Medicare (Extra) for All

This is a couple weeks old, but still worth a look. Apparently the mainstream policy wonks of the Democratic party are embracing a version of single-payer – finally.

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Under the plan, dubbed Medicare Extra (because Bernie Sander’s Medicare-for-All shall not be named, it seems), Americans would have guaranteed health insurance, getting them needed medical care without the fear of bankruptcy. Oh, and it would be the US finally catching up with the rest of the developed world.

Waldman says the Republican party is to “blame” for the plan. By fighting the Affordable Care Act so much – which, except for the Medicaid expansion, was always a conservative/GOP plan, anyway – they forced the Democrats to embrace more radical health care reform.

For my part, I blame the Democrats for not seeing the policy and political logic of embracing a single-payer plan a long time ago. They could have at least embraced the public option when the ACA was being crafted, which would have tested the popularity of widespread Medicare coverage. Why did we have to waste so much energy and put so many people through health insurance insecurity to get to this point?

But of course, maybe that’s precisely what we had to do. Maybe it took that kind of pain to get Democratic politicians and the public to embrace the idea of universal coverage. It’s hard to say. Either way, it’s time to celebrate the release of this plan as a small moral victory.