What Are Some Medicare Programs
Why are some promoting "Medicare for All" and some promoting "Medicaid for All"?
There's a pretty big difference between the two
Medicare is the federal health care system for people aged 65 and over (some people receive Medicare Advantage, where the government pays the premium for a private health insurance plan in exchange for certain policies). It's a huge claim, but it's also quite popular because it's been around for a long time and most importantly, it doesn't control costs well (in terms of payments to providers). As such, most people like it a lot because it acts like people tend to think government programs. Previous attempts to control costs (by lowering reimbursement rates) were deeply unpopular and ultimately failed. Remember, this population group covers all Americans regardless of economic status. As such, it is protected by a cadre of politically active American voters.
Medicaid is a completely different ball of wax. Medicaid isn't that popular, but that's because it operates under strict regulations. Medicaid is self-administered by the states and does not provide full reimbursement to providers like Medicare. As a result, far fewer doctors are accepting Medicaid
A 2011 national survey of doctors found that 31 percent were unwilling to admit new Medicaid patients, with acceptance rates varying widely between states. Across the country, the study estimated that 69 percent of doctors accepted Medicaid, but state acceptance rates ranged from 40 percent in New Jersey to 99 percent in Wyoming, according to the study published in Health Affairs. This was an extension before the ACA and before changes to the reimbursement fee.
Obamacare my changed that (it increased payments for a year to try to increase adoption rates). Still, Medicaid is not that widely used. This sentence describes the difference (emphasis mine)
The 2013-2014 fee hike was aimed at making Medicaid adoption more enticing, by making these fees equivalent to Medicare reimbursement rates .
Medicare, the more popular program, is much easier to sell (Image source)
Since the names are similar and the programs are poorly understood, it's not difficult to see why some would sell Medicare for All. In reality, Medicaid would be the most likely program for everyone. Medicaid, which already has cost control mechanisms in place, would simply be extended to anyone without private insurance. This is what government efforts like Nevada are trying to do.
However, the Nevada Care Plan would work within Medicaid, but it wouldn't be Medicaid - meaning reimbursements would have to be canceled after the bill is signed.
Medicaid - and the Medicaid extension - are specially designed for the poor, and around 600,000 people in Nevada use it. Of the state's 2.9 million inhabitants, around 11% remain without health insurance.
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