The June 9 Free Press front page article "Down On The Farm" offers yet another example of why we should convert to a Medicare for All health care system.

Farmers are among a good number of individuals whose incomes are cyclical in nature, with some good years and some not-so-good years. Out-of-pocket health-care spending continues to rise for farmers and others in the individual insurance market, even when subsidies are available.

Fortunately, the family profiled in this article seems to be hanging on. More power to them. This is not true for all families faced with impossible out-of-pocket health-care expenses.

In February 2019 CNBC reported that 530,000 families turn to bankruptcy each year due to medical issues and medical bills. This is 66.5% of all bankruptcies. Ironically, a majority of these families have health insurance. In a Medicare for All system, all Americans have comprehensive coverage and pay on an ability to pay basis.

For individuals and for businesses like family farms, premiums will be more in good years, less in bad years. But individuals will always have comprehensive coverage that they can afford and will never have additional out-of-pocket expenses such as co-pays and deductibles. A market based system simply does not have the capacity to cover all Americans with comprehensive, affordable, quality health care.

Glen Peterson

Mankato

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