The part that tends to be left out (maybe unaddressed or I'm uninformed) is, is there a single payer component to it like actual Medicare? In general, you spend several decades of your life working and paying in to collect for maybe a couple decades. And the more you make or pay in, the more coverage you have.

So would we just end up with a government plan that we still need to pay premiums, deductibles, co-pays, etc on? And where are the systemic savings (providers still need to have billing agents to deal with this and private insurance, government overhead peobably isn't that much better than business overhead)? Do the people who can't afford it go on Medicaid to cover the balance like they do if they can't afford current Medicaid? Or are the suggestions really just misnamed and are totally different?