By Henry Moss, August 18, 2019
The July 25 op-ed opposing Medicare for All by Sally Pipes is riddled with errors and exaggerations. This is not surprising given her prominent position in a right-wing Libertarian organization funded by the notorious billionaire Koch brothers.
Citing no evidence and clearly unfamiliar with the Medicare for All bills in Congress, she uses scare tactics to suggest that physicians will quit and hospitals will close were Medicare for All to be enacted. The bills, however, include no specifics on hospital and physician payments, stating only that payment will be negotiated with providers based on a reasonable estimate of the actual cost of providing care.
The House bill (H.R. 1384), for example, indicates that the government will negotiate operating budgets with individual hospitals and nursing homes based on historical costs, expected increases, patient population characteristics, and needed operating improvements, including achieving safe nurse staffing levels.
Capital budgets will be handled separately, so that a poor rural hospital will get its first MRI machine before an elite urban institution gets its fifth, or an unneeded new branch....