'The major distinctions between Harris and Sanders involve the role of private insurers, the time frame for transition to the new system and the source of funding,' writes columnist hiltzikm.
States that failed to expand Medicaid under the ACA suffered 16,000 unnecessary deaths
The major distinctions between Harris and Sanders involve the role of private insurers, the time frame for transition to the new system, and the source of funding. Harris’ proposal has the virtue of recognizing some practical and political realities. One is that 10 years is a more plausible transition period than four years for such a radical change in the health insurance market. Extending the deadline would reduce the potential for hasty and unwise policymaking just to beat a deadline. A Wall Street transaction tax is well overdue on general principles, though whether Harris’ proposed formula would raise enough money is subject to debate.
Harris’ proposal also could overcome the biggest political drawback of Sanders’ proposal, which is the prospect that all Americans with private insurance would have to give up their health plans and change to Medicare. This is the shoal on which Barack Obama’s “if you like your plan, you can keep it” promise foundered. Obama’s words were cynically exploited by ACA opponents, who somehow convinced millions of Americans that they simply adored their existing health plans.
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