The Fact-Checkers Are Clueless
CNNs Jake Tapper released a video on Friday claiming to fact-check Bernie Sanderss claims about the cost of Medicare for All. Tappers fact check follows in the tradition of the fact checks that came before him in that it is riddled with errors that the libertarian Mercatus Center fed him. At this point, I think it is safe to say that one of the main impediments to the success of Medicare for All is that liberal and centrist media is mostly too stupid or dishonest to accurately describe the proposal to their audience.
(snip)
In Tappers fact check, he shows a video of Bernie Sanders saying: Let me thank the Koch Brothers, of all people, for sponsoring a study that shows that Medicare for All would save the American people $2 trillion over a ten-year period. This claim made by Sanders is 100 percent correct. There are no errors in it, and it is not deceptive in any way.
So how does Tapper find an error in a statement that is entirely true? By pretending that Bernie Sanders said something other than what he said. Specifically, Tapper describes Sanderss claim as such: [Sanders and Ocasio-Cortez] say that a study funded by the billionaire Koch brothers [shows that] the Medicare-for-All proposal would actually save the government money.
(snip)
The first is that the provider payment rates in Sanderss plan are not assumptions. There are a lot of assumptions that go into scoring these plans. For instance, you have to make assumptions about how much more people will go to the doctor and how much more medicine they will take. But the provider payment rates are not assumptions; rather, they are written into the law itself. If Sanders says he is going to use Medicare reimbursement rates to pay providers, then that is what he is going to use. Any score that replaces those rates with some other set of rates is straightforwardly not a score of Sanderss plan. End of discussion.
(snip)
https://www.jacobinmag.com/2018/08/bernie-sanders-mercatus-study-medicare-for-all
This is an excellent read.
Hortensis
(58,785 posts)As evidenced by the many people and organizations analyzing Sanders' misleadingly named Medicare for All, not just one. We all want universal healthcare, but any plan has to be doable.
It's way past time for Senator Sanders to finally consult experts to design a workable plan for him to sell to the public.
He might ask Hillary. No need to reinvent the wheel from scratch. She has been committed to universal healthcare for decades and no doubt could provide stacks of studies, data, and the various plans, including a number of single payer types, that experts have developed when considering how to get there.
Uncle Joe
(58,364 posts)of "fact checker (s)" incompetence or malfeasance.
Bernie speaking about the American Peoples' savings of two trillion dollars and Tapper spinning his answer into Bernie claiming the "government" would save this money.
Bernie's claim of the two trillion dollars in savings actually supported in the Mercatus Study based on Bernie's plan, of course Mercatus wasn't happy with that so he created an alternative reality where the Medicare reimbursement rates were different and they claim that Bernie is being disingenuous!?
The first is that the provider payment rates in Sanderss plan are not assumptions. There are a lot of assumptions that go into scoring these plans. For instance, you have to make assumptions about how much more people will go to the doctor and how much more medicine they will take. But the provider payment rates are not assumptions; rather, they are written into the law itself. If Sanders says he is going to use Medicare reimbursement rates to pay providers, then that is what he is going to use. Any score that replaces those rates with some other set of rates is straightforwardly not a score of Sanderss plan. End of discussion.
(snip)
https://www.jacobinmag.com/2018/08/bernie-sanders-mercatus-study-medicare-for-all
George II
(67,782 posts)....where those savings come from.
Where can one find this law (actually proposed law)? I haven't been able to find specifics.
Uncle Joe
(58,364 posts)but if you want more specifics of Bernie's plan this is from my post #12
https://www.congress.gov/bill/115th-congress/senate-bill/1804/text
https://www.congress.gov/bill/115th-congress/senate-bill/1804/text#toc-id6cbd889ca09d4bb7937d5e6ecadbcf6f
Gothmog
(145,291 posts)How is that going? Vermont is a small homogeneous state. Why has this plan not been adopted in Vermont if it makes so much sense?
Uncle Joe
(58,364 posts)Gothmog
(145,291 posts)I trust CNN over the source you cited.
Uncle Joe
(58,364 posts)The source is secondary to me, I have used and will continue use CNN in the future but that doesn't require me to buy everything they're selling.
I get my info from a multitude of sources but I take it all with a grain of salt.
ehrnst
(32,640 posts)indicates that he doesn't understand why it failed, or doesn't want people talking about it.
He has presented himself as the ultimate source on Medicare for All, but won't "speculate" on why it didn't get off the ground with a population that elected him to represent him in the Senate. And refuses to discuss what we could learn from that implementing it federally.
That is definitely significant. And it certainly shows no tolerance for even discussing anything that doesn't simply support what he says, or go in a direction that he might not be capable of discussing.
Uncle Joe
(58,364 posts)wealthy state, one can hardly compare that to a national health care program supported by the full faith and credit of the United States.
Hortensis
(58,785 posts)Senator Sanders' point is perfectly understandable. But why would anyone but him do that?
MANY experts have examined this plan and found big discrepancies. And let's remember, the plan he actually ran for president on in 2016, that he promised to the American public, was so undefendable that he's moved on to a new vaguely conceived product.
Now, to the real point: Senator Sanders has an absolute duty to stop shining people on and finally come up with a genuine plan that would actually be there for them, and be all he's been promising for over 3 years now, when cancer or a drunk driver struck.
Uncle Joe
(58,364 posts)Koch funded Mercatus Report, that was based on his plan.
Bernie spoke the truth, that's the point.
Tapper and other media "fact checkers" have mislead at best in criticizing Bernie's response and the overall benefits to the nation from a Medicare for All heath care plan.
Are the sixteen Democratic Senators co-sponsoring Bernie's Medicare for Bill "shining" as well?
(snip)
Mid-morning on Wednesday, Sen. Jeanne Shaheen (D-N.H.) became the sixteenth co-sponsor of the bill. She was immediately thanked.
(snip)
https://www.commondreams.org/news/2017/09/13/now-there-are-16-democrats-receiving-thanks-and-applause-co-sponsoring-medicare-all
Hortensis
(58,785 posts)BOTH never came up with a workable plan.
BOTH nevertheless told all their followers to believe that OBAMACARE was too awful to be continued -- in spite of BOTH not having a guaranteed replacement in hand for it. This even though Obamacare greatly improves healthcare for EVERYONE with healthcare, also for everyone without insurance who gets care anyway, and of course even though it also insures millions who were previously without. This even though endangering and then losing Obamacare without guaranteed replacement already in place would cause great harm to all.
BOTH lead populist movements that, among others, also appeal to a special type: social conservatives who like progressive government programs and loathe both Obama and Hillary. (Sound like any people you might have run into here on DU, of course not as strong as before most who couldn't control their anti-Dem/anti-Hillary bile were run off?)
Btw, for comparison Obama and the Democratic caucuses in congress promised reform and institution of national healthcare and delivered. Hillary played a significant role even though she had left the senate for the cabinet during most of the bill's actual writing. Both Obama and Hillary are supported by most liberals of all factions and a large majority of minority conservatives. Both Trump and Sanders are not.
Uncle Joe
(58,364 posts)Btw, for comparison Obama and the Democratic caucuses in congress promised reform and institution of national healthcare and delivered. Hillary played a significant role even though she had left the senate for the cabinet during most of the bill's actual writing. Both Obama and Hillary appeal to liberals of all factions and a large majority of minority conservatives.
There are 28 million uninsured under Obamacare. Heres who they are.
(snip)
Setting aside the fact that the Trump administration has supported legislation that would cause millions more Americans to lose coverage something I wrote about in more detail here it is worth taking a moment to look at who these 28 million people are, and why they lack coverage. Among them are unauthorized immigrants, low-income people in states that didnt expand Medicaid, people who decided insurance was too expensive, and some who just decided to take the risk and live without it.
Nonprofits, which have done a lot of great research on this question, find that about half of the uninsured population doesnt qualify for help from the Affordable Care Act. The other half, for various reasons, have not enrolled in coverage:
(snip)
https://www.vox.com/policy-and-politics/2017/6/29/15892642/28-million-uninsured-obamacare
We don't have national health care.
Bernie has a plan; Medicare for All it has sixteen Democratic Senate co-sponsors.
Hortensis
(58,785 posts)that could actually be instituted. Until then that BOTH stands: BOTH Trump and Sanders have used promises of better healthcare than the ACA for less money (or, as some imagine, none) to draw followers. And that's it.
Yes, unlike Trump, Sanders no doubt sincerely wants a universal healthcare program, but unicorns don't vaccinate babies and put shattered legs back together. It has to be REAL.
And yes, the ACA is currently national healthcare, not yet universal, though that was and still is the plan in spite of the GOP's conservative Supreme Court successes. However, national is huge: Most of the ACA affects healthcare across the nation. Remember that when the power stays down but your local hospital, wherever it is, has full power and other requirements critical to operate as before for no less than 72 hours. Or when when you have a right to review your personal healthcare record in your PCP's office, learn your penicillin allergy and history of diverticulitis aren't on it, and have the right to insist on adding them under your own name even if your new PCP won't do it without running a couple thousand dollars worth of tests. And hundreds of other important advances in providing care.
Uncle Joe
(58,364 posts)after November of 2018 and 2020 if not shortly there after.
Bernie's plan is real and has gained 16 Democratic Senator co-sponsors from an earlier version just a few short years ago.
Trump doesn't want jack shit except more money and power for himself.
The ACA was and is a positive improvement over what we had before but I don't believe in letting the good be the enemy of the perfect.
ehrnst
(32,640 posts)By conservative estimates, this legislation would have the following effects:
-M4A would add approximately $32.6 trillion to federal budget commitments during the first 10 years of its implementation (20222031).
-This projected increase in federal healthcare commitments would equal approximately 10.7 percent of GDP in 2022. This amount would rise to nearly 12.7 percent of GDP in 2031 and continue to rise thereafter.
M4As Dramatic Federal Cost Increase Arises from Several Factors
-First and foremost, the federal government would become responsible for financing nearly all current national health spending, including individual private insurance and state spending.
-M4A would increase federal health spending on the currently uninsured as well as those who now carry insurance by providing first-dollar coverage of their healthcare expenditures across the board, without deductibles or copayments.
-M4A would expand the range of services covered by federal insurance (for example, dental, vision, and hearing benefits).
-M4A would dramatically expand the demand for healthcare services, consistent with economics research findings that the more of an individuals health costs are covered by insurance, the more services they tend to buy, irrespective of the services efficacy and value.
https://www.mercatus.org/publications/federal-fiscal-policy/costs-national-single-payer-healthcare-system
(this is citing the Mercatus report which has been cited by Sanders and AOC - so, no I am not promoting a right wing source, but giving a larger clip of the study that Sanders is citing.)
From Factcheck.org:
To argue that we can get to that level of savings by getting rid of the health insurance middleman is inconsistent with my study, Blahous said. To lend credibility to the $2 trillion savings number specifically, one would have to argue that we can make those 40 percent cuts to providers at the same time as increasing demand by about 11 percent, without triggering disruptions of access to care that lawmakers and the public find unacceptable.
The report similarly uses assumptions in the Sanders bill about savings on administrative costs and on the cost of prescription drugs. Blahous describes these assumptions as aggressive and his report includes arguments that suggest they are unlikely.
Said Blahous: If you ask somebody How much would something cost? and if they responded with, Well, if you assume X the cost would be Y, but thats an unrealistic assumption, actual costs would be higher its not accurate to say He says the cost is Y! When I wrote that actual costs would be higher, I meant it. And I havent simply said that in response to comments like the candidates I had previously put it front and center on the study itself.
https://www.factcheck.org/2018/08/the-cost-of-medicare-for-all/
dansolo
(5,376 posts)How can you honestly claim that Bernie's plan will be passed as is?
Uncle Joe
(58,364 posts)on Bernie's bill which reflected 2+ trillion dollars in savings over ten years.
Blahous and his bosses weren't happy with that outcome so he proposed an alternate reality scenario NOT based on the economic/financial requirements of the actual BILL.
JHan
(10,173 posts).. that health care providers will take a 40% cut in reimbursement rates for those moving from private insurers to Medicare for all ( they won't)
"The Unaccounted For Externalities"
"M4A would markedly increase the demand for healthcare services while simultaneously cutting payments to providers by more than 40 percent, reducing payments to levels that are lower on average than providers current costs of providing care. It cannot be known how much providers will react to these losses by reducing the availability of existing health services, the quality of such services, or both."
https://www.mercatus.org/publications/federal-fiscal-policy/costs-national-single-payer-healthcare-system
Further, health care providers are not required to accept Medicare/Medicaid patients
Blahous' approach to the study was to be generous, making some assumptions on a best-case scenario ( this points to the methodology used) and he has expressed reservations about assumptions made by Sanders and others about the cut in expenditure, calling these assumptions unreasonable.
We all want the same things but we have to do better than just stating we want something without respecting the electorate enough to be detailed in our plans. There's too much at stake and at risk here.
The U.S population is huge and diverse, from inception health care laws have been designed around a system of private insurance. There are systems of public insurance/care like Medicare, Medicaid, Tricare , VA, Indian health service and so on, and compounding these programs are the individual laws governing payments state by state.
so yeah, details matter. And the author of the article in your OP calling critiques examples of "malfeasance" is him being intellectually disingenuous.
Also expanding talking points aren't a substantive rebuttal to "mainstream factcheckers".
This is huge, but seldom discussed:
There are many physicians now who don't accept or limit the Medicare patients they see. M4A does limited good if patients can't get into see a provider in a timely manner.
I agree that we all want the same outcome, but details matter.
Gothmog
(145,291 posts)Uncle Joe
(58,364 posts)Gothmog
(145,291 posts)Uncle Joe
(58,364 posts)the 26 second mark and then run it to Bernie/Alexandria's clip to past the 60 second mark.
Tapper changes what Bernie's says in his own video from "American People" to "government" and that's just for starters.
I even posted a link to this same video on post# 8
Gothmog
(145,291 posts)If this plan is so great, when will it be adopted in Vermont?
Uncle Joe
(58,364 posts)Gothmog
(145,291 posts)We are waiting
brush
(53,784 posts)Uncle Joe
(58,364 posts)Who pays for the bills of the hundreds of thousands of medical bankruptcies that the U.S. suffers from every year?
brush
(53,784 posts)Uncle Joe
(58,364 posts)As to your question, Medicare for All will be an improvement over existing coverage on multiple fronts, dental, vision and hearing as well.
SEC. 202. NO COST-SHARING.
(a) In General.The Secretary shall ensure that no cost-sharing, including deductibles, coinsurance, copayments, or similar charges, be imposed on an individual for any benefits provided under this Act, except as described in subsection (b).
https://www.congress.gov/bill/115th-congress/senate-bill/1804/text#toc-id6cbd889ca09d4bb7937d5e6ecadbcf6f
brush
(53,784 posts)Who pays it with Medicare for All, the plan or the people who get treated.
If you know the answer just say so without giving me a link to try to search for the answer.
ehrnst
(32,640 posts)in that sort of detail.
"But I'm not going to speculate on that," as a particular politician often likes to say when asked tough questions about his ideas.
Uncle Joe
(58,364 posts)SEC. 202. NO COST-SHARING.
(a) In General.The Secretary shall ensure that no cost-sharing, including deductibles, coinsurance, copayments, or similar charges, be imposed on an individual for any benefits provided under this Act, except as described in subsection (b).
https://www.congress.gov/bill/115th-congress/senate-bill/1804/text#toc-id6cbd889ca09d4bb7937d5e6ecadbcf6f
Kurt V.
(5,624 posts)ehrnst
(32,640 posts)https://www.factcheck.org/2018/08/the-cost-of-medicare-for-all/
And if refusing to admit that one is ever wrong destroys Tapper's credibility, why then is such a trait considered a positive for Senator Sanders, who is lauded for "never changing?"
ehrnst
(32,640 posts)JHan
(10,173 posts)and independent fact checkers are wrong, not just CNN.
Everyone else is wrong except Sanders.
Why does this sound familiar?
Uncle Joe
(58,364 posts)"mainstream fact checkers are wrong"
that's the point of the entire piece and that's it.. very little on substance. Not surprising, since the actual plan is very little on substance and detail.
And I am not against Medicare for All, neither Universal Health Care.
ehrnst
(32,640 posts)That's Trump's claim.
the parallels ..
Eliot Rosewater
(31,112 posts)contentious at a time when we have bigger fish to fry.
I want it, of course, but I no longer trust Bernie Sanders anymore than I trust Donald Trump. Maybe if he released his tax returns?
The real question EVERYONE here should ask is "is it possible to pass ANY single payer type bill with the current make up of the house, senate and WH and for that matter if the BEST case scenario turns out true after the election, even then?"
The answer is absolutely not, cant happen now, cant happen next year NO MATTER who wins house and senate.
So, what IS important is a little thing called treason by rump and team, but weird how you know who never talks about that.
George II
(67,782 posts)....specific details.
When you go to his website, there's a link that says "Read the full plan" (https://berniesanders.com/medicareforall/), but when you click on it you get this (excuse the lengthy copy/paste) This isn't a "plan" - nothing about how providers will be paid or at what rates.
Medicare for All: Leaving No One Behind
It has been the goal of Democrats since Franklin D. Roosevelt to create a universal health care system guaranteeing health care to all people. Every other major industrialized nation has done so. It is time for this country to join them and fulfill the legacy of Franklin D. Roosevelt, Harry Truman, Lyndon B. Johnson and other great Democrats.
The Affordable Care Act was a critically important step towards the goal of universal health care. Thanks to the ACA, more than 17 million Americans have gained health insurance. Millions of low-income Americans have coverage through expanded eligibility for Medicaid that now exists in 31 states. Young adults can stay on their parents health plans until theyre 26. All Americans can benefit from increased protections against lifetime coverage limits and exclusion from coverage because of pre-existing conditions. Bernie was on the U.S. Senate committee that helped write the ACA.
But as we move forward, we must build upon the success of the ACA to achieve the goal of universal health care. Twenty-nine million Americans today still do not have health insurance and millions more are underinsured and cannot afford the high copayments and deductibles charged by private health insurance companies that put profits before people.
The U.S. spends more on health care per person, and as a percentage of gross domestic product, than any other advanced nation in the world, including Australia, Canada, Denmark, France, Germany, Japan, New Zealand and the United Kingdom. But all that money has not made Americans healthier than the rest of the world. Quite simply, in our high-priced health care system that leaves millions overlooked, we spend more yet end up with less.
Other industrialized nations are making the morally principled and financially responsible decision to provide universal health care to all of their peopleand they do so while saving money by keeping people healthier. Those who say this goal is unachievable are selling the American people short.
Americans need a health care system that works for patients and providers. We need to focus our federal investments on training the health care providers. We need to ensure a strong health care workforce in all communities now and in the future. We need to build on the strength of the 50 years of success of the Medicare program. We need a health care system that significantly reduces overhead, administrative costs and complexity. We need a system where all people can get the care they need to maintain and improve their health when they need it regardless of income, age or socioeconomic status. We need a system that works not just for millionaires and billionaires, but for all of us.
Under Bernies plan, Americans will benefit from the freedom and security that comes with finally separating health insurance from employment. That freedom would not only help the American people live happier, healthier and more fulfilling lives, but it would also promote innovation and entrepreneurship in every sector of the economy. People would be able to start new businesses, stay home with their children or leave jobs they dont like knowing that they would still have health care coverage for themselves and their families. Employers could be free to focus on running their business rather than spending countless hours figuring out how to provide health insurance to their employees. Working Americans wouldnt have to choose between bargaining for higher wages or better health insurance. Parents wouldnt have to worry about how to provide health insurance to their children. Americans would no longer have to fear losing their health insurance if they lose their job, change employment or go part-time. Seniors and people with serious or chronic illnesses could afford the medications necessary to keep them healthy without worry of financial ruin. Millions of people will no longer have to choose between health care and other necessities like food, heat and shelter, and will have access to services that may have been out of reach, like dental care or long-term care.
Simply put, Bernies plan will provide all Americans with the sense of freedom and peace of mind that comes from knowing you always have access to the health care you need.
THE PLAN
BETTER COVERAGE
Bernies plan would create a federally administered single-payer health care program. Universal single-payer health care means comprehensive coverage for all Americans. Bernies plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments. Patients will be able to choose a health care provider without worrying about whether that provider is in-network and will be able to get the care they need without having to read any fine print or trying to figure out how they can afford the out-of-pocket costs.
WHAT IT MEANS FOR PATIENTS
As a patient, all you need to do is go to the doctor and show your insurance card. Bernies plan means no more copays, no more deductibles and no more fighting with insurance companies when they fail to pay for charges.
GETTING HEALTH CARE SPENDING UNDER CONTROL
We outspend all other countries on the planet and our medical spending continues to grow faster than the rate of inflation. Creating a single, public insurance system will go a long way towards getting health care spending under control. The United States has thousands of different health insurance plans, all of which set different reimbursement rates across different networks for providers and procedures resulting in high administrative costs. Two patients with the same condition may get very different care depending on where they live, the health insurance they have and what their insurance covers. A patient may pay different amounts for the same prescription depending solely on where the prescription is filled. Health care providers and patients must navigate this complex and bewildering system wasting precious time and resources.
By moving to an integrated system, the government will finally have the ability to stand up to drug companies and negotiate fair prices for the American people collectively. It will also ensure the federal government can track access to various providers and make smart investments to avoid provider shortages and ensure communities can access the providers they need.
MAJOR SAVINGS FOR FAMILIES AND BUSINESSES
Bernies plan will cost over $6 trillion less than the current health care system over the next ten years.
The United States currently spends $3 trillion on health care each yearnearly $10,000 per person. Reforming our health care system, simplifying our payment structure and incentivizing new ways to make sure patients are actually getting better health care will generate massive savings. This plan has been estimated to save the American people and businesses over $6 trillion over the next decade.
The typical middle class family would save over $5,000 under this plan.
Last year, the average working family paid $4,955 in premiums and $1,318 in deductibles to private health insurance companies. Under this plan, a family of four earning $50,000 would pay just $466 per year to the single-payer program, amounting to a savings of over $5,800 for that family each year.
Businesses would save over $9,400 a year in health care costs for the average employee.
The average annual cost to the employer for a worker with a family who makes $50,000 a year would go from $12,591 to just $3,100.
HOW MUCH WILL IT COST AND HOW DO WE PAY FOR IT?
HOW MUCH WILL IT COST?
This plan has been estimated to cost $1.38 trillion per year.
THE PLAN WOULD BE FULLY PAID FOR BY:
A 6.2 percent income-based health care premium paid by employers.
Revenue raised: $630 billion per year.
A 2.2 percent income-based premium paid by households.
Revenue raised: $210 billion per year.This year, a family of four taking the standard deduction can have income up to $28,800 and not pay this tax under this plan.A family of four making $50,000 a year taking the standard deduction would only pay $466 this year.
Progressive income tax rates.
Revenue raised: $110 billion a year.Under this plan the marginal income tax rate would be:
37 percent on income between $250,000 and $500,000.
43 percent on income between $500,000 and $2 million.
48 percent on income between $2 million and $10 million. (In 2013, only 113,000 households, the top 0.08 percent of taxpayers, had income between $2 million and $10 million.)
52 percent on income above $10 million. (In 2013, only 13,000 households, just 0.01 percent of taxpayers, had income exceeding $10 million.)
Taxing capital gains and dividends the same as income from work.
Revenue raised: $92 billion per year. Warren Buffett, the second wealthiest American in the country, has said that he pays a lower effective tax rate than his secretary. The reason is that he receives most of his income from capital gains and dividends, which are taxed at a much lower rate than income from work. This plan will end the special tax break for capital gains and dividends on household income above $250,000.
Limit tax deductions for rich.
Revenue raised: $15 billion per year. Under Bernies plan, households making over $250,000 would no longer be able to save more than 28 cents in taxes from every dollar in tax deductions. This limit would replace more complicated and less effective limits on tax breaks for the rich including the AMT, the personal exemption phase-out and the limit on itemized deductions.
The Responsible Estate Tax.
Revenue raised: $21 billion per year.This provision would tax the estates of the wealthiest 0.3 percent (three-tenths of 1 percent) of Americans who inherit over $3.5 million at progressive rates and close loopholes in the estate tax.
Savings from health tax expenditures.
Revenue raised: $310 billion per year. Several tax breaks that subsidize health care (health-related tax expenditures) would become obsolete and disappear under a single-payer health care system, saving $310 billion per year.Most importantly, health care provided by employers is compensation that is not subject to payroll taxes or income taxes under current law. This is a significant tax break that would effectively disappear under this plan because all Americans would receive health care through the new single-payer program instead of employer-based health care.
As they say, all sizzle, very little steak.
Uncle Joe
(58,364 posts)ehrnst
(32,640 posts)And their self-funded analysis also found that the numbers didn't quite match up with his claims. It was met with the same outrage that any disagreement in any way of Sanders is always met with.
https://www.urban.org/research/publication/response-criticisms-our-analysis-sanders-health-care-reform-plan
But if one thinks that the author of the study that Sanders is citing isn't trustworthy enough to state what the study conclusions were/ were not, how does one consider Sanders' judgement to be any better?
Uncle Joe
(58,364 posts)pull those assumptions from?
https://www.nationalnursesunited.org/press/why-do-nurses-support-sen-sandersaeutm-medicare-all-act
http://www.pnhp.org/news/2017/september/doctors%E2%80%99-group-welcomes-sen-sanders%E2%80%99-medicare-for-all-bill
Hospitals probably will have to go non-profit, imagine that.
http://www.pnhp.org/facts/single-payer-faq
George Pyle: Anything that isn't welfare for the rich is now 'socialism'
(snip)
A younger generation is more likely to associate the term with, well, the civilized world. The United Kingdom, France, Norway, Denmark, Sweden, etc., etc. Nations where the democratically elected government serves its constituents by setting tax rates high and putting the money toward a wide range of public services, everything from clean and efficient public transit to extended paid maternity leave to universal health care provided through one or another pipeline.
If socialism sounds radical pleasantly or not it is because the U.S. is so much like a Third World kleptocracy where all is set to transferring income from the bottom to the top that anything that isnt welfare for the rich has that label attached to it.
(snip)
Health care belongs in a more socialist model because it isnt what the private sector is good at. Free marketeers are good, really good, scary good, at stuff. Cars, phones, TVs, mini-fridges, toothpaste, laptops, junk food, T-shirts, toys, scratching posts, novelty coffee cups. Stuff that can be thought up and test-marketed and focus-grouped and manufactured in such amazing bulk that the unit prices drop to a level that most people can afford. And if they cant afford it they can do without. And if the company selling it goes out of business, it was a rational market decision.
Heath care is not stuff. It is life. It absolutely, positively has no place in a free market because the customer cannot walk away. If you cant walk away, you arent a customer. Youre a victim.
(snip)
https://www.sltrib.com/opinion/commentary/2018/08/04/george-pyle-anything-that/
Uncle Joe
(58,364 posts)Note that Bernie and Alexandria are speaking of the American People and families and Tapper changes it to ."government" and that's just one major journalistic "error" that Tapper makes in his video claiming not making judgement in regards to Medicare for All.
We need more fact checkers for the "fact checkers."
George II
(67,782 posts)Medicare for All Would Cost $32.6 Trillion Over 10 Years, Study Says
Washington (AP) -- Sen. Bernie Sanders' "Medicare for all" plan would boost government health spending by $32.6 trillion over 10 years, requiring historic tax hikes, says a study released Monday by a university-based libertarian policy center.
That's trillion with a "T."
The latest plan from the Vermont independent would deliver significant savings on administration and drug costs, but increased demand for care would drive up spending, according to the analysis by the Mercatus Center at George Mason University in Virginia. Doubling federal individual and corporate income tax receipts would not cover the full cost, the study said.
Sanders' plan builds on Medicare, the popular insurance program for seniors. All U.S. residents would be covered with no copays and deductibles for medical services. The insurance industry would be relegated to a minor role.
"Enacting something like 'Medicare for all' would be a transformative change in the size of the federal government," said Charles Blahous, the study's author. Blahous was a senior economic adviser to former President George W. Bush and a public trustee of Social Security and Medicare during the Obama administration.
Responding to the study, Sanders took aim at the Mercatus Center, which receives funding from the conservative Koch brothers. Koch Industries CEO Charles Koch is on the center's board.
(more....)
We have to look at ALL aspects of healthcare, not just isolated parts of it.
NurseJackie
(42,862 posts)Uncle Joe
(58,364 posts)ehrnst
(32,640 posts)Uncle Joe
(58,364 posts)ehrnst
(32,640 posts)I find it fascinating that when I quoted the author of the study (you know, the one that Sanders and AOC are claiming supports Sanders' claim,) on the threat that you are upset about:
I was told that:
a). The author really couldn't be trusted to come to an accurate conclusion if it differed from Sanders.
b.) All politicians "stretch the truth" even Obama and Hillary, so there, and CNN and factcheck.org just have an agenda to divide Democrats, besides the Democratic party no longer makes Universal Health Care a goal...
c.) Jake Tapper has his own health care and doesn't care about anyone but himself and can't be trusted anymore (even though at the end of the video, he states that CNN is not making any statements on MFA, just on the accuracy of Sanders' claims that the study supported his claims).
I think that the issue is that Sanders has encouraged the branding that He and MFA are one and the same and that has led to the false line of thinking that the MFA is the "only real universal health care plan" and therefor any fact checking or questioning of Sanders' accuracy on any statement at all= being "against universal health care" or "hating Bernie."
Uncle Joe
(58,364 posts)and Bernie was right it was in the study.
Gothmog
(145,291 posts)Gothmog
(145,291 posts)lapucelle
(18,265 posts)From Politifact:
However, in an alternative scenario in which cost-control works less effectively (see Table 4) Mercatus found that over the same 10-year period, national health expenditures would actually increase by $3.252 trillion compared to current law.
So while the number Sanders chose really does appear in the report, hes cherry-picked the more flattering of two estimates.
https://www.politifact.com/truth-o-meter/statements/2018/aug/03/bernie-s/did-conservative-study-show-big-savings-bernie-san/
If the Jacobin article were responsibly edited, it might read:
But then t̶h̶e̶y̶ ̶s̶a̶y̶ ̶S̶a̶n̶d̶e̶r̶s̶ ̶ ̶i̶s̶ ̶m̶o̶s̶t̶l̶y̶ ̶l̶y̶i̶n̶g̶ ̶b̶e̶c̶a̶u̶s̶e̶ ̶h̶e̶ ̶d̶o̶e̶s̶ ̶n̶o̶t̶ ̶a̶l̶s̶o̶ ̶t̶a̶l̶k̶ ̶a̶b̶o̶u̶t̶ ̶a̶l̶t̶e̶r̶n̶a̶t̶i̶v̶e̶ ̶s̶c̶o̶r̶e̶s̶ ̶o̶f̶ ̶t̶o̶t̶a̶l̶l̶y̶ ̶d̶i̶f̶f̶e̶r̶e̶n̶t̶ ̶p̶l̶a̶n̶s̶ ̶t̶h̶a̶t̶ ̶a̶r̶e̶ ̶n̶o̶t̶ ̶h̶i̶s̶ ̶p̶l̶a̶n̶.̶ [the fact checkers note that the claim neglects to acknowledge an alternative figure, which assumes that a Medicare for All plan isnt as successful in controlling costs as its sponsors hope it will be and which would lead to an increase of almost $3.3 trillion in national health care expenditures, rather than a decline.]
https://www.jacobinmag.com/2018/08/mercatus-report-bernie-sanders-medicare-for-all
Do people generally think it is suspicious when three fact-check pieces from generally reliable news sources all reach the same conclusion? The Jacobin author does.
lapucelle
(18,265 posts)So while the number Sanders chose really does appear in the report, hes cherry-picked the more flattering of two estimates.
snip=========================================
We rate the statement Half True.
Uncle Joe
(58,364 posts)the report states that Bernie's plan or bill as submitted would save the American People two trillion dollars over ten years.
That was true
Bernie said the two trillion dollars in savings was in the report but that the Koch Brothers didn't intend to support his Medicare for All bill.
That was also true.
lapucelle
(18,265 posts)Imagine a doctor saying,
Who on earth would go home thinking,
ehrnst
(32,640 posts)Unlike Trump supporters and others for whom cult of personality makes them hostile to facts that don't confirm their bias.
Cognitive dissonance is harmful no matter who is experiencing it.
Uncle Joe
(58,364 posts)Nearly Three Days Later, Jake Tapper Admits CNN "Fact Check" on Medicare for All Was, Uh, Not Factual
"Having now acknowledged the need for two corrections, he should consider whether he and the other people working on this understand the issue of Medicare for All well enough to appoint themselves as fact checkers."
After nearly three days of constant pressure, clear explanations of basic facts, and bit of healthy shaming, CNN's Jake Tapper on Sunday finally relented to the sheer force of the evidence and admitted that his Medicare for All "fact check"which aimed to discredit Sen. Bernie Sanders' (I-Vt.) claim that a Koch brothers-funded study showed single-payer would save Americans $2 trillionwas horribly misleading and is in need of a substantial "redo."
(snip)
https://www.commondreams.org/news/2018/08/20/nearly-three-days-later-jake-tapper-admits-cnn-fact-check-medicare-all-was-uh-not
https://www.democraticunderground.com/1016213912
"Factchecker" pundit, or political leader, they can all make innocent mistakes or deliberately mislead so I tend to believe the facts until other facts come along to dispute or disprove the earlier facts.
ehrnst
(32,640 posts)Nice try.
Still desperate, tho. Keep on attacking that strawman.
And yes, I'll believe the collective factchecking expertise of both those orgs over a politician's claims, because I understand that politicians often have an agenda that might be benefited by skirting or stretching the truth.
Are Bernie and AOC not human enough to make mistakes? And the minute that Bernie admits to ever having made a mistake or tolerates anyone disagreeing with him without calling them corrupt, I'll find him much more credible.
lapucelle
(18,265 posts)So while the number Sanders chose really does appear in the report, hes cherry-picked the more flattering of two estimates.
snip==================================
We rate the statement Half True.
https://www.politifact.com/truth-o-meter/statements/2018/aug/03/bernie-s/did-conservative-study-show-big-savings-bernie-san/
ehrnst
(32,640 posts)It's like.... the press is the, what am I looking for.... ENEMY of Bernie, and therefore, the people! Or just too stupid and gullible to actually do real fact checking that wasn't fed to them by Mercatus....
From the article in the OP:
Swap out "Trumpcare" for Medicare for All, and "NPR" for Mercatus, and you have a FoxNews piece.. complete with mustache twirling villains sitting in a newsroom.
Gothmog
(145,291 posts)Again, if sanders can convince people of his claims, I look forward to seeing a model single payer law being adopted in Vermont
ehrnst
(32,640 posts)That's certainly not a fringe, extreme, desperate attempt to discredit something that shows a favored politician might have made a mistake.
Uncle Joe
(58,364 posts)ehrnst
(32,640 posts)Uncle Joe
(58,364 posts)To which Tapper has now come out admitted he was wrong, I believe on two of his assertions.
ehrnst
(32,640 posts)And as we have discussed, Tapper works for neither.
I also have yet to see the author of the study retract his statement that Sanders is misrepresenting the conclusions of the study.
And yes, the title of the OP certainly sounds like a Trump supporter who has seen someone post a fact check of one of his tweets.
"Factcheckers are GREAT.... until they factcheck my guy....and don't say that he's right...."
Uncle Joe
(58,364 posts)of the media doing the same knee jerk or premeditated misleading.
(snip)
This careful bit of framing and deception by Mercatus initially worked out as planned. They got the Associated Press to write a story with the lede Sen. Bernie Sanders Medicare for all plan would boost government health spending by $32.6 trillion over 10 years. Because of the way the AP wire service works, that means the story showed up on just about every news website in the country: ABC News, Bloomberg, Washington Post, and so on.
But this initial success slipped away from Mercatus because folks like myself quickly noticed that, buried in the reports tables, the author had actually found that Sanderss plan would save $2 trillion.
Thats right: the same estimate with the scary $32.6 trillion figure they were promoting to all the journalists in the country also said that the US could insure 30 million more Americans, virtually eliminate out-of-pocket expenses, and cover dental, vision, and hearing care for everyone all while spending $2 trillion less over the next ten years. After this was pointed out, the coverage of the report changed dramatically, and Bernie Sanders put out a video thanking the Koch brothers for their positive study.
Needless to say, Mercatus was not thrilled that its attempt to torpedo Medicare for All had become one of the leading talking points in its favor, and so it badly wanted a do-over. The preferred theater for their do-over was gullible and biased fact-checkers who they successfully coached into declaring that Bernie Sanders is lying using their inane truth-o-meter and Pinocchio-based measures.
(snip)
https://www.jacobinmag.com/2018/08/mercatus-report-bernie-sanders-medicare-for-all
ehrnst
(32,640 posts)Again, sounds like a Trump supporter who sees someone factchecking a tweet.
Lots of accusations, and not much to back them up to anyone who isn't already eager to have their bias confirmed.
Or a die hard Jacobin reader, on the left, as you have shown.
Clearly collusion to take down Bernie. Unforgivable.
The mainstream Media is all in against BERNIE!!!! OMG!!!!!! NOT A ONE OF THEM CAN BE TRUSTED!!!!
Seriously? Swap out Bernie with Trump, and you have a FoxNews piece.
Uncle Joe
(58,364 posts)the fact checkers, the rebuttals and the self-admitted fact check corrections are all a matter of public record.
I take my information from a multitude of sources, including CNN but I take it all with a large grain of salt.
ehrnst
(32,640 posts)all those fact checkers and media of being in it to smear Bernie...bordering on conspiracy theory.
Really - that sounds exactly like FoxNews, just swap out Bernie for Trump.
And when it's a politician vs factcheck.org and Politico, I'll take the politician's claim with a much bigger grain of salt.
We defend the free press here, we don't smear it.
Uncle Joe
(58,364 posts)what's wrong with that!?
ehrnst
(32,640 posts)then you are not "fact checking" you are simply lashing out at the fact checkers.
That's what's wrong.
Believing FoxNews level paranoia, even if it is on the left, is wrong.
Again - we are supposed to be better than the Trump wingnuts who see the free press at best "incompetent and gullible in the hands of an evil villain, and at worst as "the enemy of the people" which clearly Jacobin does in the posts that you shared.
Uncle Joe
(58,364 posts)Last edited Tue Aug 21, 2018, 10:19 AM - Edit history (2)
beginning with a lie at worst or misunderstanding at best told by Blahous, that's not a "conspiracy theory" it's a fact (s).
From your own post #26
Proponents are perfectly free to argue for those provider cuts and to say that THEY believe M4A will therefore lower national health spending, and also to cite whatever data they want in support of their arguments, from any study they find credible, Blahous told us. What they shouldnt say is that I also reached that conclusion, because thats incorrect. That finding should not be attributed to me or to my study."
https://www.factcheck.org/2018/08/the-cost-of-medicare-for-all/
Bernie never said that Blahous reached the same overall conclusion as in the inserting of his own alternate reality scenario not based on Medicare for All as is in Bernie's Bill.
1. Bernie did thank the Koch Brothers for sponsoring a study that shows Medicare for All (that's actually Bernie's plan) not Blahous' would save over 2 trillion dollars over a ten year period. Bernie states that he suspects the Koch Brothers didn't intend to do that but that is what is in the study of the Mercatus Center that is significantly funded by the Koch Brothers.
The author of the Mercatus Report attempted to distance his own findings that clearly shows Medicare for All (Bernie's plan as graded) would indeed save the American People two trillion dollars over a ten year period to "Bernie was being disingenuous by claiming that they reached the same overall conclusion" just to change the frame of the argument and some fact checkers ate it up.
Tapper even went a step further by changing Bernie's statement of saving the American People two trillion dollars to the that of the government to "fact check" Bernie and Alexandria.
ehrnst
(32,640 posts)Because they dare to contradict Sanders?
Why do you think that they all got it so wrong?
Was it "gullibility" - a mass hysteria to discredit Sanders, as you posited before?
And how can you discredit a study while still holding it up as "validating" Sanders?
I don't think that the gullibility is on the part of independent fact checking orgs....
Uncle Joe
(58,364 posts)we just look at them differently.
The post you just responded to is one such post and it has nothing to do with Jacobin so much as common sense, logic, and a good understanding of the English language.
ehrnst
(32,640 posts)your POV on "mainstream media" being in it against Bernie.
There isn't really any other way to interpret what was said in that article.
Uncle Joe
(58,364 posts)stating that Medicare for All could/should save the American People much greater sums of money than the Blahous estimate of 2 trillion dollars over ten years based on Bernie's bill.
ehrnst
(32,640 posts)The gullible, horrible awful, Bernie bashing main stream fact checkers are the topic of this Jacobin piece.
Those awful factcheck.org, Politifact and WAPO "fake news" orgs- perhaps you have forgotten the full content of the piece?
From the article you shared in your OP:
And you want me to think that your judgement on this issue is somehow based in concern for facts?
And still... you have no defense or explanation for how you can continue to discredit the conclusions of a study and it's author, AT THE SAME TIME you defend Sanders citing its conclusions as "supporting his claims."
The best you can do is try desperately to point to "these other studies!!!!!!!!!!!!!!!!!!!!!!!!!!"
You clearly are now spinning your wheels, logically speaking.
Stick a fork in it, it's done.
Uncle Joe
(58,364 posts)Bernie was pointing to "An Inconvenient Truth" WITHIN the study because he believed
as do I and I believe most people here at DU that the Koch Brothers; wanted the numbers to be bad in regards to Medicare for All, they don't want it passed.
They didn't want the American People to know Medicare for All using Bernie's bill could/would save the people two+ trillion dollars over ten years, that's specifically what Bernie cited, nothing more.
Even the half-meter fact checkers acknowledge this to be truth; in the report, that Medicare for All would save the American People 2+ trillion dollars over ten years.
The author makes a claim against Bernie that has no merit because Bernie never stated the author's "conclusions" matched or differed from his own but cited an Inconvenient Truth "within the report" and then used sarcasm to thank the Koch Brothers, this no doubt pissed off the right wing economist.
ehrnst
(32,640 posts)Copy and paste the same thing all you like. You are desperate to avoid the sad truth - Bernie misrepresented something in an attempt to give himself credibility. M4A is his brand, and he and his fans treat even questioning it a personal attack on him, when it's not.
People secure in their credibility don't need to do that.
See also: Donald Trump.
Stick a fork in this sad, futile attempt at denial and redirection. It's done.
I suggest you employ the "ignore" feature to save yourself some stress, because I'm not someone who simply swallows whatever any particular politician says as gospel.
Facts matter, and smearing reputable fact checkers as "gullible" and "led by the Koch bros" will always get pushback from me.
lapucelle
(18,265 posts)besides Tapper acknowledging that he said "would save/cost the government" when he should have said "would save/cost Americans"?
One of the problems with using BS's bill as a basis in the Mercatus study (rather than the fully funded HR 676) is the fact that its vagaries lead to two different scenarios concerning costs and savings. The BS bill (S 1804) neglects to include any funding provisions beyond:
The organization Medicare For All (which has been fighting this fight for 15 years) supports Conyers HR 676 as the gold standard medicare for all legislation because it is true single payer universal coverage and its funding provisions are clear and detailed. (And yes, it does account for both positive and negative externalities.)
Here's what the organization has to say:
The universal health care movement needs a U.S. Senator to sponsor a Senate bill that is an equivalent of H.R. 676.
WHAT IS NEEDED. A U.S. Senator who will introduce an equivalent to H.R. 676 into the U.S. Senate, such as during the 115th Congress in 2018 or during the first quarter of 2019 of the 116th Congress (2019-2020).
STATUS. There are no plans to spend time posting more information about [S1804] or the confusion that it creates.
The issue of universal single payer government-funded health care has devolved in some quarters into unproductive grandstanding and a ridiculous fight over "who gets credit". It should be about supporting the best legislative model that is available, HR 676. Hopefully a Democratic senator will begin the work of writing a Senate version of the House bill so it can be introduced in the next session of Congress.
http://www.medicareforall.org/pages/HR676
https://www.congress.gov/bill/115th-congress/senate-bill/1804/text#toc-id6a446c63a93e4b7bbbaffa1cb6e6e382
http://www.medicareforall.org/pages/S1804
Uncle Joe
(58,364 posts)(snip)
It is not just Tapper who has done this, of course. According to Bernie Sanderss policy director Warren Gunnels, the Washington Posts Glenn Kessler did not contact the Sanders office prior to writing his similar fact check and, when Gunnels later contacted Kessler to complain, Kessler allegedly said that he has known the author of the Mercatus study for years & basically trusts whatever he says. Kessler went on to issue three substantive corrections to his fact check, which seems to suggest that perhaps Blahous was not steering him straight.
https://www.jacobinmag.com/2018/08/bernie-sanders-mercatus-study-medicare-for-all
(snip)
As for Bernie's Medicare for All bill.
By economist Jeffrey Sachs
(CNN)The economics of Medicare for All championed by Sen. Bernie Sanders are actually quite straightforward. Under what advocates call "M4A," health care coverage would expand while total spending on health care -- by companies, individuals and the government -- would decline because of lower costs. More would be paid through the government and less through private insurers.
M4A would reduce health care costs for three reasons. First, Medicare pays hospital and doctors at lower rates than private insurers. Second, drug prices would be lower. And third, there would be administrative savings.
These conclusions are robust. Recently, the libertarian-leaning Mercatus Center published a study with data that bear out these conclusions. Indeed, these sensible conclusions jump out of any straightforward analysis.
(snip)
The Mercatus report fails to emphasize three crucial facts:
First, US health care is not a competitive marketplace. It is rife with monopoly power, enabling the extraordinary markups of drug prices, the extravagant salaries of the top-paid health care providers and the rampant price discrimination exercised by health providers, which charge different prices to different clients depending on the provider's market power vis-à-vis different clienteles. M4A would limit this monopoly power by putting a powerful government payer up against the monopolists.
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
ehrnst
(32,640 posts)So really, if that's going to be the standard for getting someone's statement right, Bernie didn't measure up.
https://www.factcheck.org/2018/08/the-cost-of-medicare-for-all/
And the Post still gives it three Pinocchios....
lapucelle
(18,265 posts)before anyone with any expertise did a thorough analysis of the study's findings.
The real shame is that those who spoke so hastily actually played in the Koch's hand by endorsing a study which also presents an equally likely, extremely damaging assessment of the costs.
ehrnst
(32,640 posts)Maybe they had a deadline.
Or maybe they knew what the reaction of his most ardent supporters would be to any fact-checking of his claims, so being "almost" accurate would be not only enough for the target donors, but would create a defensive reaction among them when the claims were scrutinized.
Certainly that's along the lines of strategy that Tad Devine is known for, and he currently is working with Sanders.
I would not be surprised at all if Tad Devine had a hand in the campaign.
Uncle Joe
(58,364 posts)educated opinion on an alternate reality.
If an economist were to grade a bill then he/she should grade the bill and leave the alternate realities to political and policy debate but don't be inserting your own prejudiced spin on something that has doesn't even exist in a half ass attempt at re-framing the issue just because you don't personally like the results of your own study.
(snip)
The missing facts
Vital facts are routinely obscured from the public. Consider the recent Mercatus study. On the one hand, it rightfully and straightforwardly concludes that M4A would provide more health care coverage at lower cost than the status quo, projecting a net reduction in national health expenditures of roughly $2 trillion over a 10-year period (2022-2031), while also enabling increased health care coverage.
(snip)
The Mercatus report fails to emphasize three crucial facts:
First, US health care is not a competitive marketplace. It is rife with monopoly power, enabling the extraordinary markups of drug prices, the extravagant salaries of the top-paid health care providers and the rampant price discrimination exercised by health providers, which charge different prices to different clients depending on the provider's market power vis-à-vis different clienteles.
M4A would limit this monopoly power by putting a powerful government payer up against the monopolists.
Second, US health care prices are sky-high compared with the prices paid in other high-income countries, while US health outcomes are worse. Life expectancy in the United States is not only around five years lower than in the leading countries but has actually been declining in the past two years, in part because of epidemics of depression, suicide and substance abuse.
Third, M4A wouldn't require the United States to plunge into an unknown health care model. Medicare already ensures lower costs than private health care and is popular among the elderly. The health systems of every other high-income country offer other proven models. Par for the course, the Mercatus study doesn't even mention the overwhelming evidence from abroad.
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
ehrnst
(32,640 posts)To argue that we can get to that level of savings by getting rid of the health insurance middleman is inconsistent with my study, Blahous said. To lend credibility to the $2 trillion savings number specifically, one would have to argue that we can make those 40 percent cuts to providers at the same time as increasing demand by about 11 percent, without triggering disruptions of access to care that lawmakers and the public find unacceptable.
The report similarly uses assumptions in the Sanders bill about savings on administrative costs and on the cost of prescription drugs. Blahous describes these assumptions as aggressive and his report includes arguments that suggest they are unlikely.
Said Blahous: If you ask somebody How much would something cost? and if they responded with, Well, if you assume X the cost would be Y, but thats an unrealistic assumption, actual costs would be higher its not accurate to say He says the cost is Y! When I wrote that actual costs would be higher, I meant it. And I havent simply said that in response to comments like the candidates I had previously put it front and center on the study itself.
In his report, Blahous provided an alternative-scenario estimate, one that assumed instead that payments to health care providers would remain equal on average to the current-law blend of higher private and lower public reimbursement rates. Under that scenario, there would be a net increase in health care spending.
https://www.factcheck.org/2018/08/the-cost-of-medicare-for-all/
Any speculation that Sanders has is also based on "an alternate reality." And that alternate reality has been evaluated and found to be less than likely by politically nuetral policy analysts.
Uncle Joe
(58,364 posts)(snip)
The Mercatus report fails to emphasize three crucial facts:
First, US health care is not a competitive marketplace. It is rife with monopoly power, enabling the extraordinary markups of drug prices, the extravagant salaries of the top-paid health care providers and the rampant price discrimination exercised by health providers, which charge different prices to different clients depending on the provider's market power vis-à-vis different clienteles. M4A would limit this monopoly power by putting a powerful government payer up against the monopolists.
Second, US health care prices are sky-high compared with the prices paid in other high-income countries, while US health outcomes are worse. Life expectancy in the United States is not only around five years lower than in the leading countries but has actually been declining in the past two years, in part because of epidemics of depression, suicide and substance abuse.
Third, M4A wouldn't require the United States to plunge into an unknown health care model. Medicare already ensures lower costs than private health care and is popular among the elderly. The health systems of every other high-income country offer other proven models. Par for the course, the Mercatus study doesn't even mention the overwhelming evidence from abroad.
By looking more carefully abroad we would learn that M4A can save far more than $2 trillion over 10 years. The savings could actually approach $1 trillion per year, given that the United States would save even more than that amount per year were it to pay the same share of gross domestic product on health care as does Canada with its single-payer system (10.4% of GDP in Canada, compared with 17.1% in the United States, for 2017). Even with that lower rate of spending, Canada achieves a higher proportion of health care coverage and a longer life expectancy (81.9 years, compared with 78.6 years in the United States, for 2017).
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
I wonder why Blahous couldn't bring himself to propose a "better than expected" third scenario outcome?
It seems from Sach's criticism of the Mercatus study there is/was certainly room for such.
I'm wondering if the "fact checkers" will jump on Bernie for "cherry picking" by not citing Sach's analysis with the potential for a an even greater trillion dollars in savings every year?
ehrnst
(32,640 posts)the data, not credible enough to create "alternative realities" from the data that match Sanders', yet somehow this study"validates" Sanders' claims.
Not holding my breath.
Blahous did the study, he states that Sanders is misrepresenting the conclusions of his study, and Factcheck.org, Politifact and WAPO confirmed this.
"Alternate realities" are not the issue. Sanders misrepresenting the conclusions of this study, in this reality, is.
And Sanders did misrepresent it, according to independent fact checkers who actually checked with the author of the study to see if Sanders' claims about the study conclusion were valid.
By doing so, he got you and others to jump to his defense when his claims concerning the conclusions of the study were examined by those independent and reputable parties, and bend over backwards to try to "prove" why Factcheck.org, Politifact, WAPO somehow were "gullible" and "led by the nose by the Koch brothers," in a combined effort to smear Bernie.
He also got out a fundraising email making it the centerpiece of his ask, just as the fact checkers were "attacking him" - well, according to a very emotional piece in Jacobin. Brilliant piece of marketing.
Classic Tad Devine strategy.
lapucelle
(18,265 posts)The article was updated, but Kessler's rating stands.
We dont intend to pick on Gillum, who appears to have picked up a talking point that is circulating among Democrats. But we do want to lay down a marker because this goes too far.
All too often, politicians mischaracterize conclusions that are contained in academic or think tank studies. At the Fact Checker, we rely heavily on how a studys author says the data should be presented. In this case, its clear that Blahous bent over backward to accept Sanderss assumptions, only to find they did not add up. Democrats cannot seize on one cherry-picked fact without acknowledging the broader implications of Blahouss research.
https://www.washingtonpost.com/news/fact-checker/wp/2018/08/07/democrats-seize-on-cherry-picked-claim-that-medicare-for-all-will-save-2-trillion/?utm_term=.0e8128869709
ehrnst
(32,640 posts)Uncle Joe
(58,364 posts)Why should any political leader cite a study by a natural antagonist that has nothing do with the actual BILL aka; Medicare for All?
Blahous and the Koch Brothers weren't happy with his own results so they created an alternate reality scenario NOT based on the actual BILL but on the author's prejudiced presumptions as to what could or could not be accomplished in regards to implementing Medicare for All.
So why should Bernie or anyone else cite that as it's not based on reality?
ehrnst
(32,640 posts)Why should Bernie or anyone else cite a study, if the data, conclusions, author or the funders of the study are not trustworthy - or "not based on reality" as being competent enough evidence to support his claims?
No one who is complaining about Politifact, Factcheck.org or WAPO's findings seems to be able to answer that....
lapucelle
(18,265 posts)would be the following:
The high school parent excitedly posts on social media, "Coach Smith said Joe will make the team! Thank you Coach Smith!"
ehrnst
(32,640 posts)Uncle Joe
(58,364 posts)A high school parent asks the basketball coach if his son Joe will make the team. Coach Smith, not knowing what the outcome will be, tells him, "Joe could make the team" but if Joe gains a hundred and fifty pounds, he can't"
The high school parent excitedly posts on social media, "Coach Smith said Joe will make the team! Thank you Coach Smith!"
Coach Smith and coach Smith backers, Joe can't join the team because he might gain 150 pounds in some alternate reality and the parent was just cherry picking when he stated that I said Joe could join the team.
ehrnst
(32,640 posts)But you've bent over backwards thus far to shine the study that you claim didn't come up with enough scenarios to validate Bernie's numbers, as somehow proving that Bernie's numbers are validated by said study, so I'm not surprised.
Uncle Joe
(58,364 posts)two trillion dollars over 10 years and the other based on an alternate reality not based on the bill but being more of an educated guess by the author on a hypothetical situation which has no basis from any current pending legislation.
ehrnst
(32,640 posts)At this point, MFA itself is an alternate reality, and will remain so for the foreseeable future.
Uncle Joe
(58,364 posts)aka: alternate reality.
ehrnst
(32,640 posts)Which is why there are so many "extrapolations."
Blahous and others have done the work that Sanders has not - because the bill as written doesn't flesh out the details adequately.
This allows Sanders to make all kinds of claims to people concerning what his bill will do for everyone, because he knows it won't be reality for the foreseeable future.
When policy experts/groups do analyze what is indeed written - including those who are non-partisan - they also say that the costs are underestimated, and the timeframe on implementation too fast, and will cause more disruption to the health care delivery system than he states.
Since his brand and popularity are tied up with M4A, he is motivated to fight any analysis that doesn't support his promises, and in this case, even to find support where it clearly states that it doesn't support his claims.
The donor email that he sent made it a centerpiece of his ask. He is certainly not going to admit that he may have been wrong, even if admitting a mistake is something he would do.
Uncle Joe
(58,364 posts)They are a major part of the study as cited by the author
From the OP
The first is that the provider payment rates in Sanderss plan are not assumptions. There are a lot of assumptions that go into scoring these plans. For instance, you have to make assumptions about how much more people will go to the doctor and how much more medicine they will take. But the provider payment rates are not assumptions; rather, they are written into the law itself. If Sanders says he is going to use Medicare reimbursement rates to pay providers, then that is what he is going to use. Any score that replaces those rates with some other set of rates is straightforwardly not a score of Sanderss plan. End of discussion.
As for Bernie's plan
The economics of Medicare for All championed by Sen. Bernie Sanders are actually quite straightforward. Under what advocates call "M4A," health care coverage would expand while total spending on health care -- by companies, individuals and the government -- would decline because of lower costs. More would be paid through the government and less through private insurers.
M4A would reduce health care costs for three reasons. First, Medicare pays hospital and doctors at lower rates than private insurers. Second, drug prices would be lower. And third, there would be administrative savings.
These conclusions are robust. Recently, the libertarian-leaning Mercatus Center published a study with data that bear out these conclusions. Indeed, these sensible conclusions jump out of any straightforward analysis.
M4A would seem to be an unbeatable approach. And indeed it is -- almost. It's basically the solution adopted by Canada, the countries of Western Europe, Japan, Australia and New Zealand.
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
ehrnst
(32,640 posts)conclusions of the study as per the author.
You keep trying to veer away from that....
And you keep avoiding answering how you can keep trying to discredit the author of a study, and its funders, while at the same time defending Bernie's holding the study up as evidence that validates his claims.
But hey - you are very energized to defend Sanders, and that certainly was the goal of his fundraising email making this study "confirming his claims" the main part of the ask.
And there was that article in Jacobin that unearthed the "gullible mainstream media" who "did the Koch Bros bidding" in "smearing Bernie," which was swallowed faster than a Sarah Huckabee Sanders "explanation" of a Trump misrepresentation.
Right here on DU, even.
lapucelle
(18,265 posts)The BS claim ignores the study's finding that a second unfavorable cost outcome is equally likely. The idiomatic expression "cherry pick" is perfectly on point because it is exactly what was done.
selectively choose the most beneficial items from what is available.
cherry-pick (verb)
to select (only what one considers to be best or most desirable, profitable, etc.) from a number of options
ehrnst
(32,640 posts)But I still don't understand how some people here can bend themselves into pretzels discredit the study and the author (not to mention Politifact and factcheck.org) - and still somehow defend and support Sanders' using the study to support his own claims about MFA.
Uncle Joe
(58,364 posts)I wonder why it never occurred to Blahous the author of the report to post a better than expected outcome, a third scenario?
(snip)
The Mercatus report fails to emphasize three crucial facts:
First, US health care is not a competitive marketplace. It is rife with monopoly power, enabling the extraordinary markups of drug prices, the extravagant salaries of the top-paid health care providers and the rampant price discrimination exercised by health providers, which charge different prices to different clients depending on the provider's market power vis-à-vis different clienteles. M4A would limit this monopoly power by putting a powerful government payer up against the monopolists.
Second, US health care prices are sky-high compared with the prices paid in other high-income countries, while US health outcomes are worse. Life expectancy in the United States is not only around five years lower than in the leading countries but has actually been declining in the past two years, in part because of epidemics of depression, suicide and substance abuse.
Third, M4A wouldn't require the United States to plunge into an unknown health care model. Medicare already ensures lower costs than private health care and is popular among the elderly. The health systems of every other high-income country offer other proven models. Par for the course, the Mercatus study doesn't even mention the overwhelming evidence from abroad.
By looking more carefully abroad we would learn that M4A can save far more than $2 trillion over 10 years. The savings could actually approach $1 trillion per year, given that the United States would save even more than that amount per year were it to pay the same share of gross domestic product on health care as does Canada with its single-payer system (10.4% of GDP in Canada, compared with 17.1% in the United States, for 2017). Even with that lower rate of spending, Canada achieves a higher proportion of health care coverage and a longer life expectancy (81.9 years, compared with 78.6 years in the United States, for 2017).
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
ehrnst
(32,640 posts)But the study is totally somehow nontheless credible support for Bernie's numbers...
Uncle Joe
(58,364 posts)considered in Blahous' study, and that Sachs believes the savings from implementing Medicare for All could be significantly greater than 2 trillion over ten years.
No response to that?
ehrnst
(32,640 posts)And still no explanation as to why the study is more credible than it's author, and it authors' claims - so much so that Bernie is "validated" by that study, while the author of it -as well as the purported funders of it, are considered non-credible.
Uncle Joe
(58,364 posts)Last edited Tue Aug 21, 2018, 03:36 PM - Edit history (1)
insofar as the numbers are concerned but as cited by Sachs the former does miss three major dynamics in his analysis.
I believe he, as do many economists in many cases omit a few other less visible dynamics as well in regards to sociological/economic gains or savings in regards to Medicare for All.
The section regarding the actual savings of two trillion dollars over ten years to the American People is literally as close as possible based on Bernie's bill whether you agree with the numbers or not.
I believe as Sachs that the savings could be greater.
There are problems I have with how the report was "marketed" but that's relatively minor.
The main issue I have with Blahous purportedly claiming to be doing a "study" cost/savings analysis of Medicare for All finding that based on the actual bill not liking the results of that saving two trillion dollars over a ten year period only to subvert that real based analysis with a binary choice of that or something worse that the author dreamed up.
And then blaming Bernie for rightfully citing the parts of the study that actually pertained to his bill.
Why should Bernie be judged for not citing the author's total summation under a scenario NOT tied to Bernie's bill?
ehrnst
(32,640 posts)OK...
He cited conclusions made by the author of the study, which as we have seen, the author states are not correct.
Why should Bernie be judged as accurately representing the author's conclusions in the study when the author says that Bernie did not?
Again - what does this have to do with Bernie misrepresenting Blahous? You are trying once again to derail the topic - which is that Bernie misrepresented the conclusions of Blahous concerning Blahous' study of his bill as supporting his assertions.
And you have still not explained how one can discredit a study, and the author's conclusions, and the study's funders, yet hold that study up as credibly validating Bernie's own conclusions... which makes no sense, especially in light of the author directly refuting Sanders' version of the author's conclusions.
Uncle Joe
(58,364 posts)as do I and I believe most people here at DU that the Koch Brothers; wanted the numbers to be bad in regards to Medicare for All, they don't want it passed.
They didn't want the American People to know Medicare for All using Bernie's bill could/would save the people two+ trillion dollars over ten years, that's specifically what Bernie cited, nothing more.
Even the half-meter fact checkers acknowledge this to be truth; in the report, that Medicare for All would save the American People 2+ trillion dollars over ten years.
The author makes a claim against Bernie that has no merit because Bernie never stated the author's "conclusions" matched or differed from his own but cited an Inconvenient Truth "within the report" and then used sarcasm to thank the Koch Brothers, this no doubt pissed off the right wing economist.
Uncle Joe
(58,364 posts)a hypothetical scenario having no grounds based in reality just because the author didn't like the results of the real world report.
Believing there are/were only two possibilities leads us to framing traps.
I wonder why it never occurred to Blahous the author of the report to post a better than expected outcome, a third scenario?
(snip)
The Mercatus report fails to emphasize three crucial facts:
First, US health care is not a competitive marketplace. It is rife with monopoly power, enabling the extraordinary markups of drug prices, the extravagant salaries of the top-paid health care providers and the rampant price discrimination exercised by health providers, which charge different prices to different clients depending on the provider's market power vis-à-vis different clienteles. M4A would limit this monopoly power by putting a powerful government payer up against the monopolists.
Second, US health care prices are sky-high compared with the prices paid in other high-income countries, while US health outcomes are worse. Life expectancy in the United States is not only around five years lower than in the leading countries but has actually been declining in the past two years, in part because of epidemics of depression, suicide and substance abuse.
Third, M4A wouldn't require the United States to plunge into an unknown health care model. Medicare already ensures lower costs than private health care and is popular among the elderly. The health systems of every other high-income country offer other proven models. Par for the course, the Mercatus study doesn't even mention the overwhelming evidence from abroad.
By looking more carefully abroad we would learn that M4A can save far more than $2 trillion over 10 years. The savings could actually approach $1 trillion per year, given that the United States would save even more than that amount per year were it to pay the same share of gross domestic product on health care as does Canada with its single-payer system (10.4% of GDP in Canada, compared with 17.1% in the United States, for 2017). Even with that lower rate of spending, Canada achieves a higher proportion of health care coverage and a longer life expectancy (81.9 years, compared with 78.6 years in the United States, for 2017).
(snip)
https://www.cnn.com/2018/08/04/opinions/medicare-for-all-makes-a-lot-of-sense-sachs/index.html
ehrnst
(32,640 posts)but his study is totally credible enough to support Bernie's scenario...
lapucelle
(18,265 posts)the study discussed two possible outcomes that are equally likely.
In the real world, funding details are important. That's why serious people include them in well-crafted legislation. That's why Conyers's HR 676 is the bill that medicare for all advocates have been fighting for for 15 years.
How is the BS bill S 1804 going to be funded? Here's what the bill itself has to say:
The Mercatus study uses the BS bill as it was written (making the most favorable assumptions possible) as a basis for it's cost projections. (The bill in no way addresses funding.) The BS bill was not carefully crafted to answer a very important question: "How are we going to pay for this?" Because the BS bill does not address funding, different scenarios are possible. The fault lies with the bill, not with the study.
HR 676 is fully funded. It's a better bill. We need a senate version.
ehrnst
(32,640 posts)He is also known for not tolerating any dissent, nor taking counsel or helpful suggestions kindly from anyone other than his close advisors.
He knows that MFA isn't going to happen anytime soon. That and keeping it vague certainly allows him to promise many things, and say "I'm not going to speculate about that" when asked a hard question.
I often thought of that when reading Jill Stein's "proposals."
One can promise day trips to the moon if one knows that one can blame not having a rocket to get there on someone else.
However, if someone does an analyis of the technnology currently capable, and it doesn't show that a day trip to the moon is possible, that throws a big wrench in the credibility of the one promising the moon.
And of course they'll fight back, and say, "It's completely possible to get to the moon and back in one day! We just have to want it badly enough! We just need the political will to build that rocket!! Those who own theme parks here don't want you to go to the moon! Big theme park is the only thing keeping YOU from exploring our own moon! They are the ones lying to you!!!" Please donate to my campaign, and we will GET there in a day!"
Uncle Joe
(58,364 posts)I have no doubt he is open to considering other ideas as well.
In this, he has strengthened support for his Medicare for All bill.
OPTIONS TO FINANCE MEDICARE FOR ALL
(snip)
Options to Save Families and Businesses on Health Care Expenses
7.5 percent income-based premium paid by employers
Revenue raised: $3.9 trillion over ten years.
Businesses would save over $9,000 in health care costs for the average employee under this
option
(snip)
4 percent income-based premium paid by households
Revenue raised: $3.5 trillion over ten years.
The typical middle class family would save over $4,400 under this plan.
(snip)
Options to Make the Wealthy Pay Their Fair Share
Make the Personal Income Tax More Progressive
Revenue raised: $1.8 trillion over ten years
(snip)
Make the Estate Tax More Progressive
Revenue raised: $249 billion over ten years.
(snip)
Establish a Wealth Tax on the Top 0.1 percent
Revenue raised: $1.3 trillion over ten years.
(snip)
Close the Gingrich-Edwards Loophole and Create Parity for Wealthy Business Owners
Revenue raised: $247 billion over ten years.
(snip)
Options to Make Wall Street and Large, Profitable Corporation Pay Their Fair Share
Impose a one-time tax on currently held offshore profits
Revenue raised: $767 billion over ten years.
(snip)
Impose a Fee on Large Financial Institutions
Revenue raised: $117 billion over ten years.
(snip)
Repeal Corporate Accounting Gimmicks
Revenue raised: $112 billion ten years.
(snip)
https://www.sanders.senate.gov/download/options-to-finance-medicare-for-all?inline=file
As for John Conyers beliefs or support I will let his words speak.
For the last 13 years, I have introduced Medicare for All legislation that would guarantee health care as a right for all Americans. I have persisted despite the numerous politicians and commentators who condemned the idea as "unrealistic" or worse, because I have a moral conviction that health care should be a basic right, and that no American should face bankruptcy or death because they fall ill. Today, fresh off the latest failed Republican attempt to slash health care benefits, Medicare for All is a broadly popular proposal whose time has come.
Early on, our co-sponsors were steady, but nothing to brag about. Over the years, and especially recently, our numbers have improved. Today, 120 Members of Congress -- over 60 percent of the Democratic delegation -- have signed on in support of my bill. My friend and colleague, Senator Bernie Sanders, introduced a Senate version of my bill that has 17 co-sponsors, including big names like Elizabeth Warren, Kamala Harris, Al Franken, Kirsten Gillibrand and Cory Booker. Even one of the most conservative Democrats in the Senate, Joe Manchin, has expressed interest in supporting the bill.
My support for Medicare for All is rooted in both moral and fiscal arguments.
So, now I will go through common arguments against Medicare for All, and clarify why they're wrong.
(snip)
https://impact.vice.com/en_us/article/yw3kmy/congressman-john-conyers-on-why-now-is-the-time-for-medicare-for-all