“Historically, Medicare-for-all has meant single-payer health insurance, a national government-run program that covered every American and replaced private coverage entirely, similar to the government-run health care programs in Canada and some European countries.“
意思是,只有一个政府提供的医疗保险,没有其它医疗保险公司,即“单一支付者”系统。Sanders的计划属于这一种。
“But these days, other plans are falling under the Medicare-for-all umbrella. Some progressives, like Green, are even comfortable with the term being applied to the various proposals to allow all Americans buy into Medicare. Some of those plans used to be branded as a “public option”; they would not end private insurance that more than half of Americans get, usually through work, as a true single-payer would.“
这形容了杨的计划:一开始是政府提供的医保每个人都可以加入,但和私营的医保如Kaiser,Aetna,UHC并存,供民众选择。以后逐渐过渡到只有一个政府提供的医保,Medicare,和上面的一样。