Not Joe Biden. Not Pete Buttigieg. Not Amy Klobuchar. Not Michael Bloomberg. Not Tom Steyer. Not Michael Bennet.
Nope. This is none other than Senator Bernie Sanders of Vermont from July 2009, issuing a strong and vigorous argument in favor of adding a Medicare-like Public Option to the U.S. healthcare system to offer a "level playing field" and "fair competition" with private insurance.
I've cued up the video to the relevant starting point, but if it starts at the beginning for some reason, scroll up to 4:55 in. It runs until around 6:13.
Here's the transcript of Bernie during the section in question:
“No one is talking about a government-run healthcare system. No, they’re not. What they’re talking about is a public option that will compete and give people the choice! The choice of whether they want a public plan or a private plan! Why are you afraid of that? If the private plans are so much better, people will go into the private plan. If the public plans are more cost effective, more reasonable,if people prefer a Medicare-type program they’ll go into that. Why are you afraid of the competition?
However, in the wake of that back & forth, a Twitter follower of mine, a woman of color who goes by the handle @Kamalaallday, posted an angry rant which I felt lent a lot of insight as to why many in the black community aren't nearly as keen on "Medicare for All" as envisioned by Sanders and other M4All activists as you might expect.
I already knew about some of her complaints and concerns below, but not all of it. Instead of putting words in her mouth, I'm just gonna let her speak for herself.
I've embedded the first tweet directly, but have converted the rest of the thread into bullets and reworked the structure (putting half-sentences together and adding paragraph breaks, etc.) for easier readability, but have otherwise left her entire thread as is. I strongly advise that folks read it all...food for thought:
I don't normally post blog entries about the occasional Twitter flare-ups I get into with die-hard Medicare for All supporters, but this one strikes me as being especially noteworthy for several reasons.
David Klion is the News Editor at JewishCurrents and a writer for The Nation and The New Republic. As you can imagine, he's a pretty left-wing/progressive kind of guy, and a devout Bernie Sanders supporter. He has a verified account (as I do) and has about 55,000 Twitter followers (compared to my 35,000, FWIW). In other words, both of us have small but respectable followings on social media and are what the powers that be would likely consider "low-level" (?) Twitter influencers.
He and I have followed each other on Twitter for several years. We don't directly talk to each other very often, however.
The wording of the first part varied somewhat depending on the candidate's position on healthcare policy, but the second part was identical for each. Here's how I worded it for Bernie Sanders:
"Senator, you've long been a staunch advocate of moving to a universal, mandatory, single-payer healthcare system which you call "Medicare for All", and have publicly rejected any proposal which includes cost sharing at the point of service or which continue to allow private major medical plans as not being acceptable.
However, until this year you were also a co-sponsor of Senator Warren's "Consumer Health Insurance Protection Act", or CHIPA, which amounts to a robust ACA 2.0 bill, and until recently you were also a co-sponsor of Senator Schatz's "State Public Option Act" which amounts to a Medicaid buy-in plan.
So last night I whipped up a bit of a fuss on Twitter with my response to an exchange between Pete Buttigieg and Rachel Maddow:
Asked by @maddow about a McKinsey client laying off thousands of insurance company workers — and whether Buttigieg’s work played a role — Buttigieg turns it around and warns that Medicare for All advocates would end every insurance worker’s job.
Maddow: "When you did that cost & overhead assessment for Blue Cross Blue Shield of Michigan, a couple years after that, they laid off like 1,000 people. Was your work part of what led to those layoffs?
Buttigieg: " I doubt it...I don't know what happened after the time that I left, that was in 2007, when they decided to shrink in 2009. Now, what I do know is that there are some voices in the Democratic primary right now who are calling for a policy that would eliminate the job of every single American working at every single insurance company in the country."
In mid-November, a few dozen of the country’s most influential advocates of Medicare-for-all were reviewing details of Sen. Elizabeth Warren’s plan to finance the proposed government-run program when they learned that she had unexpectedly changed her position.
Please watch this interview with Hillary Clinton. The whole thing is worth watching, but the portion about healthcare policy and the best route forward starts at around 9:20 in and runs less than 7 minutes, to 16:00 (It's supposed to be cued up to exactly 9:20 but you may have to scrub forward to get to it depending on your device).
Please take 6 minutes and 40 seconds out of your day to actually listen to the words which are coming out of her mouth.
UPDATE: Full, verbatim transcript by yours truly:
Andrew Ross Sorkin: “I want to talk to you a little bit about healthcare, because I know it’s an issue that you care about deeply and have thought a lot about.”
Hillary Clinton: “I have.”
Sorkin: “Because we seem to be in a very divided world, not just among two different parties, but even within the Democratic Party. Medicare for All versus a Public Option. You look at what Elizabeth Warren presented last week, and you think...what?”
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.
(Note: Since then, I've publicly stated that I'm now leaning more towards Sen. Kamala Harris who was always my strong #2 choice. This doesn't mean I no longer like Warren--the two have simply swapped places in my #1 and #2 column.)
Back in late June, right after the first Democratic Primary Candidate Presidential Debate, I posted an analysis & table to break out exactly where each of the then-20 (!) candidates stood when it comes to the Next Big Thing in U.S. healthcare policy. I posted a couple of updates as the summer and early fall progressed.
At the time, my main point was that regardless of their official campaign rhetoric, the truth was that nearly all of the candidates were open to multiple paths towards expanding healthcare coverage...both in terms of the number of people covered, the scope of that coverage and the cost of coverage to the enrollees, with a greater portion of the total cost being borne by the federal government.