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Friday, Apr 12 2019

Full Issue

Different Takes: Why Not Let Americans Make Their Own Choices On Health Care?; Pelosi Has Political Reality In Mind

Opinion writers express views about threats to end the health law and about promisies for extending Medicare.

On Wednesday Sen. Bernie Sanders (Socialist, Vt.) rolled out this year鈥檚 version of his draft legislation to abolish traditional Medicare. He calls it 鈥淢edicare for All鈥 because polls tell him that voters don鈥檛 want to abolish traditional Medicare. Voters also don鈥檛 want him to destroy the U.S. system of private medical insurance, but his plan would do that, too. A key question raised by the new bill is whether patients, doctors and nurses would be able to escape the new government-run system when it fails to provide needed care鈥攁s such systems always do. (James Freeman, 4/11)

Sen. Bernie Sanders (I-Vt.) rolled out his health-care plan 鈥 a soup-to-nuts single-payer plan that would effectively end private insurance. He operates in a weird space in which his socialism is taken as a given and he is never really grilled by the press on how he鈥檇 accomplish it (he is also against ending the filibuster) and how he鈥檇 pay for it. No slouch when it comes to progressive policy, House Speaker Nancy Pelosi (D-Calif.) has made clear the dangers of embracing Medicare-for-all, publicly questioning how we would pay for it. She told The Post in a recent interview, 鈥淲hen most people say they鈥檙e for Medicare-for-all, I think they mean health care for all. Let鈥檚 see what that means. A lot of people love having their employer-based insurance and the Affordable Care Act gave them better benefits.鈥 (Jennifer Rubin, 4/11)

The PROTECT Act, the health insurance reform bill unveiled this week by 18 Senate Republicans, is aptly named, albeit not for the reason its sponsors suggest. The bill pretends to be about safeguarding Americans with preexisting health conditions. But it鈥檚 really about protecting Senate Republicans from the stink caused by the Trump administration鈥檚 efforts to repeal the Affordable Care Act, also known as Obamacare. (4/12)

President Trump wants the GOP to become the party of health care 鈥 read: to try again to replace the Affordable Care Act with a Republican scheme 鈥 but his usually compliant enablers in Congress have no interest in that. At least not now.Why? Well, for starters, some learned from the shellacking they took in the 2018 midterms. But other congressional Republicans probably also comprehend a reality the president chooses to ignore. That is, despite Trump鈥檚 repeated promises to provide health care that covered everyone and was 鈥渇ar less expensive and far better鈥 than Obamacare, the chances of that are next to nil. (Scott Lehigh, 4/11)

What do Medicare for All, the Green New Deal and a 70%聽marginal tax rate all have in common? They鈥檙e dramatic shifts in public policy聽and none of them are remotely possible, at least right now.聽That doesn鈥檛 mean they鈥檙e bad ideas. Quite the contrary: there are strong arguments to make for each of these proposals. Health coverage for all, reducing pollution and increasing taxes on the very wealthy represent basic ideas (ignore the current labels) that are attractive to many Americans. The problem is that it may be decade or more before any of them have a chance of being politically viable. (Arthur 鈥淭im鈥 Garson Jr., 4/12)

Right now there are two big progressive ideas out there: the Green New Deal on climate change and 鈥淢edicare for all鈥 on health reform. Both would move U.S. policy significantly to the left. Each is sponsored by a self-proclaimed socialist: the Green New Deal by Alexandria Ocasio-Cortez and Medicare for all by Bernie Sanders. (Of course, neither of them is a socialist in the traditional sense.) Both ideas horrify not just conservatives but also many self-proclaimed centrists. Yet while they may seem similar if you think of everything as left versus right, they鈥檙e very different on another dimension, which you might call purity versus pragmatism. And that difference is why I believe progressives should enthusiastically embrace the G.N.D. while being much more cautious about M4A. (Paul Krugman, 4/11)

Medicare for All excites the Democratic base, but if Democrats want more than a campaign talking point, they鈥檒l need to work deliberately and collaboratively and study the intended 鈥 and unintended 鈥 consequences of universal health coverage. Now is the time to shore up Obamacare. (Marsha Mercer, 4/11)

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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