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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.
United States Senator for Vermont(202) 224-5141
"Young people are angry and fed up with watching President Biden cave to the fossil fuel industry time and time again," one activist said.
In the wake of Biden administration decisions like approving ConocoPhillips' Willow project and agreeing to fast-track the Mountain Valley Pipeline (MVP), climate organizations and frontline communities across the country are launching a week of action from June 8 to 11 to demand President Joe Biden honor his promise to be the climate president and end the era of fossil fuels for good.
The action week will include a Thursday rally and sit-in at the White House along with demonstrations at 50 locations across the nation backed by 64 different Indigenous, climate, labor, and environmental justice groups.
"Young people are angry and fed up with watching President Biden cave to the fossil fuel industry time and time again," Zero Hour organizing director Magnolia Mead said in a statement. "We need an immediate transition to renewable energy to slow the climate crisis, and that's impossible while our president is still approving massive fossil fuel expansion. If President Biden cares at all for future generations and frontline communities, he must choose to end the era of fossil fuels."
Our public officials clearly lack the political will or backbone to protect our people and the planet. So we must take action."
The action week—whose organizers include Zero Hour, Sunrise, 350.org, the Indigenous Environmental Network, Fridays for Future, and the People vs. Fossil Fuels coalition—grew out of disappointment with Biden's Willow approval along with the desire to channel young people's online opposition to that project into direct action.
The sense of urgency only mounted when the debt-ceiling agreement, signed into law by Biden Saturday, included approving the MVP and weakening the National Environmental Policy Act (NEPA), which gives frontline communities a say in infrastructure projects.
The protest outside the White House, which begins at 2:00 pm ET, will specifically demand that Biden cancel the 300-mile fracked gas MVP through Virginia and West Virginia.
"We are still not deterred in our fight against the MVP and other such harmful projects," Maury Johnson, a landowner in the MVP's path and a member of Preserve Monroe and the POWHR (Protect Our Water, Heritage, & Rights) Coalition—who is helping to arrange transport for the rally—told Common Dreams. "Hope to see hundreds if not thousands join us in front of the White House on Thursday, June 8."
The new direct action group Climate Defiance has promised to risk arrest at the protest and called on everyone of conscience to join them.
\u201cThe President stabbed us in the back. He sold us out to fossil fuel CEOs. He forced upon us the Mountain Valley Pipeline, which is a death sentence for our generation.\u201d— Climate Defiance (@Climate Defiance) 1686004033
"Now is the time for climate action," Jay Waxse of Climate Defiance told Common Dreams. "Joe Biden and Joe Manchin think it's time for massive fossil fuel expansion, while our forests burn and skies fill with smoke. Our public officials clearly lack the political will or backbone to protect our people and the planet. So we must take action."
Waxse added that the group had chosen nonviolent direct action "to express to our branches of government that we won't be satisfied until we put an end to the expansion of new fossil fuels. And that means stopping the MVP now!"
As Washington D.C., along with most of the eastern U.S., chokes on unhealthy air from Canadian wildfires, Jamie Henn of Fossil Free Media said the White House protest would go ahead, though the organizers were taking health precautions including distributing N95 masks.
"This is 'exactly' why we have to take these sorts of actions," Henn tweeted.
\u201cThat said: we are absolutely going to take precautions to keep people healthy and safe, with KN95 masks and other precautions available for folks. \n\nThe fires are a real reminder of how climate, health, and disabilities all intersect, especially for the most vulnerable.\u201d— Jamie Henn (@Jamie Henn) 1686161011
For those who can't travel to D.C., organizers have provided a nationwide action map for the week as well as a toolkit explaining how to register an action.
Overall, the week has four main demands for Biden:
Local actions will also target specific fossil fuel projects, such as the Canadian-owned aging Line 5 pipeline that Indigenous advocates worry will spill oil into the Great Lakes.
"As a Bad River Band of Lake Superior Ojibwe member, I am calling on the Biden administration to shut down Line 5 immediately," Bad River Ojibwe activist Aurora Conley of the Anishinaabe Environmental Protection Alliance said in a statement.
"Our territories and water are in imminent danger, and we do not want to see irreversible damage to our land, water, and wild rice. We do not want our lifeways destroyed," Conley added.
In Seattle, meanwhile, protesters with XR Seattle, 350 Seattle, and other groups are meeting outside the Henry M. Jackson Federal Building at 12:00 pm PT Thursday with both national and local demands. In addition to calling on Biden to halt the MVP and restore NEPA, they also want Sen. Maria Cantwell (D-Wash.) to oppose the expansion of the GTN pipeline, a plan from TC Energy to pump an additional 150 million cubic feet of methane per day through the 1,354 mile long pipeline that runs through British Columbia, Idaho, Washington, and Oregon. The additional methane would add 3.47 million metric tons of greenhouse gasses into the atmosphere each year.
The Federal Energy Regulatory Commission is set to decide on the expansion June 15, 350 Seattle communications director Ben Jones told Common Dreams.
The action, he said, was motivated by "the combination of looming expansion of natural gas" along the West Coast "and approval of a deeply unpopular and strongly resisted pipeline out East."
Jones was also concerned about the gutting of NEPA, which has helped communities in the Pacific Northwest to fight off more than 20 proposals for oil and gas expansion in the region in the last 15 years.
"With gutting NEPA, that's some of the main avenues that community groups have for public comment or for advocacy," Jones said.
Nationwide, organizers hope that the coming week of action will be the first in a summer-long escalation leading up to U.N. Secretary General António Guterres' hosting of a global Climate Ambition Summit in New York City in September.
"Starting this June and leading up to September, we will be taking action with national and international partners to make it clear that siding with Big Oil is a political liability for Biden—and we, the people who got him elected, demand better," the coalition said in their toolkit.
"This is bullsh*t," said one critic. "This means that he’ll be sitting there forever, putting off filing his supposed disclosures, which will probably be more BS anyway."
U.S. Supreme Court Justice Clarence Thomas—who is under fire for lavish gifts he and his relatives received from billionaire Republican mega-donor Harlan Crow—has been granted a 90-day extension to file his 2022 financial disclosure report, multiple media outlets reported Wednesday.
Thomas, who according toBloomberg "typically files his financial disclosures by the May 15 deadline," requested an extension—as did Justice Samuel Alito—giving them more time to report their income, investments, gifts, and spousal salaries.
\u201cThis is bullshit, this means that he\u2019ll be sitting there forever, putting off filing his supposed disclosures, which will probably be more BS anyway. You can\u2019t expect much out of a country with a corrupt high court. https://t.co/9CCLvBLiPg\u201d— RC deWinter (@RC deWinter) 1686158901
The move means that any official information about Thomas' relationship with... Crow may not be released until after the end of the current Supreme Court term, and major rulings come down on election law, religious liberty, affirmative action, and student loans, among other issues.
The Supreme Court has been under a microscope this year as critics argue the justices are not doing enough to ensure transparency when it comes to ethics guidelines, and the late filings by Thomas and Alito could further fuel claims by watchdog groups and others that the justices are not taking seriously their concerns.
Public scrutiny and criticism of Thomas mounted in April after a bombshell ProPublicareport revealed that the right-wing justice "has repeatedly accepted and failed to disclose gifts and travel" from Crow, including private jet travel, luxury vacations, and private school tuition for a relative.
\u201cTo be fair, Clarence Thomas may not actually know how to fill one of these out properly.\n\nIs he a dependent of Harlan Crow? Is the dark money his wife gets considered a contribution or income? Are vacations with plaintiffs business trips? \n\nSo confusing.\nhttps://t.co/thxrgh0tUQ\u201d— Melanie D'Arrigo (@Melanie D'Arrigo) 1686161457
While Thomas has dismissed criticism by saying he benefited only from "personal hospitality from close personal friends" and that Crow "did not have business before the court," multiple investigations have disproven that assertion.
On Tuesday, The Leverprovided one example:
Late last month, in a 5-4 ruling on the Sackett v. Environmental Protection Agency case, the Supreme Court dramatically narrowed the scope of the 1972 Clean Water Act in an act of judicial activism so brazen, even the Donald Trump-appointed [Supreme Court Justice] Brett Kavanaugh accused the court of "rewriting" the law and failing to "stick to the text."
Thomas joined right-wing Justices Alito, Neil Gorsuch, Amy Coney Barrett, and Chief Justice John Roberts in the court's majority opinion.
On Tuesday, U.S. Senate Finance Committee Chair Ron Wyden (D-Ore.) said that "nothing is off the table"—including a subpoena—after Michael Bopp, a lawyer representing Crow, continued to duck questions about his largesse toward Thomas and his family.
"We must substantially lower the price that Medicare pays for prescription drugs like Leqembi," said the Vermont Independent, "and HHS has the power to do just that."
U.S. Sen. Bernie Sanders on Wednesday urged the Biden administration to use the "full extent" of its executive authority to lower the "outrageously high" price of a new Alzheimer's treatment being reviewed by federal regulators.
"Alzheimer's is a horrible disease," Sanders (I-Vt.), chair of the Senate Health, Education, Labor, and Pensions (HELP) Committee, wrote in a
letter to Xavier Becerra, secretary of the U.S. Department of Health and Human Services (HHS). "We must do everything possible to find a cure for the millions of people who suffer from it. But we cannot allow pharmaceutical companies to bankrupt Medicare and our federal government in the process."
At issue is Leqembi, a drug developed by Eisai, a Japanese pharmaceutical corporation, and Biogen, a U.S. company that previously sought to charge $56,000 for an annual supply of a different Alzheimer's treatment called Aduhelm. Following a pressure campaign led by Sanders and other drug affordability advocates, Biogen reduced the price of Aduhelm—whose efficacy and safety have been questioned by doctors—to $28,200 per year.
"A prescription drug is not effective if a patient who needs that drug cannot afford to take it."
"Despite concerns among the scientific community about the clinical benefit of Leqembi, its manufacturers... plan to charge $26,500 per year for this drug even though the Institute for Clinical and Economic Review, an independent non-profit organization, has estimated that this drug should be sold for as little as $8,900 per year based on its effectiveness," Sanders wrote.
"If just 10% of the 6.7 million older adults with Alzheimer's disease take Leqembi, the Kaiser Family Foundation has estimated that it would cost $17.8 billion—or nearly half of what Medicare Part B spent on all drugs in 2021," noted the Vermont Independent. "And this is just for one drug. As you know, many of the new drugs coming onto the market are even more expensive. This is not sustainable."
Moreover, "the introduction of Leqembi at this unconscionable price would be grossly unfair to seniors suffering from Alzheimer's disease who simply could not afford to pay the 20% co-payment of more than $5,000 a year for this drug," the progressive lawmaker continued. "With a median income of about $30,000 a year for seniors on Medicare the purchase of this one drug would amount to over one-sixth of their limited income."
"People with Alzheimer's disease deserve a drug that is safe, effective, and affordable," he added. "A prescription drug is not effective if a patient who needs that drug cannot afford to take it."
\u201cAlzheimer\u2019s is a horrible disease and we must find a cure. But we cannot allow pharmaceutical companies to bankrupt Medicare in the process. We must substantially lower the price that Medicare pays for prescription drugs like Leqembi, and HHS has the power to do just that.\u201d— Bernie Sanders (@Bernie Sanders) 1686152167
Sanders pointed out that the U.S. Food and Drug Administration (FDA) plans to convene an advisory meeting on Leqembi this week.
"As it considers whether to grant full approval of this drug, FDA has a special responsibility to restore the public trust after its inappropriate relationship with Biogen during the agency's review" of Aduhelm, wrote Sanders, alluding to evidence that the pharmaceutical firm and those tasked with regulating it collaborated before the medicine received a green light.
If the FDA approves Leqembi, HHS "must protect patients and substantially reduce the price," Sanders stressed.
The senator went on the remind Becerra—who routinely expressed support for invoking executive authority to rein in soaring drug prices before he joined the White House—of the powers at his disposal:
Under current law, Medicare has the responsibility to determine whether Leqembi is "reasonable and necessary" for the treatment of Alzheimer's. In my view, charging an outrageously high price for this drug is not reasonable. It will prevent seniors who need this drug from receiving treatment. It will undermine the finances of Medicare. And it will increase the premiums of over 60 million seniors who receive Medicare whether they need to take this drug or not.
If Biogen and Eisai refuse to lower the price of this drug, HHS has the authority (under 28 U.S.C. Section 1498) to break the patent monopoly on Leqembi. Further, HHS can direct the Center for Medicare and Medicaid Innovation to launch a new demonstration project that would limit payment for Leqembi to reflect the drug's actual benefit.
Sanders told Becerra that he and other HELP committee members "look forward to discussing this important issue with you as soon as possible." The panel "would like to know how Biogen and Eisai came up with a cost of $26,500 and what the cost of this drug will mean to the finances of Medicare," Sanders wrote. It "would also like your estimate as to how much Medicare premiums will go up for all seniors if Biogen and Eisai are allowed to charge $26,500 for Leqembi, as well as how many seniors who need this drug would not be able to afford to pay a 20% co-payment for it."
Sanders' letter comes one day after the pharmaceutical giant Merck sued the Biden administration over an Inflation Reduction Act provision that empowers Medicare to directly negotiate the prices of a small number of ultra-expensive prescription medicines with drugmakers.
It also comes less than a month after Sanders condemned Big Pharma CEOs for years of deadly price gouging and reiterated the need to make all prescription drugs affordable at a HELP committee hearing.
"I know that our guests from the drug companies will tell us how much it costs to develop a new drug and how often the research for new cures is not successful," Sanders said in May. "I get that. But what they are going to have to explain to us is why, over the past decade, 14 major pharmaceutical companies... spent $747 billion on stock buybacks and dividends."
"They will also have to explain how as an entire industry pharma spent $8.5 billion on lobbying and over $745 million on campaign contributions over the past 25 years to get Congress to do its bidding," Sanders continued. "Unbelievably, last year, drug companies hired over 1,700 lobbyists including the former congressional leaders of both major political parties—that's over three pharmaceutical industry lobbyists for every member of Congress."
As Sanders put it, "That could well explain why we pay the highest prices for prescription drugs in the world and why today drug companies can set the price of new drugs at any level they wish."
"While Americans pay outrageously high prices for prescription drugs, the pharmaceutical industry and the [pharmacy benefit managers] make enormous profits," the lawmaker lamented. "In 2021, 10 major pharmaceutical companies in America made over $100 billion in profits—a 137% increase from the previous year. The 50 top executives in these companies received over $1.9 billion in total compensation in 2021 and are in line to receive billions more in golden parachutes once they leave their companies."
"In other words, Americans die, get sicker than they should, and go bankrupt because they cannot afford the outrageous cost of prescription drugs, while the drug companies and the PBMs make huge profits," he added. "That has got to change and this committee is going to do everything possible to bring about that change."