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The Urban Institute’s Single Payer Cost Estimate: False Assumptions False Conclusions

The Urban Institute’s (UI) new analyses of the costs of a single-payer reform, along with other reform options, posits impossibly large increases in the utilization of medical care (ignoring real world experience with coverage expansions in the U.S.), and discounts the vast administrative savings achieved by single payer systems in other nations, and by the U.S. Medicare program. Their estimate that Medicare for All would increase health spending by $719.7 billion reflects these two incorrect assumptions, which are hidden under layers of elaborate calculations, charts and tables.