和大多数民主党候选人一样,杨计划把现在给65岁以上老年人的Medicare扩大,接纳所有公民。Medicare是由政府提供的医疗保险,和医院、医生、医药行业谈判达成价格等协议,以期在保障医疗护理的同时控制医疗开支。
杨的全民Medicare计划和Sanders等的最大不同点在于,至少在初始阶段,政府的Medicare和私营医保公司共存。民众还是可以继续选择现在的私营保险公司——
“I believe that private health insurance should be allowed to continue to serve those who want to opt out of the public option,” Yang told The Post. “However, I expect the public option to be able to out-compete the private options and that most private options would disappear over time.”
https://www.washingtonpost.com/graphics/politics/policy-2020/medicare-for-all/
在公立、私营并存的一段时期内,还是多个支付者(Multiple Payers)体系。杨希望通过市场竞争从政府作为选项提供给所有人的全民Medicare,过渡到全民都加入的Medicare。
而Sanders的计划是立刻取代所有私营保险,实行医疗界的唯一支付者(Single Payer)体系。
对于无证移民,杨在第一次辩论时和在场的所有其他候选人一起举手支持政府为无证移民提供医保。
“Raise your hand if your government plan would provide coverage for undocumented immigrants"
在之后华盛顿邮报的采访中,杨进一步解释,“无证移民若已登记申请入籍,则可以加入(政府提供的)医保,但自己需要付一些额外费用”
"Undocumented immigrants who register for the path to citizenship would be eligible to participate in the health plan at some additional cost to them," Yang told The Post.
https://www.washingtonpost.com/graphics/politics/policy-2020/medicare-for-all/undocumented-immigrant-health-care/
以上链接里也能找到其他候选人的书面立场。和其他人的比较,杨更注重通过市场竞争机制有过渡地逐步实现其计划,也能给全民Medicare准备所需的资金一些缓冲。