Medicare rates are not enough. Hospitals lose money on Medicare patients. When I was in private practice, we would not have been able to stay in business if all insurers paid Medicare rates. The thing is that, our spending is not sustainable. It will eat up more and more of our GDP. That said, I AM TOTALLY AGAINST putting the savings on the backs of doctors and nurses.
Even in other countries with single-payer system, people do have private insurance. I do agree everyone should be able to get basic comprehensive coverage.
I see your point. And I like a lot of your suggestions with respect to incremental expansion. There is one thing that I object to with respect to physician pay. Yes, we doctors make more money here in the US. More so than other countries. That’s because we are saddled with hundreds of thousands of dollars in student loan debt. Medical school is free in other countries. It’s not here. That makes a big difference.