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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Challenges To Medicare For All Remain Daunting.

Austin B Frakt¹, Jonathan Oberlander²

¹Austin B. Frakt ( frakt@bu. edu ) is director of the Partnered Evidence-Based Policy Resource Center at the Veterans Affairs Boston Healthcare System; an associate professor at the Boston University School of Public Health; and a senior research scientist at the Harvard T. H. Chan School of Public Health, all in Boston, Massachusetts.

Health Affairs (Project Hope)

|January 7, 2020

Summary

Medicare for All offers advantages but faces significant political, economic, and administrative hurdles. Achieving universal coverage requires overcoming immense challenges to its viability in US healthcare.

Keywords:

Clinical care Cost containment Cost sharing Costs and spending Health policy Medicaid Medicare Medicare For All Politics Private health insurance Single payer Taxes Traditional Medicare Universal coverage

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Area of Science:

Health Policy
Healthcare Economics
Public Health Administration

Background:

The current US healthcare system faces challenges in cost and access.
Existing insurance and financing arrangements present complexities.
The concept of a single federal plan aims for universal coverage.

Purpose of the Study:

To analyze the advantages of Medicare for All.
To identify the immense challenges facing Medicare for All implementation.
To assess the viability of Medicare for All in the US healthcare landscape.

Main Methods:

Qualitative analysis of policy proposals.
Review of economic and political feasibility studies.
Examination of administrative requirements for universal healthcare.

Main Results:

Medicare for All presents potential benefits over the status quo.
Significant political, economic, and administrative obstacles exist.
Disruption to current insurance and financing structures is substantial.

Conclusions:

Medicare for All's ambition for universal coverage is challenged by immense realities.
Overcoming political, economic, and administrative hurdles is crucial for viability.
The success of Medicare for All depends on addressing complex US healthcare governance.