42:
409:
516:, ending the need for private health insurance and premiums, and re-casting private insurance companies as providing purely supplemental coverage, to be used when non-essential care is sought. The national system would be paid for in part through taxes replacing insurance premiums, but also by savings realized through the provision of preventive universal health care and the elimination of insurance company
420:
590:
Establishes the USNHC Trust Fund to finance the
Program with amounts deposited: (1) from existing sources of government revenues for health care; (2) by increasing personal income taxes on the top 5% of income earners; (3) by instituting a progressive excise tax on payroll and self-employment income;
1169:
study of the 2017 proposal It claims that
Sanders' M4A plan will increase federal spending by at least $ 32 trillion (this money is currently going to private healthcare) but that the savings on administrative and other costs could save $ 2 trillion in healthcare costs. However, Blahouse stresses
575:
Prohibits an institution from participating unless it is a public or nonprofit institution. Allows nonprofit health maintenance organizations (HMOs) that deliver care in their own facilities to participate. On the whole, private insurance would be replaced with the new nationalized system for all
634:
Pramila
Jayapal's Medicare for All Act of 2019, introduced in the House is broadly similar but more detailed than the original Conyers proposal, but the "parallel" proposal by Sanders has significant differences, including a "global budget" system for hospitals. Both proposals contain expansive
571:
of the United States with tax-funded health care that includes all medically necessary care. That would include primary and preventive care, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision
579:
Gives patients the freedom to choose from participating physicians and institutions, which, given the coverage of the new national system, would be any institution or clinic in the United States receiving any degree of public funding (the vast
1161:
A study estimated the 1999 costs of U.S. health care administration at nearly $ 300 billion, accounting for 30.1% of health care expenses, versus 16.7% in Canada. This study estimated the U.S. per-person administrative cost at $ 1,059.
583:
Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act. Allows the private insurers to sell benefits not medically necessary, such as cosmetic surgery
350:
591:
and (4) by instituting a small tax on stock and bond transactions. Transfers and appropriates amounts that would have been appropriated for federal public health care programs, including
Medicare, Medicaid, and the
1237:
1962:
1957:
1952:
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1942:
1937:
1932:
1927:
1922:
1917:
448:
297:
186:
287:
1967:
1977:
292:
1184:, the Medicare for All Act was estimated to save 13% in national health-care expenditure (equivalent to more than US$ 450 billion annually), and save more than 68,500 lives every year.
587:
Sets forth methods to pay institutional providers of care and health professionals for services. Prohibits financial incentives between HMOs and physicians based on utilization.
441:
267:
1784:
1154:
estimated the immediate savings at $ 350 billion per year. Others have estimated a long-term savings amounting to 40% of all national health expenditures due to the extended
180:
211:
141:
174:
434:
1972:
1120:
307:
602:
Establishes a program to assist individuals whose jobs are eliminated (such as within insurance companies) by the simplified single-payer administrative process.
146:
1597:
616:
592:
642:
Under the House version, funding for institutions such as hospitals would be negotiated with regional directors, while individual providers would be paid a
261:
192:
595:. Taxes would be paid instead of insurance premiums, as the government (instead of private insurance companies) would be paying for the care under the
1214:
302:
656:
As of April 2019, the Senate proposal did not include details on how to completely pay for the plan, but
Sanders had released a paper listing ideas.
1881:
1658:
1151:
1296:
1199:
478:
205:
128:
1665:
1277:
547:
The summary of the
National Health Care Act as proposed in the 111th Congress (2009–2010) includes the following elements, among others:
1733:"Research Report-Harvard & Canadian Institute for Health Information-Costs of Healthcare Administration in the U.S. and Canada 2003"
167:
1165:
Charles
Blahouse, who worked as George W. Bush's economic advisor and as a public trustee for medicare and social security, wrote a
647:
248:
230:
100:
513:
217:
1242:
1224:
1683:"Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis"
1348:
1645:
1174:
1088:
1029:
973:
490:
61:
1809:
Galvani, Alison P.; Parpia, Alyssa S.; Foster, Eric M.; Singer, Burton H.; Fitzpatrick, Meagan C. (February 15, 2020).
493:. As of November 3, 2019, it had 116 co-sponsors still in the House at the time, or 49.8% of House Democrats.
340:
1399:
608:
Establishes a
National Board of Universal Quality and Access to provide advice on quality, access, and affordability.
1419:".@BernieSanders shouts out the Democrats that did the right thing in supporting #MedicareForAll. #WednesdayWisdom"
1593:
625:
Compensation continues for 15 years to owners of converting for-profit providers for reasonable financial losses.
622:
The bill covers treatments starting on the first day of the year that follows one year after the date of passage.
568:
531:, with 16 co-sponsors. The act would establish a universal single-payer health care system in the United States.
335:
330:
1170:
that these savings rely on multiple generous assumptions and that the plan will likely cost significantly more.
41:
1219:
596:
552:
345:
497:
385:
1566:
1485:
1322:
17:
380:
325:
120:
1620:
1785:"Rep Jayapal and Sen Sanders Have Introduced Medicare For All Bills: One Is a Lot Better Than the Other"
1209:
1155:
762:
United States
National Health Insurance Act (or the Expanded and Improved Medicare for All Act) of 2007
612:
362:
242:
77:
1422:
528:
509:
413:
357:
485:(D-MI) in 2003, with 38 co-sponsors. In 2019, the original 16-year-old proposal was renumbered, and
517:
1662:
1856:
1194:
650:
incentives would not be allowed. HHS would have administrative authority to set various details.
424:
104:
1064:
1005:
949:
512:, among other examples. Under a single-payer system, most medical care would be paid for by the
1512:
1096:
1037:
981:
639:
such as coinsurance, deductibles, or premiums, which as of 2019 is unprecedented in the world.
92:
1848:
1830:
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1765:
1714:
1542:
1462:
1448:
1266:
925:
893:
861:
829:
797:
765:
733:
701:
653:
The Senate proposal sets out a four-year transition plan and the House proposal is two years.
505:
501:
1838:
1822:
1756:
Blahous, Charles (July 30, 2018). "The Costs of a
National Single-Payer Healthcare System".
1704:
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560:
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989:
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486:
390:
96:
1418:
1843:
1810:
1709:
1682:
1537:
1323:"Dingell, Jayapal and more than 100 Co-Sponsors Introduce Medicare For All Act of 2019"
1128:
1072:
1013:
957:
917:
885:
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693:
524:
395:
1826:
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1911:
1860:
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933:
901:
869:
837:
805:
773:
741:
709:
636:
482:
1732:
564:
489:(D-WA) introduced a broadly similar, but more detailed, bill, HR 1384, in the
1834:
1528:
556:
52:
To establish an improved Medicare for All national health insurance program.
1901:
1852:
1718:
1699:
1546:
1177:
and failing to include a provision to negotiate budgets with hospitals.
1434:
605:
Requires creation of a confidential electronic patient record system.
1238:
Comparison of the healthcare systems in Canada and the United States
1886:
615:
into the Program and evaluation of the continued independence of
539:
The laws proposed are not necessarily identical year-over-year.
1895:
1594:"Pramila Jayapal Thinks We Can Get to Medicare-for-all Fast"
1173:
A 2019 analysis was critical of Sanders' bill for allowing
635:
coverage including long-term care and dental care with no
1158:
and the elimination of insurance company overhead costs.
1963:
Proposed legislation of the 117th United States Congress
1958:
Proposed legislation of the 116th United States Congress
1953:
Proposed legislation of the 115th United States Congress
1948:
Proposed legislation of the 114th United States Congress
1943:
Proposed legislation of the 113th United States Congress
1938:
Proposed legislation of the 112th United States Congress
1933:
Proposed legislation of the 111th United States Congress
1928:
Proposed legislation of the 110th United States Congress
1923:
Proposed legislation of the 109th United States Congress
1918:
Proposed legislation of the 108th United States Congress
1400:"Bernie Sanders to Sponsor Single-Payer Healthcare Bill"
1877:
500:
system in the United States, the rough equivalent of
1368:
1366:
1811:"Improving the prognosis of health care in the USA"
1621:"Bernie Sanders's Medicare-for-all plan, explained"
922:Expanded and Improved Medicare for All Act of 2017
890:Expanded and Improved Medicare for All Act of 2015
858:Expanded and Improved Medicare for All Act of 2013
826:Expanded and Improved Medicare for All Act of 2011
794:Expanded and Improved Medicare for All Act of 2009
730:Expanded and Improved Medicare for All Act of 2005
698:Expanded and Improved Medicare for All Act of 2003
555:program to provide all individuals residing in the
75:
67:
56:
48:
1968:Healthcare reform legislation in the United States
1463:"United States National Health Care Act – Summary"
1978:United States proposed federal health legislation
1297:"Medicare for All bill loses its special number"
1248:Health system § International comparisons
1681:Hogg, W.; Baskerville, N; Lemelin, J (2005).
611:Provides for the eventual integration of the
442:
8:
1278:"House Reps Introduce Medicare-for-All Bill"
268:Health Care and Education Reconciliation Act
32:
1486:"Unpacking The House Medicare-For-All Bill"
27:Proposed U.S. healthcare reform legislation
18:United States National Health Insurance Act
471:Expanded and Improved Medicare for All Act
449:
435:
115:
1842:
1708:
1698:
1536:
1349:"H.R.1384 - Medicare for All Act of 2019"
1215:Healthcare rationing in the United States
593:State Children's Health Insurance Program
527:(I-VT) introduced a parallel bill in the
1882:Physicians for a National Health Program
1659:Physicians for a National Health Program
1152:Physicians for a National Health Program
666:
1259:
1200:Health care reform in the United States
1139:Referred to Committees of Jurisdiction
1115:Referred to Committees of Jurisdiction
127:
1600:from the original on February 28, 2019
1417:RoseAnn DeMoro (September 13, 2017).
498:single-payer national health insurance
479:United States House of Representatives
475:United States National Health Care Act
31:
1973:Medicare and Medicaid (United States)
1646:"OPTIONS TO FINANCE MEDICARE FOR ALL"
1560:
1558:
1556:
7:
1511:Wilensky, Gail R. (April 29, 2019).
1291:
1289:
496:The act would establish a universal
477:, is a bill first introduced in the
1567:"Taking Medicare For All Seriously"
510:Bureau of National Health Insurance
212:America's Affordable Health Choices
91:in the House of Representatives as
1327:U.S. Representative Debbie Dingell
664:As of 13 December 2022:
206:Affordable Health Care for America
168:Social Security Amendments of 1965
25:
1592:Klein, Ezra (February 28, 2019).
1579:10.1377/forefront.20190606.959973
1498:10.1377/forefront.20190302.150578
418:
407:
40:
1783:scripthacker (April 23, 2019).
1619:Kliff, Sarah (April 10, 2019).
1373:Krugman, Paul (June 13, 2005).
523:On September 13, 2017, Senator
1449:"115th United States Congress"
1243:Health care systems by country
1225:Public health insurance option
1175:accountable care organizations
617:Department of Veterans Affairs
288:Obama administration proposals
1:
1827:10.1016/S0140-6736(19)33019-3
1180:According to a 2020 study in
1093:Medicare for All Act of 2023
1061:Medicare for All Act of 2022
1034:Medicare for All Act of 2021
978:Medicare for All Act of 2019
1904:—"Single-payer for the USA".
1687:BMC Health Services Research
520:and hospital billing costs.
62:117th United States Congress
35:Medicare for All Act of 2022
33:Medicare for All Act of 2021
1663:"Single Payer System Cost?"
1451:. U.S. Congress. 2017–2018.
1150:An analysis of the bill by
1994:
375:Third-party payment models
187:Medicare Modernization Act
1668:December 6, 2010, at the
1092:
1087:
1028:
977:
972:
921:
916:
331:Health insurance exchange
84:
39:
1565:Foley, Jonathan (2019).
1281:Becker's Hospital Review
1220:Medicare (United States)
597:single-payer health care
414:United States portal
231:American Health Care Act
130:Healthcare reform in the
119:This article is part of
1758:Mercatus Research Paper
1529:10.1111/1468-0009.12389
1375:"One Nation, Uninsured"
1700:10.1186/1472-6963-5-20
630:Pramila Jayapal's bill
425:Health care portal
381:All-payer rate setting
336:Nationalized insurance
298:Reform advocacy groups
1517:The Milbank Quarterly
1484:Keith, Katie (2019).
1210:Healthy Americans Act
1156:preventive healthcare
619:(VA) health programs.
613:Indian Health Service
469:), also known as the
351:Canadian vs. American
243:Healthy Americans Act
68:Number of co-sponsors
629:
529:United States Senate
463:Medicare for All Act
237:Medicare for All Act
1329:. February 27, 2019
954:September 13, 2017
660:Legislative history
648:pay for performance
542:
262:Affordable Care Act
249:Health Security Act
107:) on March 17, 2021
78:Legislative history
36:
1902:MedicareForAll.org
1898:—Single Payer Now!
1896:SinglePayerNow.net
1887:Healthcare-now.org
1821:(10223): 524–533.
1513:"Medicare for All"
1379:The New York Times
1303:. February 2, 2019
1195:Health care reform
1083:Died in Committee
1056:Died in Committee
1024:Died in Committee
1000:Died in Committee
986:February 27, 2019
968:Died in Committee
944:Died in Committee
912:Died in Committee
880:Died in Committee
866:February 13, 2013
848:Died in Committee
834:February 11, 2011
816:Died in Committee
784:Died in Committee
752:Died in Committee
720:Died in Committee
706:February 12, 2003
576:basic, major care.
543:John Conyers' bill
514:federal government
481:by Representative
308:Insurance coverage
218:Baucus Health Bill
1760:. Rochester, NY:
1406:. March 26, 2017.
1301:Modern Healthcare
1143:
1142:
930:January 24, 2017
898:February 3, 2015
802:January 26, 2009
770:January 24, 2007
738:February 8, 2005
502:Canada's Medicare
459:
458:
239:(2021, H.R. 1976)
133:
114:
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57:Announced in
16:(Redirected from
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685:# of cosponsors
679:Date introduced
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561:Washington, D.C.
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1465:. U.S. Congress
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1351:. U.S. Congress
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1232:Other countries
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1205:Healthcare-NOW!
1190:
1167:Mercatus Center
1148:
1105:Pramila Jayapal
1046:Pramila Jayapal
1042:March 17, 2021
1010:April 10, 2019
990:Pramila Jayapal
676:Bill number(s)
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644:fee-for-service
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487:Pramila Jayapal
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341:Publicly-funded
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97:Pramila Jayapal
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1523:(2): 391–394.
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491:116th Congress
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1716:
1711:
1706:
1701:
1696:
1692:
1688:
1684:
1677:
1674:
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1667:
1664:
1660:
1655:
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1647:
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1626:
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1615:
1612:
1599:
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1548:
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1499:
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1491:
1487:
1480:
1477:
1464:
1458:
1455:
1450:
1444:
1441:
1436:
1429:September 13,
1424:
1420:
1413:
1410:
1405:
1401:
1395:
1392:
1380:
1376:
1369:
1367:
1363:
1350:
1344:
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1328:
1324:
1318:
1315:
1302:
1298:
1292:
1290:
1286:
1282:
1279:
1274:
1271:
1268:
1267:H.R. 676
1263:
1260:
1253:
1249:
1246:
1244:
1241:
1239:
1236:
1235:
1231:
1226:
1223:
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1187:
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1176:
1171:
1168:
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1157:
1153:
1145:
1138:
1135:
1133:
1130:
1127:
1125:May 17, 2023
1124:
1122:
1119:
1118:
1114:
1111:
1109:
1106:
1103:
1101:May 17, 2023
1100:
1098:
1095:
1090:
1086:
1082:
1079:
1077:
1074:
1071:
1069:May 12, 2022
1068:
1066:
1063:
1060:
1059:
1055:
1052:
1050:
1047:
1044:
1041:
1039:
1036:
1033:
1031:
1027:
1023:
1020:
1018:
1015:
1012:
1009:
1007:
1004:
1003:
999:
996:
994:
991:
988:
985:
983:
980:
975:
971:
967:
964:
962:
959:
956:
953:
951:
948:
947:
943:
940:
938:
935:
932:
929:
927:
924:
919:
915:
911:
908:
906:
903:
900:
897:
895:
892:
889:
887:
884:
883:
879:
876:
874:
871:
868:
865:
863:
860:
857:
855:
852:
851:
847:
844:
842:
839:
836:
833:
831:
828:
825:
823:
820:
819:
815:
812:
810:
807:
804:
801:
799:
796:
793:
791:
788:
787:
783:
780:
778:
775:
772:
769:
767:
764:
761:
759:
756:
755:
751:
748:
746:
743:
740:
737:
735:
732:
729:
727:
724:
723:
719:
716:
714:
711:
708:
705:
703:
700:
697:
695:
692:
691:
687:
684:
681:
678:
675:
672:
669:
668:
665:
659:
657:
654:
651:
649:
645:
640:
638:
624:
621:
618:
614:
610:
607:
604:
601:
598:
594:
589:
586:
582:
578:
574:
570:
566:
562:
558:
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540:
534:
532:
530:
526:
521:
519:
515:
511:
507:
503:
499:
494:
492:
488:
484:
480:
476:
472:
468:
465:(abbreviated
464:
452:
447:
445:
440:
438:
433:
432:
430:
429:
426:
415:
405:
404:
397:
394:
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389:
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384:
382:
379:
378:
372:
371:
364:
361:
359:
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342:
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329:
327:
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317:
316:
309:
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296:
294:
291:
289:
286:
285:
279:
278:
269:
266:
263:
260:
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255:
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250:
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210:
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148:
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143:
140:
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138:
137:
134:
132:United States
126:
122:
118:
117:
106:
102:
98:
94:
90:
87:
86:
83:
79:
74:
70:
66:
63:
59:
55:
51:
47:
43:
38:
30:
19:
1818:
1814:
1804:
1792:. Retrieved
1788:
1778:
1757:
1751:
1739:. Retrieved
1727:
1690:
1686:
1676:
1654:
1640:
1628:. Retrieved
1624:
1614:
1602:. Retrieved
1587:
1570:
1520:
1516:
1506:
1489:
1479:
1467:. Retrieved
1457:
1443:
1433:– via
1427:. Retrieved
1412:
1403:
1394:
1382:. Retrieved
1378:
1353:. Retrieved
1343:
1331:. Retrieved
1326:
1317:
1305:. Retrieved
1300:
1280:
1273:
1262:
1181:
1179:
1172:
1164:
1160:
1149:
1131:
1107:
1075:
1048:
1016:
992:
960:
936:
934:John Conyers
904:
902:John Conyers
872:
870:John Conyers
840:
838:John Conyers
808:
806:John Conyers
776:
774:John Conyers
744:
742:John Conyers
712:
710:John Conyers
673:Short title
663:
655:
652:
641:
637:cost-sharing
633:
551:Expands the
546:
538:
522:
495:
483:John Conyers
474:
470:
466:
462:
460:
346:Single-payer
245:(2007, 2009)
236:
88:
29:
1741:December 4,
1469:December 4,
1384:December 4,
1355:November 3,
682:Sponsor(s)
569:territories
565:Puerto Rico
326:Free market
271:(H.R. 4872)
264:(H.R. 3590)
251:(H.R. 3600)
214:(H.R. 3200)
208:(H.R. 3962)
157:Legislation
1912:Categories
1815:The Lancet
1254:References
1182:The Lancet
580:majority).
535:Provisions
386:Capitation
200:Superseded
89:Introduced
49:Long title
1861:211105345
1835:0140-6736
1693:(1): 20.
1097:H.R. 3421
1038:H.R. 1976
982:H.R. 1384
670:Congress
584:benefits.
557:50 states
363:Universal
303:Rationing
220:(S. 1796)
162:Preceding
93:H.R. 1976
1878:PNHP.org
1853:32061298
1794:June 17,
1719:15755330
1666:Archived
1630:June 18,
1604:March 4,
1598:Archived
1547:31033020
1404:Newsweek
1333:June 18,
1307:June 17,
1188:See also
1146:Analysis
926:H.R. 676
894:H.R. 676
862:H.R. 676
830:H.R. 676
798:H.R. 676
766:H.R. 676
734:H.R. 676
702:H.R. 676
553:Medicare
518:overhead
358:Two-tier
225:Proposed
121:a series
1844:8572548
1770:3232864
1710:1079830
1661:(2008)
1538:6554505
1435:Twitter
1132:(I-VT)
1108:(D-WA)
1076:(I-VT)
1065:S. 4204
1049:(D-WA)
1017:(I-VT)
1006:S. 1129
993:(D-WA)
961:(I-VT)
950:S. 1804
937:(D-MI)
905:(D-MI)
873:(D-MI)
841:(D-MI)
809:(D-MI)
777:(D-MI)
745:(D-MI)
713:(D-MI)
320:Systems
282:Reforms
142:History
1859:
1851:
1841:
1833:
1768:
1717:
1707:
1545:
1535:
1121:S.1655
567:, and
506:Taiwan
233:(2017)
195:(2005)
189:(2003)
183:(1996)
177:(1986)
175:EMTALA
147:Debate
1857:S2CID
1736:(PDF)
1423:Tweet
572:care.
193:PSQIA
181:HIPAA
1849:PMID
1831:ISSN
1796:2019
1766:SSRN
1743:2011
1715:PMID
1632:2019
1606:2019
1543:PMID
1471:2011
1431:2017
1386:2011
1357:2019
1335:2019
1309:2019
1112:113
1053:122
997:118
941:124
504:and
461:The
60:the
1839:PMC
1823:doi
1819:395
1705:PMC
1695:doi
1625:Vox
1575:doi
1533:PMC
1525:doi
1494:doi
1136:14
1080:14
1021:14
965:16
909:62
877:63
845:77
813:87
781:93
749:78
717:38
508:'s
473:or
467:M4A
95:by
71:121
1914::
1855:.
1847:.
1837:.
1829:.
1817:.
1813:.
1787:.
1764:.
1713:.
1703:.
1689:.
1685:.
1623:.
1596:.
1573:.
1569:.
1555:^
1541:.
1531:.
1521:97
1519:.
1515:.
1492:.
1488:.
1402:.
1377:.
1365:^
1325:.
1299:.
1288:^
563:,
559:,
123:on
105:WA
1889:—
1880:—
1863:.
1825::
1798:.
1772:.
1745:.
1721:.
1697::
1691:5
1648:.
1634:.
1608:.
1581:.
1577::
1549:.
1527::
1500:.
1496::
1473:.
1437:.
1425:)
1421:(
1388:.
1359:.
1337:.
1311:.
599:.
450:e
443:t
436:v
103:–
101:D
99:(
20:)
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