A Health Care Plan That’s Universal and Bipartisan
After the collapse of Republican efforts at one-party health care reform, many Democrats have embraced Senator Bernie Sanders’s Medicare for All proposal. Few liberals would object to this “single payer” plan if it could be enacted with a magic wand, but the political realities of getting it through Congress are daunting.

After the collapse of Republican efforts at one-party health care reform, many Democrats have embraced Senator Bernie Sanders’s Medicare for All proposal. Few liberals would object to this “single payer” plan if it could be enacted with a magic wand, but the political realities of getting it through Congress are daunting.

Could there be a way to preserve Medicare for All’s simplicity and its guarantee of universal health care access while cutting its cost and increasing its bipartisan appeal?

Universal catastrophic coverage just might be the idea that could bridge the gap. So far, the idea has gotten more attention in conservative circles, but if liberals would give it a careful look, they would find a lot to like.

The basic idea is simple. Everyone would have a policy that covered all medical expenses above a deductible amount. For those with very low incomes, the deductible would be zero. For others, routine health care would not be covered, but they would be protected against the truly unaffordable costs of chronic illnesses and severe accidents. For example, the plan would not cover the cost of a visit to a doctor’s office to make sure a bad cold is not something worse, but it would cover all costs of treatment above the deductible amount if the cold turned out to be lung cancer or a serious case of pneumonia. Ideally, a broad range of health care needs would be covered, including dental and mental health.