Presumptive Democratic presidential nominee Joe Biden left some progressives perplexed Thursday when he spoke at length about healthcare during a campaign stop in Lancaster, Pennsylvania—making a number of points that would suggest he supports Medicare for All, a proposal he denounced as "unrealistic" throughout the Democratic primary.
Washington Post reporter Jeff Stein noted that Biden mentioned the unemployment crisis that's grown out of the coronavirus pandemic in his speech, suggesting that the loss of employer-based health coverage has made a powerful case for the federal government to guarantee healthcare to all Americans.
Joe Biden notes in speech today that many people are losing their health insurance during the pandemic because it is tied to their employment
— Jeffrey Stein (@JStein_WaPo) June 25, 2020
"Families are reeling right now," the former vice president said, "losing their employers' plans in droves as their employers go out of business, or have to suspend business—they need lifelines now."
Thomas Kennedy, Florida state coordinator for the immigrant rights group United We Dream, suggested expanding the popular Medicare program to cover all Americans would be an effective lifeline for the 43 million people who could lose their employer-based health insurance during the pandemic, according to the Economic Policy Institute.
There is this thing called Medicare For All that would fix this. Biden should support it. https://t.co/kZtSFDKWqA
— Thomas Kennedy (@tomaskenn) June 25, 2020
However, Biden tied the crisis to his push for a public healthcare plan which would exist alongside the for-profit health insurance industry—not Medicare for All.
"We need a public option now more than ever, especially when 20 million people are unemployed," Biden said. "The public option will allow every American, regardless of their employment status, the choice to get a Medicare-like plan."
Biden is reportedly revamping some of the specifics of his healthcare plan in the coming weeks after forming a joint task force with former advisors to Sen. Bernie Sanders (I-Vt.), who continues to advocate for Medicare for All following his presidential run.
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In his speech, Biden said Americans would have to pay no more than 8.5% of their income on healthcare costs; under the Affordable Care Act, the current limit is 9.86%, and was lower in previous years. Deductibles and out-of-pocket costs on top of premiums would still exist under Biden's plan, and as written, roughly 10 million Americans would remain uninsured.
During the primary, Biden derided Sanders' Medicare for All proposal—which a Yale University study in February showed would save over $450 billion in healthcare costs annually—as "unrealistic." In an interview with MSNBC in March, days before the coronavirus pandemic was declared a national public health emergency and millions were left jobless overnight, Biden suggested that even if Medicare for All legislation were to pass in both chambers of Congress during his potential presidency, he would not necessarily sign it into law, citing concerns over cost.
Objections to Medicare for All over its potential costs have been particularly irksome to proponents of the single-payer solution, with study after study showing overall expenditures would be less while providing comprehensive coverage to everyone in the country.
On social media during his appearance in Pennsylvania—where a 2018 Morning Consult/Politico poll found a majority of voters supported Medicare for All—Biden suggested that Sanders was correct to demand that the federal government ensure every American have healthcare coverage, referring to healthcare as a "right for all."
Health care is a right for all — not a privilege for the few.
— Joe Biden (@JoeBiden) June 25, 2020
Medicare for All advocates implored Biden to commit to fighting to expand healthcare to all Americans—rather than just borrowing rhetoric from politicians who have pledged to do just that.
And the natural idea that follows from that is....?
— luke oneil (@lukeoneil47) June 25, 2020
Look man, I was just told to pay $3400 for a procedure I need, on a watered-down exchange plan, with 2 diff kinds of deductibles totaling almost $9k, costing $400 a month in premiums. I paid $600 for the same procedure in 2016. Cut the malarkey and give us damn Medicare for All
— Adam Weinstein (@AdamWeinstein) June 25, 2020
"So what are you going to do about that?" asked Lauren Ashcraft, a democratic socialist who ran for Congress in New York's 12th district this year.