Health Care Systems Are Expensive. Deal With It.

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How much would a single-payer universal health care system cost in the United States? You don’t need to do anything very complicated to get a ballpark figure. Here’s the arithmetic:

  • Total spending on health care in the US is $3.2 trillion
  • Of that, $1.5 trillion is already funded by federal and state programs. That leaves additional required spending of $1.7 trillion.
  • A universal system will still require some copays and other out-of pocket expenses. Figure $200 billion or so. That leaves $1.5 trillion

So that’s it. A universal health care system in the US would require about $1.5 trillion in additional government spending. If you want to make heroic assumptions about how much a single-payer would save, go ahead. But nobody serious is going to buy it. If we’re lucky, a good single-payer system would slow the growth of health care costs over the long term, but it’s vanishingly unlikely to actually cut current costs.

There was a lot of surprise today about an estimate that a single-payer plan for California would have a net additional cost of about $200 billion. But California has 12 percent of the nation’s population, and 12 percent of $1.5 trillion is $180 billion. So that estimate is right in the ballpark of what you should expect. Short of some kind of legislative miracle, there’s really no way around this. Health care is expensive.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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