Sen. Bernie Sanders is skimming over the facts in claiming that his “Medicare for all” plan will lead to big reductions in what Americans spend for health care.

In a recent tweet, the Vermont independent insists the plan will cut $2 trillion from the nation’s health care bill.

But that’s based on a scenario in which hospitals and doctors accept significantly lower payments for many patients. It’s a big asterisk, and one that Sanders fails to disclose.

A look at the claim:

SANDERS: “Medicare for All will lead to a $2 TRILLION REDUCTION in national health expenditures over 10 years.” — July 30 tweet.

THE FACTS: Sanders’ vision of El Dorado in his tweet and a YouTube video is being widely echoed by supporters of a government-run national health system. But Sanders mischaracterizes a study from a libertarian policy institute that found his legislation would actually lead to a massive boost in federal spending and taxation.