Tag Archives: Health care

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.

Screen Shot 2018-03-07 at 7.55.45 PM

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.

How about Democrats embrace popular policies?

I’ve found the best way to understand American politics is by assuming that the Republicans are ruthless and the Democrats are inept. There’s more evidence here:

Screen Shot 2018-03-01 at 8.08.35 PM

While Republicans have made great electoral hay for decades by pushing an extremist gun agenda, the Democrats have consistently offered a milquetoast, muddled response. And here’s the rub: the polls consistently support stronger gun control.

This is low-hanging fruit. Take a popular issue and run with it. Make it into an issue upon which people VOTE.

Yes, I make it sound easy, but how could you do much worse than this:

And yes, I know there have been some recent election wins. But there’s a deep, deep hole to climb out of. And nothing is guaranteed in the midterms

In many ways this reminds me of the Medicare-for-All issue. Mainstream Democrats, Pres. Obama, and Hillary Clinton just couldn’t get themselves behind any version of it, even though it is reasonably popular – without any mainstream effort behind it at all.

Now, we can have a policy argument about gun control and Medicare-for-All. I’m convinced they’re desirable and feasible. You might disagree. Compromises on policy can be reached.

But politically, these issues can WIN. But one has to choose to try.

P.S. For the record, I don’t much care whether Democrats, in and of themselves, win anything. If a Republican embraced sound, humane policies, sure, I’d vote for a Republican. But, jeez. Trump? You make it so hard, GOP.