In contrast, the authors estimate the impact of replacing the ACA with a universal, single-payer health system, along the lines of the Expanded and Improved Medicare for All Act, H.R. 676, would provide immediate coverage to the 26 million Americans who are currently uninsured, saving at least 20,984 lives in year one.
So that’s the choice, folks. We can save some 20,000 lives a year with a single-payer system, or lose more than 20,000 lives per year by repealing what we have.
Oh, and a single-payer system costs far less. Right now the U.S. is spending more than twice on health care per person than the 35 advanced countries making up the OECD. Yet Americans don’t live as long and are subject to more chronic illness. The Kaiser Family Foundation finds that administrative costs in Medicare are only about 2 percent of total operating expenditures – less than one-sixth of the rate of private insurance.
Now’s the time for Democrats to make these points, and reframe the debate around single-payer.