Healthcare

https://www.commondreams.org/views/...care-system-we-absolutely-can-afford-medicare

"Leaving aside the very significant economic benefits—not just human health, but economic gains—that will come from improving the national health system, we can eliminate upwards of $500 billion annually in spending wasted on bureaucracy, inefficiency and excessive corporate profits.

The only reason we don't have #MedicareForAll right now is the political power of Big Pharma, the health insurance and hospital industries. "
 
Perfectly valid concern, he has never explained how he’s planning to pay for zero minute abs.

He did list how he would raise funds for his programs on his 2016 website.
 
He did list how he would raise funds for his programs on his 2016 website.
That’s all fine but it’s clear you can’t work on a theoretical basis. It’s all very well saying the insurance industry takes X out of the US economy and X can cover healthcare. But you can’t just outlaw private insurance. Company contracts cannot change overnight.

Basically you’d end up with a lot of people having to pay more in taxes yet still have to pay for private insurance.
 
That’s all fine but it’s clear you can’t work on a theoretical basis. It’s all very well saying the insurance industry takes X out of the US economy and X can cover healthcare. But you can’t just outlaw private insurance. Company contracts cannot change overnight.

Basically you’d end up with a lot of people having to pay more in taxes yet still have to pay for private insurance.

He has said he isn’t planning on outlawing private insurance. It would still be available even if Medicare for all is implemented. If the top 1 percent want private care then they can do so as long as they are willing to pay. The current employer based system would presumably go the way of the dodo bird.
 
He has said he isn’t planning on outlawing private insurance. It would still be available even if Medicare for all is implemented. If the top 1 percent want private care then they can do so as long as they are willing to pay. The current employer based system would presumably go the way of the dodo bird.
That's all very well, but the top 1% are not the only ones with private insurance right now. People with employer based insurance have negotiated (or agreed) to those jobs at contracts in part due to the medical insurance, who's going to deal with the hundreds of millions of people affected? Employers are just supposed to refund the cost of insurance to their employees?
 
I am for medicare for all, and I agree that the current system is terrible. On the other hand, the transition is not easy. The insurance companies are enormous. If just one of them folds, there will be chain events that may sink the economy as a whole.
 
That's all very well, but the top 1% are not the only ones with private insurance right now. People with employer based insurance have negotiated (or agreed) to those jobs at contracts in part due to the medical insurance, who's going to deal with the hundreds of millions of people affected? Employers are just supposed to refund the cost of insurance to their employees?

Those people would obviously switch from private insurer to government sponsored healthcare. The premiums and deductibles would go away in favor of (presumably) a small payroll deduction. It would also make life easier on employers as it would remove the overhead and administrative hassle of having to provide healthcare to all their employees.
 
Those people would obviously switch from private insurer to government sponsored healthcare. The premiums and deductibles would go away in favor of (presumably) a small payroll deduction. It would also make life easier on employers as it would remove the overhead and administrative hassle of having to provide healthcare to all their employees.
What would the system mean for all the people who work in health administration? Presumably there'd be alot fewer jobs?
 
Those people would obviously switch from private insurer to government sponsored healthcare. The premiums and deductibles would go away in favor of (presumably) a small payroll deduction. It would also make life easier on employers as it would remove the overhead and administrative hassle of having to provide healthcare to all their employees.

Yes, but it is quite complicated. For example, in Oakland Kaiser Permanente is huge, the top employer by a large margin. And they have their own hospitals and so on.

https://en.wikipedia.org/wiki/Oakland,_California#Top_employers

What will happen with all these people? Are they going to be "nationalized"?
 
Eating them is a part of sustainable energy in the Green New Deal.

We can joke, but if you know what is going on in Oakland... well, the situation is not great as it is now. If Kaiser Permanente closes and 12,000 lose their jobs, it will be hell. The economy will sink. And it will not be just Oakland...
 
a large number of people currently employed by insurance companies will be employed by the government agency that administers a medicare for all system. the remaining can be covered by a green jobs guarantee or be paid their salary out for several years on a declining percentage basis until they find another job
 
Yes, but it is quite complicated. For example, in Oakland Kaiser Permanente is huge, the top employer by a large margin. And they have their own hospitals and so on.

https://en.wikipedia.org/wiki/Oakland,_California#Top_employers

What will happen with all these people? Are they going to be "nationalized"?

That’s a key point that hasn’t been adequately addressed imo. The healthcare sector is about 18% of the US economy (and growing at a steady pace) and shifting that much capital away from private to government could tank the market (where the healthcare gic comprises a sizable chunk of overall market cap). If the market tanks, it will likely bring down everyone’s 401ks, pension funds etc. and in the process give opponents of Medicare for all a strong platform to defeat it. This is something for the Bern to consider as he attempts to sell the benefit of the plan while skillfully dodging the financial turbulence it will cause on the way there.
 
Medicare for all is a painful process that must be done. Issue is people point out the painful process as a reason to say "Hah! See! Doesn't work!"
 
What would the system mean for all the people who work in health administration? Presumably there'd be alot fewer jobs?

It’s a good question. Even if the jobs are nationalized, a percentage of the current private workforce may not be interested in working for the government. These are the sort of details that would need to be worked out before the plan gets scrutized well beyond the usual “how would you pay for it” type arguments.
 
We can joke, but if you know what is going on in Oakland... well, the situation is not great as it is now. If Kaiser Permanente closes and 12,000 lose their jobs, it will be hell. The economy will sink. And it will not be just Oakland...

It' as though the people writing the bill have thought about this
https://medicareforall.dsausa.org/o...l-they-lose-their-job-under-medicare-for-all-

What will happen to all of the people who do billing or work for insurance companies? The new system will still need some people to administer claims. Administration will shrink, however, eliminating the need for many insurance workers, as well as administrative staff in hospitals, clinics and nursing homes. More health care providers, especially in the fields of long-term care, home health care, and public health, will be needed, and many insurance clerks can be retrained to enter these fields. Many people now working in the insurance industry are, in fact, already health professionals (e.g. nurses) who will be able to find work in the health care field again. But many insurance and health administrative workers will need a job retraining and placement program. We anticipate that such a program would cost about $20 billion, a small fraction of the administrative savings from the transition to national health insurance. PNHP has worked with labor unions and others to develop plans for a jobs conversion program with would protect the incomes of displaced clerical workers until they were re-trained and transitioned to other jobs. Both H.R. 676 and S. 1804 allocate funds for this purpose.
http://www.pnhp.org/sites/default/files/faq_2018.pdf
 
So they admit that anyone working in health insurance will be out of a job. Not particularly encouraging.
 
So they admit that anyone working in health insurance will be out of a job. Not particularly encouraging.

More health care providers, especially in the fields of long-term care, home health care, and public health, will be needed, and many insurance clerks can be retrained to enter these fields. Many people now working in the insurance industry are, in fact, already health professionals (e.g. nurses) who will be able to find work in the health care field again.
 
I don't think anyone is suggesting that the current state of affairs is acceptable, we're merely trying to look at the potential consequences of legislation.
 
The potential consequences are that less people die and go bankrupt and any attempt to frame the issue without stating that explicitly is a step backwards. Lots of candle makers changed jobs when lightbulbs were invented.
 
We can joke, but if you know what is going on in Oakland... well, the situation is not great as it is now. If Kaiser Permanente closes and 12,000 lose their jobs, it will be hell. The economy will sink. And it will not be just Oakland...

This isn't what would happen though. Its illogical fear mongering.
Most of those people with important skill sets (nurses, doctors and medical professionals) will not lose their jobs as we will still need just as many nurses and doctors if not more. And to all the completely unnecessary jobs in medical billing and insurance that should never have existed to begin with? That's what strong unemployment, free state education, green new deal and UBI are for.

Its funny how conservatives whine till the cock crows about how "government is wasteful, lets cut all the gov jobs" but they fight so hard to protect wasteful unnecessary jobs in the private sector.
 
This isn't what would happen though. Its illogical fear mongering.
Most of those people with important skill sets (nurses, doctors and medical professionals) will not lose their jobs as we will still need just as many nurses and doctors if not more. And to all the completely unnecessary jobs in medical billing and insurance that should never have existed to begin with? That's what strong unemployment, free state education, green new deal and UBI are for.

Its funny how conservatives whine till the cock crows about how "government is wasteful, lets cut all the gov jobs" but they fight so hard to protect wasteful unnecessary jobs in the private sector.

Yes. But actually in Oakland they have headquarters, a couple of skyscrapers and so on. The majority of the 12,000 workers are administrators. But even for their hospitals, it is not easy to "nationalize" them. There is zero experience in this country with that. Creating a federal level infrastructure to replace all the insurance companies is not a trivial task. It is not "fear mongering", these are real, practical problems. A lot of ideas in life sound great, and in practice they fail.
 
Yes. But actually in Oakland they have headquarters, a couple of skyscrapers and so on. The majority of the 12,000 workers are administrators. But even for their hospitals, it is not easy to "nationalize" them. There is zero experience in this country with that. Creating a federal level infrastructure to replace all the insurance companies is not a trivial task. It is not "fear mongering", these are real, practical problems. A lot of ideas in life sound great, and in practice they fail.

Before I point out a bunch of practical real answers (because a lot of people have already thought about this for 10 years. Its not like we don't have answers) but can you answer this first please:

is it worth saving 50,000 lives if someone who makes $18 / hour denying claims from an office in [OAKLAND] has to find a new job?
 
Yes. But actually in Oakland they have headquarters, a couple of skyscrapers and so on. The majority of the 12,000 workers are administrators. But even for their hospitals, it is not easy to "nationalize" them. There is zero experience in this country with that. Creating a federal level infrastructure to replace all the insurance companies is not a trivial task. It is not "fear mongering", these are real, practical problems. A lot of ideas in life sound great, and in practice they fail.

Needless to say a lot of people are going to be out of work and there's no guarantee they will obediently cross train into government positions. The exuberance of going this route has to be balanced by the hard realities of what may actually happen.
 
Bernie should use this as a talking point.

Bernie has not been as 'direct' as I have been here.

He has said that people just shuffle paper (paraphrasing here) with regards to the health Insurance billing.

this is the one industry that needs to be destroyed. People in these industry can/ will transition to actual clinics and other areas where there will be a need because there will be lots more people needing health care.
 
Needless to say a lot of people are going to be out of work and there's no guarantee they will obediently cross train into government positions. The exuberance of going this route has to be balanced by the hard realities of what may actually happen.

lets balance that against lives that will be saved.

Now that is the reality.

People can get other clerical jobs.
 
What is dishonest about the answer I pasted?

The response you quoted from that website reads like a nice brochure of what will ideally happen to the workers. There's no guarantee any of that will happen. People who work in healthcare may have private career tracks with retirements and not want to become government bureaucrats. Likewise, a massive swath of the country currently on employer based plans may not want to rock the boat and switch to something unknown. There are more and more complexities that arise when you peel back the onion on this issue, which means those who are advancing it better come up with answers better than what has been put forth so far.
 
The response you quoted from that website reads like a pleasant brochure of what will ideally happen to the workers. There's no guarantee any of that will happen. People who work in healthcare may have private career tracks with retirements and not want to become government bureaucrats.

(Some of) the administrative jobs will remain and they will be qualified for those jobs, other admin jobs will be lost and they're allocating money for training for those workers. They aren't promising a rainbow at the end of that training, nor are they saying that everyone working in BCBS or Kaiser *has* to join the new healthcare administration.
 
Here is another estimate, based on a newer bill:
A key feature of Bernie Sanders’s Medicare for All Act is the just transition it promises to the more than 800,000 private insurance industry workers who will be displaced.

While often treated as a perk intended to boost popularity, the PERI study proves that it is in fact a necessary policy component of the bill. Without offering generous benefits to workers from the abolished private insurance industry, the impressive macroeconomic benefits of the plan could be squandered due to a rapid rise in unemployment and income loss.

The Sanders bill provides a broad promise to guarantee assistance to displaced workers. The PERI bill elaborates on this promise with three concrete proposals: pension fund guarantees for all impacted workers; support for near-retirement workers, including 100 percent wage replacement for multiple years; and support for displaced workers, including job training and relocation support and total wage replacement for one year.

This fairly generous approach will cost $61.5 billion per year of transition. As we’ve already seen, Medicare for All can be expected to operate with a $30 billion surplus, which could be used to cover half of these needed funds. The PERI study proposes that the rest be raised through a 0.6 percent increase in the net-worth tax.

https://www.jacobinmag.com/2018/12/medicare-for-all-study-peri-sanders
 
This sort of honesty is missing from the debate.

I'm sure you will have heard/read about staff meetings held by Health Insurance Companies in exotic places like Bora Bora.

Who is paying for that? Premiums/deductibles collected from people for inadequate coverage. It is an artificial industry created with the aid of Congress to line each other's pocket.
Think of it as the legalization of Protection racket.