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Medicare for All?
What Does it Really Mean?

July 9, 2019

Does M4A sound like a good idea? If enough people think so, then be prepared for a fundamental rewrite of the federal tax code and significant disruption of the entire healthcare industry.

By Richard Rollo, Chris Bell, and Paul Holden



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Hammond Hanlon Camp LLC (“H2C”) is an independent strategic advisory and investment banking firm committed to providing superior advice as a trusted advisor to healthcare organizations and related companies throughout the United States.  H2C’s professionals have a long track record of success in healthcare mergers and acquisitions, capital markets, real estate, and restructuring transactions, acting as lead advisors on hundreds of transactions representing billions of dollars in value.  Hammond Hanlon Camp LLC offers securities through its wholly-owned subsidiary H2C Securities Inc., member FINRA/SIPC.  For more information, visit



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According to an August 2018 Reuters/Ipsos poll, 70 percent of those surveyed support Medicare for All (“M4A”), including more than half of Republicans surveyed. This followed a June 2017 survey by the Kaiser Family Foundation that found a majority of Americans favored a single-payer health system. 

Americans clearly and overwhelmingly express a strong interest in healthcare reform, and while their opinions differ regarding the type of reform they would like to see, the proportion of Americans favoring a government-sponsored, single-payer system like M4A has increased. The underlying cause of Americans’ interest in healthcare reform is reflected in a more recent 2019 West Health/Gallup survey in which 77 percent of Americans are concerned that rising healthcare costs will cause significant and lasting damage to the U.S. economy and 45 percent believe that a major health event could leave them bankrupt. Meanwhile, an estimated 65 million adults had a health issue for which they did not seek treatment due to costs.   

In this survey, as well as countless articles and opinion pieces addressing the subject of healthcare reform, cost is far and away the central issue driving Americans’ interest in change.



Richard Rollo is a Managing Director for Hammond Hanlon Camp LLC, where he is a leader for the firm’s Healthcare Strategic Advisory and Mergers & Acquisitions (“M&A”) teams. Richard has more than 25 years of experience as a senior executive leading corporate finance, strategy, planning, M&A, and development functions in health care, energy, and financial services. Contact Richard at



Chris Bell, CPA, is a Partner at Moss Adams LLP and national tax leader of the firm’s Health Care Industry Group. Chris also leads the Medical Groups and Physicians National Practice and has been in public accounting since 2005. Contact Chris at




Paul Holden, FHFMA, is a Partner at Moss Adams LLP and leads the Cost Reimbursement and Regulatory Reporting practice of the firm’s Health Care Industry Group. Paul provides reimbursement and operational consulting services to healthcare providers in acute and post-acute settings throughout the western United States. Contact Paul at

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