A single-payer health plan would have the authority to set one price for each service; an appendectomy, for example, would no longer vary so wildly from one hospital to another. Instead, the Sanders plan envisions using current Medicare rates as the new standard price for medical services in the United States. Medicare for today’s seniors and future retirees. Now it’s time to put Medicare on stable financial ground for the future so we can guarantee future generations have affordable, quality health care. To join the conversation about the future of Medicare, go to earnedasay.org. Jayapal’s bill envisions a future where all Americans have health coverage and pay nothing out of pocket when they visit the doctor or hospital. Her plan, the Medicare for All Act of 2019, describes a benefit package that is more generous than what other single-payer countries, like England or Canada, currently offer.