[knuththetruth]

There’s already tons of people on Medicare and Medicaid in red states and there hasn’t been an armed insurrection.

I think that working class people in these regions wouldn’t be adverse to Medicare being expanded to include them. I’m sure the Republican Party base of upper middle income and wealthy whites would be, but again, not so much everyone else there. It’s a matter of how and what constituencies you recruit and activate.

[ryandrake]

> I think that working class people in these regions wouldn’t be adverse to the program being expanded to include them

It’s so strange, the people who would most benefit from universal healthcare (and those that currently do, like Medicare beneficiaries) tend to be the strongest objectors to it, citing hard-to-understand ideological reasons.

[chimeracoder]

> It’s so strange, the people who would most benefit from universal healthcare (and those that currently do, like Medicare beneficiaries) tend to be the strongest objectors to it, citing hard-to-understand ideological reasons.

It's not so strange if you allow yourself to question the assumption that they'd benefit from it in the first place.

Medicare is a great example. Patients can opt to receive their Medicare inpatient and outpatient coverage through a private plan instead of through the government-managed plan. Since this program was introduced, it's gained popularity rapidly, over a third of Medicare beneficiaries receive their benefits from private plans. Many private plans are the same price as Medicare or cheaper.

From the data, the private plans beat government-managed plans on the three major metrics: medical outcomes, cost, and patient satisfaction. On the last one, the difference isn't even close: the worst of the major private plans (by patient satisfaction scores) still manages higher scores than Original Medicare does.

People who haven't ever dealt with Medicare themselves directly (which includes most HN commenters) find this hard to understand, but it really isn't: dealing with Medicare is awful. I could give you my personal anecdotes, but they'd overfill the comment length on HN, and again, at the end of the day, the numbers speak for themselves. Medicare beneficiaries themselves are turning to private plans to replace their government-managed plans, so it's really not surprising if they're not the biggest advocates of expanding government-managed plans.

[sidlls]

The private plans you refer to are mainly either simply administrators (the government pays them to administer the benefits) or supplemental providers or both. And their existence and popularity has more to do with their sponsorship by insurance funded politicians than anything else. Dealing with these administrators isn't generally better or worse than dealing with the government directly. Exceptions exist, but that goes without saying.

[chimeracoder]

> The private plans you refer to are mainly either simply administrators (the government pays them to administer the benefits) or supplemental providers or both

No, they're much more than that.

> And their existence and popularity has more to do with their sponsorship by insurance funded politicians than anything else.

The programs are cheaper, provide better medical outcomes, and patients prefer them.

That doesn't mean they're perfect, but you have to bend over pretty far backwards to say that they're inferior and only popular because of "insurance-funded politicians".

> Dealing with these administrators isn't generally better or worse than dealing with the government directly. Exceptions exist, but that goes without saying.

It is monumentally easier to deal with private insurers than to deal with an Original Medicare plan.

[knuththetruth]

59% of people support Medicare for All and 75% a public option. When phrased as "Medicare-for-some," support among GOP voters is 64%.

It’s a corporate-controlled media narrative that these things are unpopular.

http://www.businessinsider.com/poll-medicare-for-all-public-...

[supertrope]

Be careful interpreting polls. Question wording bias is very powerful. If you ask them whether they’d be willing to pay higher taxes for Medicare for all, it’d much less popular. Just like how a huge majority support renewable energy in surveys, but the same overwhelming majority refuses to pay even 5% more for electricity.

[knuththetruth]

Which only shows that opinion on these issues is malleable and not ideologically-fixed, as many would like to portray them. Understanding your constituency and being successfully persuasive is a fundamental part of any politics.