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Adapted from Zirui Song, 2019, "The Pricing of Care Under Medicare for AllImplications and Policy Choices"; Chart: Andrew Witherspoon/Axios

Many specialties would still take a pay cut even under versions of "Medicare for All" that aren't as full-throated as what Sen. Bernie Sanders has proposed, according to recent analysis in JAMA by Harvard's Zirui Song.

The big picture: This is a feature, not a bug, of Medicare for All. Part of the point is to spend less on health care — through steep cuts in how much many doctors and hospitals get paid.

Yes, but: The figures above represent the change in how much doctors would get paid for patients who currently have private insurance — not the pay total change across all of their patients.

  • Doctors are already receiving Medicare's lower rates for their patients who are on Medicare, and are in many cases getting paid less than that for Medicaid patients.

What they're saying: "The assumption that physicians and hospitals would not react as their commercial prices are reduced substantially to Medicare levels is likely unrealistic," Song writes.

  • Doctors and hospitals would likely to try to boost their reimbursements under a single-payer system using some of the same tools they lean on now: Performing more procedures, steering patients toward more profitable services, and consolidating independent doctors' practices within hospitals, which get paid more.
  • And without patient cost-sharing, people may demand more care.

The bottom line: Setting rates above Medicare levels would be less disruptive, as would phasing in the changes over time, Song argues.

Go deeper: Hospitals that treat poor patients aren't opposing Medicare for All

Go deeper

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 18,187,396 — Total deaths: 691,352 — Total recoveries — 10,841,436Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 4,711,323 — Total deaths: 155,379 — Total recoveries: 1,513,446 — Total tests: 57,543,852Map.
  3. Politics: White House will require staff to undergo randomized coronavirus testing — Pelosi says Birx "enabled" Trump on misinformation.
  4. Sports: 13 members of St. Louis Cardinals test positive, prompting MLB to cancel Tigers series — Former FDA chief says MLB outbreaks should be warning sign for schools.
  5. 1 🎥 thing: "Tenet" may be the first major film to get a global pandemic release.

In photos: Thousands evacuated as Southern California fire grows

A plane makes a retardant drop on a ridge at the Apple Fire north of Banning in Riverside County, which "doubled in size" Saturday, per KTLA. Robert Gauthier / Los Angeles Times via Getty Images

A massive wildfire that prompted mandatory evacuations in Southern California over the weekend burned 26,450 acres and was 5% contained by Monday afternoon, the California Department of Forestry and Fire Protection said.

The big picture: As California remains an epicenter of the coronavirus pandemic in the U.S., some 15 separate fires are raging across the state. About 7,800 people were under evacuation orders from the Apple Fire, about 75 miles east of Los Angeles, as hundreds of firefighters battled the blaze. CalFire said Monday that a malfunction involving a "diesel-fueled vehicle emitting burning carbon from the exhaust system" started the Apple Fire.

Twitter faces FTC fine of up to $250 million over alleged privacy violations

Photo: Rafael Henrique/SOPA Images/LightRocket

The Federal Trade Commission has accused Twitter of using phone numbers and emails from its users to make targeted ads between 2013 and 2019, Twitter said in an SEC filing published Monday.

Why it matters: Twitter estimates that the FTC's draft complaint, which was sent a few days after its Q2 earnings report, could cost the company between $150 million and $250 million. The complaint is unrelated to the recent Twitter hack involving a bitcoin scam.