Saturday, September 19, 2026

Medicare for all is the best option

Current bills aimed at correcting health insurance issues
are analyzed deeply wrt the specific issues that they might correct, and how they address fundamental issues with incentives 

M4A is superior on all metrics 


Dimension

Three bills

Full AELP agenda

Medicare for All

Extraction / self-dealing rents

Eliminated at source (separation)

Eliminated + enforced

Payer-side removed; provider/pharma persist

Drug & provider prices

~7% drug cut from pharmacy divestiture

Medicare-rate caps system-wide; patent-abuse bans

Monopsony price-setting system-wide

Denial-driven cost & harm

No change ($36B UM tax remains)

UM ban trims it; enforcement-dependent

Profit-motivated denial removed structurally

Risk selection / cost-dumping

No change — pooling untouched

No change; public option itself exposed

Single universal pool eliminates it

Administrative overhead

Marginal

Partial — fragmentation floor remains

Collapses toward 1–4% peer floor

Coverage / uninsured (8%)

No change

Public-option optional

Universal by design

Net fiscal character

Lowers prices; federal outlay ~flat

Large private + public savings; outlay ~flat

Big federal outlay rise; lower totalnational spend in most studies ANALYST