[giantg2]

"Standards will almost certainly decrease, especially for people in top 60%."

Arguably, private insurance will still exist for the upper class. So the top 10% or so will likely be unaffected. It would just further increase any inequality that currently exists. (The current proposals are Medicare for all and not a state run facilities)

[pyuser583]

I said 60%, not 10% - which is a tougher problem to solve.

Medicare as it currently exists is not “free at point of service”, or even “affordable at point of service.” There’s the Medicare gap, etc.

Medicare isn’t really set up to be a universal program. It assumes that providers have non-Medicare patients, and regularly uses that fact to calibrate the program.