Bernie Sanders Brings Us One Step Closer To A Single-Payer Health Plan

Bernie Sanders has introduced legislation to establish a single-payer health care plan, as he promised during his run for the Democratic nomination. In an op-ed in The New York Times he wrote Why We Need Medicare for All beginning with describing the problem we face:

This is a pivotal moment in American history. Do we, as a nation, join the rest of the industrialized world and guarantee comprehensive health care to every person as a human right? Or do we maintain a system that is enormously expensive, wasteful and bureaucratic, and is designed to maximize profits for big insurance companies, the pharmaceutical industry, Wall Street and medical equipment suppliers?

We remain the only major country on earth that allows chief executives and stockholders in the health care industry to get incredibly rich, while tens of millions of people suffer because they can’t get the health care they need. This is not what the United States should be about.

All over this country, I have heard from Americans who have shared heartbreaking stories about our dysfunctional system. Doctors have told me about patients who died because they put off their medical visits until it was too late. These were people who had no insurance or could not afford out-of-pocket costs imposed by their insurance plans.

I have heard from older people who have been forced to split their pills in half because they couldn’t pay the outrageously high price of prescription drugs. Oncologists have told me about cancer patients who have been unable to acquire lifesaving treatments because they could not afford them. This should not be happening in the world’s wealthiest country…

This has divided the Democratic Party. Hillary Clinton ran a dishonest campaign against Medicare for All during the primaries, and remains opposed. Much of the Democratic leadership, which badly needs to be replaced, is also opposed. Several of those being mentioned as candidates in 2020 are supporting the plan, showing that they realize this is where a leader of the party must be.

Al Franken has blown apart Hillary Clinton’s arguments against Sanders, showing that supporting Medicare for All is not an attack on Obamacare or Medicare as Clinton falsely claimed. Politico reported:

Sen. Al Franken (D-Minn.), who has been mentioned as a possible 2020 candidate, also expects to sign on to the single-payer bill, a spokesman said Tuesday. Franken noted that his cosponsorship reflects the bill’s status as a long-term goal while the party continues short-term work on Obamacare.

“This bill is aspirational, and I’m hopeful that it can serve as a starting point for where we need to go as a country,” Franken said in a statement. “In the short term, however, I strongly believe we must pursue bipartisan policies that improve our current health care system for all Americans — and that’s exactly what we’re doing right now in the Senate Health Committee, on which both Senator Sanders and I sit.”

Yes, we can defend Obamacare and support improvements, including a Medicare buy-in and a robust public option if that is something more quickly obtainable, while also understanding that a single-payer plan must be the ultimate goal.

Many centrists, both within and outside of the Democratic Party, remain opposed. Jonathan Chait misses the point when he argues that Bernie Sanders’s Bill Gets America Zero Percent Closer to Single Payer. This is not the first time Sanders has introduced legislation to promote a single-payer plan. This is also not the bill which will ultimately establish it. What Sanders has done has made single-payer the goal of the left and many on the center-left. This is analogous to making support for same-sex marriage the expected position of a Democratic leader to the degree that even Hillary Clinton had to alter her position prior to running in 2016, no matter how much this conflicted with her socially conservative beliefs.

The Affordable Care Act was a tremendous improvement over the system we had before, for the first time providing access to coverage which could not be taken away based upon one’s medical condition. However it did very little to change the reality that coverage on the individual market is expensive. Ironically, Republicans are pushing the inevitability of a single-payer plan without realizing it. This includes Republicans in state governments who have denied access to the expanded Medicaid plan to those in several states, and Donald Trump who is trying to destabilize the marketplace plans.

With the limitations of Obamacare, a single-payer plan is the only idea which makes long term economic sense. A majority of doctors have come around to realizing this. Bernie Sanders is now making the Democratic Party acknowledge this. When Obamacare was first being considered, discussion of single-payer plans was blocked. Bernie Sanders has made single-payer part of any discussion of further health care policy.

Be Sociable, Share!

Leave a comment