Sitting on the sidelines and watching the debate about medicare for all and its implications that it is socialism is quite perplexing.

Let us be clear. Medicare for all is not socialism. The only way it may resemble a socialist style system is that it is a form of social insurance paid by taxation.

What the US has now is a for profit health insurance system that socializes the risks and privatizes the profits. It uses Americans’ health as a commodity that is part of a marketplace. Oddly, in a free market system people have a choice, whereas there is little choice available to Americans when it comes to access to health care.

Though the NSA is not without its issues, there is nobody in the UK that would trade this system for the American. Save for some billionaires who would like to be shareholders on a publicly traded health insurance company.

The point of this article is to help our American friends gain some perspective and hope that they can see their way through this quagmire of propaganda and see how they can truly benefit from a Medicare for All type system. It is quite saddening to consider how the richest country in the world can have a system in which people die from lack of access to medical care.

Will Medicare for All be perfect? No, it won’t. But it will be miles ahead of the current system.

Without even going too deeply into the theory of how it would work, you only need to see how it works now, as it is.

Some people are afraid that doctors will end up as civil servants working for an inept government and beholden to a bureaucratic system that makes decisions for them.

This is not how Medicare works in its current form. Medicare is simply a tax based insurance scheme in which the government is the insurance company. Doctors are in a private practice and simply bill the government for services rendered.

Some of these services need to be covered under private Medicare Supplement Plans, but that may not be needed in a Medicare for All scenario.

The current system is dysfunctional with high administration costs and a barrier that prevents access to millions. The status quo benefits only Wall St. investors, advertisers, private insurance companies and pharmaceutical companies. It does little to benefit the people who actually use the system.

There is a narrative by obstructionists that “socializing” medicine is a slippery slope that opens the door to an authoritarian regime similar to a Stalinist state like North Korea.

Obviously, this is not the case. In fact, democracy is likely to be strengthened by a healthy populace that is free from anxiety about their health.

A fragmented system that is currently on display is corroding democracy as too many people are tied to their employer for their expensive healthcare. Fear of change prevents people from voting to change the system which allows for less democratic ideals. When insurance is decoupled from employers, people find they have more of a voice and can actually vote for change since there is no risk in losing their insurance if they make any waves.

Oddly missing from the discussion is about how much more money people will keep in their pockets by having a Medicare for All system. Currently, the American healthcare “system” is the most expensive in the world.

People have enormous out of pocket expenses through paying for premiums every month and high deductibles, along with copays for certain services. And this is not to mention what happens if your surgery involves a doctor that is out of your network, though it was not of your choosing.

While your taxes may go up slightly, savings will be yours to keep when you are not paying for insurance. This frees people up to spend that money on education, housing and other big ticket expenses that will help grow the economy.

In addition, less work is missed from being sick when preventative care is encouraged. This also means more money for you as your work is not affected as much as when seeking care is put off until an illness becomes serious.


While the Affordable Care Act, aka Obamacare was a step in the right direction, it did little to solve the problem of access to healthcare for many Americans.

The only way to solve the problem is to send private insurance companies packing and give control of healthcare to the people.

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