Where would the money for Medicare for All come from?

Asked by: Elvera Hermann  |  Last update: September 14, 2025
Score: 4.6/5 (67 votes)

Under a Medicare for All system, government would be the chief financer of health care. Household, business, and philanthropic spending makes up the rest, with $20.7 trillion in projected spending from 2018 to 2027.

Where does the money for Medicare come from?

How is Medicare financed? Funding for Medicare, which totaled $1 trillion in 2023, comes primarily from general revenues (government contributions), payroll tax revenues paid by employers and workers, and premiums paid by beneficiaries (Figure 1).

Where does Medicare payment come from?

Hospital Insurance (HI) Trust Fund

Other sources, like these: Income taxes paid on Social Security benefits. Interest earned on the trust fund investments. Medicare Part A premiums from people who aren't eligible for premium-free Part A.

How would the U.S. pay for universal health care?

Under a single-payer system, all health costs are paid by the government using tax revenue. This allows countries to control costs, in part, by having the government play a stronger role in negotiating prices for healthcare.

Who pays for Medicare for all?

Under a single-payer system, most medical care would be paid for by the federal government, 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.

If Medicare for All Costs Money, How Would It Save Money?

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What happens when Medicare runs out of money?

Surpluses should continue through 2029, followed by deficits until the fund runs out entirely in 2036, according to the report. At that point, the government won't be able to pay full benefits for inpatient hospital visits, nursing home stays and home healthcare.

How would Medicare for All be financed?

Under a Medicare for All system, government would be the chief financer of health care. Household, business, and philanthropic spending makes up the rest, with $20.7 trillion in projected spending from 2018 to 2027.

Why doesn't the US have free healthcare?

Groups with significant economic resources have long been opposed to universal health insurance. We have a political system so sophisticated about finding the middle ground that we have had long periods in which the parties have been essentially even in their control of power in the national government.

What would happen if Medicare ended?

But older folks would lose big; after all, their work and savings decisions had long assumed they could rely on Medicare as they aged. They would have to sell their assets and spend their savings to finance their health care, and their consumption levels would drop.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Who is the largest third party payer in the nation?

Currently, the largest health payer is United Health Group, which provides networks for care and is a commercial and employer-based insurance company.

Why is Medicare so expensive?

Medicare costs, including Part B premiums, deductibles and copays, are adjusted based on the Social Security Act. And in recent years Part B costs have risen. Why? According to CMS.gov, “The increase in the Part B premiums and deductible is largely due to rising spending on physician-administered drugs.

Where do Medicare payments come from?

Funding for Medicare comes primarily from general revenues, payroll tax revenues, and premiums paid by beneficiaries. Over the longer term, the Medicare program faces financial pressures associated with higher health care costs, growing enrollment, and an aging population.

Do taxpayers pay for Medicare?

Medicare is funded by the Social Security Administration. Which means it's funded by taxpayers: We all pay 1.45% of our earnings into FICA - Federal Insurance Contributions Act - which go toward Medicare. Employers pay another 1.45%, bringing the total to 2.9%.

Who primarily funds Medicare?

Funding for Medicare, which totaled $888 billion in 2021, comes primarily from general revenues (46%), payroll tax revenues (34%), and premiums paid by beneficiaries (15%).

Why is American healthcare so ridiculously expensive?

There are many factors that contribute to the high cost of healthcare in the country including wasteful systems, rising drug costs, medical professional salaries, profit-driven healthcare centers, types of medical practices, and health-related pricing.

Who has the best healthcare in the world?

The Legatum Prosperity Index 2023

According to the index, Singapore ranks first for healthcare, followed by Japan in second place and South Korea in third. In contrast, the United States ranks much lower, coming in at 69th place in this assessment. The full rankings are listed below.

What happens in America if you can't afford healthcare?

Americans are no longer taxed for not carrying health insurance. Medical debt contributes to a large number of bankruptcies in America. Access to quality primary care is critical, but doctors have the right to refuse patients without insurance or who are able to pay out-of-pocket expenses.

How many Democrats support Medicare for All?

Medicare for All is supported by 69 percent of registered voters including 87 percent of Democrats, the majority of Independents, and nearly half of Republicans. Additionally, over 50 cities and towns across America have passed resolutions endorsing Medicare for All.

What are the negative effects of Medicare for All?

The estimated cost of Medicare for All is around USD 32 trillion dollars over 10 years. Medicare for All would also require privately insured individuals to forgo their insurance and join the government program. The price tag and the requirement that all join makes Medicare for All unlikely to come to pass.

Can the US afford universal healthcare?

The numbers involved with a single-payer health system can seem scary. With so much of the U.S. government's money already being allocated elsewhere, it is hard to see how it is possible. But it is possible; the U.S. government could afford to pay for a single-payer health system, with the right systems in place.

What happens if Medicare goes broke?

If and when Medicare Part A's insolvency occurs, the law will require an automatic 11 percent cut in payments, severely limiting access to care.

Will Social Security exist in the future?

Medicare and Social Security are projected to run out of money by 2036.

How much money can you have in the bank if you're on Medicare?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.