Lambert here: I’ve previously posted about HR676 (Conyers) vs. S1804 (Sanders) on provider payments and phase-in, and about HR676 vs. S1804 on incentivizing institutional providers with profit (don’t). Now Kip Sullivan, a grizzled and authoritative veteran of the single payer battles from 2009-2010 and well before, looks at cost containment in HR1384 (Jayapal) and S1129 (the new Sanders bill). Sullivan’s bottom line:
I fear the public will give us only one more bite at the apple during my lifetime. If we screw it up again with legislation with no cost containment in it, the division over how to solve the US health care crisis may remain unresolvable for decades.
This is an important post.
By Kip Sullivan, a member of the Health Care for All Minnesota Advisory Board and of the Minnesota chapter of Physicians for a National Health Program. Originally published at The Deductible.
Two bills that are called “Medicare for all” bills by their supporters have just been introduced in Congress. On February 27, Representative Pramila Jayapal introduced the Medicare For All Act of 2019, HR 1384 , in the House of Representatives. On April 10, Senator Bernie Sanders introduced a bill bearing the same name in the Senate, S 1129. The cost-containment section in Representative Jayapal’s bill will cut health care costs substantially without slashing the incomes of doctors and hospitals. Senator Sanders’ bill cannot do that.
In this article, I explain the differences in the cost containment sections of the two bills and call upon Senator Sanders to correct two defects in his