National Improved Medicare For All Making Progress


Published:

A 2017 Medicare for All rally in Los Angeles.

© Molly Adams, Flickr CC

In The Road to Medicare for Everyone, Jacob Hacker is once again working to dissuade single-payer health care supporters from demanding National Improved Medicare for All, and he’s using our language to send us down a false path. Hacker comes up with a scheme to convince people to ask for less and calls those who disagree “purists.” Hacker calls his “Medicare Part E” “daring and doable.” I call it dumb and dumber. Here’s why.

Hacker makes the same assertions we witnessed in August of 2017 when other progressives tried to dissuade single-payer supporters.

He starts with “risk aversion,” although he doesn’t use the term in his article. Hacker asserts that those who have health insurance through their employers won’t want to give it up for the new system. Our responses to this are: There is already widespread dislike for the current health care system; people don’t like private insurance while there is widespread support across the political spectrum for Medicare and Medicaid; there is also widespread support for single payer; and those with health insurance can be reassured that they will be better off under a single-payer system. It is also important to note that employers don’t want to be in the middle of health insurance. Health care costs are the biggest complaint by small- and medium-sized businesses and keep businesses that operate internationally less competitive.

Next, Hacker brings up the costs of the new system and complains that it will create new federal spending. He points to the failures to pass “single payer” in Vermont and California. First, it must be recognized that the state bills were not true single-payer bills, and second, states face barriers that the federal government does not, they must balance their budgets. Hacker ignores the numerous studies at the national level, some by the General Accounting Office and the Congressional Budget Office that demonstrate single payer is the best way to save money. Of course, there would be an increase in federal spending, the system would be financed through taxes, but the taxes would replace premiums, co-pays and deductibles, which are rising as fast as health insurers can get away with. Hacker proposes a more complex system that will fail to provide the savings needed to cover everyone, the savings that can only exist under a true single-payer system.

Hacker also confuses “Medicare for All” with simply expanding Medicare to everyone, including the wasteful private plans under Medicare Advantage. This is not what National Improved Medicare for All (NIMA) advocates support. NIMA would take the national infrastructure created by Medicare and use it for a new system that is comprehensive in coverage, including long-term care, and doesn’t require co-pays or deductibles. The system would negotiate reasonable pharmaceutical prices and set prices for services. It would also provide operating budgets for hospitals and other health facilities and use separate capital budgets to make sure that health resources are available where they are needed. And the new system would create a mechanism for negotiation of payment to providers.

Finally, Hacker tries to convince his readers that the opposition to NIMA will be too strong, so we should demand less. We know that the opposition to our lesser demands will also be strong. That was the case in 2009 when people advocated for the “public option” gimmick. If we are going to fight for something, if we are going to take on this opposition, we must fight for something worthwhile, something that will actually solve the health care crisis. That something is NIMA. We are well aware that the opposition will be strong, but we also know that when people organize and mobilize, they can win. Every fight for social transformation has been a difficult struggle. We know how to wage these struggles. We have decades of history of successful struggles to guide us.

One gaping hole in Hacker’s approach is that it prevents the social solidarity required to win the fight and to make the solution succeed. Hacker promotes a “Medicare Part E” that some people can buy into. Not only will this forego most of the savings of a single-payer system, but it also leaves the public divided. Some people will be in the system and others will be out. This creates vulnerabilities for the opposition to exploit and further divide us. Any difficulties of the new system will be blown out of proportion, and those in the system may worry that they are in the wrong place. When we are united in the same system, not only does that create a higher quality system (a lesson we’ve learned from other countries), but it also unites us in fighting to protect and improve that system.

Hacker succeeded in convincing people who support single payer to ask for something less in 2009, and we ended up with a law that is further enriching the health insurance, pharmaceutical and private health care institutions enormously while tens of millions of people go without care. Now, Hacker rises again to use the same scare tactics and accusations that he used then to undermine the struggle for NIMA. This is to be expected. The national cry for NIMA is growing, and the power holders in both major political parties and their allies in the media and think tanks are afraid of going against the donor class. Social movements have always been told that what they are asking for is impossible, until the tide shifts and it becomes inevitable.

Our task is to shift the tide. We must not be fooled by people like Jacob Hacker. We know that single-payer systems work. We have the money to pay for it. We have the framework for a national system and we have the institutions to provide care. Just as we did in 1965 when Medicare and Medicaid were created from scratch, and without the benefit of the Internet, we can create National Improved Medicare for All, a universal system, all at once. Everybody in and nobody out.

We know that we are close to winning when the opposition starts using our language to take us off track. “Medicare Part E” is not National Improved Medicare for All. It is a gimmick to protect the status quo and convince us that we are not powerful. We aren’t falling for it. This is the time to fight harder for NIMA. We will prevail.

Margaret Flowers, MD is a pediatrician from Maryland who is a long time advocate for National Improved Medicare for All and a broad range of economic, racial and environmental justice issues and peace. She co-directs Popular Resistance where she also coordinates the Health Over Profit for Everyone campaign. Flowers is a board adviser to Physicians for a National Health Program. And she is on the leadership council of the Maryland Health Care is a Human Right campaign.

This article was republished from Truthdig.

See also:
An Easier Way To Get To Universal Health Care
Medical Student Prescribes Remedy Our Sick System Needs

Edit Module
Edit ModuleShow Tags
Edit Module Edit ModuleShow Tags

Daily Astrology

November 20, 2019

After retrograding since Halloween, mental Mercury turns Direct this afternoon. The Winged Messenger’s changes of direction can befuddle some minds. New ideas and points of view may defy convention. With Mercury ensconced in Scorpio, previously secret…
Edit ModuleShow Tags

Alternative Health Directory

Browse all listings »

Edit ModuleShow Tags
Edit ModuleShow Tags

Calendar

November 2019

“Bringing Energy into Matter” Learn basics of Tachyon, Zero Point Energy and Quantum Physics Tachyonized products and healing tools for purchase Participate in a seeing...

Cost: Free (preregistration is required)

Where:
The Sanctuary for Celestial Empowerment
10 Grassmere Avenue
Suite #300
West Hartford, CT  06110
View map »


Sponsor: Psychotherapy Healing Services, LLC
Telephone: 860-798-6176
Contact Name: Celeste E. Mattingly, LCSW
Website »

More information

Beaver Moon: Herbs for Aches and Pains Using Anti-Inflammatory Herbs. Refreshments served. To RSVP contact herbalist Rachel Ross, RN CNM. Visit our Facebook page for the latest...

Where:
Hillside Herbals
Jefferson, MA


Telephone: (508) 847-8615
Website »

More information

Come shine with us! Join us in harmony and in our goal to bring the light of Spiritualism forward to all those who are searching.

Where:
VFW Post 2597
775 Boston Rd, Rt 3A
Billerica, MA
View map »


Sponsor: The Spiritualist Fellowship Church Of New England
Website »

More information

A beautiful collection of messages from Jeshua Ben Joseph (Jesus) that will transform your life, as it did his. Coming together to study these teachings, to ponder, to savor, to deepen our...

Cost: $25 per class

Where:
Heart and Soul Holistic Healing Center
130 Massapoag Avenue
Sharon, MA  02067
View map »


Sponsor: Heart and Soul Holistic
Telephone: 781-258-9942
Contact Name: Barbara Ann Strassman
Website »

More information

Show More...
Show Less...

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

Show More...
Show Less...

Atend a public hearing for S665 at the Massachusetts State House to protect holistic practitioners. This is the second bill that urgently needs your attention now. S665 will provide a safe...

Where:
Massachusetts State House
24 Beacon St
Rooms A1 and A2
Boston, MA  02133
View map »

More information

With Peyton Pugmire, spiritual intuitive and Certified Angel Card Reader Tuesdays, 9/24, 10/22, 11/19, 12/17, 6pm–8pm You are intuitive beyond belief. This is your soul’s...

Cost: $40

Where:
Creative Spirit
80 Washington Street
Marblehead, MA  01945
View map »


Telephone: 781-797-0389
Contact Name: Creative Spirit
Website »

More information

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

Free Evidence-Based Holistic Health Education Program at Wilbraham Senior Center The H.E.A.R.T. Program® (Health Empowerment and Real Transformation), created and instructed by Michelle...

Cost: Free

Where:
Wilbraham Senior Center
45 Post Office Park, #4502
Wilbraham, MA  01095
View map »


Sponsor: Harmony Way
Telephone: 413-636-2475
Contact Name: Michelle Caron
Website »

More information

Show More...
Show Less...

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

The Fertility Awareness Meetup provides women with an opportunity to learn about and discuss natural birth control options and fertility. This is a space to connect with peers, access information,...

Cost: Free

Where:
Cambridge Women's Center
46 Pleasant St
Cambridge, MA  02139
View map »


Sponsor: AC Fertility Awareness
Telephone: 617-899-7624
Contact Name: Anna Churchill

More information

The online dating scene can be exciting, overwhelming, and also annoying. However, it can truly be worth the hassle if you end up finding your ideal match! Just like Kerri did! Come to this...

Cost: $25

Where:
Awaken Holistic Counseling Services
2 Liberty St., Unit 2L
Newburyport, MA  01950
View map »


Sponsor: Awaken Holistic Counseling Services, LLC
Telephone: 978-255-7893
Contact Name: Kerri Morrison
Website »

More information

Broga® is an officially licensed brand of fitness infused yoga geared for men but open to all. With instructors around the world, Chuck was trained by the brands creator and went onto work as...

Cost: $20

Where:
SSFIT STudio
339 Boston Post Rd, Suite 6A
Sudury, MA  01776
View map »


Sponsor: SSFIT STUDIO
Telephone: 508-904-7171
Contact Name: Steven
Website »

More information

Show More...
Show Less...

Come detox, relax and renew yourself for the fall in our sanctuary! We have an intimate gathering of great readers and healers providing services at sampler rates to enjoy their services while...

Cost: $60: 3 Pack Service Special; $25: Single Service

Where:
Healing Power Of Flowers—Heaven and Earth
68 Stiles Rd
Salem, NH  03079
View map »


Sponsor: The Healing Power of Flowers - Heaven and Earth
Telephone: 603-275-7688
Contact Name: Stacey Smith
Website »

More information

Dying to Be Me by Anita Moorjani (My journey from cancer, to near death, to true healing) In this truly inspirational memoir, Anita Moorjani relates how, after fighting cancer for almost four...

Cost: Free

Where:
Open Circle Acupuncture & Healing
411 West Main Street, Suite 2R (rear of building)
Northborough, MA  01532
View map »


Sponsor: Open Circle Acupuncture & Healing
Telephone: 508-393-1212
Contact Name: Kim Flaherty
Website »

More information

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

Show More...
Show Less...

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

Four week series for girls ages 11 and up with Leigh Sloss This series of classes will focus on some of the most effective yoga and mindfulness skills for reducing stress and anxiety.  In a...

Cost: Series: $75; Drop in rate $20

Where:
YogaLife Institute of NH
6 Chestnut Street
Lower Level
Exeter, NH  03833
View map »


Sponsor: YogaLife Institute of NH
Contact Name: Alice Bentley
Website »

More information

Show More...
Show Less...

Give Yourself the gift of Reiki this holiday season! Have you always wanted to learn Reiki but didn’t want to commit to a full day workshop?  This is the class for you! Reiki...

Cost: $175

Where:
Center for Inner Wellness
26B Main street
Chester, MA  01011
View map »


Sponsor: Center for Inner Wellness
Telephone: 413-315-1133
Contact Name: Maureen Suriner
Website »

More information

Learn to overcome spinal tensions through therapeutic postures, designed to decompress your spine and relieve pain. Taught by a certified yoga therapist, classes bring you through poses...

Cost: 5/$50

Where:
Bliss Through Yoga
484 Bedford St
East Bridgewater, MA  02333
View map »


Telephone: 508-331-3564
Contact Name: Janice O'Brien
Website »

More information

Show More...
Show Less...
Edit ModuleShow Tags
Edit Module Edit ModuleShow Tags