The Lingering Challenge of Universal Health Coverage

Drew Altman: “Both Democratic presidential candidates are calling for universal health coverage, though they disagree sharply on how to get there. Here’s the bottom line: There is no single program or policy likely to achieve full coverage of the complex collection of subgroups who make up the remaining uninsured in the U.S. except for a single-payer strategy. But Sen. Bernie Sanders has acknowledged that single-payer health care is not politically feasible in the foreseeable future and has said that it is unlikely without, among other things, campaign finance reform first.”

 

Kaiser Family Foundation chart of eligibility for health coverage under the Affordable Care Act among non-elderly uninsured Americans in 2015.

“More than 17 million people who previously did not have insurance have been covered so far by the Affordable Care Act. That’s enormous progress on one of health care’s biggest problems. But as the chart above shows, slightly more than 30 million people in the U.S. remained uninsured as of last year.”

Hillary Clinton and Bernie Sanders have staked out strong positions on universal coverage. The makeup of the uninsured population and political realities suggest that the most likely path to universal coverage is a series of incremental steps–implemented in combination or sequentially– that build on the progress made by the ACA and chip away at the remaining uninsured in the U.S. group by group.”

11 Comments

  1. Keep adding to Obamacare. Make it bigger, stronger, faster.

    But first we have to make sure a Republican President doesn’t make it smaller, weaker, slower. Or nonexistent.

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