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Today, U.S. Representatives Pramila Jayapal (WA-07) and Debbie Dingell (MI-12) introduced the Medicare for All Act of 2021, transformative legislation that would guarantee health care to everyone in America as a human right at a moment in which nearly 100 million people are uninsured or underinsured during a pandemic. Endorsed by 300 local, state, and national organizations and co-sponsored by more than half of the House Democratic Caucus including 14 committee chairs and key leadership Members, the landmark bill provides comprehensive benefits to all with no copays, private insurance premiums, deductibles, or other cost-sharing.
The Medicare for All Act of 2021 is being introduced in the House of Representatives one year to the day that the COVID-19 virus was first confirmed in all 50 states and the District of Columbia. This devastating public health crisis, which has taken the lives of more than 540,000 Americans, has only underscored how the country's current health care system leaves millions behind. As unemployment skyrocketed to historic levels during the pandemic, millions of additional families lost their health care and the country experienced the highest increase in the number of uninsured Americans ever recorded.
"While this devastating pandemic is shining a bright light on our broken, for-profit health care system, we were already leaving nearly half of all adults under the age of 65 uninsured or underinsured before COVID-19 hit. And we were cruelly doing so while paying more per capita for health care than any other country in the world," said Congresswoman Jayapal. "There is a solution to this health crisis -- a popular one that guarantees health care to every person as a human right and finally puts people over profits and care over corporations. That solution is Medicare for All -- everyone in, nobody out -- and I am proud to introduce it today alongside a powerful movement across America."
"A system that prioritizes profits over patients and ties coverage to employment was no match for a global pandemic and will never meet the needs of our people," said Congresswoman Dingell. "In the wealthiest nation on earth, patients should not be launching GoFundMe pages to afford lifesaving health care for themselves or their loved ones. Medicare For All will build an inclusive health care system that won't just open the door to care for millions of our neighbors, but do it more efficiently and effectively than the one we have today. Now is not the time to shy away from these generational fights, it is the time for action."
The Medicare for All Act builds upon and expands Medicare to provide comprehensive benefits to every person in the United States. This includes primary care, vision, dental, prescription drugs, mental health, substance abuse, long-term services and supports, reproductive health care, and more. The Medicare for All Act of 2021 also includes universal coverage of long-term care with no cost-sharing for older Americans and individuals with disabilities, and prioritizes home and community-based care over institutional care. Additionally, patients have the freedom to choose the doctors, hospitals, and other providers they wish to see without worrying about whether a provider is in-network. Importantly, the legislation streamlines the health care system to negotiate drug prices and reduce exorbitant administrative waste.
This growing movement for universal, single-payer health care has robust support inside and outside of Congress. The Medicare for All Act of 2021 has several new co-sponsors including the Chair of the House Committee on Energy and Commerce, Representative Frank Pallone, Jr. who just committed to a hearing on Medicare for All. Last Congress, the legislation had four historic hearings--the first-ever on Medicare for All--in the House Committee on Rules, the House Committee on Ways and Means, the House Committee on the Budget, and the House Committee on Energy and Commerce. Medicare for All is supported by 69 percent of registered voters including 87 percent of Democrats, the majority of Independents, and nearly half of Republicans. Additionally, over 50 cities and towns across America have passed resolutions endorsing Medicare for All.
The Medicare for All Act of 2021 is also endorsed by 300 local, state, and national organizations that represent nurses, doctors, business owners, unions, and racial justice organizations. This includes Physicians for a National Health Program, Public Citizen, National Nurses United, Center for Popular Democracy, People's Action, Social Security Works, Labor Campaign for Single Payer, SEIU, and hundreds more.
For a full list of endorsing organizations, click here.
"The pandemic has underscored the cruelty and irrationality of our current health care system--and the urgency of replacing it with Medicare for All. Amid the worst acute public health crisis in generations, millions lost their health insurance and health insurer profits soared," said Robert Weissman, president of Public Citizen. "Medicare for All will ensure everyone has health care coverage, including when they need it most, and will eliminate the waste and profiteering that drives ever-escalating costs. Public Citizen thanks Reps. Pramila Jayapal and Debbie Dingell, as well as the other original co-sponsors of the Medicare for All Act, for their leadership and determination in delivering health justice."
"The pandemic has highlighted in deadly detail what nurses have known for decades: Our current health care system, based on private insurance tied to employment, is a colossal failure and leaves far too many of our patients to suffer and die unnecessarily," said Bonnie Castillo, RN and executive director of National Nurses United. "We thank Rep. Pramila Jayapal and Rep. Debbie Dingell for their leadership in guaranteeing health care is a human right. While we mourn the more than 500,000 lives lost to Covid, we rededicate ourselves to the fight to ensure that everyone is provided with high-quality health care regardless of where they live, how much money they make, or their health, immigration, or employment status. Nurses will never rest until we get this done."
"Physicians have been saying it for years: We cannot give patients the care they need in a fractured and profit-driven system. For too long, doctors have watched helplessly as our patients delayed or skipped needed care--even walking out our hospital doors--because they could not afford to pay. While some are uninsured, many of these are patients enrolled in commercial insurance plans, but can't afford the thousands of dollars they must pay upfront in deductibles and copays," said Dr. Susan Rogers, President of Physicians for a National Health Program. "Medicare for All is the only plan that puts patients first: It guarantees health care for life, with free choice of hospital and provider, and no financial firewalls to stand in the way of care. It's no surprise that a majority of physicians and other health providers now support single-payer Medicare for All."
"More than any other policy, Medicare for All, would help families impacted by COVID to recover and would move to address the extreme racial disparities in health care," said Jennifer Flynn Walker, Senior Director of Advocacy and Mobilization at the Center for Popular Democracy Action. "Imagine going to the doctor without the fear of an enormous bill. Imagine losing your job, but still being able to access health care for your family. Medicare for All is a necessary policy for us to address the new normal. It is not radical. It is compassionate and sensible policy making."
"This pandemic has made it plain that our collective health and our economy depend on all of us staying healthy and safe," said People's Action Deputy Director Bree Carlson. "Our government can make this a reality by passing Medicare for All, ensuring that every one of us has access to free, high quality health care. We can and we must build a health care system strong enough to protect us all from the next health crisis."
"The costs of our current health care system remain unsustainable for too many working families, for seniors, and for employers. IFPTE applauds Rep. Jayapal, Rep. Dingell, and the cosponsors of the Medicare for All Act of 2021 for proposing a solution that will benefit all Americans by ensuring that all Americans are guaranteed high quality comprehensive health care as a right," said Paul Shearon, President of the International Federation of Professional and Technical Engineers (IFPTE). "Medicare for All would end the drag that rising health care costs have on our union members' wages and benefits, while advancing health justice and equity for all workers."
"We need to reform our national health care system now more than ever after everything we've been through this past year in battling a world-wide pandemic," said Eric Dickson, MD, President and CEO of UMass Memorial Health Care. "I believe a Medicare-for-All type of system could greatly improve health care equity in this country while ultimately reducing costs and physician burnout."
The Medicare for All Act of 2021 is co-sponsored by 14 committee chairs and several key leadership Members. Co-sponsors include Alma S. Adams Ph.D., Nanette Diaz Barragan, Karen Bass, Don Beyer, Earl Blumenauer, Suzanne Bonamici, Jamaal Bowman, Brendan F. Boyle, Cori Bush, Salud Carbajal, Tony Cardenas, Andre Carson, Matt Cartwright, Judy Chu, David Cicilline, Katherine Clark, Yvette D. Clarke, Emanuel Cleaver, II, Steve Cohen, Bonnie Watson Coleman, Danny K. Davis, Peter DeFazio, Diana DeGette, Mark DeSaulnier, Lloyd Doggett, Mike Doyle, Ted Deutch, Veronica Escobar, Adriano Espaillat, Teresa Leger Fernandez, Lois Frankel, Ruben Gallego, Jesus G. "Chuy" Garcia, Jimmy Gomez, Al Green, Raul M. Grijalva, Josh Harder, Alcee L. Hastings, Jahana Hayes, Brian Higgins, Jared Huffman, Sara Jacobs, Hakeem Jeffries, Hank Johnson, Mondaire Jones, Kaiali'i Kahele, William R. Keating, Robin L. Kelly, Ro Khanna, Daniel T. Kildee, Ann Kirkpatrick, James R. Langevin, Brenda L. Lawrence, Barbara Lee, Sheila Jackson Lee, Andy Levin, Mike Levin, Ted W. Lieu, Alan Lowenthal, Carolyn B. Maloney, James P. McGovern, Jerry McNerney, Gregory W. Meeks, Grace Meng, Jerrold Nadler, Grace F. Napolitano, Joe Neguse, Marie Newman, Eleanor Holmes Norton, Alexandria Ocasio-Cortez, Ilhan Omar, Frank Pallone Jr., Jimmy Panetta, Ed Perlmutter, Chellie Pingree, Mark Pocan, Katie Porter, Ayanna Pressley, Jamie Raskin, Lucille Roybal-Allard, Bobby L. Rush, Gregorio Kilili Camacho Sablan, Linda Sanchez, John Sarbanes, Jan Schakowsky, Adam Schiff, Robert C. "Bobby" Scott, Brad Sherman, Adam Smith, Jackie Speier, Eric Swalwell, Mark Takano, Bennie G. Thompson, Mike Thompson, Dina Titus, Rashida Tlaib, Paul Tonko, Ritchie Torres, Lori Trahan, Juan Vargas, Marc Veasey, Nydia M. Velazquez, Maxine Waters, Peter Welch, Susan Wild, Nikema Williams, Frederica Wilson, and John Yarmuth.
To view the text of the legislation, click here.
U.S. Representatives Pramila Jayapal (WA-07)
"We cannot live this way," wrote one journalist in response to President Donald Trump's ominous threat to start another new war.
US President Donald Trump said late Wednesday that the American military is already looking ahead to its "next conquest" as the Middle East remains embroiled in a deadly military conflict that Trump and his ally, Israeli Prime Minister Benjamin Netanyahu, unleashed six weeks ago.
In a late-night post on his Truth Social platform, Trump said US forces will remain "in place" and "around" Iran until a "real agreement" is reached to end the war, as the two-week ceasefire the president and Iranian leaders announced late Tuesday hangs by a thread due to Israel's massive bombardment of Lebanon.
After threatening a "bigger, and better, and stronger" assault on Iran if peace talks collapse, Trump said the US military is "Loading Up and Resting, looking forward, actually, to its next Conquest"—even as senior administration officials expressed concerns that the president's declarations of victory in Iran were premature.
Branislav Slantchev, an international relations expert who teaches political science at the University of California San Diego, wrote in response to Trump's post that "this depraved idiot is out of control."
"We cannot live this way," added journalist Marisa Kabas.
Trump, who has bombed more countries than any other president in modern US history despite campaigning on "no new wars," did not name any potential targets of the American military's "next conquest" in his Wednesday night post. But the president has lobbed threats against Cuba and Greenland repeatedly in recent months, threatening to seize both island nations by force. Last week, Trump asked Congress to approve a $1.5 trillion military budget for the coming fiscal year—a request that included tens of billions for new battleships and fighter jets.
During a speech at a Saudi-backed investment summit in Miami last month, Trump touted the US military's illegal attacks on Venezuela and Iran before declaring, "Cuba is next."
"Pretend I didn't say that," the president added.
In a separate Truth Social post Wednesday night, Trump hit out at NATO and characterized Greenland, in all-caps, as a "BIG, POORLY RUN, PIECE OF ICE."
Brian Finucane, senior adviser to the US Program at the International Crisis Group, argued that Trump is "lashing out because his war on a whim did not result in the hoped-for ‘Venezuela’ in Iran but a historic debacle instead."
The Intercept's Nick Turse reported last month that amid the Iran war, a top Pentagon official "revealed that US wars in the Western Hemisphere are also expanding, unveiling an effort dubbed 'Operation Total Extermination.'"
Joseph Humire, the Pentagon's acting assistant secretary for homeland defense and Americas security affairs, told lawmakers that the US military "supported 'bilateral kinetic actions against cartel targets along the Colombia-Ecuador border'" in early March, according to Turse.
"The US–Ecuadorian campaign has already strayed into Colombia after a farm was bombed or hit by 'ricochet effect' on March 3, leaving an unexploded 500-pound bomb lying in Colombia’s border region," Turse reported. "In addition to his wars in the Western hemisphere, Trump has also launched attacks on Iran, Iraq, Nigeria, Somalia, Syria, and Yemen during his second term—most of them sites of US conflicts during the war on terror."
Trump has shown he "is utterly helpless to fix the disaster he personally caused," and is now "trying to blame others for his own incompetence," said one critic.
Hours after President Donald Trump pitched an angry tantrum at US allies, he reportedly demanded that they draw up plans to help fix the geopolitical and economic disaster he caused by launching his illegal war with Iran.
In a Wednesday night social media post, Trump posted an all-caps tirade against members of the North Atlantic Treaty Organization (NATO) who refused to commit forces to fight in a war he started without their approval or even consultation.
"NATO WASN’T THERE WHEN WE NEEDED THEM, AND THEY WON’T BE THERE IF WE NEED THEM AGAIN," Trump wrote. "REMEMBER GREENLAND, THAT BIG, POORLY RUN, PIECE OF ICE!!!"
As Trump was attacking longtime allies, he was simultaneously demanding their help.
According to a Thursday report from Bloomberg, the US has been seeking "specific commitments from European allies on their pledge to help secure the Strait of Hormuz after the fighting in Iran stops," going so far as to request that they "present concrete plans to ensure navigation through the waterway within days."
Trump last month tried strong-arming allies into sending their navies into the strait to help secure safe passage of commercial vessels, but all of them refused.
Even as Trump is berating allies, he still hasn't achieved the primary goal of the ceasefire he announced on Tuesday: The reopening of the Strait of Hormuz, which Iran has kept shut down since the start of the war more than a month ago.
As Bloomberg reported on Thursday, ship traffic through the strait has "remained blocked," being "limited to a handful of Iran-linked ships, another sign that a fragile ceasefire between the US and Iran has yet to improve flows through the world’s key energy chokepoint."
As the strait has remained shut, the price of Brent crude petroleum futures, which initially crashed upon news of the ceasefire deal, have been slowly climbing back up to the $100 mark.
Given Trump's failure to achieve even the most basic tenet of his own ceasefire deal, many critics questioned why US allies should commit to helping him clean up his own disaster.
Dominic Waghorn, international affairs editor at Sky News, noted that "neither a military escort nor military force can reopen the Strait short of a full scale occupation of southern Iran and even then insurgents could keep it closed with the threat of action."
Journalist Marcy Wheeler observed that Trump's demands show he "is utterly helpless to fix the disaster he personally caused," and is now "trying to blame others for his own incompetence."
Economist Dean Baker encouraged US allies to remain completely defiant of the president.
"The European countries should specifically commit to pay the toll Iran is requesting," Baker wrote.
HuffPost White House correspondent SV Dáte summarized Trump's geopolitical strategy as follows: "I broke it, someone else can fix it."
The US "has the military power to do whatever it wants in the world," a top official told the Vatican's US representative. "The Catholic Church had better take its side."
Pope Leo, the first American to be named the head of the worldwide Catholic Church, has spoken out against President Donald Trump's policies frequently this year as the US has invaded Venezuela and Iran and threatened Cuba's 10 million people with an oil blockade that has crippled the island's economy and healthcare system—and according to new reports, his criticism has followed a warning from a Pentagon official who demanded the Vatican take the "side" of the White House in foreign disputes.
The Free Press originally reported this week that after the pope's "State of the World" address on January 9, US Undersecretary of Defense for Policy Elbridge Colby called Cardinal Christophe Pierre, the Vatican's US diplomatic representative, to Washington.
Colby told Pierre that the US "has the military power to do whatever it wants in the world."
"The Catholic Church had better take its side," he said, according to The Free Press.
Another Pentagon official alluded to the Avignon papacy, a period in the 14th century in which the French monarchy ordered an attack on Pope Boniface VIII and forced seven successive popes to relocate from Rome to Avignon in France.
According to Christopher Hale of the Substack blog Letters From Leo, who independently confirmed the meeting had taken place, Vatican officials took the remarks about the Avignon papacy as "a threat to use military force against the Holy See."
"Bringing up the Avignon papacy as a threat is truly insane," said progressive organizer Jonathan Cohn.
The pope is unlikely to visit the US during Trump's presidency as a result of the meeting, Hale reported. Pope Leo rejected an invitation to the White House for the United States' 250th anniversary celebration on July 4, and is reportedly planning to visit the island of Lampedusa in the Mediterranean that day, where thousands of North African immigrants have arrived as they attempt to reach Europe.
The pope, reported Hale, "is too deliberate a man to have chosen that date by accident."
The Pentagon meeting took place days after Pope Leo angered the Trump administration, including Defense Secretary Pete Hegseth, by lamenting the fact that "a diplomacy that promotes dialogue and seeks consensus among all parties is being replaced by a diplomacy based on force, by either individuals or groups of allies.”
In the speech that enraged Pete Hegseth and top Pentagon officials, Pope Leo XIV said: “A diplomacy that promotes dialogue and seeks consensus among all parties is being replaced by a diplomacy based on force.”
“War is back in vogue, and a zeal for war is spreading.
“The… pic.twitter.com/q76XtqxNXU
— Christopher Hale (@ChristopherHale) April 8, 2026
He made the comments days after the US invaded Venezuela, killing dozens of people and abducting President Nicolás Maduro, and as the US continued its boat bombing campaign that began last year in Latin America.
Since then, the pope has made numerous statements in recent weeks as the US joined Israel in bombing Iran and Trump issued increasingly bellicose threats to attack the country's population of 93 million people.
He said on Tuesday, hours before a two-week ceasefire was reached between the US, Iran, and Israel, that Trump's threat to wipe out the "whole civilization" of Iran was "truly unacceptable."
"There are certainly issues of international law here, but even more, it is a moral question concerning the good of the people as a whole, in its entirety," said Pope Leo. “Let’s look for solutions in a peaceful way.”
He also appeared to reject a call from Hegseth last month when the defense secretary asked Americans to pray for US troops in Iran "in the name of Jesus Christ."
"Brothers and sisters, this is our God: Jesus, King of Peace, who rejects war, whom no one can use to justify war," said the Pope in his homily on Palm Sunday days later. "He does not listen to the prayers of those who wage war, but rejects them, saying: 'Even though you make many prayers, I will not listen: your hands are full of blood.'"
The New Republic reported that prior to the January meeting Pierre was called to, there were no public records of meetings between the Vatican and Pentagon officials, "let alone an instance in which the world power suggested that it could force the Bishop of Rome into captivity."
When asked about the meeting on Wednesday, Vice President JD Vance—a Catholic convert—at first claimed not to know who the Vatican's US representative was, before saying the reported was "uncorroborated."
BREAKING: JD Vance initially says he doesn't know who Cardinal Christophe Pierre is — until recently Pope Leo XIV’s ambassador to the United States — then, once reminded, declines to comment on the Pentagon's January meeting with the cardinal or on the ”bitter lecture” Under… pic.twitter.com/Qknnuh0wxv
— Christopher Hale (@ChristopherHale) April 8, 2026
The Defense Department also denied The Free Press' account of the meeting, saying the characterization was "highly exaggerated and distorted.”
Writer Pedro Gonzalez noted that former Trump adviser Steve Bannon discussed strategies to "take down" the late Pope Frances with convicted sex offender Jeffrey Epstein, according to files on Epstein that were released by the Department of Justice.
"It is for this and other reasons that people take seriously the report about the Trump-Vance administration threatening Pope Leo to bend the knee or else," said Gonzalez. "These people are insane. Their hunger for power is bottomless. Moral resistance will be met with intimidation and threats, whether it’s in America or in Rome."