People want to choose their doctor.
A principle problem for Medicare for all is the fact that it follows in the shadow of the Affordable Care Act (ACA). The ACA expanded health care access by increasing tax payer funding: something people refer to as “throwing money at the problem.” There was no cost containment. Taxes increased, and costs continued to increase with a net migration of wealth from the middle class to the upper class. Millions did get improved health care access through medicaid, but the majority saw no benefit, and millions more saw steep rate increases. It is the inequity in the system that makes it untenable to voters. The current Medicare system is already a confusing range of options, supplemental plans, and Medicare advantage. The disadvantage of Medicare Advantage is once again the perplexing problem of choosing a suitable network of providers. The health care industrial complex will certainly game the system as they have done with Medicare Advantage, to the tune of of some $70 billion dollars from 2008 to 2013. Given the lack of meaningful oversight, transparency, and accountability, it’s not surprising that people are suspicious of Medicare for All.
People want to choose their doctor. They don’t want to navigate an incomprehensible maze of insurance options, hoping to find a network that includes their doctor. In the end, they still pay out-of-pocket for the the specialist who didn’t happen to be in the network. Creating confusion is a deliberate tactic that prevents the kind of consensus needed for meaningful healthcare reform.