Medicare for All

(sigh) Regular readers know two things about me when it comes to Sen. Elizabeth Warren:

  • I'm generally supporting Elizabeth Warren in the Democratic Primary (not a full endorsement, but I've been strongly leaning her way for awhile now)...

HOWEVER, for the time being at least, that seems to be where she's decided to lay her marker, so it is what it is.

The single biggest headache she's been dealing with all summer and fall, however, has been the "Will You Raise Taxes On The Middle Class" question which keeps popping up in interviews and the Democratic debates. Bernie Sanders has, to his credit or detriment, stated it plainly: Yes, his plan would indeed raise taxes on households earning more than $29,000/year.

Back in July I posted the written Congressional testimony of my friend Rebecca Wood. Rebecca is a staunch "Medicare for All" advocate whose daughter Charlie has complex medical issues.

Today, I'd like to present a Twitter thread by another friend I've met online, Lori, who also has a daughter with complex medical needs named Savannah. While their children both have serious medical issues which need constant care, Lori has a slightly different perspective on the issue of the best route towards achieving universal coverage. This was all in response to my own tweet, which was in response to a comment by Parker Malloy about people who "love" their private insurance:

Who are these people some candidates speak of who just absolutely love their insurance? https://t.co/JD3IEy1Kk9

— Parker Molloy (@ParkerMolloy) September 18, 2019

I've written many times before about how polling on the issue of "Medicare for All" has consistently proven that many Americans are confused about what the phrase actually means.

While a majority of the country keeps saying they want "Medicare for All", poll after poll has shown that a huge chunk of those who say so think it means "Medicare for All Who Want It"...that is, they think it refers to a Public Option, where it's up to them whether their major medical coverage would be public or private. This is true even among Democrats, who obviously support the concept in higher numbers than Republicans or Independents.

Yesterday a new poll came out from Monmouth University which mostly just confirms this point...

Last night, the Washington Post posted a story with a headline which made top campaign representatives for both Bernie Sanders and Kamala Harris go nuts on Twitter:

Sen. Bernie Sanders changes how Medicare-for-all plan treats union contracts in face of opposition by organized labor

Sen. Bernie Sanders announced a key change to his Medicare-for-all insurance plan Wednesday, a move meant to assuage fears on the part of organized labor, whose support is being heatedly sought by all of the candidates for the Democratic presidential nomination.

 

Both evenings of the Detroit Democratic Debates earlier this week started off with half-hour segments on healthcare policy. I meant to do write-ups about both of them but for one reason or another never got around to it until now. Tons of other healthcare wonks have already written their own think pieces by now, so I'm not going to go back and rehash the whole thing at this point.

HOWEVER, there's one quote which made my jaw drop, and it doesn't come from any of the Big Four (Biden, Warren, Harris or Sanders). It comes from Hawaii Representative Tulsi Gabbard...and it didn't even come during the debate itself, but afterwards in the "Spin Room" (they actually call it that) with Anderson Cooper.

So, I wrote my first Op-Ed piece for the Washington Post yesterday...

Harris’s rollout Monday was met with swift criticism from both the Biden camp, which called it “A Bernie Sanders-lite Medicare for All,” and the Sanders camp, which insists Harris “can’t call [her] plan Medicare for All.”

In saying this, the Sanders campaign is effectively trying to lay a copyright claim to Medicare-for-all, as if it, and only it, can define what it means. The reality is far less clear — and depending on your perspective, it could be Harris’s proposal that is more justified in claiming the Medicare-for-all branding.

I'm not going to overquote my own piece, but this has led to some backlash against me, so for the record:

(IMPORTANT: As my friend Shawn Pierce keeps pointing out, the phrase "Medicare for All" has two very different meanings...one is the brand "Medicare for All", which simply refers to any healthcare plan which ensures 100% universal, comprehensive healthcare coverage for everyone; the other is the specific bills introduced by Sen. Bernie Sanders and/or Rep. Pramila Jayapal, which would indeed completely eliminate private major medical insurance for 100% of the population as well as completely eliminating all out-of-pocket costs in favor of 100% federal public funding).

For months now, California Senator and Presidential candidate Kamala Harris has repeatedly struggled with how to address her support of Bernie Sanders' 100% mandatory, $0 out-of-pocket-cost, 100% comprehensive "pure" single payer "Medicare for All" healthcare bill.

FULL DISCLOSURE: Since June 2019, I've been contracted with the Center for American Progress to provide healthcare data analysis & advocacy on their behalf on a part-time basis.

UPDATE: My contract with CAP ended on Nov. 30th, 2020 (on a positive note--I knew going in it was a temporary arrangement and enjoyed working with them).

NOTE: This is not an in-depth analysis, for three reasons:

  • Third, I have a bit of a personal/household crisis to deal with this week (don't worry...no one's sick, dead or getting divorced, but our house is in need of some serious attention)

If you've been reading my site for more than a couple of years, you know that back in February 2018 I fell in love (well, mostly) with a new Universal Healthcare Coverage proposal from the Center for American Progress called "Medicare Extra for All" or simply "Medicare Extra".

If I could only ask one question of the 20-odd candidates vying for the Democratic nomination for President at the next debate coming up right here in Detroit, Michigan, here's how I would word it. I've customized it for each of the five major candidates (apologies to the rest of them):

Preface to each of the candidates:

"Earlier this month, oral arguments were heard by the 5th Circuit Court of Appeals over a lawsuit against the Affordable Care Act filed by 20 Republican Attorneys General and fully supported by the Trump Administration.

"If the plaintiffs are successful and the ACA is struck down entirely, up to 20 million Americans would find themselves without healthcare coverage and tens of millions more with pre-existing conditions would lose critical protections, while states would lose hundreds of millions, or even billions of federal funding.

"Every Democratic candidate has come out in favor of significantly expanding publicly-funded healthcare coverage to some degree or another. Some want to build upon the Affordable Care Act. Some want to add a public option. Some want guaranteed universal coverage, and some are demanding universal single payer healthcare for everyone in the United States.

A few months back I posted a request for folks to vote for a healthcare panel I was hoping to be included at this summer's Netroots Nation conference in Philadelphia.

I'm happy to report that our panel did indeed make the final cut, and will be happening this Friday, July 12th:

FIX THE DAMN HEALTHCARE: SORTING OUT ACA 2.0, MFA, MED4AM AND MORE!

  • Friday, Jul. 12 4:30 PM, Room: 118C

The healthcare landscape is confusing and exciting in 2019. Reining in Big Pharma, strengthening the ACA, adding public options, “Medicare for America” or “Medicare for All”… the alphabet soup of plans can be confusing. Can improvements be implemented before 2021 at the federal level or is it all up to the states? And what about the latest lawsuit looming over everything? We’ll go beyond the slogans and into the details: How are the proposals similar and different, and what do patients, caregivers and other invested parties think.

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