Jacobs - The case against single payer: how Medicare for all will wreck Americas health care system--and its economy

Chris Jacobs is completely uniquea Washington conservative who actually cares about heath care and understands how it works, and does not work.

BOBBY JINDAL, FORMER LOUISIANA GOVERNOR

Chris Jacobs is one of the sharpest healthcare experts in the conservative movement. His is an essential voice in this debate about the future of our healthcare system and our freedom.

MIKE LEE, SENATOR

Chris Jacobs does a great job of breaking down complex policies into plain language accessible to all Americans. This book will allow doctors and patients to understand the details behind the radical Lefts health care takeover.

NEWT GINGRICH, FORMER HOUSE SPEAKER

Chris Jacobs is indisputably one of the sharpest minds in health care reform today. His book is a tour de force for anyone seeking the intellectual ammunition to explain why a single-payer health care system is doomed to failand what reforms can make American health care the greatest in the world.

JIM DEMINT, FORMER SENATOR

FIRST EDITION

Copyright 2019 Chris Jacobs

All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review.

The chart that appears on : Zeke Emanuel et al., The Lancet, January 2009. Reprinted with permission.

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The old hymn teaches that the gifts to the Lord most pleasing are humble, thankful hearts. Writing ones first book stands as an inherently humbling experience; it also gave me more reasons to give thanks.

At Republic Books, Al Regnery and Eric Kampmann decided to take a chance on an author, and a concept, not previously seen in book forma leap of faith by any stretch. And the aptly named Joy Pullmann, my editor at the Federalist, burnished my writing and provided insightful suggestions with her usual good humor and aplomb.

I would find it difficult to list individually all the acts of kindness I have received over the years from my mother, family, friends, and colleagues. Thankfully, the unveiling of this volume will give me numerous opportunities to express my gratitude to them in person; I cant wait to do just that.

Two groups worth recognizing I cannot thank in person. First, my producer, Jen Sawyer, and the unsung staffersTaylor Carey, Trisha Miller, and so many morewho decided to cast me on Who Wants to Be a Millionaire? It may seem odd to acknowledge production staff I have not seen since I walked off the shows New York soundstage more than six years ago. But the winnings from that day gave me the financial freedom to establish my own business in 2016. Without it, this book might never have existed. I wont soon forget the way their faith in me quite literally changed my lifeand yes, thats my final answer.

Likewise, the faculty and staff of Allentown Central Catholic High School made an invaluable contribution to this book. Twelve years of Catholic education taught me many things. In particular, it taught me how to write. Writing a book in six weeks seems ambitious or foolhardy (or more likely, both). Either way, I could not have done it without the skills I began developing more than two decades ago and have worked to hone since. My teachers and mentors may not agree with all the ideas expressed in these pages, but I hope the skill and care with which I crafted them can do them proud.

As always, any errors or omissions are mine and mine alone.

C. S. J.

WASHINGTON, DC

MAY 4, 2019

71%Number of Americans who would pay more under single-payer health care, according to an analysis of Sen. Bernie Sanderss 2016 campaign plan by Emory University professor Kenneth Thorpe.

11,600,000Americans enrolled in Indian Health Service (2.3 million) and Veterans Affairs (9.3 million) coverage who could actually keep their health arrangements. Approximately 300 million more Americans would lose their existing coverage.

1,500,000Job losses hospitals could have to implement due to payment reductions included in a single-payer system, according to a study in the Journal of the American Medical Association. Layoffs by physician groups and other sectors of the health care system could add to this total.

2005The year Canadas Supreme Court held that Quebecs prohibition on private health insurancea provision included in the House and Senate single-payer billsinterferes with life and security of the person, because access to a waiting list is not access to care.

$17,000Estimated annual reduction in household income after taxes and health spending under single payer, according to the White House Council of Economic Advisers. Their model demonstrates how single payer will permanently shrink.

$84,700,000,000Total amount of fraud and improper payments in the existing Medicare and Medicaid programs. Expanding government-run health care to all Americans would massively increase the amount of potential waste, fraud, and abuse.

119,100,000Number of Americans who would lose their existing coverage under the moderate plan to introduce a government-run public option, according to a 2009 study by non-partisan actuaries at the Lewin Group.

1976Year Congress first imposed restrictions on taxpayer funding of abortion. The single-payer bills would eliminate this restriction that has held bipartisan support for more than four decades, allowing for taxpayer-funded abortion-on-demand.

1,082,541Number of Canadian patients waiting an average of five months for health care treatment, according to the Fraser Institute; the number totals nearly 3% of Canadas entire population.

$32,000,000,000,000Minimum cost of single-payer legislation over ten years, according to separate estimates by both the liberal Urban Institute and conservative Mercatus Center.

PAGE 4Section 102(a) makes every individual who is a resident of the United States eligible for the new program, encouraging foreign citizens to travel to America to receive free health care.

PAGE 5Section 104(a) prohibits providers that participate in the new program from den[ying] the benefits of the program to individuals based on a series of conditions, including termination of pregnancyforcing doctors and hospitals to perform abortions or other procedures that violate their religious beliefs.

PAGE 8Section 107(a) makes private health insurance unlawful, taking away the existing health coverage of approximately 300 million Americans.

PAGE 14Section 202(a) prohibits cost-sharing, except for a maximum of $200 per year in pharmaceutical co-pays, encouraging over-consumption of free care.