Ben Jealous once ran the NAACP. Now he wants to be Maryland’s governor. A key part of his platform is imposing a single-payer health care system on the state. Jealous contends that this will improve health care quality and save lives, but critics counter that it will lead to huge tax increases for the state’s residents.
Jealous won his primary election over a crowded field of rivals. Though never holding elective office previously, Jealous triumphed over more experienced politicians by tapping into liberal activists around the state. Ideas like a single-payer health care system helped animate these volunteers.
The plan released by the Jealous campaign has few specifics about how his plan would work.
However, under its broad contours, the state would outlaw private health insurance. Employers would no longer be able to offer their employees health insurance as a benefit and individuals would not be able to purchase their own coverage. Instead, the state would create what Jealous calls a “Medicare for all” system. Under such an arrangement, the state would pay for all health care services.
The Jealous campaign has not specified exactly how this will be funded. Other states that have examined transitioning to a single-payer system, such as Vermont, abandoned efforts because it was too expensive. The Jealous campaign does not give specifics about this proposal’s cost, but it does float some ideas about new taxes to pay for it. These include a tax on employers, a sales tax increase, or increasing the income tax.
Proponents of this system say that it will give everyone in the state access to high-quality, affordable care. They contend that it builds on the state’s current health care pricing system and that it would be a natural extension of the Affordable Care Act. Critics contend that the price tag for such a plan would require huge tax increases. They also note that the federal government would have to grant waivers to implement parts of a single-payer system, something that is unlikely.
Jealous faces incumbent Governor Larry Hogan in November’s election.
Do you support a single-payer health care system?