The Clay Travis and Buck Sexton Show podcast

The Tudor Dixon Podcast: The Real Cost of Medicare for All with Sally Pipes

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What would Medicare for All actually mean for American patients, doctors, and taxpayers?

Tudor Dixon sits down with healthcare policy expert Sally Pipes, president and CEO of the Pacific Research Institute and author of The World’s Medicine Chest: How America Gained Pharmaceutical Supremacy—and How to Keep It, to examine the debate over Medicare for All and single-payer healthcare.

Pipes draws on her experience growing up in Canada to discuss the trade-offs she sees in government-run healthcare, including longer wait times, physician shortages, healthcare rationing, taxes, and limits on patient choice. The conversation also examines healthcare systems in Canada and the United Kingdom, the cost of expanding government healthcare in the United States, Medicare and Medicaid reimbursement rates, and the impact of government policy on medical innovation.

Tudor and Sally also discuss alternatives for lowering healthcare costs, including association health plans, increased competition, PBM reform, short-term insurance plans, and giving patients more control over their healthcare decisions.

A major focus is Canada's healthcare wait times. The Fraser Institute's 2025 survey reported a median 28.6-week wait from GP referral to treatment, although that figure represents a survey-based measure across selected specialties rather than every Canadian patient's experience.

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