Americans appear generally in favor of having more people covered by existing health programs, though they show some ambivalence about how that might look, according to a 2018 HRI consumer survey on national health plans.
In that survey, 48 percent of respondents supported a national health insurance program available to all Americans in which physician practices and hospitals would remain private, while 57 percent supported expanding Medicaid eligibility to any US resident (see Figure below).
The likelihood of federal universal healthcare legislation passing soon is vanishingly small, yet the issue likely will be debated during this election season and the next.
Even if sudden, dramatic change never arrives, American healthcare organizations making long-term plans should consider the possibility that government-sponsored health coverage will continue to grow, albeit slowly, providing fertile opportunities for private organizations to administer benefits, control costs and coordinate care for beneficiaries.
Universal healthcare proposals also could make headway in some states, and payers should consider undertaking scenario planning to build resilience and to be able to capitalize on opportunities.