Earlier quoted context omitted.
> Having medicare for all and a social safety net is standard in all European countries and other Global North countries. No disagreements that having a robust social safety net is a necessity, but just want to nit-pick a little here and point out that not all European/Global North countries have "Medicare for all" or single payer systems. Germany has a public-private mix, Netherlands has a purely private universal h…
The Medicare “mix” is from supplemental insurance—insurance in addition to Medicare. It’s also contentious and arises due to the same issues that cause us not to adopt Medicare for All: the private insurance companies’ purchasing of politicians.
36% of Medicare beneficiaries are on private Medicare Advantage plans instead of the public "Original Medicare". This number has been growing so rapidly, that we expect by 2025, more seniors to be on a private plan than the public one. There's also great variance by State. In Florida, Pennsylvania, Wisconsin, Michigan, Minnesota, Oregon, Alabama, Hawaii, and Connecticut — over 40% of beneficiaries are on Medicare Advantage[1].
For most beneficiaries, Medicare Advantage costs about 39% less than Original Medicare[2].
Medicare Advantage plans are, on average, of higher quality than the public "Original Medicare"[3].
In Urban areas, Medicare Advantage costs less per capita to administer than Medicare [4] — and that's not including the extra Medicare Part D insurance that you would have to buy if you're on the Original Medicare plan. From this same research, public "Original Medicare" is still cheaper in rural areas, but not by a whole lot.
Disclaimer: I write software for claims processing and payment systems. I love talking about this stuff, so happy to chat more about it.
[1] https://www.kff.org/medicare/issue-brief/a-dozen-facts-about...
[2] https://healthpayerintelligence.com/news/medicare-advantage-...
[3] https://healthpayerintelligence.com/news/medicare-advantage-...
[4] https://www.commonwealthfund.org/publications/issue-briefs/2...