I often hear people speak out against Universal Health care by saying "Oh and how much is all this going to cost?" Well I would ask why does it have to cost anymore then we spend now?
First, we have to look to where most of the money is that gets paid for a person or families' insurance. It comes the personnel expenditures of businesses. If a business is spending 12k or more a year for a family of four. Our question becomes how do we re-allocate that money into a workable universal system?
We can either require employers take what they spend on each employee insurance premiums and turn that into wages that the employee can use to buy into the Medicare system. Which would greatly sure up Medicare by increasing the pool to all of us and bring younger healthier workers into the system. Or, we could have companies pay what they pay now, with a promise it won't increase for 5 years, into the medicare system. It also important to add at this point that Medicare has a lower inflation rate then private sector insurance and a single system will make rooting out fraud and abuse easier. And it must be stressed that fraud and abuse are a serious priority. Inspectors General all around.
As for the the monies the federal and state pay for Medicaid, those would be folded into Medicare.
We spend almost twice as much as any other industrialized country in the world on health care. There's no reason we should have to spend anymore then we do now.