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Sen. Bernie Sanders speaks on his Medicare for All bill. (Photo: Mark Wilson/Getty Images)

Sen. Bernie Sanders' Medicare for All plan would drastically change not only how health care is paid for, but who ultimately pays for it.

Between the lines: While the wealthy and the poor usually pay the same premium for today's employer-based insurance, Sanders' plan would beef up insurance coverage for everyone and pay for it by increasing taxes disproportionately on the wealthy.

Driving the news: As part of yesterday's rollout, Sanders released a white paper with several "options" on how to raise the additional revenue it would take for the government to pay for everyone's health care without any premiums or out-of-pocket costs.

  • While most people's taxes would go up, the wealthy would end up paying for a much greater portion of the nation's health care system than they currently do.
  • A 4% "income-based premium" for workers who make more than $29,000 and a 7.5% "income-based premium" on employers (exempting the first $2 million in payroll) are two of the financing options. Most economists assume that the employer tax would get passed onto employees through lost wages.
  • Other options include increasing the individual tax rate on high earners, taxing "unearned" income at the same rate as earned, and establishing a wealth tax.

What they're saying: Even if all of these payment options were implemented, they still wouldn't cover the total cost of Sanders' plan, said the Committee for a Responsible Federal Budget's Marc Goldwein.

  • There could also be unintended consequences of such high taxes on the wealthy, he said: “For some people, it would literally cost them money to make investments.”

The bottom line: "More progressive tax-based financing of health care is a feature, not a bug, of Medicare-for-all," the Kaiser Family Foundation's Larry Levitt said.

  • "The idea of financing health care through taxes rather than premiums and out-of-pocket costs would be fairer in some people’s minds, but also disruptive," he said.

Go deeper

Former Georgetown tennis coach pleads guilty to accepting admissions bribes

Gordon Ernst (left) former head tennis coach at Georgetown, is pictured outside the John Joseph Moakley United State Courthouse in Boston on March 25, 2019. Photo: Jessica Rinaldi/The Boston Globe via Getty Images

A former Georgetown University head tennis coach has pleaded guilty Tuesday to bribery charges related to facilitating the admission of prospective applicants.

Why it matters: Gordon Ernst solicited and accepted bribes from William Singer, ringleader of the cheating scheme uncovered by Operation Varsity Blues, and families in exchange for helping prospective applicants get into Georgetown as student athletes, according to the Justice Department.

3 hours ago - Health

CDC says some immunocompromised people can get fourth COVID shot

Photo: Noriko Hayashi/Bloomberg via Getty Images

The Centers for Disease Control and Prevention said in updated guidelines Tuesday that some immunocompromised people who have received either Pfizer or Moderna's COVID-19 vaccines will be able to get a fourth shot.

Details: People over 18 who are "moderately to severely immunocompromised" and have received three doses of an mRNA vaccine may get a fourth shot (of either the Pfizer, Moderna, or Johnson & Johnson vaccines) at least six months after getting their third Pfizer or Moderna dose, per the CDC.

4 hours ago - Politics & Policy

Scoop: Biden plan expected to include at least $500B for climate

Photo: Stephanie Keith/Bloomberg via Getty Images

The White House is privately telling lawmakers the climate portion of President Biden's roughly $2 trillion social spending plan is "mostly settled" and will likely cost more than $500 billion, two sources familiar with the talks tell Axios.

Why it matters: A price tag of $500 billion to $555 billion is a huge number and, if it holds, would likely be the single biggest component of the sweeping package. It also isn't far off from the roughly $600 billion proposed when the bill was expected to cost $3.5 trillion.