2026年8月11日 美国东部时间早上6:00 / 福克斯新闻频道
卡托研究所与传统基金会分析师称该提案“完全是空想，毫无现实依据”
作者：查尔斯·克赖茨 福克斯新闻
专家表示，按照现有方案推行全民医保，成本将飙升
卡托研究所的迈克尔·坎农就民主党当前的全民医保方案展开讨论，称其框架甚至比加拿大或欧洲的医保体系更为激进，同时指责共和党同样推高了医保成本并限制了选择范围。
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密歇根州民主党联邦参议院候选人阿卜杜勒·埃尔赛义德是多位将全民医保作为中期选举核心议题的社会主义候选人之一，他为该政策辩护。埃尔赛义德上周日也承认，该政策将要求美国人缴纳更多税款，以换取不受就业绑定的医保覆盖。
此事的影响远超医保费用由谁承担。专家指出，全国性单一支付者医保体系将从根本上改变医保筹资方式、医疗机构的付费标准以及私人保险的角色，同时可能在一个与其名称所指的现有“医保”模式截然不同的框架下，对就业和就医可及性产生影响。
卡托研究所卫生政策研究主任迈克尔·坎农以及曾与议员合作制定奥巴马医改替代方案的传统基金会卫生政策专家埃德·海斯尔迈尔认为，“全民医保”这个标签往往掩盖了这些权衡取舍。
“已故的P·J·欧罗克曾说过：‘如果现在的医保已经很贵，那就等着看吧——等它变成免费的，成本会高得离谱’，”坎农说道。
阿卜杜勒·埃尔赛义德的全民医保运动与其自身存在矛盾
https://www.foxnews.com/video/6403151797112
在接受NBC采访时，埃尔赛义德为全民医保辩护称，普通人工资单上第二大扣款项目“就是支付给你的健康保险公司”。
“试想一下，与其把这笔钱付给那些CEO年薪高达2000万美元的健康保险公司，不如多缴一点税，换来不会因为失业、年满26岁、结婚或离婚而丢失的医保。”
核心问题之一是医疗机构的付费标准。目前，美国医保针对许多医疗服务向医院和医生支付的费用远低于私人保险公司，而单一支付者体系将大幅增加按政府定价结算的医保患者数量。
坎农警告称，政策制定者将面临两难选择：要么大幅提高联邦税收收入，要么压低付费标准，后者可能导致部分医疗机构减少参与医保体系。
加拿大和英国长期被批评者作为实施社会化医疗的警示案例，原因包括民众需长时间等待就医——加拿大民众需等待数周才能做核磁共振成像检查、难以获得及时诊疗，以及富裕的西方人赴美就医以规避本国等待时长。
尽管如此，坎农认为美国医保体系存在严重缺陷，市场竞争——包括将雇主和政府从体系中剥离，将支出选择权交给患者——或许能构建最接近全民医保的框架。
可采取三大举措打击欺诈，让所有美国人都能负担得起医保
配图： 左为众议员亚历山德里亚·奥卡西奥-科特兹；中为密歇根州参议院候选人阿卜杜勒·拉赫曼·埃尔赛义德；右为参议员伯尼·桑德斯。（安德鲁·罗斯/路透社）
海斯尔迈尔将单一支付者全民医保称为“为寻找问题而存在的解决方案”。
“（全民医保的支持者）并未找到真正问题的解决方案——真正的问题并非医保覆盖，而是成本。我们是否应该强制引入竞争，让那些以更低价格提供更优质服务的机构获得更多业务？这才是保守派的愿景，”他在谈及保守派立场时说道。
特朗普政府打击估计达100亿美元的奥巴马医改欺诈，将数百万人移除医保名册
海斯尔迈尔认为，唐纳德·特朗普总统并未提出完美方案，但“偶然找到了可能奏效的方法”：不再让健康保险公司管理每位美国人的医保资金池，而是将资金存入受限制的个人账户，只能用于购买或保留医保。
与此同时，埃尔赛义德、佛蒙特州独立参议员伯尼·桑德斯等人希望在美国复制的各类“社会化”医保模式中，也能看到当前美国体系的部分元素。坎农指出，社会化医疗并非单一的国际模式。
他表示，美国退伍军人事务部的体系与英国国民保健制度类似，而雇主赞助的保险是德国医保体系的关键特征。奥巴马医改中确保民众获得医保资格的框架，也与加拿大和斯堪的纳维亚国家的体系相似。
密歇根州参议院候选人阿卜杜勒·埃尔赛义德回避是否仍支持解散警方的问题
https://www..com/video/6401678090112
但专家称，美国可能已经在社会化医疗领域领先于其他发达国家。坎农认为，左翼阵营提案中提及的针对老年人的医保体系是美国独有的。
“当全民医保的支持者说他们想要欧洲式的医保体系时，他们其实已经暴露了自己的无知——没有任何欧洲国家拥有类似（我们的）医保计划，”他说道。
坎农也拒绝将全民医保的支持者贴上社会主义者的标签，他认为美国现有体系已经通过医保、医疗补助、雇主赞助保险的税收政策以及奥巴马医改，实现了广泛的政府干预。
他表示，从这个角度来看，极左翼的全民医保支持者与共和党人似乎在争夺“最不关心医保”的头衔。
“如果你认为这场争论的焦点是‘我们是否应该让政府掌控医疗行业’，那你就错了。政府已经掌控了美国的医疗行业。”
伯尼·桑德斯与美国民主社会主义者公布纽约选举胜利后民主党党内诉求
配图： 密歇根州联邦参议院民主党初选进步派候选人阿卜杜勒·埃尔赛义德于2026年8月3日周一在底特律的博主泳池派对上录制社交媒体视频。（美联社照片/朱莉娅·德马雷·尼基森）
社会主义者阵营提案中的医保模式也并非“免费”医疗，因为受益人仍需缴纳保费、免赔额和共付费用。
部分现行全民医保方案不鼓励甚至似乎禁止私人医保覆盖，这可能影响医生为所有患者提供服务的能力或意愿——尤其是随着自付费用下降导致需求增加的情况下，这一点部分得到了国会预算办公室的分析印证。
坎农警告称，在推行一刀切模式或将医疗机构付费标准维持在当前医保水平的同时，要保持广泛的就医可及性，可能会导致医院减少参与医保体系。
筹资是问题的另一面。将大部分医保支出纳入联邦财政将需要大幅增加联邦税收收入，尽管其中部分资金将取代目前由雇主和家庭承担的保费及其他医保支出。
莉兹·皮克：民主党人所谓的负担得起医保的骗局在他们实际掌控的州彻底破产
配图： 2019年4月9日，参议员伯尼·桑德斯（佛蒙特州独立党）在国会山举行的新闻发布会上，与参议员柯尔斯滕·吉利布兰德（纽约州民主党）、参议员杰夫·默克利（俄勒冈州民主党）一同介绍题为《2019年全民医保法案》的医保立法。（马克·威尔逊/盖蒂图片社）
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坎农表示，这将使联邦税收增加一倍甚至三倍。
如果全民医保的支持者希望尽可能实现全民覆盖，那么该模式应该移除而非增设政府壁垒，坎农说道。他指出，距离符合医保资格还有一年时间的人群以及刚符合资格的人群，在医保上的花费是其他发达国家同类人群的两倍。
“医保并非解决之道，”他说道。
福克斯新闻数字频道已联系埃尔赛义德置评，但未立即收到回复。
作者2013年起就职于福克斯新闻，在纽约和华盛顿分社工作，出生并成长于宾夕法尼亚州阿伦敦。
The Medicare-for-all trade-offs socialists aren’t talking about, according to experts
August 11, 2026 6:00am EDT / Fox News
Cato Institute and Heritage Foundation analysts say the proposal is ‘a complete fantasy, not based in reality at all’
By Charles Creitz Fox News
Costs would soar under Medicare for all would soar under current plans, expert says
Cato’s Michael Cannon discussed the issues with Democrats’ current Medicare for All plans, alleging that their framework is even more radical than Canadian or European systems, faulting GOP for also driving up health care costs and limiting choice.
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Michigan Democratic Senate candidate Abdul El-Sayed is one of several socialist candidates making Medicare-for-all a centerpiece of their midterm campaigns, defending the policy even as El-Sayed acknowledged Sunday that it would require Americans to pay more in taxes in exchange for coverage untethered from employment.
The stakes extend beyond who pays the insurance bill. A nationwide single-payer system would substantially change how healthcare is financed, what providers are paid and the role of private insurance, while potentially affecting employment and access to care under a framework radically different from the existing “Medicare” model its name invokes, according to experts.
Cato Institute health policy studies director Michael Cannon and Heritage Foundation health policy expert Ed Haislmaier, who has worked with lawmakers on Obamacare alternatives, argue those trade-offs are often obscured by the “Medicare-for-all” label.
“As the late P. J. O’Rourke liked to say, ‘if your healthcare is expensive now, wait until you see what it costs when it’s free,’” Cannon said.
ABDUL EL-SAYED’S MEDICARE-FOR-ALL CRUSADE COLLIDES WITH AN AWKWARD CONTRADICTION INVOLVING HIS WIFE
https://www.foxnews.com/video/6403151797112
In his NBC interview, El-Sayed defended Medicare-for-all by saying that the average person’s second-largest W-2 deduction “is [paid] to your health insurance company.”
“So imagine, instead of paying that to your health insurance company, whose CEO makes $20 million a year, instead, you paid a little bit more in taxes for healthcare that you wouldn’t lose if you lost your job or turned 26 or got married or got divorced.”
One of the central questions is how much providers would be paid. Medicare currently pays hospitals and physicians substantially less than private insurers for many services, while a single-payer system would dramatically expand the number of patients whose care is financed at government-set rates.
Cannon warned that policymakers could face a choice between raising substantially more federal revenue and holding down payments at the risk of some providers reducing their participation.
Canada and England have long been cited by critics as cautionary tales against implementing socialized medicine because of concerns about long wait times, including waits of weeks for MRIs in Canada, limited access to prompt care and well-to-do Westerners seeking care in the U.S. to avoid waiting at home.
Still, Cannon argued the U.S. system is critically flawed and that market competition, including taking employers and the government out of the equation and putting spending choices in patients’ hands, could provide the closest framework to universal healthcare.
3 STEPS THAT COULD STOP FRAUD AND MAKE HEALTHCARE MORE AFFORDABLE FOR ALL AMERICANS
Rep. Alexandria Ocasio-Cortez, left; Michigan Senate candidate Abdulrahman El-Sayed, center, and Sen. Bernard Sanders, right.(Andrew Roth/Reuters)
Haislmaier dubbed single-payer Medicare-for-all a “solution in search of a problem.”
“[Medicare-for-all proponents] haven’t got a solution for the real question, which is not the coverage, but the cost. Are we going to force competition so that people who provide better care at a lower price get more of the business? That’s our vision,” he said of conservatives.
TRUMP ADMIN CRACKS DOWN ON ESTIMATED $10 BILLION IN OBAMACARE FRAUD, BOOTS MILLIONS FROM ROLLS
Instead of giving the government more authority, President Donald Trump “stumbled onto something that might work,” in Haislmaier’s words, by proposing a shift away from letting health insurers manage the pool of money for each American and instead depositing funds into a restricted personal account that could be used only to buy or retain insurance.
Meanwhile, several pieces of the current American system can be found within the various “socialized” models that El-Sayed, Sen. Bernie Sanders, I-Vt., and others want to replicate in the U.S. Socialized healthcare also does not describe a single international model.
The Department of Veterans Affairs draws parallels to the British NHS, while employer-sponsored insurance is a key feature of the German system, Cannon noted. And Obamacare’s framework for ensuring eligibility for care is similar to systems in Canada and Scandinavia, he said.
MICHIGAN SENATE CANDIDATE ABDUL EL-SAYED DODGES QUESTION ON WHETHER HE STILL SUPPORTS DEFUNDING THE POLICE
https://www..com/video/6401678090112
But the U.S. may already have the developed world beat on socialized medicine, the experts said. Cannon argued that the Medicare system for seniors referenced in the left’s platform is unique to the U.S.
“When Medicare-for-all supporters say that they want a European-style Medicare system, they’re already telling you they don’t know what they’re talking about because no European nation has something like [our] Medicare Program,” he said.
Cannon also resisted labeling Medicare-for-all supporters socialists, arguing the existing U.S. system already contains extensive government intervention through Medicare, Medicaid, employer-sponsored insurance tax policy and Obamacare.
In that way, he said, the far-left Medicare-for-all crowd and Republicans appear to be vying for the title of who cares least about healthcare.
“If you think this is a question between should we have a government controlling our healthcare sector or not, you’ve already missed the boat. The government already controls the U.S. Health sector.”
BERNIE SANDERS, DSA REVEAL DEMANDS FOR DEM PARTY AFTER SOCIALISTS SWEEP NEW YORK ELECTIONS
Abdul El-Sayed, a progressive candidate in the Democratic primary for U.S. Senate in Michigan, records a social media video at a pool party for content creators supporting his campaign, Monday, Aug. 3, 2026, in Detroit.(AP Photo/Julia Demaree Nikhinson)
The Medicare model outlined in the socialists’ platform is also not “free” healthcare because beneficiaries face premiums, deductibles and cost-sharing.
Some current Medicare-for-all proposals discourage or appear to prohibit private insurance coverage, which could affect physicians’ ability or willingness to provide access to all patients, particularly if demand increases as out-of-pocket costs decline, according in part to an analysis by the Congressional Budget Office.
Maintaining such broad access to care while creating a one-size-fits-all model or keeping provider payments near current Medicare rates could cause hospitals to reduce participation, Cannon warned.
Financing is the other side of the equation. Moving most healthcare spending onto the federal government’s books would require an enormous increase in federal revenue, even though some of that would replace premiums and other healthcare expenses currently paid by employers and households.
LIZ PEEK: DEMOCRATS’ AFFORDABILITY SCAM COLLAPSES IN STATES THEY ACTUALLY RUN
Sen. Bernie Sanders (I-VT) speaks while introducing health care legislation titled the “Medicare for All Act of 2019” with Sen. Kirsten Gillibrand (D-NY) and Sen. Jeff Merkley (D-OR), during a news conference on Capitol Hill, on April 9, 2019, in Washington, D.C.(Photo by Mark Wilson/Getty Images)
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Cannon said that would double or triple federal taxes.
If Medicare-for-all proponents want coverage to be as close to universal as possible, the model should remove, not add, government barriers, Cannon said. He noted that Americans one year away from Medicare eligibility and those in their first year of eligibility each spend twice as much on healthcare as people in other developed countries.
“Medicare is not the solution here,” he said.
Fox News Digital reached out to El-Sayed for comment but did not immediately receive a response.
Born and raised in Allentown, Pennsylvania, worked in both the New York and Washington bureaus for Fox News since 2013.