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Improving the prognosis of health care in the USA thelancet.com/journals/lance…

Yale researchers do the numbers on #MedicareForAll: it will save 68,000 lives and $450b PER YEAR.

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Here's a regwall-free mirror, courtesy of @Sci_Hub:

sci-hub.tw/downloads-ii/2…

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Where do the savings come from?

* Reduced fees for hospital and clinical services (Medicaid pays up to 74% less than commercial insurers do for the same procedures, and the outcomes are the same)

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* Reducing pharmaceutical prices via negotiation (the VA pays 40% less than Medicare, which is banned from negotiating with pharma companies by statute)

* Reducing overhead expenditure (Medicare overheads: 2%; private insurance overheads: 12%)

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* Improving fraud detection (4% savings in the first 2 years)

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Meanwhile, we'll see treatment for 10s of millions of uninsured Americans rise to the level of the insured, heading off illnesses when they're early and cheap to treat.

The new system will be MUCH cheaper AND better than the existing one.

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After all, Americans spend more for their health care, and get less out of it, than residents of any other "advanced nation."

A nation of healthy, secure people is a nation of people ready to meet serious challenges, like the climate crisis.

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I grew up with Canadian health care and then had NHS UK health care for 13 years. Today, I have the top tier of Cigna health care available through my wife's blue-chip employer. Cigna's BEST care is so much worse than then WORST care I got in Canada or the UK!

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