“The Affordable Care Act is also not one thing, the way Medicare is not one thing,” Katherine Baicker, dean at the University of Chicago, said. “So much of health care is more complicated than we can explain in a sound bite.”
“It’s not Medicare. It’s something different,” said Ellen Meara, a health economist at the Dartmouth Institute for Health Policy and Clinical Practice.and the hypothetical one being discussed. Pelosi’s comments may add to that confusion. Pelosi’s office did not respond to a request for comment.
Prioritizing efforts to bolster the ACA based on Medicare’s current benefit package “is convenient and not necessarily compelling,” Berenson said, adding: “No one is proposing the Medicare benefit package would be taken and applied nationally.” That said, many of the presidential candidates have advanced far less sweeping health care options that would lower the Medicare age to 55 or allow people to buy in to the current Medicare program — an approach often referred to as a “public option.” Those would keep the program essentially structured as it is today.Every analyst interviewed for this story floated some kind of concern regarding a Medicare for All system.
Focusing on current Medicare benefits misses the point, suggested Sherry Glied, a health economist and dean at New York University. When debating the merits of the ACA versus Medicare for All, Medicare’s current generosity is kind of a red herring, she said.
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