31:
398:
505:, ending the need for private health insurance and premiums, and re-casting private insurance companies as providing purely supplemental coverage, to be used when non-essential care is sought. The national system would be paid for in part through taxes replacing insurance premiums, but also by savings realized through the provision of preventive universal health care and the elimination of insurance company
409:
579:
Establishes the USNHC Trust Fund to finance the
Program with amounts deposited: (1) from existing sources of government revenues for health care; (2) by increasing personal income taxes on the top 5% of income earners; (3) by instituting a progressive excise tax on payroll and self-employment income;
1158:
study of the 2017 proposal It claims that
Sanders' M4A plan will increase federal spending by at least $ 32 trillion (this money is currently going to private healthcare) but that the savings on administrative and other costs could save $ 2 trillion in healthcare costs. However, Blahouse stresses
564:
Prohibits an institution from participating unless it is a public or nonprofit institution. Allows nonprofit health maintenance organizations (HMOs) that deliver care in their own facilities to participate. On the whole, private insurance would be replaced with the new nationalized system for all
623:
Pramila
Jayapal's Medicare for All Act of 2019, introduced in the House is broadly similar but more detailed than the original Conyers proposal, but the "parallel" proposal by Sanders has significant differences, including a "global budget" system for hospitals. Both proposals contain expansive
560:
of the United States with tax-funded health care that includes all medically necessary care. That would include primary and preventive care, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision
568:
Gives patients the freedom to choose from participating physicians and institutions, which, given the coverage of the new national system, would be any institution or clinic in the United States receiving any degree of public funding (the vast
1150:
A study estimated the 1999 costs of U.S. health care administration at nearly $ 300 billion, accounting for 30.1% of health care expenses, versus 16.7% in Canada. This study estimated the U.S. per-person administrative cost at $ 1,059.
572:
Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act. Allows the private insurers to sell benefits not medically necessary, such as cosmetic surgery
580:
and (4) by instituting a small tax on stock and bond transactions. Transfers and appropriates amounts that would have been appropriated for federal public health care programs, including
Medicare, Medicaid, and the
339:
1226:
1173:, the Medicare for All Act was estimated to save 13% in national health-care expenditure (equivalent to more than US$ 450 billion annually), and save more than 68,500 lives every year.
1951:
1946:
1941:
1936:
1931:
1926:
1921:
1916:
1911:
1906:
437:
576:
Sets forth methods to pay institutional providers of care and health professionals for services. Prohibits financial incentives between HMOs and physicians based on utilization.
286:
175:
1773:
1143:
estimated the immediate savings at $ 350 billion per year. Others have estimated a long-term savings amounting to 40% of all national health expenditures due to the extended
276:
1956:
1966:
281:
1109:
591:
Establishes a program to assist individuals whose jobs are eliminated (such as within insurance companies) by the simplified single-payer administrative process.
1586:
631:
Under the House version, funding for institutions such as hospitals would be negotiated with regional directors, while individual providers would be paid a
430:
256:
169:
584:. Taxes would be paid instead of insurance premiums, as the government (instead of private insurance companies) would be paying for the care under the
200:
130:
645:
As of April 2019, the Senate proposal did not include details on how to completely pay for the plan, but
Sanders had released a paper listing ideas.
163:
1285:
423:
1961:
296:
1654:
1266:
135:
605:
581:
536:
The summary of the
National Health Care Act as proposed in the 111th Congress (2009β2010) includes the following elements, among others:
1722:"Research Report-Harvard & Canadian Institute for Health Information-Costs of Healthcare Administration in the U.S. and Canada 2003"
250:
181:
1203:
291:
1154:
Charles
Blahouse, who worked as George W. Bush's economic advisor and as a public trustee for medicare and social security, wrote a
1870:
1647:
1140:
1188:
467:
194:
117:
1672:"Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis"
1337:
1634:
1798:
Galvani, Alison P.; Parpia, Alyssa S.; Foster, Eric M.; Singer, Burton H.; Fitzpatrick, Meagan C. (February 15, 2020).
482:. As of November 3, 2019, it had 116 co-sponsors still in the House at the time, or 49.8% of House Democrats.
156:
1388:
597:
Establishes a
National Board of Universal Quality and Access to provide advice on quality, access, and affordability.
1408:".@BernieSanders shouts out the Democrats that did the right thing in supporting #MedicareForAll. #WednesdayWisdom"
636:
237:
219:
89:
1582:
614:
Compensation continues for 15 years to owners of converting for-profit providers for reasonable financial losses.
611:
The bill covers treatments starting on the first day of the year that follows one year after the date of passage.
520:, with 16 co-sponsors. The act would establish a universal single-payer health care system in the United States.
502:
206:
1159:
that these savings rely on multiple generous assumptions and that the plan will likely cost significantly more.
1231:
1213:
1163:
1555:
1474:
1311:
1077:
1018:
962:
479:
50:
1609:
329:
1774:"Rep Jayapal and Sen Sanders Have Introduced Medicare For All Bills: One Is a Lot Better Than the Other"
751:
United States
National Health Insurance Act (or the Expanded and Improved Medicare for All Act) of 2007
1236:
66:
557:
324:
319:
474:(D-MI) in 2003, with 38 co-sponsors. In 2019, the original 16-year-old proposal was renumbered, and
1208:
585:
541:
334:
1651:
639:
incentives would not be allowed. HHS would have administrative authority to set various details.
486:
374:
1053:
994:
938:
501:, among other examples. Under a single-payer system, most medical care would be paid for by the
1501:
1085:
1026:
970:
628:
such as coinsurance, deductibles, or premiums, which as of 2019 is unprecedented in the world.
369:
314:
109:
81:
1758:
1451:
1437:
1255:
914:
882:
850:
818:
786:
754:
722:
690:
642:
The Senate proposal sets out a four-year transition plan and the House proposal is two years.
1198:
1144:
601:
351:
231:
1745:
Blahous, Charles (July 30, 2018). "The Costs of a
National Single-Payer Healthcare System".
1363:
30:
1411:
517:
498:
402:
346:
8:
506:
1407:
1845:
1832:
1799:
1698:
1671:
1526:
1312:"Dingell, Jayapal and more than 100 Co-Sponsors Introduce Medicare For All Act of 2019"
1183:
413:
93:
1815:
1567:
1486:
1849:
1837:
1819:
1754:
1703:
1531:
494:
490:
1827:
1811:
1693:
1683:
1563:
1521:
1513:
1482:
549:
1879:
1750:
1721:
1658:
1193:
1155:
1093:
1034:
978:
632:
475:
379:
85:
1117:
1061:
1002:
946:
906:
874:
842:
810:
778:
746:
714:
682:
513:
384:
478:(D-WA) introduced a broadly similar, but more detailed, bill, HR 1384, in the
1900:
1823:
1517:
41:
To establish an improved Medicare for All national health insurance program.
1890:
1841:
1707:
1688:
1535:
922:
890:
858:
826:
794:
762:
730:
698:
625:
471:
553:
1166:
and failing to include a provision to negotiate budgets with hospitals.
594:
Requires creation of a confidential electronic patient record system.
545:
1227:
Comparison of the healthcare systems in Canada and the United States
1875:
1423:
604:
into the Program and evaluation of the continued independence of
528:
The laws proposed are not necessarily identical year-over-year.
1884:
1583:"Pramila Jayapal Thinks We Can Get to Medicare-for-all Fast"
1162:
A 2019 analysis was critical of Sanders' bill for allowing
624:
coverage including long-term care and dental care with no
1797:
1147:
and the elimination of insurance company overhead costs.
1952:
Proposed legislation of the 117th United States Congress
1947:
Proposed legislation of the 116th United States Congress
1942:
Proposed legislation of the 115th United States Congress
1937:
Proposed legislation of the 114th United States Congress
1932:
Proposed legislation of the 113th United States Congress
1927:
Proposed legislation of the 112th United States Congress
1922:
Proposed legislation of the 111th United States Congress
1917:
Proposed legislation of the 110th United States Congress
1912:
Proposed legislation of the 109th United States Congress
1907:
Proposed legislation of the 108th United States Congress
1389:"Bernie Sanders to Sponsor Single-Payer Healthcare Bill"
1866:
1669:
489:
system in the United States, the rough equivalent of
1357:
1355:
1800:"Improving the prognosis of health care in the USA"
1610:"Bernie Sanders's Medicare-for-all plan, explained"
911:Expanded and Improved Medicare for All Act of 2017
879:Expanded and Improved Medicare for All Act of 2015
847:Expanded and Improved Medicare for All Act of 2013
815:Expanded and Improved Medicare for All Act of 2011
783:Expanded and Improved Medicare for All Act of 2009
719:Expanded and Improved Medicare for All Act of 2005
687:Expanded and Improved Medicare for All Act of 2003
544:program to provide all individuals residing in the
1957:Healthcare reform legislation in the United States
1452:"United States National Health Care Act β Summary"
1967:United States proposed federal health legislation
1352:
1898:
1286:"Medicare for All bill loses its special number"
1663:
1405:
1237:Health system Β§ International comparisons
1670:Hogg, W.; Baskerville, N; Lemelin, J (2005).
600:Provides for the eventual integration of the
431:
1771:
1641:
1267:"House Reps Introduce Medicare-for-All Bill"
257:Health Care and Education Reconciliation Act
1475:"Unpacking The House Medicare-For-All Bill"
16:Proposed U.S. healthcare reform legislation
460:Expanded and Improved Medicare for All Act
438:
424:
1831:
1697:
1687:
1525:
1338:"H.R.1384 - Medicare for All Act of 2019"
1204:Healthcare rationing in the United States
618:
582:State Children's Health Insurance Program
516:(I-VT) introduced a parallel bill in the
1871:Physicians for a National Health Program
1648:Physicians for a National Health Program
1499:
1141:Physicians for a National Health Program
1744:
1361:
1189:Health care reform in the United States
1128:Referred to Committees of Jurisdiction
1104:Referred to Committees of Jurisdiction
1899:
1589:from the original on February 28, 2019
1406:RoseAnn DeMoro (September 13, 2017).
648:
487:single-payer national health insurance
468:United States House of Representatives
464:United States National Health Care Act
1962:Medicare and Medicaid (United States)
1635:"OPTIONS TO FINANCE MEDICARE FOR ALL"
1607:
1580:
1553:
1549:
1547:
1545:
1472:
531:
1500:Wilensky, Gail R. (April 29, 2019).
1280:
1278:
1249:
485:The act would establish a universal
466:, is a bill first introduced in the
1556:"Taking Medicare For All Seriously"
499:Bureau of National Health Insurance
201:America's Affordable Health Choices
80:in the House of Representatives as
13:
1542:
1316:U.S. Representative Debbie Dingell
1220:
653:As of 13 December 2022:
195:Affordable Health Care for America
157:Social Security Amendments of 1965
14:
1978:
1860:
1581:Klein, Ezra (February 28, 2019).
1568:10.1377/forefront.20190606.959973
1487:10.1377/forefront.20190302.150578
1275:
1260:
407:
396:
29:
1791:
1772:scripthacker (April 23, 2019).
1765:
1738:
1714:
1627:
1608:Kliff, Sarah (April 10, 2019).
1601:
1574:
1493:
1466:
1444:
1362:Krugman, Paul (June 13, 2005).
512:On September 13, 2017, Senator
1438:"115th United States Congress"
1430:
1399:
1381:
1330:
1304:
1232:Health care systems by country
1214:Public health insurance option
1164:accountable care organizations
606:Department of Veterans Affairs
277:Obama administration proposals
1:
1816:10.1016/S0140-6736(19)33019-3
1242:
1169:According to a 2020 study in
1082:Medicare for All Act of 2023
1050:Medicare for All Act of 2022
1023:Medicare for All Act of 2021
967:Medicare for All Act of 2019
523:
1893:β"Single-payer for the USA".
1676:BMC Health Services Research
509:and hospital billing costs.
51:117th United States Congress
24:Medicare for All Act of 2022
22:Medicare for All Act of 2021
7:
1652:"Single Payer System Cost?"
1440:. U.S. Congress. 2017β2018.
1176:
1139:An analysis of the bill by
1134:
10:
1983:
364:Third-party payment models
176:Medicare Modernization Act
1657:December 6, 2010, at the
1081:
1076:
1017:
966:
961:
910:
905:
320:Health insurance exchange
73:
64:
56:
45:
37:
28:
1554:Foley, Jonathan (2019).
1270:Becker's Hospital Review
1209:Medicare (United States)
586:single-payer health care
403:United States portal
220:American Health Care Act
119:Healthcare reform in the
108:This article is part of
1747:Mercatus Research Paper
1518:10.1111/1468-0009.12389
1364:"One Nation, Uninsured"
1689:10.1186/1472-6963-5-20
619:Pramila Jayapal's bill
414:Health care portal
370:All-payer rate setting
325:Nationalized insurance
287:Reform advocacy groups
1506:The Milbank Quarterly
1473:Keith, Katie (2019).
1199:Healthy Americans Act
1145:preventive healthcare
608:(VA) health programs.
602:Indian Health Service
458:), also known as the
340:Canadian vs. American
232:Healthy Americans Act
57:Number of co-sponsors
518:United States Senate
452:Medicare for All Act
226:Medicare for All Act
1318:. February 27, 2019
943:September 13, 2017
649:Legislative history
637:pay for performance
251:Affordable Care Act
238:Health Security Act
96:) on March 17, 2021
67:Legislative history
25:
1891:MedicareForAll.org
1887:βSingle Payer Now!
1885:SinglePayerNow.net
1876:Healthcare-now.org
1810:(10223): 524β533.
1502:"Medicare for All"
1368:The New York Times
1292:. February 2, 2019
1184:Health care reform
1072:Died in Committee
1045:Died in Committee
1013:Died in Committee
989:Died in Committee
975:February 27, 2019
957:Died in Committee
933:Died in Committee
901:Died in Committee
869:Died in Committee
855:February 13, 2013
837:Died in Committee
823:February 11, 2011
805:Died in Committee
773:Died in Committee
741:Died in Committee
709:Died in Committee
695:February 12, 2003
565:basic, major care.
532:John Conyers' bill
503:federal government
470:by Representative
297:Insurance coverage
207:Baucus Health Bill
21:
1749:. Rochester, NY:
1395:. March 26, 2017.
1290:Modern Healthcare
1132:
1131:
919:January 24, 2017
887:February 3, 2015
791:January 26, 2009
759:January 24, 2007
727:February 8, 2005
491:Canada's Medicare
448:
447:
228:(2021, H.R. 1976)
122:
103:
102:
46:Announced in
1974:
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674:# of cosponsors
668:Date introduced
656:
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550:Washington, D.C.
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399:
118:
105:
104:
69:
33:
26:
20:
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1880:Healthcare-NOW!
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1751:Mercatus Center
1743:
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1659:Wayback Machine
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1454:. U.S. Congress
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1340:. U.S. Congress
1336:
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1310:
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1283:
1276:
1272:, Feb. 14, 2013
1265:
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1245:
1223:
1221:Other countries
1218:
1194:Healthcare-NOW!
1179:
1156:Mercatus Center
1137:
1094:Pramila Jayapal
1035:Pramila Jayapal
1031:March 17, 2021
999:April 10, 2019
979:Pramila Jayapal
665:Bill number(s)
651:
633:fee-for-service
621:
534:
526:
476:Pramila Jayapal
444:
408:
406:
405:
397:
395:
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389:
380:Fee-for-service
365:
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330:Publicly-funded
310:
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147:
120:
99:
86:Pramila Jayapal
65:
23:
17:
12:
11:
5:
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1861:External links
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1778:the deductible
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1573:
1560:Health Affairs
1541:
1512:(2): 391β394.
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1479:Health Affairs
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1118:Bernie Sanders
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1078:118th Congress
1074:
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1062:Bernie Sanders
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1019:117th Congress
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1003:Bernie Sanders
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963:116th Congress
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947:Bernie Sanders
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907:115th Congress
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843:113th Congress
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811:112th Congress
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747:110th Congress
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715:109th Congress
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683:108th Congress
679:
678:
677:Latest status
675:
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635:. Value-based
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514:Bernie Sanders
480:116th Congress
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1794:
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1496:
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1418:September 13,
1413:
1409:
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1384:
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1333:
1317:
1313:
1307:
1291:
1287:
1281:
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1263:
1257:
1256:H.R. 676
1252:
1248:
1238:
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1233:
1230:
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1225:
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1215:
1212:
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1187:
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1127:
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1114:May 17, 2023
1113:
1111:
1108:
1107:
1103:
1100:
1098:
1095:
1092:
1090:May 17, 2023
1089:
1087:
1084:
1079:
1075:
1071:
1068:
1066:
1063:
1060:
1058:May 12, 2022
1057:
1055:
1052:
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1041:
1039:
1036:
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1028:
1025:
1022:
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1012:
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1007:
1004:
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988:
985:
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980:
977:
974:
972:
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964:
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953:
951:
948:
945:
942:
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937:
936:
932:
929:
927:
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921:
918:
916:
913:
908:
904:
900:
897:
895:
892:
889:
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884:
881:
878:
876:
873:
872:
868:
865:
863:
860:
857:
854:
852:
849:
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844:
841:
840:
836:
833:
831:
828:
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822:
820:
817:
814:
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809:
808:
804:
801:
799:
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793:
790:
788:
785:
782:
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776:
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769:
767:
764:
761:
758:
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750:
748:
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735:
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729:
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697:
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689:
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681:
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664:
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638:
634:
629:
627:
613:
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583:
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510:
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496:
492:
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483:
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477:
473:
469:
465:
461:
457:
454:(abbreviated
453:
441:
436:
434:
429:
427:
422:
421:
419:
418:
415:
404:
394:
393:
386:
383:
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368:
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353:
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306:
305:
298:
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285:
283:
280:
278:
275:
274:
268:
267:
258:
255:
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244:
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155:
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150:
149:
143:
142:
137:
134:
132:
129:
128:
127:
126:
123:
121:United States
116:
115:
111:
107:
106:
95:
91:
87:
83:
79:
76:
75:
72:
68:
63:
59:
55:
52:
48:
44:
40:
36:
32:
27:
19:
1807:
1803:
1793:
1781:. Retrieved
1777:
1767:
1746:
1740:
1728:. Retrieved
1716:
1679:
1675:
1665:
1643:
1629:
1617:. Retrieved
1613:
1603:
1591:. Retrieved
1576:
1559:
1509:
1505:
1495:
1478:
1468:
1456:. Retrieved
1446:
1432:
1422:– via
1416:. Retrieved
1401:
1392:
1383:
1371:. Retrieved
1367:
1342:. Retrieved
1332:
1320:. Retrieved
1315:
1306:
1294:. Retrieved
1289:
1269:
1262:
1251:
1170:
1168:
1161:
1153:
1149:
1138:
1120:
1096:
1064:
1037:
1005:
981:
949:
925:
923:John Conyers
893:
891:John Conyers
861:
859:John Conyers
829:
827:John Conyers
797:
795:John Conyers
765:
763:John Conyers
733:
731:John Conyers
701:
699:John Conyers
662:Short title
652:
644:
641:
630:
626:cost-sharing
622:
540:Expands the
535:
527:
511:
484:
472:John Conyers
463:
459:
455:
451:
449:
335:Single-payer
234:(2007, 2009)
225:
77:
18:
1730:December 4,
1458:December 4,
1373:December 4,
1344:November 3,
671:Sponsor(s)
558:territories
554:Puerto Rico
315:Free market
260:(H.R. 4872)
253:(H.R. 3590)
240:(H.R. 3600)
203:(H.R. 3200)
197:(H.R. 3962)
146:Legislation
1901:Categories
1804:The Lancet
1243:References
1171:The Lancet
569:majority).
524:Provisions
375:Capitation
189:Superseded
78:Introduced
38:Long title
1850:211105345
1824:0140-6736
1682:(1): 20.
1086:H.R. 3421
1027:H.R. 1976
971:H.R. 1384
659:Congress
573:benefits.
546:50 states
352:Universal
292:Rationing
209:(S. 1796)
151:Preceding
82:H.R. 1976
1867:PNHP.org
1842:32061298
1783:June 17,
1708:15755330
1655:Archived
1619:June 18,
1593:March 4,
1587:Archived
1536:31033020
1393:Newsweek
1322:June 18,
1296:June 17,
1177:See also
1135:Analysis
915:H.R. 676
883:H.R. 676
851:H.R. 676
819:H.R. 676
787:H.R. 676
755:H.R. 676
723:H.R. 676
691:H.R. 676
542:Medicare
507:overhead
347:Two-tier
214:Proposed
110:a series
1833:8572548
1759:3232864
1699:1079830
1650:(2008)
1527:6554505
1424:Twitter
1121:(I-VT)
1097:(D-WA)
1065:(I-VT)
1054:S. 4204
1038:(D-WA)
1006:(I-VT)
995:S. 1129
982:(D-WA)
950:(I-VT)
939:S. 1804
926:(D-MI)
894:(D-MI)
862:(D-MI)
830:(D-MI)
798:(D-MI)
766:(D-MI)
734:(D-MI)
702:(D-MI)
309:Systems
271:Reforms
131:History
1848:
1840:
1830:
1822:
1757:
1706:
1696:
1534:
1524:
1110:S.1655
556:, and
495:Taiwan
222:(2017)
184:(2005)
178:(2003)
172:(1996)
166:(1986)
164:EMTALA
136:Debate
1846:S2CID
1725:(PDF)
1412:Tweet
561:care.
182:PSQIA
170:HIPAA
1838:PMID
1820:ISSN
1785:2019
1755:SSRN
1732:2011
1704:PMID
1621:2019
1595:2019
1532:PMID
1460:2011
1420:2017
1375:2011
1346:2019
1324:2019
1298:2019
1101:113
1042:122
986:118
930:124
493:and
450:The
49:the
1828:PMC
1812:doi
1808:395
1694:PMC
1684:doi
1614:Vox
1564:doi
1522:PMC
1514:doi
1483:doi
1125:14
1069:14
1010:14
954:16
898:62
866:63
834:77
802:87
770:93
738:78
706:38
497:'s
462:or
456:M4A
84:by
60:121
1903::
1844:.
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1818:.
1806:.
1802:.
1776:.
1753:.
1702:.
1692:.
1678:.
1674:.
1612:.
1585:.
1562:.
1558:.
1544:^
1530:.
1520:.
1510:97
1508:.
1504:.
1481:.
1477:.
1391:.
1366:.
1354:^
1314:.
1288:.
1277:^
552:,
548:,
112:on
94:WA
1878:β
1869:β
1852:.
1814::
1787:.
1761:.
1734:.
1710:.
1686::
1680:5
1637:.
1623:.
1597:.
1570:.
1566::
1538:.
1516::
1489:.
1485::
1462:.
1426:.
1414:)
1410:(
1377:.
1348:.
1326:.
1300:.
588:.
439:e
432:t
425:v
92:β
90:D
88:(
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.