Early this year, Kaiser Family Foundation released a poll showing Medicare Advantage was popular:
(56 percent) favor a national Medicare-for-all plan
There is a fairly typical partisan split on all of these proposals. Buy-ins are more popular than replace the entire system plans. Incidentally that is why I think a Medicare/Medicaid buy-in approach is what will be on a Democrat’s agenda if there is a blue trifecta.
However, Kaiser then did something interesting. They offered trade-offs and support for Medicare for all sank:
This is the political problem for Medicare for All proponents. It is a massive change to the system which will produce winners and losers. It upsets the status quo bias that worked against the ACA 2009-2016 and it upsets the status quo bias that worked for the ACA in 2017 to present.
Managing the transition so that there is no fear that anyone could, in anyway, be worse off or perceive themselves to be worse off is impossible. The challenge is minimizing both the number and the power of people who are worse off or perceive themselves to be worse off. And that is a tough challenge if one assumes that healthcare is, to some degree, a positional good.
Trade-offs are tough. Passing out free ice cream is easy.