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Democrats Campaigning on Medicare for All Wrestling With How to Pay for The Dramatic Overhaul

Bernie Sanders, the chief proponent, says “Medicare for All” could cost up to $40 trillion over a decade

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Democrats, Medicare, Pay
Democratic 2020 presidential hopefuls Sen. Kirsten Gillibrand (D-NY) and Bernie Sanders (I-VT) attend a Medicare For All event on Capitol Hill in Washington, April 10, 2019. VOA

Democratic presidential candidates campaigning on “Medicare for All” are wrestling with how to pay for the dramatic overhaul of the American health care system.

Bernie Sanders, the chief proponent, says “Medicare for All” could cost up to $40 trillion over a decade. He’s been the most direct in discussing how he’d finance it, including higher taxes on the middle class which he argues would ultimately cost less than the current health care system.

Democrats, Medicare, Pay
Democratic presidential candidates campaigning on “Medicare for All” are wrestling with how to pay for the dramatic overhaul of the American health care system. PIxabay

But his rivals who also support “Medicare for All” have offered relatively few firm details so far about how they’d pay for it beyond raising taxes on top earners.

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As health care dominates the early days of the Democratic primary, some experts say candidates won’t be able to duck the question for long. (VOA)

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Medicare Uses Breakthrough Gene Therapy to Cover Some Blood Cancers

Medicare covers more than 60 million seniors and people with disabilities

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blood cancer
FILE - In this Feb. 14, 2019, file photo, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma speaks during a news conference in Washington. VOA

Expanding access to a promising but costly treatment, Medicare said Wednesday that it would cover for some blood cancers a breakthrough gene therapy that revs up a patient’s own immune cells to destroy malignancies.

Officials said Medicare would cover CAR-T cell therapies for certain types of lymphoma and leukemia, uses that are approved by the Food and Drug Administration. The cost can run to hundreds of thousands of dollars per patient, not counting hospitalization and other expenses. Medicare Administrator Seema Verma said the decision would provide consistent and predictable access nationwide, opening up treatment options for some patients “who had nowhere else to turn.”

Turbocharge, reprogram cells 

CAR-T uses gene therapy techniques to turbocharge the patient’s own immune system cells, reprogramming them to harbor a “receptor” that zeroes in on cancer, and then to grow hundreds of millions of copies. The revved-up immune cells are returned to the patient’s bloodstream and can continue to fight cancer for months or years.

blood cancers
Medicare covers more than 60 million seniors and people with disabilities. Pixabay

Although side effects can be severe, studies have shown the treatment to be highly effective against certain types of cancers. Researchers are working to add more types to that list. Medicare has been weighing the decision for months. The program often sets the tone for private insurance as well.

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Special program

In its announcement, Medicare said it would cover CAR-T when the treatment is provided in institutions that are enrolled with the FDA in a special program to promote safety. It will also cover the treatment for other uses, if they are recommended by agency-approved medical research literature.

CAR-T uses a different strategy than other gene-therapy techniques. Instead of trying to fix disease-causing genes, it focuses on the patient’s immune system, specifically the T cells that battle foreign substances in the body. The problem with cancer is that malignant cells can often evade detection by the patient’s T cells. CAR-T helps the body’s own T cells do a better job of spotting tumors. Medicare covers more than 60 million seniors and people with disabilities. (VOA)