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Morning Briefing

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Tuesday, Nov 5 2019

Full Issue

Warren's Numbers Do Add Up, But They Rely On Everything Going Perfectly To Plan

The Washington Post Fact Checker takes a deep dive into the "Medicare for All" cost analysis offered by experts and Sen. Elizabeth Warren (D-Mass.). Critics continue to focus on the assumptions -- such as getting hospitals accepting near-Medicare rates from all patients -- that the proposal relies on. If those fall apart, so does the plan.

When The Fact Checker evaluates campaign policy proposals, we鈥檙e often reminded of the story of the man who claimed he sold a dog for $50,000. How did he do that? 鈥淚 traded him for two $25,000 cats,鈥 he replied. Campaign proposals are not easy to fact-check unless you figure out that the numbers don鈥檛 add up. But if they do add up, then you are left with experts picking holes in the assumptions that are behind those numbers, which the campaign will vigorously dispute. (Kessler, 11/5)

Sen. Elizabeth Warren鈥檚 call for a Medicare-for-All health plan drew heightened scrutiny from her Democratic presidential rivals after she released a highly anticipated plan to pay for it. Two leading Democratic candidates鈥攆ormer Vice President Joe Biden and South Bend, Ind., Mayor Pete Buttigieg 鈥攈ad criticized Ms. Warren鈥檚 plan to expand government-run insurance to all Americans. They also found fault with her proposal to pay for it with $20.5 trillion in new funding, largely generated from employers and the wealthy. (Jamerson, 11/4)

Warren鈥檚 Democratic primary rivals immediately pounced on her calculation of the cost of Medicare for All, noting that it clocks in much lower than the figure Sen. Bernie Sanders has been citing on the campaign trail 鈥 a difference Warren attributes to how her plan would aggressively bargain down the price of prescription drugs, eliminate a huge amount of waste in the system, and slash payments to doctors and hospitals, among other differences. Pete Buttigieg called her $20.5 trillion estimate 鈥渃ontroversial,鈥 while Joe Biden鈥檚 campaign accused her of 鈥渓owballing the cost of her plan by well over $10 trillion while overcounting the revenue that would be gained from the sources she identifies.鈥 (Ollstein, 11/4)

Kaiser Health News: Warren鈥檚 Plan On 鈥楳edicare For All鈥 Could Raise Concerns Among Health Providers

Julie Rovner, Kaiser Health News鈥 chief Washington correspondent, joined host Scott Simon on NPR鈥檚 Weekend Edition Saturday to talk about the plan released by Sen. Elizabeth Warren (D-Mass.) for funding the 鈥淢edicare For All鈥 health plan she has endorsed. She is calling for the elimination of private insurance and replacing it with a government-sponsored health plan for all residents. Rovner pointed out that the plan, which calls for paying doctors and hospitals at roughly the current Medicare reimbursement rates rather what higher private insurance pays, is bound to raise concerns among those health care providers. (11/4)

Sen. Elizabeth Warren鈥檚 sweeping 鈥淢edicare for All鈥 plan is too much of a political reach to actually be implemented on Capitol Hill, according to Jared Bernstein, who used to advise her Democratic presidential rival Joe Biden. 鈥淎 good question for her is, given neither this nor the next Congress will enact your plan, don鈥檛 tell us what you鈥檇 like to do. Tell us about what you would do; what you think is in the realm of possible,鈥 Bernstein told CNBC on Monday. 鈥淭his debate, this is just basically like saying, 鈥業鈥檓 going to buy a unicorn and I鈥檓 going to pay for it with a unicorn.鈥欌 (Bursztynsky, 11/4)

The practical stakes of this argument are low. The odds of any kind of Medicare-for-all plan actually being enacted by Congress are slim. And obviously anything a potential President Sanders signed into law would have to be something Sen. Warren voted for and vice versa. But it is worth understanding why these two similar sounding ideas are actually very different in their implications. It underscores that the real challenge of legislating is that you can鈥檛 just write down a plan, you need to build a consensus in Congress for your specific approach. (Yglesias, 11/4)

Businessman Andrew Yang said he supports "Medicare for All" but would keep the option of private insurance. CNN's Dana Bash speaks with Yang on the specifics of his plan during the first joint interview with his wife Evelyn. (11/3)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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