No matter what system is eventually implemented to provide healthcare there should be some cost to the recipient for each instance to prevent abuse. The typical Medicare 20% copay may be a little excessive. Many Medicare covered individuals purchase private secondary insurance to cover much or all of the Medicare copay. Also, consideration should be given to a maximum annual copay expenditure.

Long term medical care in a nursing home rapidly depletes personal financial resources. After a hospitalization Medicare covers 100% of the total cost of skilled nursing care for 20 days. For the remainder of 100 days coinsurance is $170.50 per day. After 100 days Medicare pays nothing. Is it proposed that Medicare for All will cover long term care in a nursing home?