$80B was RAND's estimated savings over *10 years.* That's about 2% of total health spending. It's based on multiple dubious assumptions, including the idea that health providers, Albany's most formidable lobbying force, will accept slower growth in payments.
RAND's first-year savings estimate was $2B or less than 1%, which is negligible given the enormous uncertainty involved in forecasting health care spending.
As for what share of New Yorkers would hypothetically save money under single-payer, RAND gave several numbers, none of which was close to 98%.
Its baseline estimate was 65%, and came with this crucial caveat:
In other words, the theoretically savings for two-thirds of New Yorkers would depend almost entirely on the other third being forced to pay more -- almost one-fifth of their income at the high end.
This analysis does not reflect the reality of how state budgeting works, at least not in NY.
It presumes that states are spending the bare minimum necessary on Medicaid, and that any cut in federal aid would "force" them to either raise taxes or cut spending elsewhere
In truth, a growing share of NY's Medicaid spending is not about providing care to anyone, but rather pumping money to hospitals, labor unions and other parts of the health-care industry, which are by far the most influential lobbying force in Albany
This is why NYS spending on Medicaid has skyrocketed by 62% in four years, even as enrollment has begun to come down post-pandemic
Setting aside the merits of these actions, why is Hochul bypassing constitutional procedures for spending the public's money? You know, like in Schoolhouse Rock?
Article VII, Section 7: "No money shall ever be paid out of the state treasury or any of its funds, or any of the funds under its management, except in pursuance of an
appropriation by law." nysenate.gov/sites/default/…
Hochul said she's drawing from an "emergency fund" at the Health Department. Allowing the commissioner to flex emergency power based on a court ruling that may or may not be issued at some future date is quite a stretch.
This @nytopinion essay repeats a lot of misinformation about the home health workforce in New York. Here are five examples. 🧵nytimes.com/2022/03/30/opi…
"Many of us want to age at home. But that option is fading fast."