(Old business; I'm cleaning out my backlog of "To be writtens.")
"Medicare for All," as advocated by the social democrats and democratic
socialists, means universal coverage without out-of-pocket expenses. The
Sanders proposal can be read at https://live-berniesanders-com.pantheonsite.io/issues/medicare-for-all/. What would be covered and how the system would be funded is spelled out.
method to stop price gouging by insurers and providers with market
power." But this is why the insurance companies were brought on board;
without guarantees that their profits would be maintained, even
increased, they would have made the plan impossible to pass; it barely
passed as it was.
As of 2017, the CDC found that 28.9 million Americans had no health plan. Full report: https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201805.pdf.
ACA has huge coverage gaps (one of the largest is due to the Roberts
Court.) Once people have enough income for the system to require
insurance, the expenses fall mostly on working poor and lower
middle-income people. This could, of course, be changed, but it would
require either price regulation or higher taxes, both of which are going
to be difficult.
The health insurance companies used to have
full-time employees devoted to finding reasons to deny care to cancer
patients, and other high-cost insureds. I see no reason beyond
expediency to give those businesses anything – they've made their pile.
Capitalism-worship is the only reason they still exist.
pragmatic politics, I don't see good solutions to any of this. We need
to fight to keep what we have, however poor it is. I don't want to lose
the ACA trying to get something better. And the fight divides the
opposition to the fascists.