrative costs would help, there is no real understanding of whether these costs would be offset here locally.
Read the whole article for a better understanding. It brings the Koch Brothers into the picture for their efforts, along with the Nurses Union, etc.
Hospital lobbies are mounting a coordinated effort to dissuade legislators from supporting Medicare for all, a policy health systems argue would cut into profits and ultimately force facilities to shutter.