Most of the Democrats’ proposals claim that they can reduce costs, but they cannot do so unless they take on two of the most sympathetic and powerful actors in the U.S. health care system: hospitals and physicians. Both of them are more likely to co-opt Medicare for All than to allow it to harm their interests. To get a sense of their influence, consider that only about 21 percent of U.S. health care costs are attributable to drug and insurance companies.
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