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Thursday, Jan 31 2019

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Different Takes: Voters With Health Plans Will Run Screaming From Medicare For All; Dems Might Suffer In 2020 By Pushing Medicare For All

Opinion writers express views on health care reform.

Democratic presidential candidate Sen. Kamala Harris made her party鈥檚 left-wing base happy this week. But in doing so, she might have made Democrats less attractive to general-election voters. In a CNN town hall Monday, Ms. Harris endorsed 鈥淢edicare for all.鈥 Pressed about whether the proposal would abolish private health insurance, the California senator breezily declared, 鈥淟et鈥檚 eliminate all of that. Let鈥檚 move on.鈥 After Republicans jumped on her for this policy鈥檚 radicalism, a Harris adviser said the attacks were 鈥済ood trouble鈥 for her. (Karl Rove, 1/30)

A couple of weeks ago, one of the country鈥檚 most respected health care pollsters 鈥 Kaiser Family Foundation 鈥 conducted a survey on 鈥淢edicare for All.鈥 And the top-line results looked great for advocates of the idea, like Bernie Sanders and Kamala Harris. Some 56 percent of respondents said they favored 鈥渁 national plan called Medicare for All in which all Americans would get their insurance through a single government plan.鈥 A large majority of Democrats backed the idea. Almost a quarter of Republicans did, too. (David Leonhardt, 1/30)

In her CNN town hall, Sen. Kamala D. Harris (D-Calif.) emphatically declared she was for 鈥淢edicare-for-all鈥 and wanted to get rid of private insurance. A spokesperson pointed out, 鈥淢edicare-for-all is the plan that she believes will solve the problem and get all Americans covered. Period. She has co-sponsored other pieces of legislation that she sees as a path to getting us there, but this is the plan she is running on.鈥 A walk-back! Inconsistency! Conflict in the Democratic Party! Let鈥檚 get real; actually, let鈥檚 have a real debate rather than a bumper-sticker battle. (Jennifer Rubin, 1/30)

After many years of steady decline, the proportion of people under 65 with employer health coverage has started to increase. About seven million more people gained employer coverage between 2013 and 2017 鈥 nearly as many as the 10 million people who were covered through the Affordable Care Act's marketplace last year. Why it matters: Since people with employer coverage are the largest insured group in the country, the next wave of health reform will be more politically successful if it resonates with their concerns. That's why Kamala Harris' comment this week about doing away with private health insurance, as part of a Medicare for All plan, exposes the danger for Democrats if they don't convince people who like their private coverage that they have something better to offer. (Drew Altman, 1/31)

(Kamala) Harris鈥 intention to get rid of private insurance will feed this fear. Americans rightly didn鈥檛 believe Barack Obama when he said, 鈥淚f you like your health care plan, you can keep it.鈥 When Harris says that people who like their health care plans will not be able to keep them, voters will believe her, to her detriment. Democrats can promise that 鈥淢edicare for All,鈥 however it is defined, would be an improvement over the status quo, but millions of people with private coverage will figure they are about to get the shaft. (Steve Chapman, 1/30)

The 2020 presidential campaign will surely wind up being horrifying in many ways. But the good news is that at the moment, it鈥檚 featuring a genuine debate about a profoundly consequential policy question. The bad news is that the media are already screwing it up, no less than when they cheered for the Iraq War in 2003 or gave minimal attention to Donald Trump鈥檚 spectacular history of personal corruption in 2016. (Paul Waldman, 1/30)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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