2016 Postmortem
Related: About this forumFor publicly supporting single-payer, Bernie is ridiculously bold, amazing, honest, and authentic
Why? Pretty much no major political figure besides him is talking about single-payer, Medicare-for-All healthcare. No one. Congressional Democrats, even pretty much everyone in the Progressive Caucus, support corporate healthcare (the individual mandate), instead of single-payer. The Congressional Progressive Caucus is pushing for a "public option," but it is mostly calling for working within the Affordable Care Act and doing incremental reforms. Single-payer has been pretty much out of the conversation even among "progressive" Democrats in Congress.
I believe before the ACA passed, there were 80 or so Democrats in the House who co-sponsored single-payer. Dennis Kucinich talked a lot about HR 676 (the Medicare-for-All bill). Rep. John Conyers also pushed hard for single-payer. But after Obamacare, pretty much every establishment Democrat, including previous single-payer supporters, abandoned their long-term goal of Medicare-for-All and rallied behind Obamacare. No major Democrat talks about how the ACA is a step in the right direction, but single-payer is the ultimate end goal. Too many Democrats have come to "accept" the ACA, forgetting that the fight is far from over, and forgetting that the finish line is single-payer when 35 million Americans remain uninsured by our greedy, for-profit, employer-based private health insurance model. It's extremely costly, inefficient, convoluted, etc., while single-payer would be far more cost-effective. Heck, we were sold out by Alan Grayson, Barney Frank, Nancy Pelosi, and others on the issue: they previously supported single-payer, but opposed it after ACA was passed.
The passing of the ACA basically destroyed whatever political momentum there was for single-payer since healthcare reform activists got a universal healthcare bill that "kind of" satisfied their needs. Democrats were too scared to support single-payer in the post ACA era, because it would make them seem like they were betraying or going against President Obama and his landmark healthcare reform. But the truth is that the ACA really did not go far enough. No one wanted to go through another round of healthcare reform since they were fatigued from the ACA fight, especially when single-payer is far more liberal than the individual mandate, which is a center-right idea proposed by the Heritage Foundation in the 1980s, backed by the GOP in the 1990s, supported by Newt Gingrich, and implemented by Mitt Romney when he was governor.
Heck, I love Elizabeth Warren to death, but even she sold out on single-payer after Obamacare was passed. Unlike Bernie who stayed consistent and committed to his views and principles, Elizabeth played a little bit of politics on healthcare (even though she's amazing 99% of the time). She supported it in 2008 in a book, but when she ran for U.S. Senate in Massachusetts, she said she didn't support single-payer, and instead, wanted to focus on the current healthcare reform under Obamacare. It's fine to say that we need incremental change, and we need to focus with what we have, but she could have tied short-term reforms to a desire for long-term systemic change, and said that the end goal for progressives should still be single-payer. But she did not. Single-payer is no longer part of her vocabulary, either as a policy goal or as an end goal, as it is no longer in the vocabulary of pretty much ever Democrat in Congress.
Meanwhile, Bernie Sanders comes out boldly, unabashedly calling for single-payer, Medicare-for-All. He's not being wishy washy or trying to compromise with a public option. He wants the full deal. And for him to call for that, to buck the Democratic Party establishment (which includes so called "progressive" Dems), that's extremely brave of him and admirable. Even if he doesn't win the nomination, he can spark a conversation and make single-payer a hot button topic among progressives activists, reigniting pressure on elected Democrats to fight for it in the future. Bernie's pushing the envelop, trying to make a previous "fringe" idea mainstream, and moving the Ovteron window to the left. Bernie's truly a visionary and a revolutionary, willing to take on huge political risks to fight for what he truly believes in. Bernie's so freaking amazing for sticking to guns.
HassleCat
(6,409 posts)Obamacare, even as watered down as it is, represents a huge change in the health insurance landscape. I know it doesn't seem like much, and fall far short in many respects, but this is the first movement in health care for.... well, forever. Of course, after every advance, politicians step back and see how the public reacts, and that's what they're doing now. Not Sanders, though. Gotta give the guy credit. He's not afraid to stand up for what's right. Even when everybody else is scared stiff.
redstateblues
(10,565 posts)Is in Republican hands.
gobears10
(310 posts)which is why we need a mass grassroots movement to destroy them in the congressional elections. We need 60 Democrats and a majority Democratic control in the House.
Even then, we need to deal with the Blue Dogs and DLC-type corporatist Dems who are beholden to the insurance and pharmaceutical companies who wouldn't even go along with a public option back in 2010. It's a mess. We need to get money out of politics for sure.
stillwaiting
(3,795 posts)He would use the bully pulpit to make what seems so "impossible" today a reality for tomorrow.
Getting the Executive Branch in hands that are supportive of single payer is a massive step forward.
We've never had that before.
If we continue to believe it's impossible, it always will be.
Believe. And Fight.
udbcrzy2
(891 posts)When the insurance companies and lobbyist wrote ACA behind closed doors, I knew we were in trouble. When it got the votes to pass, I was really surprised. I really think it was more of a gift to the insurance companies because of the premiums they are charging and the 5k each deductibles.
Recursion
(56,582 posts)I can't take advocacy for it seriously without that. We're looking at something like a 10% payroll tax or 18% VAT just to get the relatively limited coverage of Medicare A and B to everyone.
Scuba
(53,475 posts)In an interview with CNBCs John Harwood, Sen. Bernie Sanders (I-VT), who is running for the Democratic presidential candidacy, said he could back a 90 percent top marginal tax rate.
Harwood brought up that some have likened efforts to combat income inequality to Nazi Germany. Sanders noted sarcastically, When radical, socialist Dwight D. Eisenhower was president, I think the highest marginal tax rate was something like 90 percent.
Harwood followed up by asking, When you think about something like 90 percent, you dont think thats obviously too high? to which Sanders replied, No.
Recursion
(56,582 posts)Scuba
(53,475 posts)Recursion
(56,582 posts)Taxing the rich is not this infinite spigot of money people seem to think it is. Even Europe has to fund most of its social programs with a VAT.
Scuba
(53,475 posts)SunSeeker
(51,574 posts)So what good did Bernie touting single payer do for Vermont? I remember him talking on Breakfast with Bernie on the Thom Hartman Show about how he was going to make single payer work for Vermont and be a model for the rest of the country. That was over 2 years ago. It never happened, even though the Governor and Vermont state legislature supported single payer and even passed a law making it possible. But when the hard work started (figuring out a way to pay for it) Bernie didn't follow through:
When single payer was a theory, a campaign talking point, and progressive dream, Bernie Sanders was all in. When the Governor and legislature enacted it into law, Bernie Sanders touted it as a model for the nation:
If Vermont can pass a strong single-payer system and show it works well, it will not only be enormously important to this state, it will be a model, Sanders said in 2013.
Vermont is without a doubt the most liberal state in the union. It is the only state that has single payer healthcare as law. Bernie Sanders was instrumental in fighting for that law. He made lots of speeches advocating it, much as he is doing now running for president.
But when the time came for the hard work, the difficult task of pushing, cajoling, persuading, 'leading the people' as Sanders likes to say, to get Vermonters and the legislature to accept the necessary tax increases to make single payer a reality, Bernie Sanders was AWOL.
http://m.dailykos.com/story/2015/06/27/1397137/-Bernie-Sanders-Single-Payer-Vermont
raouldukelives
(5,178 posts)We still do.
Vast sums of money poured into pockets instead of health and wellness is our problem in virtually every facet of our oligarchy.
From our common infrastructures to our personal ones. They are all falling apart from neglect, corner cutting and insatiable greed.
I've always felt one of the biggest advantages of medicare for all would be veterans finally getting help. It is my limited understanding that one of the VA's biggest issues is outdated computer systems and the wasting of millions of dollars that should be going to care just trying to communicate with everyone else in our modern world.
If we could eliminate a large amount of the VA's responsibilities in the realm of health care, I think we would save a lot of lives and, perhaps, even a lot of money.
One of the many areas where Bernie and I line up 100% is veteran care. I'm willing to bet a lot of Americans echo that sentiment.