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Medicare for All Argument Outline

Pro

*Premature Death

*Pandemics/Superbugs/COVID-19

*Bioterrorism

*Opioids (M4A solves root cause of opioid epidemic and private insurance encourages prescribing pain killers rather than survery)

*Expanding Access General

*Rural Hospitals closing now. (M4A allows them to stay open)

*Disparate Health Impact

*Ethics

  • Moral responsibility for care
  • Equality 
  • (a) Race
  • (b) Gender
  • (c) LGBT
  • (d) Transgender

*Mental health care good

*Abortion access good

*COVID

*Health care costs

  • High salaries
  • Profits
  • Administrative overhead
  • No bulk purchasing
  • M4All reduces
  • Health care costs hurt the economy

*Economy

  • Health care costs reduce consumer spending
  • Reducing employer health care costs increases wages
  • M4All is a stimulus
  • Increased productivity
  • Job switching
  • M4All is an economic stimulus

*Immigrant (including illegal/undocumented) health care good

*Military readiness

*Cooperative federalism

*Elections

  • Trump good
  • Trump bad

*Lots of administrative complications with private insurance lead to doctor burn out and quitting

Con

Economy -(Massive Disruption)

Collapse private insurance industry, Massive unemployment from it

Pharmaceutical Innovation DA. Link through Price controls harming the ability for pharmaceutical companies to invest in R&D. Impact to pharmaceutical company philanthropy and providing drugs to the developing world.

— The are also drug shortages impacts and gene therapy good (solves cancer) impacts.
— Third world drugs/vaccines. High profits mean that companies can afford to give away free drugs
— High drug prices in the US underwrite global drug development

Tax increases (capital gains)

Reduce profits for pharmaceutical industry

Fraud

Hospital Collapse (reducing payments to hospitals collapses hospitals)

 — rural hospitals

 — urban hospitals

 — public hospitals

Debt/Deficit

M4ALL increases taxes, taxes bad

Drug Price Controls Bad

No private insurance – “a private health insurer to sell health insurance coverage that duplicates the benefits provided under this Act” 

Demand for Care

Wait times

Rationing

Reduced innovation

Medicare Advantage good

Doctors quit

Brain Drain
— doctors quit, have to hire more foreign doctors
— increasing demand generally means more foreign doctors hired

Not enough space

COVID/Flu Season — Socialized medical systems have failed to handle cold/fly season

Immigration (birth or residency)

No solvency – doctors schedules are already limited can’t see current patient needs

Low reimbursement rates means doctors quit and hospitals close

Medical Tourism decrease

Abortion Bad

Market key to medical innovation