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senate Bill S. 981

Should Medicare Be Expanded to Establish a Public Option for Individual & Small Business Health Insurance?

Argument in favor

Using the existing Medicare framework to create a public option for health insurance coverage will help create more competition in the health insurance marketplace and give people in rural and undercovered areas another option for medical coverage.

jimK's Opinion
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08/15/2019
I think that building a healthcare system based upon the current ACA and Medicare programs is the right way to began transitioning to a more universal and affordable system. Exchange based selectable optional additions for those individuals or employers willing to pay for them are an effective way to began reeling in medical costs. It makes offerors compete on a well regulated playing field and clearly documents what is offered and how much it would cost along with how well the optional insurance programs perform. Let the market and the users help guide and structure the program. Oh my- use the principals of real capitalism instead of lobbied for crony-capitalism to actually guide the process. All that being said- I am concerned about legislative actions that seem to attack parts of the issue without some broader long-term strategy in place. We need a clear commitment to a longer term goal and a way to evaluate individual legislative efforts in light of what we hope to achieve. I would like an integrated package that affordably addresses most of the needs of most of us- and not a bunch of uncoordinated efforts simply stapled together.
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Rebekah 's Opinion
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08/15/2019
We need Medicare For All. NOW. 75% of the public want it but Congress refuses to comply because they take millions from Big Pharma and Insurance lobbies.
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Robert 's Opinion
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08/15/2019
Medicare takes $136/mo out of my Social Security check plus I paid into it all my working life. It pays 80% of out patient after a small deductible and 100% of hospital after a manageable deductible. So it's not "free". This is the basic plan. Most people have one of about 10 private supplemental insurance plans to pay toward the deductible and 20% outpatient. Medicare limits payments to PRIVATE providers. The administrative costs for Medicare is 2-3% vs private insurance of 16-19%. Medicare doesn’t run expensive marketing commercials or have private investors so it should be more than competitive if expanded. There are about 3 plans being considered so something hopefully will emerge to address the expense and underinsured crisis we have experienced for decades. Let’s have a public discussion about the options. Do not let Republicans control the dialogue or take us back to pre ACA. They have no plan.
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Argument opposed

This plan would be tremendously costly to hospitals and healthcare providers, which makes it a nonstarter. It could also be a step along the road to single-payer healthcare that would eliminate employer-sponsored plans, which many Americans are happily on now.

Gopin2020's Opinion
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08/15/2019
No Medicare is being bankrupted by freeloaders, illegals. We must preserve it for those who have paid into it. #MAGA
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Carmine's Opinion
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08/15/2019
No Medicare should be clawed back! Enough of this meaningless spending! Obama care was suppose to make insurance cheaper meanwhile it did the exact opposite! It made insurance extremely expensive & unaffordable for the average hard working Americans! Stop sucking the money from hard working Americans to pay for your poorly managed social programs! This is a Country built on Capitalism & it will always be Capitalist! No to socialism, no to ruining our economy, no to meaningless spending, & no to expanding Medicare at the cost of hard working middle America!
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JTJ's Opinion
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08/15/2019
No, Medicare was sold to be a safety net for the poor and elderly. In reality it was one more step by socialists towards government control, now they want to expand it further. They will not stop until we are all completely dependent on government.
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    I think that building a healthcare system based upon the current ACA and Medicare programs is the right way to began transitioning to a more universal and affordable system. Exchange based selectable optional additions for those individuals or employers willing to pay for them are an effective way to began reeling in medical costs. It makes offerors compete on a well regulated playing field and clearly documents what is offered and how much it would cost along with how well the optional insurance programs perform. Let the market and the users help guide and structure the program. Oh my- use the principals of real capitalism instead of lobbied for crony-capitalism to actually guide the process. All that being said- I am concerned about legislative actions that seem to attack parts of the issue without some broader long-term strategy in place. We need a clear commitment to a longer term goal and a way to evaluate individual legislative efforts in light of what we hope to achieve. I would like an integrated package that affordably addresses most of the needs of most of us- and not a bunch of uncoordinated efforts simply stapled together.
    Like (98)
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    No Medicare is being bankrupted by freeloaders, illegals. We must preserve it for those who have paid into it. #MAGA
    Like (23)
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    We need Medicare For All. NOW. 75% of the public want it but Congress refuses to comply because they take millions from Big Pharma and Insurance lobbies.
    Like (38)
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    Medicare takes $136/mo out of my Social Security check plus I paid into it all my working life. It pays 80% of out patient after a small deductible and 100% of hospital after a manageable deductible. So it's not "free". This is the basic plan. Most people have one of about 10 private supplemental insurance plans to pay toward the deductible and 20% outpatient. Medicare limits payments to PRIVATE providers. The administrative costs for Medicare is 2-3% vs private insurance of 16-19%. Medicare doesn’t run expensive marketing commercials or have private investors so it should be more than competitive if expanded. There are about 3 plans being considered so something hopefully will emerge to address the expense and underinsured crisis we have experienced for decades. Let’s have a public discussion about the options. Do not let Republicans control the dialogue or take us back to pre ACA. They have no plan.
    Like (30)
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    Medicare for all! Universal single payer healthcare system now!!
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    Yes, as a step toward UNIVERSAL SINGLE PAYER HEALTHCARE, CRADLE TO GRAVE!
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    If it will save our rural hospitals please pass this.
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    No Medicare should be clawed back! Enough of this meaningless spending! Obama care was suppose to make insurance cheaper meanwhile it did the exact opposite! It made insurance extremely expensive & unaffordable for the average hard working Americans! Stop sucking the money from hard working Americans to pay for your poorly managed social programs! This is a Country built on Capitalism & it will always be Capitalist! No to socialism, no to ruining our economy, no to meaningless spending, & no to expanding Medicare at the cost of hard working middle America!
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    Absolutely! Ever since the damn ACA was passed we SHOULD have been working to modify it to better meet the needs of the American people. The time, energy and money spent by the Republicans to use it as a political tool instead of working to make it functional for ALL of the American people was a travesty and a dereliction of duty! We would not even be realistically discussing Medicare-for-All in this current campaign if real and effective action to change the ACÁ had been accomplished! This is America, remember? We do not like to do things rapidly or radically unless forced to do so by circumstances. Gradual changes make it possible to tweak government programs to meet the needs and demands of the American people without threatening instability or damaging public trust. Our legislators of BOTH parties have succeeded in doing just the opposite, mostly for personal gain! And the Congressional approval rating of 9% is a clear indicator!
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    Medicare framework should establish a public option, this is good for all Americans, but will be a slow process over many years to implement. Will not happen over night. Granted Medicare and healthcare needs to be improved, not dismantle by the Republican Party, with nothing to replace it with. Also there is no free lunch, unless you are wealthy or a corporation!
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    Yes, it's one step closer to universal health care. Make it easy for businesses of all sizes to join and lower costing than current insurance rates and they'll transition over that much faster.
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    ABSOLUTELY!!!
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    Yea we should. Medicare for all.
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    Yes. A buy-in option to Medicare would be an appropriate immediate action that should be taken to strengthen ACA and the nation’s health insurance coverage and health care options.
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    No, Medicare was sold to be a safety net for the poor and elderly. In reality it was one more step by socialists towards government control, now they want to expand it further. They will not stop until we are all completely dependent on government.
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    YES, there should be a PUBLIC OPTION to MEDICARE!! We need to make sure ALL people in this COUNTRY HAVE HEALTHCARE!!
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    Please support S 981 Using Medicare framework to create a public option for health insurance coverage. Thanks to Michael Bennet ! This is life saving !
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    👎🏻👎🏻 Senate Bill S-981 Aka the Medicare-X Choice Act of 2019 👎🏻👎🏻 I’m opposed to this Senate Bill S-981 Aka the Medicare-X Choice Act of 2019 which would build on the Medicare framework to establish a public option on the individual and small business health insurance exchanges.  The Medicare-X plan would cover essential health benefits, including pediatrics and maternity care, to align with other plans on the exchanges established by the Affordable Care Act (aka Obamacare). It would also make Advance Premium Tax Credits and Cost-Sharing Reduction (CSR) payments available to enrollees. This plan would be tremendously costly to hospitals and healthcare providers, which makes it a nonstarter. It could also be a step along the road to single-payer healthcare that would eliminate employer-sponsored plans, which many Americans are happily on now. SneakyPete.......... 👎🏻👎🏻👎🏻👎🏻👎🏻. 8.16.19..........
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    Public option, please.
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    Yes, Please. Our employer provided health insurance (Professional Engineering Office) has just increased and the services they offer has decreased, and deductibles increased. Health insurance companies are making record profits each quarter for the last 10 decades and basically, the insured are really paying out of their pockets for the same health services their insurance is supposed to cover. So the premiums we are paying or that our employers are paying ( part of compensation), are just bonuses to a bunch of thugs who are buying mansions on the oceans, exotic cars, prostitutes, exotic vacations, and small islands to hide their billions and rape little children.
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