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ghaff 4 hours ago

Be aware that Medicare is a long way from free. At least if you've had a well-paying job in the past few years, Medicare premiums are pretty similar to exchange costs (or COBRA).

godelski 3 hours ago | parent | next [-]

Everyone knows Medicare isn't "free".

Medicare and COBRA are not similar costs. My parents pay half what I would pay if I took COBRA and they have a better plan. Neither of them were struggling before they retired and I'll put it this way, they bought a second home in retirement.

dmoy 2 hours ago | parent [-]

So if we're doing anecdotes...

One of our parents pays about $20k/yr all in for ACA - $12k/yr of premiums and $8k/yr on top of that (all unsubsidized)

Her (also unsubsidized) Medicare would be $6.5k/yr partA premium + $1.6k partA deductible+ $2.3k partB + $1k partD + $5k medigap, or about $16.5k total. She has no work credits for Medicare subsidy.

If you have subsidy from free partA premiums, then Medicare is about twice as cheap as unsubsidized ACA, yes. If you don't have subsidy for either, it's a little cheaper, but not by a ton.

So if you just stuck kids on existing Medicare pricing with no work credit for partA, then it would not be substantially cheaper than unsubsized ACA.

diogenescynic 4 hours ago | parent | prev [-]

Health insurance isn't free either and it's way more expensive than Medicare. We're all also already paying for Medicare...

dmoy 3 hours ago | parent | next [-]

GP is pointing out that Medicare costs for the individual are about the same as ACA or cobra. It's not cheaper, unless you have the work credits to cut down on part A premiums.

So Medicare as-is for kids wouldn't be significantly cheaper than ACA for kids.

To make it cheaper, you'd need to either substantially increase the subsidy on Medicare, or decrease US medical costs (administration costs, drug costs, doctor salaries, etc)

nradov 3 hours ago | parent | prev [-]

Commercial health insurance is more expensive than Medicare because original Medicare Part A/B doesn't cover prescription drugs, and because commercial plans effectively provide a hidden cross subsidy to Medicare. Under a "Medicare for All" scheme, people would still need to purchase prescription drug coverage (Part D). And because Medicare reimburses providers at very low rates (often below their costs) they have to make up the difference by charging commercial health plans more.