Sanders responded to the study by speaking out against the Mercatus Center's conservative board members, the Koch brothers from Koch Industries.
But the Mercatus report also showed that the national health expenditure - the total amount spent on healthcare in the USA by the federal government, states, businesses, and individuals - would actually come in below current projections under Sanders' plan.
Republicans such as House Speaker Paul Ryan, R-Wis., are correct that enacting Sanders' single-payer plan would add trillions to government books, by placing all Americans on one government health insurer, according to both the study's author and Sanders himself.
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Two of America's richest men, billionaire brothers Charles and David Koch are known for supporting economically conservative causes.
"At a time when the United States spends far more per capita on health care than any other country on Earth... a Medicare For All health care system would save the average American significant sums of money", he continued.
"Health care costs, even for those who have health insurance, are endangering tens of millions of people every day in this country", said National Nurses Union co-president Jean Ross, RN. On page 18 of the paper, in a section titled "Effects on National Health Expenditures and the Federal Budget", came mention that under the Sanders plan "national personal health care costs decrease by less than 2 percent, while total health expenditures decrease by only 4 percent, even after assuming substantial administrative cost savings".
In calculating his cost estimate, Blahous assumed that the new universal system would succeed in "dramatically reducing payments to health providers, in addition to substantially reducing drug prices and administrative costs". Its findings are similar to those of several independent studies of Sanders' 2016 plan. Many people will "pay more in taxes than they save on premiums". Doubling federal individual and corporate income tax receipts would not cover the full cost, the study said. The idea of the single-payer system has also taken hold as a litmus test for 2020 democratic presidential candidates, according to the National Review.
Paying for such a system would require a historic increase in taxes - and Blahous writes that "doubling of all now projected federal individual and corporate income tax collections would be insufficient to finance the added federal costs of the plan".
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The Mercatus study takes issue with a key cost-saving feature of the plan: that hospitals and doctors would accept payment based on lower Medicare rates for all their patients. Savings from streamlined administration would be even greater, almost $1.6 trillion.
The Mercatus Centre also projected the plan would garner savings, like from lower prescription costs by $846bn by 2031.
Other provisions of the plan are expected to drive up spending, including increased services covered by the insurance and covering millions of uninsured Americans. In that case, the US would spend about $400 billion more in 2031.
The Koch brothers have invested billions of dollars in a decades-long campaign to turn public opinion against necessary reforms, such as the establishment of a single-payer health care system in the United States.
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