During June’s
Democratic
debate, moderator Lester Holt asked Bernie Sanders a question about
Medicare for All. Sanders replied:
Lester, I find it hard to believe that every other major
country on Earth, including my neighbor 50 miles north of me, Canada, somehow
has figured out a way to provide health care to every man, woman, and child,
and in most cases, they’re spending 50 percent per capita what we are spending.
Taken at face value, the statement is close enough to pass
for true by the standards of contemporary political discourse. But as a defense
of Medicare for All, it is a non sequitur.
The reason: No other major country offers a plan that is
anything like Medicare for All.
Here is a chart, based on data from the
Commonwealth
Fund, that compares the United States with 10 other major countries in
terms of heath care spending and health care performance.
Yes, all countries shown have better health care outcomes
than the United States, and all spend less (although more than half as much).
But how closely do their health care systems resemble Medicare for All? How
broad is their coverage? How centralized are they? What role do they assign to
private insurance? What do they require by way of premiums and cost-sharing?
Here are some answers, starting with the three top performers. (
See
here for the full health system profiles of each country.)