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Studies estimate Medicare for All would save $650 billion and 68,000 lives per year; 69% of the U.S. supported providing Medicare to every American
At a time when more than 1 million people in the United States have lost their lives to the coronavirus pandemic—at least one third of which have been linked to lack of health insurance—and 15 million Americans are at risk of losing Medicaid coverage, Sen. Bernie Sanders (I-Vt.), Rep. Pramila Jayapal (D-Wash.), and Rep. Debbie Dingell (D-Mich.) today came together with 14 of their colleagues in the Senate and more than 110 in the House of Representatives to reintroduce the Medicare for All Act, historic legislation that would guarantee health care as a fundamental human right to all people in the U.S. regardless of income or background.
Sanders, Chairman of the Senate Health, Education, Labor, and Pensions Committee, and Jayapal are joined on the 2023 legislation by Sens. Tammy Baldwin (D-Wis.), Richard Blumenthal (D-Conn.), Cory Booker (D-N.J.), Kirsten Gillibrand (D-N.Y.), Martin Heinrich (D-N.M.), Mazie Hirono (D-Hawaii), Ben Ray Luján (D-N.M.), Ed Markey (D-Mass.), Jeff Merkley (D-Ore.), Alex Padilla (D-Calif.), Brian Schatz (D-Hawaii), Elizabeth Warren (D-Mass.), Peter Welch (D-Vt.), and Sheldon Whitehouse (D-R.I.).
"The American people understand, as I do, that health care is a human right, not a privilege," said Sanders. "It is not acceptable to me, nor to the American people, that over 85 million people today are either uninsured or underinsured. As we speak, there are millions of people who would like to go to a doctor but cannot afford to do so. That is an outrage. In America, your health and your longevity should not be dependent on your bank account or your stock portfolio. After all the lives that we lost to this terrible pandemic, it is clearer now, perhaps more than it has ever been before, that we must act to end the international embarrassment of the United States being the only major country on earth to not guarantee health care to all."
"We live in a country where millions of people ration lifesaving medication or skip necessary trips to the doctor because of cost," said Jayapal. "Sadly, the number of people struggling to afford care continues to skyrocket as millions of people lose their current health insurance as pandemic-era programs end. Breaking a bone or getting sick shouldn't be a reason that people in the richest country in the world go broke. 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. I'm so proud to fight for this legislation to finally ensure that all people can get the care they need and the care they deserve."
"Every American has the right to health care, period. If you're sick, you should be able to go to the doctor without being worried about the cost of treatment or prescription medicine. The United States is the only industrialized nation in the world that doesn't guarantee all its citizens access to health care," said Dingell. "The COVID-19 pandemic didn't create the flaws in our health care system, but it brought to light many of the shortcomings that have caused unnecessary and preventable hardship for countless American families for decades. We've been fighting this fight since the 1940s, when my father-in-law helped author the first universal health care bill. It's time to get this done."
"Health care should be a right for all, not a luxury for some," said Blumenthal. "In the United States of America, millions of Americans go to sleep at night worried about a procedure they can't access or a treatment their family can't afford. Our status quo is unacceptable. Regardless of age, income, or zip-code, access to quality, timely medical care should be guaranteed for all who need it. I'm proud to join my colleagues in introducing this landmark legislation."
"Despite the progress we've made in the past decade, millions of Americans still struggle to afford the quality health care they deserve," said Booker. "Health care is a human right, and it is unacceptable that the wealthiest nation on the planet lags behind other countries in guaranteeing access to quality and affordable care for all its citizens. It's time to put an end to the medical bankruptcies and exorbitant health care costs that burden families across the nation and work toward Medicare for All. I am proud to join in reintroducing this bill that will build a health care system that ensures that no one is left behind."
"The American health care system leaves millions of individuals without coverage and it needs fundamental change. In the richest country in history, your health should not be determined by your income or zip code," said Gillibrand. "I am proud to join my colleagues in the fight for Medicare for All, which would guarantee high-quality health care for every American and enshrine into law that health care is a right, not a privilege."
"New Mexicans should never have to choose between putting food on their table and accessing health care," said Heinrich. "That's why I am proud to cosponsor the Medicare for All Act to expand health care coverage and provide access to hospital services, emergency services, prescription drugs, oral health, vision, and audiology services to all Americans."
"Everyone should be able to get the health care they need, regardless of their income or insurance status," said Hirono. "As we continue to recover from the COVID-19 pandemic, adopting Medicare for All is an important thing we can do to help expand access to comprehensive health care for all communities. I am proud to support this bill and other legislation to help people across the country access quality, affordable health care."
"Health care should be a right for every single American, not a privilege reserved for the healthy and the wealthy," said Merkley. "Our current health care system is incredibly complex, fragmented, and expensive, and Americans could have so much more peace of mind if we had a simple, seamless system where, solely by virtue of living in America, you know that you will get the care you need. It's time to simplify health care and lower patients' costs, and embrace Medicare for All."
"Health care is a basic human right—no one should ever go broke because of a medical bill or have to ration life-saving medications to make ends meet," said Warren. "Medicare for All works to guarantee that every American will be able to afford and access the health care that every person deserves."
"Medicare for All will help every Vermonter access essential health care, regardless of means. That's worth fighting for, and I'm proud to join Sen Sanders to reintroduce this essential and lifesaving legislation," said Welch. "No person should ever have to worry that they can't afford the medical care they need — period."
Today in the U.S., 68,000 Americans die each year because they cannot afford the health care they desperately need, millions more suffer unnecessarily because of delayed treatment, and more than 85 million Americans are uninsured or under-insured because of high deductibles and premiums. In addition, health care spending in the U.S. constitutes over 18 percent of its Gross Domestic Product (GDP), according to the Centers for Medicare & Medicaid Services. Yet health outcomes, life expectancy, and infant mortality rates in the U.S. remain much worse than many other major countries. The U.S. has the highest infant mortality rate of almost any other major country on earth.
While estimates show 44 percent of the adult population, some 112 million Americans, are struggling to pay for the medical care they need, the seven major health insurance companies in America made over $69 billion in profits last year—up 287 percent since 2012. As millions of American families face bankruptcy and financial ruin because of the outrageously high cost of health care, the CEOs of 300 major health care companies collectively made $4.5 billion in total compensation in 2021. While one out of four Americans cannot afford the life-saving medicine their doctors prescribe, last year ten of the top pharmaceutical companies in the United States made over $112 billion in profits, and the top 50 executives in these companies made a combined $1.5 billion in total compensation.
Implemented over four years, the Medicare for All Act would provide comprehensive health care coverage to all with no out-of-pocket expenses, insurance premiums, deductibles, or co-payments. This includes coverage for primary care, vision, dental, prescription drugs, mental health, substance use disorder, long-term services and supports, reproductive health care, and more. The legislation would create a more streamlined and cost-effective system, allow patients not to worry if their doctor is "in-network," and substantially reduce the cost of prescription drugs by allowing the federal government to negotiate with pharmaceutical companies.
According to the Congressional Budget Office, Medicare for All would save the American people and the entire health care system $650 billion each year. A study by Yale epidemiologists, which was published in the peer-reviewed journal The Lancet, estimates that Medicare for All would save some 68,000 lives per year simply by guaranteeing health care to all as a right. A study by RAND found that moving to a Medicare-for-all system would save a family with an income of less than $185,000 about $3,000 a year, on average.
In 2020, 69 percent of the American people supported providing Medicare to every American.
Nearly 200 national, state, and local organizations endorsed the Medicare For All legislation, including: National Nurses United, American Medical Student Association, People's Action, Public Citizen, Social Security Works, National Organization of Women, SEIU, AFA—CWA, International Alliance of Theatrical Stage Employees, International Federation of Professional and Technical Engineers (IFPTE), United Electrical, Radio & Machine Workers of America (UE), United Mine Workers of America, Brotherhood of Maintenance of Way Employes Division, Center for Popular Democracy, and National Domestic Workers Alliance.
Read the bill summary, here.
Read the bill fact sheet, here.
Read the list of organizational support, here.
Read the bill text, here.
The vote came after an emotional debate in which some Republican lawmakers detailed threats and harassment they'd received for opposing the president's redistricting scheme.
President Donald Trump's push to get Indiana Republicans to redraw their congressional map ahead of the 2026 midterm elections went down in overwhelming defeat in the Indiana state Senate on Thursday.
As reported by Punchbowl News' Jake Sherman, the proposal to support a mid-decade gerrymander in Indiana was rejected by a vote of 19 in favor to 31 opposed, with 21 Republican state senators crossing the aisle to vote with all 10 Democrats to torpedo the measure, which would have changed the projected balance of Indiana's current congressional makeup from seven Republicans and two Democrats to a 9-0 map in favor of the GOP.
The Senate vote came after the state House's approval of the bill and an emotional debate in which some Indiana Republicans opposed to the president's plan detailed violent threats they'd received from his supporters.
According to a report published in the Atlantic on Thursday, Republican Indiana state Sen. Greg Walker (41) this week detailed having heavily armed police come to his home as the result of a false emergency call, a practice commonly known as swatting.
Walker said that he refused to be intimated by such tactics, and added that "I fear for all states if we allow threats and intimidation to become the norm."
Indiana's rejection of the effort is a major blow to Trump’s unprecedented mid-decade redistricting crusade, which began in Texas and subsequently spread to Missouri and North Carolina.
Christina Harvey, executive director for Stand Up America, said that the Indiana state Senate's rejection of the Trump plan was an "important victory for democracy."
"For weeks, Indiana residents have been pleading with their state leaders to stop mid-decade redistricting and the Senate listened," Harvey said. “Despite threats to themselves and their families, a majority of Indiana senators were steadfast in rejecting this gerrymandered map."
John Bisognano, president of the National Democratic Redistricting Committee, praised the Republicans who rejected the president's scheme despite enduring threats and harassment.
"Threats of violence are never acceptable, and no lawmakers should face violent threats for simply standing up for their constituents," Bisognano said. "Republicans in other states who are facing a similar choice—whether to listen to their constituents or follow orders from Washington—should follow Indiana’s lead in rejecting this charade and finally put an end to the national gerrymandering crisis."
The lawmakers accused the Social Security Administration of "a slash-first, think-later approach," for which "beneficiaries will pay the price."
Leading Senate Democrats and Independent US Sen. Bernie Sanders this week pressed the Trump administration for answers following reports that the Social Security Administration is planning to dramatically reduce visits to its field offices.
"We write with concerns regarding recent reports that the Social Security Administration is reorganizing its field office operations, and has established a goal of cutting the number of field office visits in half—amounting to 15 million fewer visits annually," Sens. Elizabeth Warren (D-Mass.), Ron Wyden (D-Ore.), Kirsten Gillibrand (D-NY), and Sanders (I-Vt.) wrote in a letter to SSA Administrator Frank Bisignano.
"Given that beneficiaries are already waiting months for field office appointments, and the agency has not shared with Congress or the public on how it plans to achieve this goal, we are concerned that these efforts are in fact part of a plan to 'quietly kill field offices,' implementing a backdoor cut in benefits by making it harder for Americans to access the Social Security customer services they need," the senators said.
"The Trump administration has relentlessly attacked Social Security."
Earlier this month, Nextgov/FCW revealed that the Social Security Administration said in internal documents that it wants “no more than 15 million total” in-person visits to its field offices in fiscal year 2026—or about half the current number of such visits. An anonymous SSA staffer told the outlet that senior agency officials are aiming for “fewer people in the front door" and for "all work that doesn’t require direct customer interactions to be centralized.”
As Warren's office noted Thursday:
The Trump administration has relentlessly attacked Social Security. Under Commissioner Bisignano, the administration has implemented policy changes that make it harder for Americans to get their benefits, including by implementing burdensome in-person and bug-prone identification processes that force millions more beneficiaries to visit field offices each year—at the same time they are slashing SSA’s workforce by around 7,000 and closing regional offices.
Instead of staffing up to meet these needs, SSA’s field office capacity has significantly declined. Beneficiaries are being forced to wait hours to get help—only to be told they will need to call to schedule an appointment.
"We are concerned that your plan is to force beneficiaries onto SSA’s bug-prone website or push them into customer service phone tree 'doom-loops'—which will almost certainly result in delayed or missed benefits for some individuals," the letter adds. "Once again, you seem to have adopted a slash-first, think-later approach to 'modernizing' SSA, and beneficiaries will pay the price."
The senators are asking Bisignano if the reports of proposed SSA office visit reductions are accurate, and if so, how and when the plan will be implemented, how the agency will "provide services to beneficiaries that would otherwise go to field offices," and how the reductions will affect already lengthy wait times and service online users and callers to the agency's 1-800 number.
The lawmakers' letter comes as Republican senators on Thursday voted down a proposed three-year extension of Affordable Care Act subsidies, a move that is expected to result, on average, in a doubling of health insurance premiums for around 22 million people. Critics said the vote underscores the need for single-payer healthcare legislation like the Medicare for All Act reintroduced by Sanders and Reps. Pramila Jayapal (D-Wash.) and Debbie Dingell (D-Mich.) earlier this year.
The trade deficit has grown and the US has lost manufacturing jobs during the first nine months of Trump's second term.
A new analysis from the Economic Policy Institute claims that the signature trade deal from President Donald Trump's first term has actually "created more problems than it fixed."
The report, published Thursday, notes that the United States-Mexico-Canada Agreement (USMCA), signed into law by Trump in 2020, has completely failed to fulfill Trump's stated goal of lowering the US trade deficit with Canada and Mexico, which has grown from a combined $125 billion in 2020 to $263 billion in 2025.
This increased trade deficit was particularly notable when it comes to the auto industry, says the report, written by EPI senior economist Adam S. Hersh.
"In the critical automotive industry that Trump said he wanted to reshore, imports of motor vehicles and parts from Mexico nearly doubled following USMCA, rising to $274 billion in 2024, up from $196 billion in 2019," the report explains. "Light-duty vehicles imports from Mexico rose 36% while imports of medium- and heavy-duty vehicles increased a whopping 256%."
The report also finds that the trade deal "left a gaping loophole for Chinese manufacturers to exploit duty-free access to North American markets without reciprocal market access for US manufacturers," the result of which was "Chinese firms expanded their direct investment footprint in Mexico by as much as 288% through 2023."
The bottom line, says the report, is "Trump’s USMCA created more problems than it fixed," and that "today the pressure on manufacturing jobs and deterioration in the trade balance with Mexico are worse than before USMCA."
However, the report also says that the US, Canada, and Mexico have an opportunity to significantly improve on USMCA given that the deal is up for review next year.
Among other things, the report recommends closing the loopholes that have allowed Chinese manufacturers to rapidly expand their footprint in Mexico; expanding the the Rapid Response Labor Mechanism that "has helped improve wages and working conditions in a number of specific workplaces"; and slashing intellectual property rights provisions that "currently allow companies to preempt local laws addressing negative externalities from digital service provision."
The EPI report came on the same day that American Economic Liberties Project's Rethink Trade program released an analysis showing that Trump so far has failed to live up to his pledge to reduce the US trade deficit and revive domestic manufacturing.
In all, Rethink Trade found that the US trade deficit increased more during the first nine months of 2025 than it did during the first nine months of 2024. Additionally, the group found that the US has actually lost 49,000 manufacturing jobs since the start of Trump's second term.
Lori Wallach, director of the Rethink Trade program, said that "the nine-month data show outcomes that are the opposite of President Trump’s promises to cut the trade deficit and create more American manufacturing jobs."
She noted that Trump's trade deals so far "seem to prioritize the demands of Big Tech, Big Oil, Big Pharma, and other usual beneficiaries of decades of failed US trade policy instead of fixing the root causes of our huge trade deficit to help American manufacturing workers and firms as he promised."