Medicare for All Payment Blindspot

When a single public payer replaces market pricing, the government lacks reference 'usual and customary' charges and faces political pressure to cover treatments, making accurate provider payment setting and denial of low‑value care extremely difficult. That combination increases vulnerability to large‑scale fraud, degrades service quality, and creates a two‑tier system where private options become the escape valve for the well‑off. — Frames a practical governance problem (how to set prices and ration care) that changes the terms of the universal‑coverage debate from moral arguments to capacity and incentive design.