The claim that a government-administered Medicare for All (M4A) system would be dysfunctional overlooks the success of existing government-run healthcare programs. Medicare, which provides healthcare to Americans 65 and older, is widely regarded as a successful and effective program with relatively few complaints. Millions of seniors rely on it for quality care without facing the bureaucratic nightmares critics often predict. Additionally, studies have shown that the Department of Veterans Affairs (VA) healthcare system delivers care that is often equal to or better than non-VA healthcare.

These examples demonstrate that government-run programs can be both efficient and high-performing. Expanding Medicare to all Americans could build on these successes, ensuring access to quality healthcare without the inefficiencies of private insurers.

Evidence from other countries with universal healthcare systems doesn't support the claim above. Notably, these countries spend about half as much per capita on healthcare as the U.S. and get better health outcomes including higher life expectancy.