Where Do U.S. Health Reform Proposals Fall on the Medicare-for-All Continuum?

Where Do International Health Systems Fall on the Single-Payer Continuum?

The health care debate in the 2020 presidential campaign so far has largely focused on Democratic candidates' support for "Medicare for all," or a national health insurance program.

Click or tap the dots along the continuum to view the lawmakers' bills and where they fall on the Medicare-for-all continuum – ranging from those relying on a mix of private and publicly funded health insurance to those featuring only public coverage. You can also compare the benefits each coverage plan would provide, how people would pay for coverage and care, and how the bills would contain overall health care costs.

The "Medicare for all" debate has sparked interest in how other wealthy nations provide affordable, universal health insurance coverage.

Click or tap the dots along the continuum to learn more about the eight health systems featured below. While each includes a mix of public and private insurance, we show where they differ in what public financing covers and doesn't cover and how much people pay out of pocket for their health care, as well as how health care costs are contained.

Public Plan Features Added to Private Insurance

A Choice of Public and Private Plans

Single Public Plan for All

More Private Health Plan and Provider Regulation

Medicare-Like Plan in the Marketplaces

Medicare-Like Plan for People with Employer Coverage

Medicare Buy-In for Americans Over 50

Medicaid Buy-In for All

National Health Insurance Program

Regulated System of Health Plans

Single Public Plan

Switzerland

Netherlands

Germany

Australia

Canada

Norway

Sweden

United Kingdom

Click or tap a dot on the continuum to learn more and compare up to three items.

Public Plan Features Added to Private Insurance

More Private Health Plan and Provider Regulation

A Choice of Public and Private Plans

Medicare-Like Plan in the Marketplaces

Medicare-Like Plan for People with Employer Coverage

Medicare Buy-In for Americans Over 50

Medicaid Buy-In for All

Single Public Plan for All

National Health Insurance Program

Regulated System of Health Plans

Switzerland

Netherlands

Germany

Australia

Canada

Norway

Sweden

United Kingdom

Single Public Plan