Medicare for All would be the most dramatic overhaul of the American health care system ever. So why does the industry seem so nonchalant about it?
Medicare for All is a risky sell. Polling shows a majority of people support the idea, and it becomes wildly popular when they hear arguments about eliminating premiums and guaranteeing health care as a right for all Americans. But the same polling also shows thatwhen people hear negative arguments. When people hear arguments that M4A will threaten existing Medicare, raise taxes, or lead to delays for some treatments, it becomes deeply unpopular.
In other words, the Medicare for All debate will in large part come down to who can yell their message the loudest. Any movement towards universal health care would be barraged with attacks from industry groups that stand to lose billions of dollars. “You are going to see probably hundreds of millions of dollars flowing against this bill,” said sponsor Rep. Pramiya Jayapal at the bill’s unveiling.
to kill a state ballot initiative that would have capped its profits. That’s one industry in one state. Universal health care would threaten the profits of insurers, doctors, drug manufacturers, hospitals, and more or less every powerful health lobby. If you do some back-of-the-envelope extrapolation of the California campaign to the whole health industry, you get a number in the tens of billions of dollars. There’s no historical comparison for what a media blitz that size would look like.
, which is a huge number but not far out of line with the $516 million per year in lobbying it has averaged over the past decade.
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