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current system. Though Sanders policy calls for a roll out over 4 years how this would take shapewould be a large obstacle for any program to overcome. Most experts agree that a transition period calculated by age groups would be the best way to transition. “Architects of a single-payerhealth system will also have to tweak Medicare to make it suitable for people who aren’t only 65 or over.
FINAL PROJECT TWO8“You’d have to come up with billing codes and payment rates and enroll a bunch of pediatriciansand providers who aren’t currently involved with Medicare,” Weil noted. “There’s a lot that would need to happen behind the scenes”[ CITATION Ste20 \l 1033 ].Recommendations to improve this policy could be taken from other developed counties that have similar programs in place. The number one recommendation would be to have a national system with regional decision makers. “A common misconception among U.S. policymakers and the public is that all universal health care systems are highly centralized, as is the case in a true single-payer model. However, across 12 high-income countries with universal health care systems, centralization is not a consistent feature. Both decision-making power and financing are divided in varying degrees among federal, regional/provincial, and local governments”[ CITATION She19 \l 1033 ]. With such a large population and country size have regional and statewide control could help with a better design and fitting health system. This would be guided with strong federal guidelines for standards in the health system. The second recommendation would be to fine a place for private insurance Senator Sanders bill and several others removes private insurance from the healthcare arena but most nations with a single payor system have found places for private insurance. “Nearly every universal health care system incorporates private health insurance. The role played by private insurance varies, depending on three aspects of public insurance coverage: comprehensiveness ofcovered benefits, cost-sharing, and access to providers and hospitals”[ CITATION She19 \l 1033 ]. A role for private insurance should be found to help cover any sort of out of pocket costs or to help with any cost sharing that is negotiated with pharmaceutical companies, long term care, rehabs or dental and vision.
FINAL PROJECT TWO9Medicare for all policy or any type of Universal coverage is going to met with resistance and argument, but a new system is needed. We owe it to those Americans who work hard and getcaught in the middle of not being able to afford insurance or the insurance they can afford is so high in deductibles that its like not having any. Prescription drug prices are forcing seniors and the chronically ill to ration their prescriptions to make them last longer. Men, women and children are being left behind in basic preventative care such as immunizations, dental and visionchecks and regular physical and its driving up costs in healthcare because we are playing catch up instead of finding problems early. Medicare care for all would give that right to every American and could transform our healthcare system to benefit everyone.