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Axios
Axios
Health
Sam Baker

Poll: A Medicare buy-in is more popular than switching to a single-payer health care system

A Medicare buy-in is more popular than switching to a single-payer health care system, according to a new poll from Quinnipiac University.

By the numbers: Overall, voters were split on the wisdom of single-payer — 45% said it would be a bad idea, and 43% said it would be a good idea.


  • Respondents were more bullish on letting people buy into Medicare, with 51% saying it's a good idea and 30% saying it's a bad idea.

Republicans were the difference-makers. They overwhelmingly oppose single-payer (79% against), but a plurality of Republican voters (43%) support a Medicare buy-in.

Between the lines: Although the political battle between these rival plans is playing out primarily as a litmus test in the 2020 Democratic primary, Democrats seem fine with either proposal.

  • 69% of Democrats said single-payer is a good idea, compared to 62% who said the same for a Medicare buy-in.

Yes, but: Even a Medicare buy-in limited to people older than 50 — pretty much the smallest option on the table for Democrats — would still provoke a big fight from industry.

Go deeper: How health insurance via employment is unique to the U.S.

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