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This is what Democrats have to fight.

The Republican majority of the Supreme Court is very likely to overturn the Affordable Care Act tomorrow, fully embracing the "let 'em die" attitude that has become the Republican rallying cry.

There's just one answer for Democrats: Medicare for all.

Any attempt by Democrats to find common ground with the Right is going to end just like this one has. Republicans play this game to win, and in their world, winning doesn't include compromise. What more evidence is needed to prove that than the 180 degree turn Republicans have taken on the mandate—the health care reform mechanism that was invented by the Heritage Foundation in 1989, and was the cornerstone of the health care reform plan implemented in Massachusetts by the current Republican candidate for president?

Is there any choice for Democrats other than to go to the left on health care reform? No. There's nothing else to lose at this point, and a great deal to gain. Politically, as I wrote earlier, it's a clear win.

A Medicare for all platform allows the Democrats to run against the activist Supreme Court, to run against the horribly unpopular Romney-Ryan Medicare plan, to provide the real contrast between the parties that many voters have struggled to see. And it would excite the hell out of the Democratic base; it would give us something to fight for. What's the worse that could happen? Republicans calling Medicare socialism?
For a true Democrat, it's also the only policy solution left. If Democrats are to be the party of the people, the party of the 99 percent, then they can no longer leave the people of this country to the mercy of unfettered and barely regulated health insurance companies. If Democrats are really the party of the people, then they have to continue this fight for all the reasons they started it: because the wealthiest nation in the world should not have nearly 50 million citizens who don't have affordable health care; because it is wrong for people to lose everything because of illness; because it is wrong, morally, strategically and in every way, to condemn millions of Americans to death for the simple fact that they don't have money.

That's exactly what Republicans would do, and do happily. The Romney-Ryan plan makes that crystal clear by demolishing Medicaid and making Medicare just another private insurance scheme that will restrict rather than expand health care. And that's exactly what Democrats have to reject, with everything they've got.

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Comment Preferences

    •  spouse: " It's a lovely idea... (9+ / 0-)  you  really see the Democrats...?"

      I have no reply, sadly.

      don't always believe what you think

      by claude on Wed Jun 27, 2012 at 06:15:30 PM PDT

      [ Parent ]

    •  I'm doubtful (4+ / 0-)

      If it's overturned, I don't see Obama pushing for Medicare for all. He's shown that he doesn't veer far from status quo in most matters. They may just aim for parts of the current ACA that they think won't get rejected by the Supreme Court.

      Even if it's not overturned, we need to remember this is far from what most of us had hoped for and need. It's a step in the right direction, well, many parts of it seem to be, but we  need to keep fighting just as we did before.

      •  While I like the idea of Medicare for all, how (0+ / 0-)

        will it be paid for?

        While we don't like to admit it, Medicare will go belly up at some time in the not too distant future. How can we expect the public to support MFA, when they've been trained to believe hat this country is going bankrupt?

        And we should admit that the deficit  is a problem. Maybe not as large a problem as some believe, but it is not something to be ignored.

        Just increasing the top earners taxes would help, but not get us out of the hole.

        As of now, with the Rs in control of the House, even if Obama is reelected, there is no way that MFA will ever pass. Don't forget that many of the convoluted parts of the bill were put in place in order to get enough Dem votes to pass it.

        Progressives will win only when we convince a majority that they, too, are Progressive. And... It’s the Supreme Court, stupid!

        by auapplemac on Thu Jun 28, 2012 at 01:27:37 AM PDT

        [ Parent ]

        •  People will drop their current shit coverage (0+ / 0-)

          to buy into it, that is some money.

          Then there is raising taxes on the rich.

          "I'm not scared of anyone or anything, Angie. Isn't that the way life should be?" Jack Hawksmoor

          by skyounkin on Thu Jun 28, 2012 at 04:48:32 AM PDT

          [ Parent ]

    •  Now that Biden has said we are in a depression (0+ / 0-)

      this will add further nails to the coffin of trying to reason with Repubs that are being totally unreasonable.

      Now more than ever we need a healthcare plan that is at least as good as other advanced countries. Right now everything I see seems to point to the 1% have good care but the rest of us not so.

      In a recent study of heart care at major medical hospitals it was found VA hospitals were as good or better than those hospitals. They have improved a lot in the last few years and by their example government health care can be good health care.

      Constitutions should consist only of general provisions; the reason is that they must necessarily be permanent, and that they cannot calculate for the possible change of things. Alexander Hamilton (1755-1804) Just A Real Nice Guy, thinking out loud.

      by arealniceguy on Wed Jun 27, 2012 at 07:40:37 PM PDT

      [ Parent ]

  •  Killing off the middle-class (25+ / 0-)

    The glee and joyous rhetoric coming from Mitt Romney, John Boehner and the entire Republican Party over what they claim is the pending destruction of health care reform is sick on many levels, but especially because these partisan fools have no plan to replace a law made up of parts that are both extremely popular with the public and are vital to ensuring economic growth and basic medical care. If Mitt and his rich friends had their way, we would throw more people off of health insurance instead of working to get everyone covered. That's the way of choice for the corporate elite to get rid of the working class riff-raff before they cause too much trouble. Literally kill them off...

  •  I agree completely, but I don't think their plan (21+ / 0-)

    is so much to restrict medical care as it is to make it expensive enough that the industry can continue to pay them off while it steals the last precious dollars out of the hands of the working class.

    The class, BTW, that the Democrats used to be proud to work for and support.

    "I cannot live without books" -- Thomas Jefferson, 1815

    by Susan Grigsby on Wed Jun 27, 2012 at 06:04:37 PM PDT

  •  This is what everyone wants: Medicare for all! (18+ / 0-)

    "extreme concentration of income is incompatible with real democracy.... the truth is that the whole nature of our society is at stake." Paul Krugman

    by Gorette on Wed Jun 27, 2012 at 06:06:53 PM PDT

    •  OK, what's you plan to get it passed with Rs in (0+ / 0-)

      control of the House and even some Dems who won't support it.

      Progressives will win only when we convince a majority that they, too, are Progressive. And... It’s the Supreme Court, stupid!

      by auapplemac on Thu Jun 28, 2012 at 01:30:34 AM PDT

      [ Parent ]

      •  Didn't say I had one, but people even on the (0+ / 0-)

        other side want that, from what I hear them say. But that does not mean "leaders" and those in Congress would vote for it, that's for sure.

        "extreme concentration of income is incompatible with real democracy.... the truth is that the whole nature of our society is at stake." Paul Krugman

        by Gorette on Thu Jun 28, 2012 at 08:47:06 AM PDT

        [ Parent ]

  •  Well said! (6+ / 0-)

    "Lets show the rascals what Citizens United really means."

    by smiley7 on Wed Jun 27, 2012 at 06:07:01 PM PDT

  •  This is the right approach (14+ / 0-)

    The right way to argue healthcare reform is morally. It is expensive. It is a radical change. It is also right. We need to  shout this loudly and continually. It even has the benefits of being catchy, simple, and tied to a popular program:

    Medicare for all!

  •  Yes. eom (3+ / 0-)

    "So, am I right or what?"

    by itzik shpitzik on Wed Jun 27, 2012 at 06:07:32 PM PDT

  •  Wouldn't it have been good for liberals (12+ / 0-)

    to have talked about "Medicare for all," or a "Medicare buy-in," instead of the "single-payer" rhetoric?

    People might have actually understood the idea.

  •  As one of those Kossacks who now... (28+ / 0-)

    ...has a single-payer health-care plan — Medicare — a hearty huzzah to this post, Joan. It's not perfect by a long shot. But as we were told three years ago by so many folks, first get something passed, then make it better. That's what we have to do.

    Right now, many Democrats are not on our side in this matter. They need to nudged, cajoled, arm-twisted and otherwise brought around. And those that can't be even then, need to be booted.

    Don't tell me what you believe, show me what you do and I will tell you what you believe.

    by Meteor Blades on Wed Jun 27, 2012 at 06:11:07 PM PDT

  •  Obama opposes Medicare for All is a problem. (6+ / 0-)

    Obama has rejected this solution in the past and he will surely run AGAINST Medicare for All in 2012.

    As we know from the recent cuts to Food Stamp program while the giveaway to Wall St "farmers" topped $1T, we only have 29 Democrats in the Senate, not even enough to maintain a filibuster.  

    If Obama gets in he'll want more cuts to SS and Medicare funding and benefits. If Romney gets in he'll want more cuts to SS and Medicare funding and benefits.

    Medicare for All is the answer but the real question is how to get from 29 Democratic Senators to 51 to kill the filibuster and pass SS tax increase and Medicare for All tax increases and expansion of services to all Americans.

    •  After tomorrow (5+ / 0-)
      Recommended by:
      askyron, TofG, ferg, bob152, Hillbilly Dem

      President Obama might just change his mind, along with many Senate Democrats.

      The current version of health care reform won't work without the mandate. If it's struck down, Medicare for All is pretty much the only way to cover everyone.

      NC-4 (soon to be NC-6) Obama/Biden 2012

      by bear83 on Wed Jun 27, 2012 at 06:15:12 PM PDT

      [ Parent ]

      •  Obama will run against Medicare4All in 2012 (1+ / 0-)
        Recommended by:

        Obama will run against Medicare for All in 2012, as he did in 2008, no matter what the Supreme Court decision.  Obama opposes Medicare for All on "principle", a "too much government" solution for the more GOP than Democrat Obama.

        As for Obamacare's mandate to purchase Wall St insurance products vs. health care services, my guess is the Supreme Court will uphold that as it fits the right wing agenda of government by and for Wall St.

        If Obamacare is upheld then GOP/Obama plan to privatize Social Security and Medicare along the same lines, purchase of some worthless Wall St financial product vs retirement savings or health care.

        •  Don't you realize the house and senate leaders (1+ / 0-)
          Recommended by:

          Already have and idea how many votes they have in favor, before a bill even goes to the floor? What part of they didn't have the votes people don't understand. We don't know what they would or would not support, if they had enough votes.

          •  The do the right thing part (1+ / 0-)
            Recommended by:
            What part of they didn't have the votes people don't understand.
            Better to propose real solutions and fight for them vs. giving up before the fight and never proposing any solutions which is the signature of failed Obama presidency.

            Health care bill is a perfect example. It did nothing to fix US health care problems, it continues to bankrupt the nation, it requires purchase of Wall St products vs. health care, it leaves millions bankrupt with health care "insurance" they can't afford to use. It is almost more a cruel joke than GOP's solution of just die.  Obama just adds the touch of die broke after you give all your money to Wall St.

        •  Interesting use of quotation marks (0+ / 0-)

          I have never heard the president say anything like that, and I follow his statements very closely. If you are using a direct quote, you should provide a link. In fact, what I remember Obama saying was that if we were starting from scratch, single payer would be the way to go. But we were never starting from scratch. We were starting from the position that the majority of Americans like their employer-provided health insurance, and most members of Congress recognized that.

          What is more a matter of principle for Obama is that he likes to win, and he is interested in getting accomplished what is possible to get accomplished.

      •  Doubtful. He will continue to pander to his base: (1+ / 0-)
        Recommended by:

        wealthy donors.

        Progressive Candidate Obama (now - Nov 6, 2012)
        Bipartisan Obama returns (Nov 7, 2012)

        by The Dead Man on Wed Jun 27, 2012 at 06:32:38 PM PDT

        [ Parent ]

    •  He could only get 51 votes under reconciliation (1+ / 0-)
      Recommended by:

      for a HCR bill without the public option in it. Only 42 Dems wanted the public option. For even if the public option was in it, we probably wouldn't have a HCR law at all. You think they would vote for single payer, but not vote for a public option? They didn't want single payer on the table.

  •  Yep--on this, and many other issues, the Left (3+ / 0-)
    Recommended by:
    Dallasdoc, foresterbob, MikePhoenix

    needs to quit playing nice with the right. Shame them for their immorality, greed, and corruption at every turn. My dream is that one day, we will have a progressive majority in both houses, and the right-wing will be held to account for their crimes against the American people.

  •  Can't say that excites me, given that Medicare (1+ / 0-)
    Recommended by:

    does nothing to fix the non-functional aspects of American health "care", but...

    a follow-on to Medicare, a plan that superceded Medicare and Medicaid and everything else, one that emphasized outcomes instead of procedures...that would be pretty exciting.

    LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

    by dinotrac on Wed Jun 27, 2012 at 06:13:15 PM PDT

    •  There are major revisions within the ACA to (1+ / 0-)
      Recommended by:

      Medicare, that does exactly that!  

      I believe we help each other in times of need. I want all our children to get an excellent education. Every American deserves health care. I love my country. I am a patriot. I am a voter. I am a Democrat.

      by mumtaznepal on Wed Jun 27, 2012 at 06:29:34 PM PDT

      [ Parent ]

      •  Yes, and those may still be standing (0+ / 0-)

        even if the Supreme Court rules that the mandate is unconstitutional. There's a good chance that three-fourths of the ACA will still exist, including all the Medicare changes and the Medicaid expansion.

        Remember that Romney promised to repeal Obamacare "on day one." (Of course, he can't do that.) And most of the GOP candidates have promised the same thing. My rep (Steve King) wants to "tear it out by the roots."

      •  I'm wasm' aware of "major revisions" that do that. (0+ / 0-)

        I am aware of some minor tinkering and some pilot programs.

        Please share -- what part of the law are you talking aobut?

        LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

        by dinotrac on Wed Jun 27, 2012 at 07:35:41 PM PDT

        [ Parent ]

  •  I just read the diary to my husband who said, (1+ / 0-)
    Recommended by:

    "Yeah but the Democrats won't, they should be called the "pussy party"...

    no offense meant.

    "The world is my country, all mankind are my brethren, and to do good is my religion." ~ Thomas Paine

    by third Party please on Wed Jun 27, 2012 at 06:13:16 PM PDT

  •  Medicare for all is single payer. It's also a (9+ / 0-)

    Program already set up and has been tested for 45 years. All they have to do is expand it and hire more workers to handle the extra clients.

  •  Thank you, thank you, thank you! (7+ / 0-)

    Thanks, Joan!

    I've been shouting that at my congressmen, occasionally here, at my friends, and even toward my relatives since....forever.

    Medicare for all!

    Medicare for all!  And this time, enact it immediately, without any dumbass staggered introduction dates, which only help Repubs oppose it without building support for it among voters.

    Medicare for all.  At least propose it and make an attempt.  Show the Repubs for what they are in making them oppose it.

    Please feel free to HR me for my informative and argumentative nature. 'To know what is right and to do it are two different things.' - Chushingura, a tale of The Forty-Seven Ronin

    by rbird on Wed Jun 27, 2012 at 06:15:30 PM PDT

  •  Let Them Run This Fall As the Party They Presently (4+ / 0-)
    Recommended by:
    tari, claude, Fairlithe, Hillbilly Dem

    are. They know how to do that.

    Turning them into a party of the 99% is a great goal but not doable in time for them to take it to the audience this election.

    We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

    by Gooserock on Wed Jun 27, 2012 at 06:15:40 PM PDT

  •  Assuming an Obama win and a Dem. majority (3+ / 0-)
    Recommended by:
    TofG, claude, Ms Tex

    in the Senate+--be it ever so slight--is there really any hope that this administration will extend Medicare to all?

    What the members of the Obama administration would need to do is embark on a massive information campaign about the benefits of Medicare for all.  They completely failed in their message regarding ACA.  In fact, I don't even remember a message.

    We could start clamoring for it. E-mail, snail mail, telephone calls, petitions, demonstrations on the Capitol steps, whatever it takes to let the administration know what we want.

    "Religion is what keeps the poor from murdering the rich."--Napoleon

    by Diana in NoVa on Wed Jun 27, 2012 at 06:15:47 PM PDT

  •  Sing it from the rooftops (0+ / 0-)

    talk about bringing everyone to the table, only it's to a feast, and I'm not talking catfood.

  •  Of course the Dems SHOULD go to the left... (7+ / 0-)

    but they never should have gone toward the center in the first place. The Dems who started to pull away from Democratic values after the Carter presidency, who got cowed by the vicious, scorched-earth tactics of Lee Atwater and his minions, who stopped telling the "heartland" the truth and let them bask in the glow of their supposed 'Merkin superiority—they were the ones who left the field undefended. And now it's gotten to the point that virtually no Democrat even knows how to fight.

    Until they get up from their knees and stop begging for mercy and reasonableness from creatures who would sooner watch Democrats die than modify one iota of their brainless prejudice, the left will continue to suffer defeat after defeat. And the people will continue to suffer for the lack of defenders.

    It is LONG PAST time to give up on Republicans. Since nothing can be done with them, the only path left is to hit and hit and hit them for every rotten belief, every greedy desire, every anti-social impulse, every act of injustice. Hit and hit and hit and keep hitting even though nothing gets done.

    That way, since nothing is going to get done anyway, at least people may begin to understand again who the real enemy is, and someday take enough of them out of government to let the decent people start to move the nation forward again.

  •  Public Healthcare in California, (1+ / 0-)
    Recommended by:

    Here we come!

    Sorry red states.

    Honestly, I truly believe them killing it will get me public healthcare faster. That sucks, but it's the way I think it is.

    Which is why I'm surprised they're going to kill it actually, but Oooookay.

  •  Good platform for democrats (3+ / 0-)
    Recommended by:
    Dallasdoc, The Dead Man, MikePhoenix

    but the question remains - which Democrats? what leaders? who has the guts to champion anything worth doing in the current party? obama? really?

    The democratic party is the one that left the recall election in Wisconsin hanging till the last minute. The one that pays lip service to labor but is really in the pockets of the rich donors and their lobbies.

    Medicare for all is a great way forward but we'll need a new party to do it with.

    May be the time to ditch the old party and go with something new is not too far off.

  •  Eloquence (6+ / 0-)

    Joan, your diary is spot-on per usual but your last two paragraphs are brilliant. Thank you.

    "Well Clarice, have the lambs stopped screaming?"

    by buffie on Wed Jun 27, 2012 at 06:16:56 PM PDT

  •  Democrats, elected or hoping to be,... (0+ / 0-)

    surprise me.  Surprise me, fight for me, and I'll fight for you.  It's that simple.

  •  Fine... but be realistic about the cost (0+ / 0-)

    We will all be paying 30-40% income tax rates.

    While single-payer is the only solution that really makes sense, the progressive community acts as if it is doable simply by wishing it so... or simply having the political will.

    The one (and only) reason single payer does not get done is no one but the very poor and very far left progressives are willing to pay for it.

  •  tomorrow morning is going to be historic !!! (0+ / 0-)

    no matter what - something for history books. How courts decide politics. Potentially really damaging. However, I still find it possible that the highest court will not give in to right-wing activism, but recognize that the ACA is a conservative reform of the health care system that strengthens insurance companies. It is the exact opposite of socialism. If defeated, medicare or a single payer is the only alternative. Is this what the court wants? Think twice.

  •  Insurance lobby money (1+ / 0-)
    Recommended by:

    is a problem. But not an insurmountable problem and there are a lot of Democrats in favor of either expanding Medicare or creating a Medicare-for-all solution.

    I know Sen. Kirsten Gillibrand spoke very favorably about expanding Medicare eligibility and for letting anyone buy into it back when she was in the House. I'm not sure what her current position is but I wouldn't be at all surprised if she took a leadership position on it following tomorrows ruling.

    "Do what you can with what you have where you are." - Teddy Roosevelt

    by Andrew C White on Wed Jun 27, 2012 at 06:19:20 PM PDT

  •  Can I get an Amen? (0+ / 0-)

    People, not corporations. Democracy, not totalitarian capitalism.

    by democracy is coming on Wed Jun 27, 2012 at 06:19:36 PM PDT

  •  I have said it 3 times today on here (0+ / 0-)

    (once to a possible troll), in a Country the size of the US, decent healthcare free at the point of use, should be available to all. That should not stop the likes of Romney being able to have a car-port in his operating theatre but his ability to do that should not stop the very poorest from having decent care.

    The problem, party discipline on the Democratic side. Within just over a month of the inauguration of President Obama, the then Senator Bayh formed a coalition to stop the agenda of the new President. 15 Senate members, who owed their seat to the President then did everything to filibuster.  The result of party division, defeat in 2012 (and mostly theirs because of the damage they did to the Democratic brand).

    The Democratic Party needs to learn from the GOP. Inside Caucus meetings break the legs off each other to win what needs to be won. Outside, on the Senate and House floor - speak as one voice.

  •  I'm with Linda Greenhouse... (2+ / 0-)
    Recommended by:
    Aquarius40, joedemocrat

    of NYT.

    I think the Supremes will uphold the law-I think Roberts will do the right thing. But if he doesn't, and activist judges(on the right!!!!) overturn 80 years of Commerce Clause jurisprudence, I hope democrats immediately demand Medicare for all.

  •  lol, good luck with that. Obviously the only (1+ / 0-)
    Recommended by:
    Kentucky DeanDemocrat

    SERIOUS way to deal with health care is to double down on profitizing grandma's pain and suffering.

    Especially in these hard times for job creators.

    Progressive Candidate Obama (now - Nov 6, 2012)
    Bipartisan Obama returns (Nov 7, 2012)

    by The Dead Man on Wed Jun 27, 2012 at 06:21:33 PM PDT

  •  Elaborating on my short answer above: my father... (6+ / 0-)

    ...was an old-style family doctor, multigenerational, a country doctor in tbe Bronx, who was expelled from the Bronx County Medical Association for speaking to senior citizen groups and others about what a good thing Medicare would be when Kennedy first proposed it.

    The reason he was so excited about it was that he believed in, gasp, socialized medicine, and assumed that Medicare would open the door for everyone else. He died young in 1971, and his son is really pissed on his behalf that we aren't there yet.

    "So, am I right or what?"

    by itzik shpitzik on Wed Jun 27, 2012 at 06:22:20 PM PDT

  •  Obama needs to ask (0+ / 0-)

    Mittens position on if he thinks the VA should be privatized, since he believes everything should be privatized. Then Obama should ask " How many seniors and veterans ( and Congressmen?) do we see protesting in the streets on how bad their government health care is? Medicare and VA for ALL!!. Link them both, so Mittens has to answer to Veterans also.

  •  I know it's unfashionable, but a number of (0+ / 0-)

    people I like, including Robert Reich, say the bill will survive
    intact, 6-3. I expect to lose, too, but the opinion of Reich and others could be called long shots. And long shots do come in.

    (Sometimes. ;)

    I was seeing what Adam had seen on the morning of his creation - the miracle, moment by moment, of naked existence. --The Doors of Perception, Aldous Huxley

    by Wildthumb on Wed Jun 27, 2012 at 06:26:49 PM PDT

  •  This demands no compromises, no blue dog (1+ / 0-)
    Recommended by:
    this just in

    dithering - this will be the criterion for DNC support and progressive support up and down the ticket

    slutty voter for a "dangerous president"; Präsidentenelf-maßschach; Warning-Some Snark Above"Nous sommes un groupuscule" (-9.50; -7.03) "Sciant terra viam monstrare." 政治委员, 政委!

    by annieli on Wed Jun 27, 2012 at 06:27:21 PM PDT

  •  Village Dems go to the left? (2+ / 0-)

    - suspect that they'd rather hook up with the tea party and sign the Norquist pledge.

  •  Let's Grover Norquist this (2+ / 0-)

    Make every Democratic Senator and Congressmen running for office sign a pledge they will support and vote for Medicare for All Bill.

    "Although it is not true that all conservatives are stupid people, it is true that most stupid people are conservative." - John Stuart Mill

    by smartone on Wed Jun 27, 2012 at 06:28:39 PM PDT

  •  If ACA Goes Down (3+ / 0-)
    Recommended by:
    RadGal70, ferg, Sychotic1

    I believe it will be the death of private healthcare insurance.  There will be no alternative but the government stepping in and creating a real universal healthcare plan or medicare for all.  I believe that if ACA goes down in 5 to 10 years nobody will be able to afford any kind of heatlthcare insurance and it will lead to a healthcare catastrophe worse than what it is today.  It is BAD TODAY.  It will be on the heads of the SCOTUS on whether private helathcare plans continue or do we go to a real government healthcare plan.  

    "Don't Let Them Catch You With Your Eyes Closed"

    by rssrai on Wed Jun 27, 2012 at 06:32:32 PM PDT

  •  I Want My Socialized Medicine (5+ / 0-)

    Just like all the First World countries have!

    "Political ends as sad remains will die." - YES 'And You and I' ; -8.88, -9.54

    by US Blues on Wed Jun 27, 2012 at 06:32:35 PM PDT

  •  Before we can talk about Medicare for All, (1+ / 0-)
    Recommended by:

    the ACA (the fundamental philosophy of which was hatched by republican think-tanks to prevent an expansion of government healthcare, i.e. Medicare for All) must be overturned by the Supreme Court, which ain’t going to happen.
    Why is the money so hard for people to follow? Why is the question of “Who stands to gain the most and who stands to lose the least?” never pondered.
    We’ve got some serious political analysts here at the Great Orange Satan.  

  •  From a capitalist's persepctive... (0+ / 0-)

    I can only hope that Democrats fully embrace this post's suggestions as this will ensure the party's minimization.

    Though I should not pull off your blinders, I feel a moral obligation to do so. The reason that "nearly 50 million citizens who don't have affordable health care" is not "the simple fact that they don't have money". The other simple fact is that they do not enroll in medicaid even though they are eligible.

    The national participation rate for Medicaid is around 62%

    The current population on medicaid is around 62.5 million individuals.

    Thus, the current number of people who are CURRENTLY eligible for Medicaid is approximately 38 million. This is a whopping 76% of your 50 million number.

    I'm tired of you dems screaming about how conservatives don't care about people and just want them to die off. This is absolutely ridiculous. The reason we are against the ACA is that it was never intended to solve the problem of the uninsured. If it was, it would look completely different as there are 100 different ways to 1) enroll the eligible 38 million into Medicaid, and 2) cover the remaining 12 million if such needs to be done. If the ACA was actually purposed to do those 2 things and only those 2 things, it would have broad support and it would not be in front of the Supreme Court. Instead, the ACA is the 1st step in an attempt to restructure the healthcare system.


  •  President Obama can also say regardless of how the (0+ / 0-)

    supreme court rule, says you know what, we are going for Medicare for all, and drop the so called mandate even if the court doesn't. The mandate as written now, only covers 2 in 100 people. We really didn't want it anyway. Which is why the Dems weakened it just before the final vote.

  •  What we need is universal healthcare (8+ / 0-)

    like every other developed country, and at a more reasonable cost. Medicare for all is one answer. It would certainly be a big improvement. But it's not the only solution. Other countries provide universal healthcare in a variety of ways.

    We must de-link health care from employment, get the for-profit insurance companies out as middlemen, and control costs from the drug and medical equipment companies. Medicare for all is one way to accomplish those things.

  •  Two Points (2+ / 0-)
    Recommended by:
    Kentucky DeanDemocrat, John131

    1---Medicare-For-All tax on ALL income, not just earned income.  Tax capital gains, interest income, IRA distributions, hedge fund managers carried interest---tax it all.

    2---Make it Medicare-done-right-For-All.  The reimbursement rates for primary care must rise, and specialist care may need to fall.

    •  and since we have to compromise (0+ / 0-)

      When that doesnt pass, we throw them a temporary bone. Allow a tax rebate if they have comparable private insurance. Essentially a public option with universal coverage, the mandate is irrelevant.
      Then sit back and watch those insurance companies get run out of buisness by the more efficient Medicare option, or have to beat the 3% overhead of Medicare, which would render them truly nonprofit.

  •  I think your more likely to see the Medicare age (0+ / 0-)

    raised to 68 or 70 than your are lowered to 55. The Reps are pushing for Medicare-For-None and the Bowles/Simpson recommendations are all the rage.

  •  I had a right-wing college professor who told me (1+ / 0-)
    Recommended by:

    repeatedly that the solution to the Medicare issue is to "pull the plug on grandma." Little did he know that a Medicare-for-all system is a far more effective (and moral) solution. Harvard Business School has estimated that national health insurance would save this country over $350 billion a year.

    Unfortunately, however, the odds of such a system ever existing in this country are extremely slim, considering that our government is run by health insurance lobbyists.

    The reason they call it the American Dream is because you have to be asleep to believe it. --George Carlin

    by Charles Garnaat on Wed Jun 27, 2012 at 08:45:07 PM PDT

  •  False premise! ACA will be upheld. (0+ / 0-)

    And so does Linda Greenwood NYT, and the editor of Scotusblog agree.

  •  Medicare is socalized health insurance, (0+ / 0-)

    not socialized medicine.  Medicare for everybody would take insurance companies  out of the health care system.  That's fine.  The only thing they're good  at is cherry-picking, and for that they take 30% of the money spent on health care.  

    It's a damn shame Obama didn't push this through when he had 60 senators (purportedly) on his team.

    We're all pretty strange one way or another; some of us just hide it better. "Normal" is a dryer setting.

    by david78209 on Wed Jun 27, 2012 at 09:03:29 PM PDT

  •  Medicare Is Not Good Enough for All (1+ / 0-)

    We can have and should have more than "Medicare for all". We should have a publicly-funded healthcare system. That is, a system that pays for all essential medical care out of a progressive tax.

    Medicare is not paid for out of a progressive tax. What we want is for the rich to carry their weight. If you have a relatively uniform premium then the poor are bearing most of the cost of the system.

    It just isn't good enough.

    Please drop the "Medicare for all" moniker. What we want is publicly-funded healthcare. We want everyone to be covered. We want this to be paid for by a progressive tax.

    We can do that and we need to do that in order to cut out the waste and make this system affordable for Americans. We should put up two and only two options for Americans to select from to replace the current system: (1) A socialized system like the one in Britain, or (2) a publicly-funded system as outlined above.

    Those are the solutions to the problem. (1) is better than (2) because it's cheaper and gets better outcomes. But if Americans are afraid of socialism, they can get most of the benefits and most of the cost cutting by going with (2).

    Please stop compromising before the battle.

    •  Medicare is a popular and effective program.... (1+ / 0-)
      Recommended by:
      Liberal Thinking

      I don't see progress of that magnitude as preemptive compromise. So I'll keep advocating it for everyone. But I'll advocate your idea too since it's just a difference of funding it.

      No more "single payer." No more "universal coverage." Just say, "Medicare for every American."

      by masswaster on Wed Jun 27, 2012 at 10:12:39 PM PDT

      [ Parent ]

  •  Except for one important reason... (1+ / 0-)
    The Republican majority of the Supreme Court is very likely to overturn the Affordable Care Act tomorrow, fully embracing the "let 'em die" attitude that has become the Republican rallying cry.
    The mandate idea originated with conservatives and serves the interests of the insurance barons that the court's conservatives serve....
    Where the policy came from:

    The individual insurance mandate was the brainchild of conservative economists, as a way to address “free-riding” in healthcare without going all the way to a single-payer system. Our colleague N.C. Aizenman picks up the story:

    The tale begins in the late 1980s, when conservative economists such as Mark Pauly, a professor at the University of Pennsylvania’s Wharton School of business, were searching for ways to counter liberal calls for government-sponsored universal health coverage. Pauly then proposed a mandate requiring everyone to obtain this minimum coverage, thus guarding against free-riders...Heath policy analysts at the conservative Heritage Foundation, led by Stuart Butler, picked up the idea and began developing it for lawmakers in Congress.

    The Heritage Foundation worked with then-Gov. Mitt Romney (R) to pass Massachusetts’ 2006 health reform law, which required all Bay State citizens to purchase coverage.

    But let's hope they knock it down as a lesson to Democrats why they should never embrace conservative ideology.

    No more "single payer." No more "universal coverage." Just say, "Medicare for every American."

    by masswaster on Wed Jun 27, 2012 at 10:08:30 PM PDT

  •  ACA overturn could threaten to overturn Medicare (0+ / 0-)

    and Soc Sec.  So it might not help at all to try to expend Medicare, if the central gov't has no authority to do so.

    Romney: Wrong on GM. Wrong on bin Laden. Wrong on fiscal austerity and wrong for America. I voted for change. Where is my vote?

    by SGWM on Thu Jun 28, 2012 at 12:11:58 AM PDT

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