The Medicare For All Plan from Vermont Sen, Bernie Sanders, would charge no copays or deductibles for medical care, allowing only limited cost-sharing for certain prescription drugs. Sanders would cover long-term care home and community-based services. Dental, vision and hearing coverage would be included. The House version of the legislation is along similar lines.
"Medicare for All proposals would leapfrog other countries in terms of essentially eliminating private insurance and out-of-pocket costs, and providing very expansive benefits," said Larry Levitt, a health policy expert with the nonpartisan Kaiser Family Foundation. "It raises questions about how realistic the proposals are."
Shifting the sprawling U.S. health care system to a government-run "single-payer" plan is one of the top issues in the 2020 Democratic presidential primary, but the candidates are divided. Some have endorsed Sanders' call, while others want to expand coverage within the current mix of private and government insurance. Independent studies estimate Medicare for All would dramatically increase government spending, from $25 trillion to $35 trillion or more over 10 years. It stands no chance with Republicans controlling the White House and the Senate, but it is getting hearings in the Democratic-led House.