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Getting to the End Zone With Medicare for All

Atkins, Carl D., MD

The Journal of Ambulatory Care Management: July/September 2019 - Volume 42 - Issue 3 - p 178–183
doi: 10.1097/JAC.0000000000000276
Moving Forward the Health Policy Agenda

Incremental reform is an option put forward to bridge the gap between the advances made by the Affordable Care Act and Medicare for All. Starting with the premise that the barriers to enactment of Medicare for All are less than they appear, this article discusses some specific concerns about Medicare for All and how a well-implemented plan can overcome them. Regarding the bills in Congress as blueprints on which to build a foundation for a well-implemented plan, concerns about utilization, costs, funding, workforce changes, and political objections are all found to be manageable.

American Council to Advance Medicare for All, Canaan, New York.

Correspondence: Carl D. Atkins, MD, American Council to Advance Medicare for All, PO Box 102, Canaan, NY 12029 (

I am the sole author of this article, for which I have received no financial or other form of support. I am executive director, president, and member of the board of directors of the American Council to Advance Medicare for All, a 501(c)(3) not-for-profit corporation, and receive no compensation from the corporation. The opinions expressed in this article are my own and do not necessarily reflect those of the board of directors or the corporation.

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