US Sen. Chris Van Hollen (D-Md.) speaks during a news conference

US Sen. Chris Van Hollen (D-Md.) speaks during a news conference on October 29, 2025 in Washington, DC.

(Photo by Chip Somodevilla/Getty Images)

‘We Must Stop Tinkering Around the Edges’: Van Hollen Makes Case for Medicare for All Amid ACA Fight

"Yes, let's extend the ACA tax credits to prevent a huge spike in healthcare costs for millions," said Sen. Chris Van Hollen. "Then, let's finally create a system that puts your health over corporate profits."

Democratic US Sen. Chris Van Hollen on Monday became the latest lawmaker to champion Medicare for All as the best solution to the country's healthcare woes as tens of millions of Americans face soaring private insurance premiums.

In a social media post, Van Hollen (D-Md.) said that "we must stop tinkering around the edges of a broken healthcare system," pointing to massive administrative costs and poor health outcomes under the for-profit status quo.

"Yes, let's extend the [Affordable Care Act] tax credits to prevent a huge spike in healthcare costs for millions," said Van Hollen. "Then, let's finally create a system that puts your health over corporate profits. We need Medicare for All."

Van Hollen's remarks came as lawmakers continued to negotiate a possible deal to extend enhanced ACA subsidies that are set to lapse at the end of the year, an outcome that would further drive up healthcare costs for millions.

Politico reported late Monday that most senators "believe the chances for a bipartisan breakthrough" before a planned vote next week "are roughly zero."

"Instead, the most likely outcome is that Senate Democrats put up a bill that has little GOP support for a vote, if any, while Republicans offer a competing bill of their own," the outlet noted. "And even those partisan proposals remained in flux as lawmakers returned to Washington from a weeklong recess."

Neither side of the negotiations is offering much more than a Band-Aid on a gaping wound. Democratic leaders want a clean extension of the subsidies to avert catastrophic cost increases, while President Donald Trump and Republican lawmakers are demanding new restrictions on the ACA that would make the system worse.

A handful of progressive lawmakers have used the worsening US healthcare crisis to make the case for a fundamental overhaul, one that would replace the for-profit model with a Medicare for All system that guarantees coverage to everyone for free at the point of service—and at a lower overall cost than the current system.

Van Hollen is the newest Senate cosponsor of the Medicare for All Act, formally backing the legislation led by Sen. Bernie Sanders (I-Vt.) just last month.

Rep. Pramila Jayapal (D-Wash.), the lead sponsor of the Medicare for All Act in the House, expressed "100%" agreement with Van Hollen's Monday post.

"Thank you, Chris Van Hollen!" Jayapal wrote.

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