Discussion about this post

User's avatar
David Piepgrass's avatar

I have heard you and Matt Yglesias argue that Medicare for All is a bad idea, but not with a compelling reason why. Voters don't want it? Okay, why not? I don't think it's very productive to lay out alternate proposals without communicating what problem they are meant to solve.

I would've thought that the barrier to M4A wasn't so much voters as medical business interests, and that an adequate solution to that problem might be a gradual switchover: to reduce the age of eligibility for Medicare by one year, every year. In 2016 I was thinking if Obama did that instead of ACA, Medicare would've already covered a whole lot more people by then.

But yes, creativity, let's have more of that.

Expand full comment
Andy Marks's avatar

In looking for new ideas on healthcare, arguing over how to expand health insurance is only a small part of it. Being insured is necessary, but if you struggle to find access to a provider it's only worth so much. The other half of the equation is the supply side. That's going to entail a lot of deregulation in some areas.

Some ideas that I think would be good are raising the cap on residencies by increasing the money Medicare spends on it, increasing funding for the NIH and NSF to find more cures, automatically approving any medicine that's approved in Europe, Canada, Japan or some other place with a legitimate regulator, allowing in more doctors, NPs, PAs and nurses from abroad, not requiring immigrant doctors to go through a residency no matter how experienced they are.

Those ideas will encounter plenty of resistance from established players like the AMA, but they would do a lot of good and could be framed in populist ways, i.e., fighting medical cartels. It goes very well with the so-called abundance agenda, too.

Expand full comment
18 more comments...

No posts