Congressional Budget Office 1991

Universal Health Insurance Coverage Using Medicare’s Payment Rates

By: Congressional Budget Office
Published: December 1991
Financed by: Congress of the United States
Legislation analyzed: none, plan analyzed developed by the CBO.

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If a single-payer system had been in place in 1989, the net effect on spending would have been more favorable [than an all-payer system]. In this case, the change in spending would have ranged from a decrease of $58.1 billion, or 9.6 percent of NHE, to an increase of $7.4 billion, or 1.2 percent of NHE. Individuals would have less freedom to choose their insurance packages, however, and high-income people would probably pay more for coverage that might be less comprehensive than their current plans.