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Experts warn Medicare-for-All could raise taxes and reshape provider payments

Michigan Senate hopeful Abdul El-Sayed backs Medicare-for-all, but policy analysts say the plan would increase taxes and alter how doctors are paid.

Michigan Democratic Senate candidate Abdul El-Sayed has placed Medicare-for-all at the heart of his campaign, claiming that replacing private-insurance premiums with a modest tax increase would secure uninterrupted coverage for all Americans. Health-policy experts Michael Cannon of the Cato Institute and Ed Haislmaier of the Heritage Foundation argue that a nationwide single-payer system would demand a substantial rise in federal revenue and could force a cut in provider payments, risking reduced participation by doctors and hospitals.

They point to Canada and England as cautionary tales of long wait times under socialized health systems. Both analysts note that the United States already relies heavily on government programs such as Medicare, Medicaid, and the Veterans Affairs, and that elements of private-insurance models from Germany and employer-based coverage also shape current policy. Haislmaier labeled Medicare-for-all a “solution in search of a problem,” while Cannon warned the proposal could double or triple taxes and emphasized that the existing Medicare program is uniquely American.

The discussion also referenced a Trump proposal to move insurer-managed funds into restricted personal accounts. One outlet reached out to El-Sayed for comment but received no immediate response.

Why it matters

The debate highlights potential tax hikes, provider payment changes, and access issues if Medicare-for-all is adopted.

In this story

medicare-for-allsingle-payertaxesprovider paymentsprivate insurancehealthcare financinggovernment health programs