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Single-payer healthcare advocates march in a Medicare for All rally in Los Angeles on February 4, 2017. (Photo: Ronen Tivony/NurPhoto via Getty Images)
As California's latest attempt to enact single-payer universal healthcare was placed on hold this week, progressive campaigners vowed to carry on the fight, while pressing embattled Gov. Gavin Newsom to fulfill his campaign promise to implement a Medicare for All-style system in the nation's most populous state.
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall."
--Michael Lighty,
Healthy California Now
On Wednesday evening, state Assembly Member Ash Kalra (D-27) announced he would withdraw Assembly Bill 1400--the California Guaranteed Healthcare for All Act (CalCare)--from consideration this year so that lawmakers could work out how to fund the ambitious measure before possibly reviving it next year.
A.B. 1400--introduced in February by Kalra and Assembly Members Alex Lee (D-25) and Miguel Santiago (D-53), and sponsored by the California Nurses Association (CNA)--would establish a single-payer healthcare system for all Californians, regardless of income, immigration, or any other status, while expanding healthcare coverage to include nearly three million uninsured Golden State residents. It would also offer generous benefits including dental visits, prescription drug coverage, and long-term care.
Upon its introduction, Kalra said the bill "represents the belief that healthcare is truly a human right" and "will set us on a real path towards a single-payer system and affirms the policy that would save lives, decrease suffering, and improve public health in California."
Around 70% of Californians--and a similar percentage of people across the United States--support Medicare for All. A.B. 1400 enjoys the backing of grassroots progressive groups including Democratic Socialists of America (DSA), RootsAction, the new Daybreak PAC, as well as influential figures including single-payer campaigner Ady Barkan, National Nurses United executive director Bonnie Castillo, and actor and activist Rosario Dawson.
\u201cIf we can show that single-payer is possible in our nation's most populous, most racially and economically diverse state, we can prove that Medicare for All can be reality nationwide.\n\nM4A supporters, this is our most important fight right now. This is where we channel our action\u201d— Ady Barkan (@Ady Barkan) 1618932938
Undaunted by the shelving of A.B. 1400, the single-payer advocacy group Healthy California Now called Kalra's move "a golden opportunity for single-payer advocates to unite behind a faster path to Medicare for All, led by Gov. Gavin Newsom."
While seemingly a setback, Healthy California Now organizer Michael Lighty said the tabling of A.B. 1400 could actually accelerate the push for California single-payer healthcare.
"In order to do to a Medicare for All-type system in any state requires federal and legislative approval," Lighty told Common Dreams. "The governor is the linchpin. He can initiate discussions with the federal government that will lead to adoption of single-payer plan, and he can motivate the legislature to act. The shelving of A.B. 1400 is actually the fastest way to jump-start this process."
Newsom--a Democrat who oversaw the implementation of the city's Healthy San Francisco program for uninsured residents when he was the city's mayor--campaigned for governor claiming a "firm and absolute commitment" to implementing universal healthcare in California.
"We will absolutely get it done," he pledged in September 2017, just months after moderate Democrats including Assembly Speaker Anthony Rendon (D-63) joined with their corporate donors and GOP colleagues to scupper a previous single-payer bill, even as they paid lip service to universal care.
\u201c2021 is the year CA will win #SinglePayer Healthcare! Join our movement to guarantee comprehensive care, free at the point of service, to all Californians. It starts with this demand for Governor Newsom: https://t.co/O9AAKzlL8J \ud83d\udd8a\n#Medicare4All \u270a\ud83e\ude7a\ud83c\udf39\u201d— Healthy California Now (@Healthy California Now) 1609806613
With the darkening cloud of a recall campaign looming ominously over Newsom's every move, the governor is treading cautiously. Progressives--who have thrown their support behind Newsom in the recall fight--say he must do more to deserve their backing.
"Our support isn't free," warned Lee, the A.B. 1400 co-author, in a Politico interview earlier this month. "We should hold accountable our elected officials who say they support healthcare for all."
Lee added that Newsom has a "duty to energize his progressive base."
Lighty told Common Dreams that "the recall effort provides a political rationale for the governor to lead on single-payer because the progressive voters he needs to win the recall are motivated by this issue."
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall," he added, referring to the independent U.S. senator from Vermont's 2020 presidential run.
Progressive campaigners vowed to keep pushing for single-payer and to keep holding Newsom's feet to the fire. On Monday, activists led by the DSA will head to Sacramento, where they will stage a die-in at the state Capitol.
\u201c\ud83d\udea8 SINGLE PAYER ALERT \ud83d\udea8\n\nMonday, I\u2019ll be joining @dsam4a @DSASac @Daybreak_PAC and others for a Die-in at the State Capitol. AB 1400 (#CalCare) has just 44 days to pass the Assembly \u231b\ufe0f\n\nJoin me! RSVP in tweet below \ud83d\udc47\ud83c\udffd\n\n\u201d— Jackie Fielder (@Jackie Fielder) 1619045812
The Sacramento die-in will follow car rallies across the Golden State last week, where demonstrators called on state lawmakers to support CalCare.
Speaking at one of the rallies, UNITE HERE Local 11 co-president Ada Briceno said that the coronavirus pandemic "demonstrates the need for California law, more than ever, to provide healthcare for millions who lost health coverage [through] job losses in the state."
LA Progressive reports Briceno was joined by CNA activist Stephanie Roberson, who said that "how organized we are as a movement throughout the state will determine our success."
"We nurses see patients unable to afford lifesaving care and private companies refuse to pay," said Roberson. "We need to prioritize nurses and patients over profits."
\u201cExercising our 1st amendment right to peaceably assemble in Woodland (@AsmAguiarCurry and @RepGaramendi's districts)\n\nThis was one of 18 car rallies happening today across California in support of AB 1400, the California Guaranteed Health Care for All Act. #CalCare\u201d— Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now! (@Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now!) 1618717680
"The fastest, most direct path to Medicare for All has always gone through the governor," Healthy California Now president Cindy Young said on Friday. "Now is the time for advocates to unite and tell Gov. Newsom to lead the way on Medicare for All."
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As California's latest attempt to enact single-payer universal healthcare was placed on hold this week, progressive campaigners vowed to carry on the fight, while pressing embattled Gov. Gavin Newsom to fulfill his campaign promise to implement a Medicare for All-style system in the nation's most populous state.
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall."
--Michael Lighty,
Healthy California Now
On Wednesday evening, state Assembly Member Ash Kalra (D-27) announced he would withdraw Assembly Bill 1400--the California Guaranteed Healthcare for All Act (CalCare)--from consideration this year so that lawmakers could work out how to fund the ambitious measure before possibly reviving it next year.
A.B. 1400--introduced in February by Kalra and Assembly Members Alex Lee (D-25) and Miguel Santiago (D-53), and sponsored by the California Nurses Association (CNA)--would establish a single-payer healthcare system for all Californians, regardless of income, immigration, or any other status, while expanding healthcare coverage to include nearly three million uninsured Golden State residents. It would also offer generous benefits including dental visits, prescription drug coverage, and long-term care.
Upon its introduction, Kalra said the bill "represents the belief that healthcare is truly a human right" and "will set us on a real path towards a single-payer system and affirms the policy that would save lives, decrease suffering, and improve public health in California."
Around 70% of Californians--and a similar percentage of people across the United States--support Medicare for All. A.B. 1400 enjoys the backing of grassroots progressive groups including Democratic Socialists of America (DSA), RootsAction, the new Daybreak PAC, as well as influential figures including single-payer campaigner Ady Barkan, National Nurses United executive director Bonnie Castillo, and actor and activist Rosario Dawson.
\u201cIf we can show that single-payer is possible in our nation's most populous, most racially and economically diverse state, we can prove that Medicare for All can be reality nationwide.\n\nM4A supporters, this is our most important fight right now. This is where we channel our action\u201d— Ady Barkan (@Ady Barkan) 1618932938
Undaunted by the shelving of A.B. 1400, the single-payer advocacy group Healthy California Now called Kalra's move "a golden opportunity for single-payer advocates to unite behind a faster path to Medicare for All, led by Gov. Gavin Newsom."
While seemingly a setback, Healthy California Now organizer Michael Lighty said the tabling of A.B. 1400 could actually accelerate the push for California single-payer healthcare.
"In order to do to a Medicare for All-type system in any state requires federal and legislative approval," Lighty told Common Dreams. "The governor is the linchpin. He can initiate discussions with the federal government that will lead to adoption of single-payer plan, and he can motivate the legislature to act. The shelving of A.B. 1400 is actually the fastest way to jump-start this process."
Newsom--a Democrat who oversaw the implementation of the city's Healthy San Francisco program for uninsured residents when he was the city's mayor--campaigned for governor claiming a "firm and absolute commitment" to implementing universal healthcare in California.
"We will absolutely get it done," he pledged in September 2017, just months after moderate Democrats including Assembly Speaker Anthony Rendon (D-63) joined with their corporate donors and GOP colleagues to scupper a previous single-payer bill, even as they paid lip service to universal care.
\u201c2021 is the year CA will win #SinglePayer Healthcare! Join our movement to guarantee comprehensive care, free at the point of service, to all Californians. It starts with this demand for Governor Newsom: https://t.co/O9AAKzlL8J \ud83d\udd8a\n#Medicare4All \u270a\ud83e\ude7a\ud83c\udf39\u201d— Healthy California Now (@Healthy California Now) 1609806613
With the darkening cloud of a recall campaign looming ominously over Newsom's every move, the governor is treading cautiously. Progressives--who have thrown their support behind Newsom in the recall fight--say he must do more to deserve their backing.
"Our support isn't free," warned Lee, the A.B. 1400 co-author, in a Politico interview earlier this month. "We should hold accountable our elected officials who say they support healthcare for all."
Lee added that Newsom has a "duty to energize his progressive base."
Lighty told Common Dreams that "the recall effort provides a political rationale for the governor to lead on single-payer because the progressive voters he needs to win the recall are motivated by this issue."
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall," he added, referring to the independent U.S. senator from Vermont's 2020 presidential run.
Progressive campaigners vowed to keep pushing for single-payer and to keep holding Newsom's feet to the fire. On Monday, activists led by the DSA will head to Sacramento, where they will stage a die-in at the state Capitol.
\u201c\ud83d\udea8 SINGLE PAYER ALERT \ud83d\udea8\n\nMonday, I\u2019ll be joining @dsam4a @DSASac @Daybreak_PAC and others for a Die-in at the State Capitol. AB 1400 (#CalCare) has just 44 days to pass the Assembly \u231b\ufe0f\n\nJoin me! RSVP in tweet below \ud83d\udc47\ud83c\udffd\n\n\u201d— Jackie Fielder (@Jackie Fielder) 1619045812
The Sacramento die-in will follow car rallies across the Golden State last week, where demonstrators called on state lawmakers to support CalCare.
Speaking at one of the rallies, UNITE HERE Local 11 co-president Ada Briceno said that the coronavirus pandemic "demonstrates the need for California law, more than ever, to provide healthcare for millions who lost health coverage [through] job losses in the state."
LA Progressive reports Briceno was joined by CNA activist Stephanie Roberson, who said that "how organized we are as a movement throughout the state will determine our success."
"We nurses see patients unable to afford lifesaving care and private companies refuse to pay," said Roberson. "We need to prioritize nurses and patients over profits."
\u201cExercising our 1st amendment right to peaceably assemble in Woodland (@AsmAguiarCurry and @RepGaramendi's districts)\n\nThis was one of 18 car rallies happening today across California in support of AB 1400, the California Guaranteed Health Care for All Act. #CalCare\u201d— Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now! (@Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now!) 1618717680
"The fastest, most direct path to Medicare for All has always gone through the governor," Healthy California Now president Cindy Young said on Friday. "Now is the time for advocates to unite and tell Gov. Newsom to lead the way on Medicare for All."
As California's latest attempt to enact single-payer universal healthcare was placed on hold this week, progressive campaigners vowed to carry on the fight, while pressing embattled Gov. Gavin Newsom to fulfill his campaign promise to implement a Medicare for All-style system in the nation's most populous state.
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall."
--Michael Lighty,
Healthy California Now
On Wednesday evening, state Assembly Member Ash Kalra (D-27) announced he would withdraw Assembly Bill 1400--the California Guaranteed Healthcare for All Act (CalCare)--from consideration this year so that lawmakers could work out how to fund the ambitious measure before possibly reviving it next year.
A.B. 1400--introduced in February by Kalra and Assembly Members Alex Lee (D-25) and Miguel Santiago (D-53), and sponsored by the California Nurses Association (CNA)--would establish a single-payer healthcare system for all Californians, regardless of income, immigration, or any other status, while expanding healthcare coverage to include nearly three million uninsured Golden State residents. It would also offer generous benefits including dental visits, prescription drug coverage, and long-term care.
Upon its introduction, Kalra said the bill "represents the belief that healthcare is truly a human right" and "will set us on a real path towards a single-payer system and affirms the policy that would save lives, decrease suffering, and improve public health in California."
Around 70% of Californians--and a similar percentage of people across the United States--support Medicare for All. A.B. 1400 enjoys the backing of grassroots progressive groups including Democratic Socialists of America (DSA), RootsAction, the new Daybreak PAC, as well as influential figures including single-payer campaigner Ady Barkan, National Nurses United executive director Bonnie Castillo, and actor and activist Rosario Dawson.
\u201cIf we can show that single-payer is possible in our nation's most populous, most racially and economically diverse state, we can prove that Medicare for All can be reality nationwide.\n\nM4A supporters, this is our most important fight right now. This is where we channel our action\u201d— Ady Barkan (@Ady Barkan) 1618932938
Undaunted by the shelving of A.B. 1400, the single-payer advocacy group Healthy California Now called Kalra's move "a golden opportunity for single-payer advocates to unite behind a faster path to Medicare for All, led by Gov. Gavin Newsom."
While seemingly a setback, Healthy California Now organizer Michael Lighty said the tabling of A.B. 1400 could actually accelerate the push for California single-payer healthcare.
"In order to do to a Medicare for All-type system in any state requires federal and legislative approval," Lighty told Common Dreams. "The governor is the linchpin. He can initiate discussions with the federal government that will lead to adoption of single-payer plan, and he can motivate the legislature to act. The shelving of A.B. 1400 is actually the fastest way to jump-start this process."
Newsom--a Democrat who oversaw the implementation of the city's Healthy San Francisco program for uninsured residents when he was the city's mayor--campaigned for governor claiming a "firm and absolute commitment" to implementing universal healthcare in California.
"We will absolutely get it done," he pledged in September 2017, just months after moderate Democrats including Assembly Speaker Anthony Rendon (D-63) joined with their corporate donors and GOP colleagues to scupper a previous single-payer bill, even as they paid lip service to universal care.
\u201c2021 is the year CA will win #SinglePayer Healthcare! Join our movement to guarantee comprehensive care, free at the point of service, to all Californians. It starts with this demand for Governor Newsom: https://t.co/O9AAKzlL8J \ud83d\udd8a\n#Medicare4All \u270a\ud83e\ude7a\ud83c\udf39\u201d— Healthy California Now (@Healthy California Now) 1609806613
With the darkening cloud of a recall campaign looming ominously over Newsom's every move, the governor is treading cautiously. Progressives--who have thrown their support behind Newsom in the recall fight--say he must do more to deserve their backing.
"Our support isn't free," warned Lee, the A.B. 1400 co-author, in a Politico interview earlier this month. "We should hold accountable our elected officials who say they support healthcare for all."
Lee added that Newsom has a "duty to energize his progressive base."
Lighty told Common Dreams that "the recall effort provides a political rationale for the governor to lead on single-payer because the progressive voters he needs to win the recall are motivated by this issue."
"It's not a coincidence that Bernie Sanders won the California Democratic primary with this as a leading issue, and those voters are crucial to the governor's prospects in the recall," he added, referring to the independent U.S. senator from Vermont's 2020 presidential run.
Progressive campaigners vowed to keep pushing for single-payer and to keep holding Newsom's feet to the fire. On Monday, activists led by the DSA will head to Sacramento, where they will stage a die-in at the state Capitol.
\u201c\ud83d\udea8 SINGLE PAYER ALERT \ud83d\udea8\n\nMonday, I\u2019ll be joining @dsam4a @DSASac @Daybreak_PAC and others for a Die-in at the State Capitol. AB 1400 (#CalCare) has just 44 days to pass the Assembly \u231b\ufe0f\n\nJoin me! RSVP in tweet below \ud83d\udc47\ud83c\udffd\n\n\u201d— Jackie Fielder (@Jackie Fielder) 1619045812
The Sacramento die-in will follow car rallies across the Golden State last week, where demonstrators called on state lawmakers to support CalCare.
Speaking at one of the rallies, UNITE HERE Local 11 co-president Ada Briceno said that the coronavirus pandemic "demonstrates the need for California law, more than ever, to provide healthcare for millions who lost health coverage [through] job losses in the state."
LA Progressive reports Briceno was joined by CNA activist Stephanie Roberson, who said that "how organized we are as a movement throughout the state will determine our success."
"We nurses see patients unable to afford lifesaving care and private companies refuse to pay," said Roberson. "We need to prioritize nurses and patients over profits."
\u201cExercising our 1st amendment right to peaceably assemble in Woodland (@AsmAguiarCurry and @RepGaramendi's districts)\n\nThis was one of 18 car rallies happening today across California in support of AB 1400, the California Guaranteed Health Care for All Act. #CalCare\u201d— Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now! (@Phillip Kim \ud83c\udf39\ud83c\udf0e CalCare & MFA Now!) 1618717680
"The fastest, most direct path to Medicare for All has always gone through the governor," Healthy California Now president Cindy Young said on Friday. "Now is the time for advocates to unite and tell Gov. Newsom to lead the way on Medicare for All."
"They're now using the failed War on Drugs to justify their egregious violation of international law," the Minnesota progressive said of the Trump administration.
Congresswomen Ilhan Omar and Delia Ramirez on Thursday strongly condemned the Trump administration's deadly attack on a boat allegedly trafficking cocaine off the coast of Venezuela as "lawless and reckless," while urging the White House to respect lawmakers' "clear constitutional authority on matters of war and peace."
"Congress has not declared war on Venezuela, or Tren de Aragua, and the mere designation of a group as a terrorist organization does not give any president carte blanche," said Omar (D-Minn.), referring to President Donald Trump's day one executive order designating drug cartels including the Venezuela-based group as foreign terrorist organizations.
Trump—who reportedly signed a secret order directing the Pentagon to use military force to combat cartels abroad—said that Tuesday's US strike in international waters killed 11 people. The attack sparked fears of renewed US aggression in a region that has endured well over 100 US interventions over the past 200 years, and against a country that has suffered US meddling since the late 19th century.
"It appears that US forces that were recently sent to the region in an escalatory and provocative manner were under no threat from the boat they attacked," Omar cotended. "There is no conceivable legal justification for this use of force. Unless compelling evidence emerges that they were acting in self-defense, that makes the strike a clear violation of international law."
Omar continued:
They're now using the failed War on Drugs to justify their egregious violation of international law. The US posture towards the eradication of drugs has caused immeasurable damage across our hemisphere. It has led to massive forced displacement, environmental devastation, violence, and human rights violations. What it has not done is any damage whatsoever to narcotrafficking or to the cartels. It has been a dramatic, profound failure at every level. In Latin America, even right-wing presidents acknowledge this is true.
The congresswoman's remarks came on the same day that US Secretary of State Marco Rubio designated a pair of Ecuadorean drug gangs as terrorist organizations while visiting the South American nation. This, after Rubio said that US attacks on suspected drug traffickers "will happen again."
"Trump and Rubio's apparent solution" to the failed drug war, said Omar, is "to make it even more militarized," an effort that "is doomed to fail."
"Worse, it risks spiraling into the exact type of endless, pointless conflict that Trump supposedly opposes," she added.
Echoing critics including former Human Rights Watch director Kenneth Roth, who called Tuesday's strike a "summary execution," Ramirez (D-Ill.) said Thursday on social media that "Trump and the Pentagon executed 11 people in the Caribbean, 1,500 miles away from the United States, without a legal rationale."
"From Iran to Venezuela, to DC, LA, and Chicago, Trump continues to abuse our military power, undermine the rule of law, and erode our constitutional boundaries in political spectacles," Ramirez added, referring to the president's ordering of strikes on Iran and National Guard deployments to Los Angeles, the nation's capital, and likely beyond.
"Presidents don't bomb first and ask questions later," Ramirez added. "Wannabe dictators do that."
"The fact that a facility embedded in so much pain is allowed to reopen is absolutely disheartening!" said Florida Immigrant Coalition's deputy director.
Two judges appointed to the US Court of Appeals for the 11th Circuit by President Donald Trump issued a Thursday decision that allows a newly established but already notorious immigrant detention center in Florida, dubbed Alligator Alcatraz, to stay open.
Friends of the Everglades, the Center for Biological Diversity, and the Miccosukee Tribe of Indians of Florida sought "to halt the unlawful construction" of the site. Last month, Judge Kathleen Williams—appointed by former President Barack Obama to the U.S. District Court for the Southern District of Florida—ordered the closure of the facility within 60 days.
However, on Thursday, Circuit Judges Elizabeth Branch and Barbara Lagoa blocked Williams' decision, concluding that "the balance of the harms and our consideration of the public interest favor a stay of the preliminary injunction."
Judge Adalberto Jordan, an Obama appointee, issued a brief but scathing dissent. He wrote that the majority "essentially ignores the burden borne by the defendants, pays only lip service to the abuse of discretion standard, engages in its own factfinding, declines to consider the district court's determination on irreparable harm, and performs its own balancing of the equities."
The 11th Circuit's ruling was cheered by the US Department of Homeland Security, Republican Florida Attorney General James Uthmeier, and Gov. Ron DeSantis, who declared in a video that "Alligator Alcatraz is, in fact, like we've always said, open for business."
Uthmeier's communications director, Jeremy Redfern, collected responses to the initial ruling by state and federal Democrats, and urged them to weigh in on social media. Florida state Sen. Shevrin "Shev" Jones (D-34) did, stressing that "cruelty is still cruelty."
In a Thursday statement, Florida Immigrant Coalition deputy director Renata Bozzetto said that "the 11th Circuit is allowing atrocities to happen by reversing the injunction that helped to paralyze something that has been functioning as an extrajudicial site in our own state! The Everglades Detention Camp isn't just an environmental threat; it is also a huge human rights crisis."
"Housing thousands of men in tents in the middle of a fragile ecosystem puts immense strain on Florida's source environment, but even more troublesome, it disregards human rights and our constitutional commitments," Bozzetto continued. "This is a place where hundreds of our neighbors were illegally held, were made invisible within government systems, and were subjected to inhumane heat and unbearable treatment. The fact that a facility embedded in so much pain is allowed to reopen is absolutely disheartening! The only just solution is to shut this facility down and ensure that no facility like this opens in our state!"
"Lastly, it is imperative that we as a nation uphold the balance of powers that this country was founded on," she added. "That is what makes this country special! Calling judges who rule against you 'activists' flies in the face of our democracy. It is a huge tell that AG Uthmeier expressed this as a 'win for President Trump's agenda,' as if the courts were to serve as political weapons. This demonstrates the clear partisan games they are playing with people's lives and with our democracy."
While Alligator Alcatraz has drawn widespread criticism for the conditions in which detainees are held, the suit is based on the government's failure to follow a law that requires an environmental review, given the facility's proximity to surrounding wetlands.
In response to the ruling, Elise Bennett, a senior attorney at the Center for Biological Diversity, told The Associated Press that "this is a heartbreaking blow to America's Everglades and every living creature there, but the case isn't even close to over."
The report found that seven of America's biggest healthcare companies have collectively dodged $34 billion in taxes as a result of Trump's 2017 tax law while making patient care worse.
President Donald Trump's tax policies have allowed the healthcare industry to rake in "sick profits" by avoiding tens of billions of dollars in taxes and lowering the quality of care for patients, according to a report out Wednesday.
The report, by the advocacy groups Americans for Tax Fairness and Community Catalyst, found that "seven of America's biggest healthcare corporations have dodged over $34 billion in collective taxes since the enactment of the 2017 Trump-GOP tax law that Republicans recently succeeded in extending."
The study examined four health insurance companies—Centene, Cigna, Elevance (formerly Anthem), and Humana; two for-profit hospital chains—HCA Holdings and Universal Health Services; and the CVS Healthcare pharmacy conglomerate.
It found that these companies' average profits increased by 75%, from around $21 billion before the tax bill to about $35 billion afterward, and yet their federal tax rate was about the same.
This was primarily due to the 2017 law's slashing of the corporate tax rate from 35% to 21%, a change that was cheered on by the healthcare industry and continued with this year's GOP tax legislation. The legislation also loosened many tax loopholes and made it easier to move profits to offshore tax shelters.
The report found that Cigna, for instance, saved an estimated $181 million in taxes on the $2.5 billion it held in offshore accounts before the law took effect.
The law's supporters, including those in the healthcare industry, argued that lowering corporate taxes would allow companies to increase wages and provide better services to patients. But the report found that "healthcare corporations failed to use their tax savings to lower costs for customers or meaningfully boost worker pay."
Instead, they used those windfalls primarily to increase shareholder payouts through stock buybacks and dividends and to give fat bonuses to their top executives.
Stock buybacks increased by 42% after the law passed, with Centene purchasing an astonishing average of 20 times more of its own shares in the years following its enactment than in the years before. During the first seven years of the law, dividends for shareholders increased by 133% to an average of $5.6 billion.
Pay for the seven companies' half-dozen top executives increased by a combined $100 million, 42%, on average. This is compared to the $14,000 pay increase that the average employee at these companies received over the same period, which is a much more modest increase of 24%.
And contrary to claims that lower taxes would allow companies to improve coverage or patient care, the opposite has occurred.
While data is scarce, the rate of denied insurance claims is believed to have risen since the law went into effect.
The four major insurers' Medicare Advantage plans were found to frequently deny claims improperly. In the case of Centene, 93% of its denials for prior authorizations were overturned once patients appealed them, which indicates that they may have been improper. The others were not much better: 86% of Cigna's denials were overturned, along with 71% for Elevance/Anthem, and 65% for Humana.
The report said that such high rates of denials being overturned raise "questions about whether Medicare Advantage plans are complying with their coverage obligations or just reflexively saying 'no' in the hopes there will be no appeal."
Salespeople for the Cigna-owned company EviCore, which insurers hire to review claims, have even boasted that they help companies reduce their costs by increasing denials by 15%, part of a model that ProPublica has called the "denials for dollars business." Their investigation in 2024 found that insurers have used EviCore to evaluate whether to pay for coverage for over 100 million people.
And while paying tens of millions to their executives, both HCA and Universal Health Services—which each saved around $5.5 billion from Trump's tax law—have been repeatedly accused of overbilling patients while treating them in horrendous conditions.
"Congress should demand both more in tax revenue and better patient care from these highly profitable corporations," Americans for Tax Fairness said in a statement. "Healthcare corporation profitability should not come before quality of patient care. In healthcare, more than almost any other industry, the search for ever higher earnings threatens the wellbeing and lives of the American people."