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Dr. Steven Corwin knows what he does is expensive.

Corwin is the CEO of NewYork-Presbyterian Hospital. Surgeries, accelerated care, and added cher procedures are consistently demography abode aural its walls. Hospital affliction amount about $1.1 abundance in 2016 — that’s 32% of bloom spending in the US.

“We do a lot of actual big-ticket things,” Corwin told Business Insider. “We accept to amount out how to abate our costs.”

Seemingly every day, there are new account about abrupt hospital bills charging anywhere from tens to hundreds of bags of dollars. Often, it’s adamantine to apperceive what you ability be on the angle for paying, and hospitals aren’t consistently able — or accommodating — to accord you an estimate. Numerous variables accord to a hospital bill, including the blazon of bloom plan a being has.

Ideally, one way to accompany bottomward spending on hospital affliction would be to anticipate trips to the hospital in the aboriginal place, with antitoxin affliction like check-ups and screenings. But to accomplish that happen, bodies charge to be covered by bloom insurance, Corwin said.

“We accept to accept accepted coverage,” Corwin said. “Let’s balloon the apparatus of accepting accepted coverage, but I anticipate everybody’s gotta be insured.”

On the civic stage, Democrats accept been all-embracing “Medicare for All,” a anatomy of accepted healthcare that would aggrandize the federally adjourned Medicare program, which today covers healthcare for seniors 65 and older, to all Americans.

While Corwin doesn’t abutment Medicare for All, it’s a abstraction he has on his mind, in allotment because of how abundant simpler what is accepted as a single-payer arrangement would be on the authoritative ancillary of the hospital. Instead of annoying about the airheadedness in altered plans, hospitals would accept alone one plan to accumulate in mind.

But to him, there are two big questions about Medicare for All:

“I anticipate we should accept that debate,” Corwin said.

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