You raise a good point, about pay. The bill we are promoting, HR676 is called Improved Medicare For All.  Numerous systemic issues with Medicare need to be fixed, and, unlike this articles misquote of me, HR676 will end the gaps in coverage.  Pay must and can go up if we stop spending 35% of health care dollars on private insurance admin over head.  That is about one trillion dollars per year which is wasted on worthless insurance company bureaucracy. We must stop the waste. The savings from dropping admin overhead from 35% to 2% plus repealing Medicare Part D, which will cut drug prices in half, plus standardizing medical fees provides the savings which allows us to fully cover everyone. Hospitals and private physicians remain private. But, they no longer need to spend 15% of their total budget on struggling to bill insurance companies.  Please watch www.fixithealthcare.com and review the FAQ section of www.pnhp.org