EDITION ALREADY GRADED A+
mental health and telemedicine
visits for mental health and substance abuse increased for telehealth
what happens now?
uninsured rate reaches historic low of 7.7% in Q1 (more people enrolled)
-increase in medicaid and marketplace enrollment
this may be reversed after PHE provisions expire
premium fairly stable
uneven coverage landscapes
-11 states have not expanded Medicaid
-abortion access limited
proposals
single payer/medicare for all
public option
repeal and replace
single payer / medicare for all
single payer: healthcare system where government provides insurance to everyone
examples:
-UK: public delivery
-Canada: public coverage for a combination of public and private delivery
medicare for all:
-senator sanders proposed to provide coverage more generous than medicare
pros:
-simplicity
-universal coverage/equity
-lower admin costs
-more control over prices
-more bargaining power
cons:
, -worries about wait times for treatment
-insurance industry against (fall)
-big increases in taxes
-Americans like choice
public option
government run insurance program (along with private insurance plans available through employers and
exchanges)
-creating program that people could buy into or letting people buy into medicare or medicaid
-medicare for all who want it
-state based vs federal
pros:
-if government can offer cheaper option --> increase competition and decrease prices, not as
transformative/easy to implement
cons:
-insurance industry against
-doesn't address many existing problems
medicare for more
public option for older americans that are not currently eligible
-ex: expand medicare eligibility from 65 to 60
-incremental version of a public option
proposal is popular among democrats and republicans
pros: increase coverage, employers/early retirees like it
cons: hospitals against, would lead to lower reimbursements on average
-60-65 has lowest uninsurance rate (high average costs)
-destabilize individual market
other proposals
federal protection around abortion, contraception, medication abortion, fertility treatment
importing pharmaceuticals
requiring everyone to have insurance/auto-enrollment
eliminating private insurance
price transparenncy