Issues 2020: Medicare for All/Public Option

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Re: Issues 2020: Medicare for All/Public Option

#51

Post by ZekeB » Sun Aug 11, 2019 4:17 pm

Sterngard Friegen wrote:
Sun Aug 11, 2019 3:27 pm
It doesn't have to be that complicated. None of the issues has to be. All the Democratic nominee needs to do to win the election (and get the camel's nose under the tent) is to say she or he wants to improve access to Obamacare, fix the glitches the Republicans refused to address and expand its benefits. Period. Then move on.
It needs to be something other than Obamacare, fixed or unfixed. There needs to be a national non-profit insurance program available that everyone qualifies for. Their rate depending on their income. There would have to be negotiated reimbursement amounts, like most reasonably priced insurance companies have.

Now how about controlling drug prices? Drugs can cost many people, including Medicare recipients, considerably more than their health insurance premiums. Why should we be subsidizing the costs for other countries? It's not unusual for some Canadian drug prices to be one-tenth the price of ours.
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Re: Issues 2020: Medicare for All/Public Option

#52

Post by Sterngard Friegen » Sun Aug 11, 2019 6:55 pm

Let's win first. And then figure out how to better or replace the ACA.

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Re: Issues 2020: Medicare for All/Public Option

#53

Post by RVInit » Sun Aug 11, 2019 8:17 pm

Sterngard Friegen wrote:
Sun Aug 11, 2019 3:27 pm
It doesn't have to be that complicated. None of the issues has to be. All the Democratic nominee needs to do to win the election (and get the camel's nose under the tent) is to say she or he wants to improve access to Obamacare, fix the glitches the Republicans refused to address and expand its benefits. Period. Then move on.
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Re: Issues 2020: Medicare for All/Public Option

#54

Post by RoadScholar » Mon Aug 12, 2019 6:49 pm

Concur. In spades. Careful improvement of the status quo is a perfectly good plank for Democrats. Tearing everything down and being accountable for the results? Arguably a tough sell at first and potentially disastrous later.
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Re: Issues 2020: Medicare for All/Public Option

#55

Post by Addie » Tue Aug 13, 2019 12:29 pm

The Hill OpEd - Dr. Thomas Bodenheimer
Here's how we can have 'Medicare for all' with a private option

According to CNN 2018 exit polls 41 percent of voters named health care as their most important issue.

According to the New England Journal of Medicine, reducing health-care costs is top priority for 69 percent of Americans.

A Kaiser Family Foundation poll found that 56 percent of the public supports "Medicare for all," but 74 percent wants to keep their existing insurance. Seventy-seven percent, including 69 percent of Republicans, favor allowing everyone to choose Medicare as their health insurance.

When asked which health-care legislation Congress should focus on, 52 percent of Democrats and Democrat-leading independents chose improving the Affordable Care Act versus 39 percent picking Medicare for all.

Some Democrats support pure Medicare for all while others want to retain private insurance. These seemingly opposing stances can be reconciled with a united front for health care. A united front means that progressives and moderates put aside their differences for now.

It includes:
1) Providing immediate relief from the burden of health-care costs

2) Over time, offering an improved Medicare to all Americans

3) Allowing people to keep their private health insurance — the “private option.” Most urgent is health-care cost relief.


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Re: Issues 2020: Medicare for All/Public Option

#56

Post by Addie » Tue Aug 13, 2019 12:37 pm

Open Secrets: Healthcare giants attack 2020 Democrats’ healthcare plans with Iowa ad blitz

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Re: Issues 2020: Medicare for All/Public Option

#57

Post by Addie » Thu Aug 15, 2019 7:26 am

WaPo - Jennifer Rubin
Is it do-or-die time for alternatives to Joe Biden?

Among the nine Democratic presidential candidates who have already qualified for the September debate, five of them — former vice president Joe Biden, Sen. Amy Klobuchar (D-Minn.), former Texas congressman Beto O’Rourke, South Bend, Ind., Mayor Pete Buttigieg and Sen. Cory Booker (D-N.J.) — have advocated, in one form or another, a health-care public option. (Booker and O’Rourke, at least initially, want a buy-in for Medicaid, rather than Medicare.) Sen. Kamala D. Harris calls her plan Medicare-for-all, but it offers Medicare as an option to other highly regulated private plans. That’s a 6-to-3 split opposed to a pure single-payer plan. (So much for the notion that the whole party has leaped far to the left.)

A key issue that separate the two camps is whether they are willing to keep some form of private insurance (Biden, Klobuchar, O’Rourke, Buttigieg, Booker, Harris); or whether they are pitching a true single-payer system with no room for private insurance (Sen. Bernie Sanders, Sen. Elizabeth Warren, Andrew Yang).

Other issues that might distinguish the center-left from the left-left candidates might include a less-isolationist foreign policy and opposition to student loan forgiveness. The sheer number and expense of some candidates’ health plans (e.g., Warren) may underscore how progressive some of the progressives are. However, the fight over single-payer health care goes to the nub of the difference between the two groups of candidates: Who’s willing to shoot for ideological purity over practicality? Who understands there are unintended consequences from hyper-centralization of power?

The way for the center-left contenders to demonstrate that they are the better alternative to the front-runner Biden is not, as we saw in the second debate, to go after the former vice president. He’s too popular and too sympathetic. Better simply to show oneself as the more effective, dynamic standard bearer of the center-left. And that requires the if-Biden-falters candidates from the center-left to launch a no-nonsense defense of the public option.

This comes at a time in which Sanders is sticking his chin out on Medicare-for-all making it the defining issue, so it may be in contrasting themselves with him that center-left candidates make their mark. (Of the most progressive candidates, Sanders is also the most irritable and most likely to lose his cool. And, by process of elimination, he might be the best foil since going after Yang is punching down, and attacking the best debater on the stage, Warren, is awfully-high risk.) This doesn’t mean adopting the argument that Democrats want to stay out of Trump’s “socialist” strike zone, a perfectly legitimate point, but one which immediately puts them on defense. (Too timid! They’ll call you a socialist no matter what!)

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Re: Issues 2020: Medicare for All/Public Option

#58

Post by Sterngard Friegen » Thu Aug 15, 2019 7:53 am

Jennifer Rubin is an anti Trumper, but otherwise a reliable right winger. I wouldn't follow her advice on anything. Democrats should ignore the noise coming from her and her keyboard.

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Re: Issues 2020: Medicare for All/Public Option

#59

Post by Addie » Thu Aug 15, 2019 7:19 pm

The Hill
American Medical Association leaves coalition fighting 'Medicare for All'

The American Medical Association (AMA), the nation’s main group for doctors, announced Thursday that it is leaving a coalition fighting "Medicare for All," a blow to the industry’s efforts to push back on the progressive proposal.

The AMA said it is leaving the industry group called the Partnership for America’s Health Care Future, which has been running ads against Medicare for All and public option proposals from the leading Democratic candidates for president.

However, the doctors group’s CEO, Dr. James Madara, said in a statement that the AMA still opposes Medicare for All. It just wants to focus its energies on advocating for solutions, such as improving ObamaCare by making its subsidies for helping people afford coverage more generous.

“The American Medical Association (AMA) firmly believes that the best pathway to expand affordable, high quality health insurance coverage to all Americans is through a mix of private and public health insurance options,” Madara said in a statement. “We remain opposed to Medicare for All, and policies that reduce patient choice and competition, and are built on flawed financing policies.”

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Re: Issues 2020: Medicare for All/Public Option

#60

Post by Addie » Fri Aug 16, 2019 5:07 pm

Axios
The growing employer health care crisis

The past decade has seen enormous growth in health care costs paid by both employees and employers, creating the context for some of today's biggest political debates as well as teeing up more problems for the future.

Yes, but: There are some signs that employers have maxed out their ability to shift costs to employees.

By the numbers: Health spending by families who get their insurance from large employers has grown two times faster than wages over the last decade, driven partially by the rise in deductibles, according to a new brief by the Kaiser Family Foundation.
Employees' average costs for family coverage rose from $1,779 in out-of-pocket spending and $2,838 in premiums in 2008 to $3,020 and $4,706, respectively, in 2018.

But it's not like employers' costs have remained stable over the same time period: Their premium contribution has risen, on average, from $10,008 to $15,159.


Why it matters: People are paying higher premiums for insurance that leaves them on the hook for more of their bills.

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Re: Issues 2020: Medicare for All/Public Option

#61

Post by Addie » Fri Aug 23, 2019 12:29 pm

Cross-posting

Newsweek
Kamala Harris No Longer Supports Bernie Sanders' Medicare for All Plan

California Senator and 2020 presidential candidate Kamala Harris is backing away from Medicare for All, just two years after she co-sponsored the bill in the Senate.

Speaking at a Hamptons fundraiser to corporate executives and one-percenters, Harris explained that she has "not been comfortable" with the healthcare plan written by her 2020 competitor Vermont Senator Bernie Sanders.

"I think almost every member of the United States Senate who's running for President and many others, have signed on to a variety of plans in the Senate. And I have done the same," she said at the fundraiser, according to her campaign. "[A]ll of them are good ideas, which is why I support them. And I support Medicare for All. But as you may have noticed, over the course of many months, I've not been comfortable with Bernie's plan, the Medicare for All plan."

In August of 2017, Harris became the first Senator to co-sponsor the plan. She continued to express support for it during her presidential campaign, sending out a press release in April of 2019 where she wrote that "Medicare for All finally makes sure every American has affordable, comprehensive health care."

Harris campaign spokesman Ian Sams told The Daily Beast that "there's a difference between signing onto a good idea and running on a plan." He continued: "Senator Harris was hearing from lots of voters real concerns, specifically about proactively abolishing private insurance, the four year transition, middle class tax hikes, and so she came up with her own plan to adjust for those that, frankly, is better than his."
Adding:
The Hill: Sanders hits Harris after she criticizes his 'Medicare for All' plan

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Re: Issues 2020: Medicare for All/Public Option

#62

Post by Lani » Sat Aug 24, 2019 3:31 am

I cringe when this comes up. The British system appeared because the UK was decimated by WWII. Medical personnel work for the Government.
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Re: Issues 2020: Medicare for All/Public Option

#63

Post by Addie » Sun Aug 25, 2019 9:02 pm

Politico
Senate battleground Dems shun Medicare for All

Republican strategists are already working relentlessly to tie vulnerable Democratic incumbents to Medicare for All.


The major battleground-state Democrats running to flip the Senate want nothing to do with Medicare for All.

In states like Arizona, Iowa and North Carolina, challengers Mark Kelly, Theresa Greenfield and Cal Cunningham are staying tightly focused on the health care message House Democrats used in 2018: expanding Medicaid, protecting Obamacare and slamming Republican repeal efforts. Incumbents like Sens. Jeanne Shaheen (D-N.H.), Doug Jones (D-Ala.) and Gary Peters (D-Mich.) are aligned similarly, backing proposals like a public health insurance option but declining to embrace a single national insurance plan.

It is a striking split between the Democrats making general election plans in key battleground states and presidential hopefuls like Sens. Bernie Sanders and Elizabeth Warren, who are confronting a national Democratic primary. And it could make for an awkward general election if either Warren or Sanders becomes the Democratic presidential nominee campaigning on Medicare for All, while the party’s likeliest swing-state Senate nominees run on more moderate health care platforms. ...

Republican strategists are already working relentlessly to tie vulnerable Democratic incumbents to Medicare for All, whether or not they back the proposal. But activist groups fighting for single-payer health care argue the sweeping policy will energize the Democratic base, and that candidates who are too cautious and calculating won’t give voters a reason to turn out in 2020.

“These policies that sell themselves as safe and incremental do not move people,” said Kelly Coogan-Gehr, the assistant director of public and community advocacy for National Nurses United, the top labor union fighting for Medicare for All. “The grassroots is not moved by safety. We are talking to hundreds of people every day and they are not moved by expanding the ACA or a public option. They want something much more comprehensive and they’re willing to fight for it.”

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Re: Issues 2020: Medicare for All/Public Option

#64

Post by p0rtia » Mon Aug 26, 2019 8:51 am

Addie wrote:
Tue Aug 13, 2019 12:37 pm
Open Secrets: Healthcare giants attack 2020 Democrats’ healthcare plans with Iowa ad blitz
So, an important endorsement, then.
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Re: Issues 2020: Medicare for All/Public Option

#65

Post by Addie » Wed Aug 28, 2019 1:04 pm

Politico
Poll: Dems more likely to support candidate who backs Medicare for All over fixing Obamacare

As the Democratic presidential field continues to grapple with plans to address health care, a significant majority of Democratic voters are more likely to back a 2020 primary candidate who supports “Medicare for All” than building on the Affordable Care Act, a new poll found.

According the POLITICO/Morning Consult poll out Wednesday, 65 percent of Democratic primary voters would be more likely to support a candidate who wants to institute a single-payer health care system like Medicare for All; 13 percent said they’d be less likely to back a candidate based on that support.

While the Democratic base has essentially demanded that its White House hopefuls offer up a plan for universal health care, the party has devolved into infighting over the nuances of such plans, centering almost entirely on the role of private insurers in the health care market.

“Democrats are increasingly more inclined to back a 2020 candidate who supports Medicare for All versus revamping Obamacare,” said Tyler Sinclair, Morning Consult’s vice president. “In January, 57 percent of Democrats said they would be more likely to vote for a candidate who backs a Medicare for All health system over expanding the Affordable Care Act. That number has now risen to 65 percent.” ...

Biden’s front-runner status thus far has come close to being threatened by only Sens. Bernie Sanders and Elizabeth Warren, two of the most vocal proponents of Medicare for All, while some of the idea’s most vocal detractors have failed to gain traction in the race or have already dropped out.

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Re: Issues 2020: Medicare for All/Public Option

#66

Post by Addie » Fri Aug 30, 2019 2:46 pm

CNN
The fight over 'Medicare for All' is only beginning

(CNN)Less than two months after the 2017 Republican push to kill Obamacare perished overnight on the Senate floor, more than a third of the Democratic caucus gathered in a much smaller room on Capitol Hill to take turns making the case for Sen. Bernie Sanders' new "Medicare for All" bill.

The Vermont independent had boosted single-payer health care plans before, but it had been a lonely enterprise. A previous iteration attracted no co-sponsors. This time, though, he was ringed by colleagues -- among them, four of his future Democratic presidential rivals: Sens. Elizabeth Warren of Massachusetts, Kamala Harris of California, Kirsten Gillibrand of New York and Cory Booker of New Jersey.

The failed GOP coup united Democrats, for a least few heady weeks that summer, across ideological lines. Come 2018, House Republicans would pay dearly for their efforts, as Democrats campaigning on promises to protect and grow government-backed health care swept into the majority.

Their success in the midterm elections ratcheted up a simmering debate within the party over the path forward, with Democratic lawmakers from both chambers churning out piles of often-overlapping new plans. But it is Medicare for All, the most radical of the lot, that continues to roil the party as the 2020 presidential primary enters its stretch run to Iowa.

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Re: Issues 2020: Medicare for All/Public Option

#67

Post by Addie » Sun Sep 15, 2019 6:41 am

ABC News
Number of uninsured Americans jumps by nearly 2 million: Census Bureau

The number of Americans without health insurance jumped by nearly 2 million in the year after President Donald Trump took office -- the first time in a decade that there has been a year-to-year increase, according to federal data released Tuesday.

The data, based on a U.S. Census Bureau survey, swiftly reignited attacks by Democrats on Trump's handling of health care. The president campaigned on repealing President Barack Obama's health care law and has argued in federal court in favor of dismantling it.

While the law mostly remains intact, Democrats have said the administration's reluctance to fund outreach and educational programs has depressed enrollment via federal exchanges.

"President Trump's cruel health care sabotage has left 2 million more people without health insurance, forced to live in constant fear of an accident or injury that could spell financial ruin for their families," said House Speaker Nancy Pelosi, D-Calif.

Added Senate Democratic Leader Chuck Schumer, D-New York: "The relentless effort by Republicans to sabotage our health care system has resulted in millions of fewer Americans with health insurance and skyrocketing costs for American families."
Adding:
The Progressive: The Insurance Industry’s War of Words Against Medicare-for-All

Why are we seeing all the hand-wringing about “losing” private insurance when so many people’s experiences with it are so negative?

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Re: Issues 2020: Medicare for All/Public Option

#68

Post by Addie » Sun Sep 15, 2019 8:34 pm

Newsweek
Pete Buttigieg Says He Won't 'Order Americans' Onto Public Insurance Like Elizabeth Warren and Bernie Sanders

Democratic presidential hopeful Pete Buttigieg said on Sunday that his proposed public healthcare plan would be "better" for Americans than current private options, but he differentiated it from that of fellow 2020 contenders Senators Bernie Sanders and Elizabeth Warren, by saying he wouldn't "order Americans" onto Medicare-for-all.

"We need to make sure that we have a vision that gets everybody covered," Buttigieg, who is currently the mayor of South Bend, Indiana, said Sunday during an interview with CNN's State of the Union when he was asked about his forthcoming health care plan. "The difference in my vision of Medicare-for-all who want it – versus Sanders, Warren vision – is I think we can do that and not order Americans onto that public alternative," he said.

Buttigieg asserted that he thinks his public alternative health care plan "will probably be better than all of the private plans." But the candidate said that he trusts "the American people to make that decision for themselves."

Although the South Bend mayor has yet to release a comprehensive health care proposal, he has long argued that a Medicare-for-all plan can exist nationwide, while private insurance alternatives remain available.

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Re: Issues 2020: Medicare for All/Public Option

#69

Post by ZekeB » Sun Sep 15, 2019 8:42 pm

I wouldn't think anyone would be "ordered" onto public insurance. Nobody is "ordered" onto Social Security when they retire either. Take your entitlement or leave it. No government agent will show up at your door and threaten to arrest you.

BTW, nobody is ordered onto Medicare either. Take it or leave it.
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Re: Issues 2020: Medicare for All/Public Option

#70

Post by Addie » Tue Sep 17, 2019 5:45 pm

Bloomberg: Health Insurance That Doesn’t Cover the Bills Has Flooded the Market Under Trump

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Re: Issues 2020: Medicare for All/Public Option

#71

Post by Addie » Thu Sep 19, 2019 3:44 pm

Vox
Pete Buttigieg’s Medicare-for-all-who-want-it plan, explained

Buttigieg is emphasizing choice in a plan that allows employer-sponsored and individual private insurance to remain.


South Bend, Indiana, Mayor Pete Buttigieg has released his first detailed health care plan on Thursday, designed to expand coverage, lower costs and offer Medicare “for all who want it” while stopping short of the single-payer Medicare-for-all overhaul preferred by Bernie Sanders.

In this presidential primary, center-left candidates like Buttigieg have been obliged to explain how they would expand US health care if they aren’t willing to endorse the Medicare-for-all plan supported by Sanders and Elizabeth Warren, which would set up a single government insurance plan to cover every American.

Buttigieg’s agenda shares some of the same ideas that former Vice President Joe Biden supports. He aims to achieve universal coverage through the introduction of a public option and more subsidies for private insurance, building off the existing system instead of razing it to the ground as a single-payer plan would.

Buttigieg is emphasizing choice — thus “Medicare for all who want it,” his spin on Sanders’s “Medicare for all” slogan — in laying out an agenda that allows employer-sponsored and individual private insurance to remain but gives all Americans the option of joining a government health program. ...

Buttigieg would create an optional government insurance plan into which uninsured people would be automatically enrolled and people with employer-sponsored insurance would be permitted to join. He also wants to expand federal subsidies for private insurance purchased on the Obamacare marketplaces, making them more generous and lifting the income eligibility cap that currently leaves many middle-class families cut off from federal assistance. He covers other ground as well, proposing a fix for surprise medical bills and an out-of-pocket spending cap for Medicare beneficiaries.

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Re: Issues 2020: Medicare for All/Public Option

#72

Post by Addie » Sun Sep 22, 2019 3:07 pm

Bloomberg: Sanders Unveils Plan to Cancel $81 Billion in U.S. Medical Debt
Rolling Stone: Bernie Sanders’ New Plan Wipes Out $81 Billion of Americans’ Existing Medical Debt

“The very concept of medical debt should not exist,” the candidate said
The Hill: Sanders unveils plan to eliminate Americans' medical debt

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Re: Issues 2020: Medicare for All/Public Option

#73

Post by Addie » Sun Sep 22, 2019 3:10 pm

HuffPo: The Attack On Elizabeth Warren That Could Actually Matter

Warren is facing criticism from the left and center on voters’ No. 1 issue: health care.

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Re: Issues 2020: Medicare for All/Public Option

#74

Post by Addie » Sun Sep 22, 2019 4:52 pm


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