Not sure about this illegible mess except that the first part you quoted was from an article that isn't actually detailing Bernie's plan (EDIT: I'm putting your post mostly in spoilers, it's ugly and hard to follow but anyone can open the spoilers if they want to see the whole of it). I've linked the actual Health Affairs coverage on Bernie's plan below for you and right at the beginning it confirms exactly what I just said about Supplemental coverage being allowed...
https://www.healthaffairs.org/do/10.1377/hblog20170914.061996/full/
Supplemental insurance is allowed to cover anything M4A doesn't. That was my statement, it's confirmed here by the same exact source you seem to be using to refute that claim.
Now I'm not trying to figure out what's what in the rest of that mess you just posted. Clean it up or clarify it properly with quotes separating your thoughts from what you're citing and maybe I can figure out what you're even trying to say. But my point stands and I think you'd be better off reading the article that actually covers Bernie's plan rather than one that makes brief allusions to it but doesn't actually cover everything involved in it. Just for example, you mentioned something about the state's making the final determinations but that's not right. States can't limit benefits that follow a national standard of guidelines that would be set, they can only expand on them.
From the same article:
Well for one states right now do cover more with Medicaid than Medicare. That's solely because their populations cover more lives over multiples ages. So Medicaid covers births by mothers, childhood cancers etc. Now eventually Medicare will obviously cover these things but there will still be outlier procedures that wont be covered. Medicare will cover the majority of dieases and treatments that affect most of the population. If most people dont have the disease it's not paid for.
This usually effects new treatments more than older ones.
For example blacks get sickle cell disease on a more than whites disproportionately. Approximately 70,000 to 100,000 Americans have sickle cell disease, yet it is the most common form of an inherited blood disorder.
The third drug ever approved by the FDA is Adakveo and it just happened a month or so ago.
FDA approves first targeted therapy to treat patients with painful complication of sickle cell disease
Republicans are already ramping up on not paying for it
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. Heres a republican blurb
https://insidehealthpolicy.com/inside-drug-pricing-daily-news/newly-approved-sickle-cell-drug-could-dent-medicaid-budgets
Newly Approved Sickle Cell Drug Could Dent Medicaid Budgets
FDA approved a drug for sickle cell anemia that could pose a significant cost to state Medicaid budgets because a
little more than half of the approximate 100,000 Americans living with sickle cell disease are in Medicaid and the annual cost of the drug is $84,852 to $113,136, based on list price. Novartis announced Friday (Nov. 15) the approval of Adakveo (crizanlizumab) to reduce the frequency of pain episodes in patients living with the genetic blood disorder.
It's not
"medically necessary" for them to pay for because not enough ppl have the disease
This is mainly used to not pay for black diseases. If we really want M4ALL for black people. We have to get rid of this term entirely. It's truly life or death. Biden got rid of the term for his public option, which will be the base for the M4ALL bill down the road.