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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.
"If you can sign up with one click, you can cancel with one click," said New York City's democratic socialist mayor.
In a move proponents say will save constituents up to $162.5 million annually, Mayor Zohran Mamdani and other New York City officials on Friday unveiled a "click-to-cancel" rule aimed at ensuring people can end online subscriptions as easily as they start them.
Days after entering office in January, Mamdani signed a pair of executive orders, "Combating Hidden Junk Fees" and "Fighting Subscription Tricks and Traps"—his 9th and 10th mayoral edicts—to protect consumers and make it easier "for New Yorkers to know the real price of what they are buying and to stop paying for the services they no longer want."
Following up on the orders, Mamdani and New York City Department of Consumer and Worker Protection (DCWP) Commissioner Samuel A.A. Levine proposed a rule "requiring transparent, all-in pricing that bans hidden junk fees, alongside a final 'click to cancel' rule that guarantees consumers can cancel subscriptions as easily as they sign up for them."
The landmark proposal is part of Mamdani's affordability agenda, which includes the rent freeze and universal childcare programs he's partially enacted, as well as the free city buses, municipal grocery stores, affordable housing expansion, and redistributive taxation his administration is pursuing.
“For years, companies have built their business model around making it harder for working people to hold onto their money,” Mamdani said during a Friday press conference at Asser Levy Recreational Center in Manhattan's Kips Bay neighborhood. “Whether it’s hidden fees that suddenly appear at checkout or subscriptions that take one click to sign up for and a dozen steps to cancel, the result is the same: Working people pay more while corporations profit. That ends now. If you can sign up with one click, you can cancel with one click.”
Levine said that “these two rules will ensure that the price you see is the price you pay—no hidden charges, no endless subscription services, and no advantages for businesses that cheat. Requiring companies to compete on price will lower costs for all New Yorkers and level the playing field for honest businesses.”
Deputy Mayor for Economic Justice Julie Su spoke at the press conference, saying, “Every dollar a family loses to a hidden fee or a subscription they couldn’t cancel is a dollar stolen from them, a dollar that could have gone toward rent, groceries, childcare, or anything else."
"And just as important, the hours spent trying to cancel a subscription or membership you no longer want is stolen time," the former acting US labor secretary added. “That’s what affordability means in practice—closing the small holes that drain people’s paychecks and their time month after month. These rules put New Yorkers back in control.”
Former Federal Trade Commission Chair Lina Khan—who implemented a similar rule while serving in the role during the Biden administration before it was killed after President Donald Trump returned to office—also spoke Friday, arguing that “nobody should be trapped in subscriptions they can’t escape or stuck paying junk fees they can’t avoid."
“These predatory tactics cheat people out of billions of dollars each year," she added. "With today’s rules, Commissioner Levine and DCWP are cracking down on corporate ripoffs, protecting families and honest businesses alike. The Mamdani administration’s work to tackle the affordability crisis and promote economic fairness continues to set a new standard nationwide, modeling effective governance and a relentless focus on using all of the city’s levers to improve life for New Yorkers.”
"I've never seen a more dangerous and purposeful attempt to make people sick and hungry," said one Pennsylvania state lawmaker.
Last week marked the first anniversary of President Donald Trump signing H.R. 1, known as the One Big Beautiful Bill Act.
But a new report from the progressive advocacy group Defend America Action, obtained exclusively by Common Dreams, demonstrates that while the bill has indeed been beautiful for the richest households, it has been anything but for working-class Americans.
"Republicans sacrificed the American people's financial future, healthcare, and food security to pay for massive tax breaks for big corporations and the ultrawealthy," the report said. "The richest people on the planet got a handout, and working families got the bill."
According to an analysis by the Institute on Taxation and Economic Policy (ITEP), the richest 1% of Americans will see $117 billion in net tax cuts in 2026, an average windfall of roughly $66,000 each and more than the entire bottom 60% will receive combined.
At the same time, the law contained the largest cuts to federal healthcare funding in US history, slashing over $1 trillion from Medicaid and the Affordable Care Act (ACA) over the next decade.
The report found that as of March 2026, less than a year after the bill passed, enrollment in Medicaid and the Children's Health Insurance Program (CHIP) had already fallen by 3.8 million.
And after Republicans allowed ACA marketplace subsidies to expire, insurance premiums are projected to increase 114% on average, leading one in five enrollees—over 4.2 million people—to drop their coverage entirely.
Additionally, 11 million low-income Americans no longer receive zero-dollar premiums through the marketplace, while deductibles rose an average of 37% for those buying insurance on their own.
In total, more than 8 million people are estimated to have lost insurance coverage due to cuts to these programs, according to Protect Our Care. The nonpartisan Congressional Budget Office has projected that as many as 15 million could lose insurance by 2034 as a result of the law and other policy changes over the next decade.
US Rep. Dina Titus (D) said that the cuts have hit her state of Nevada especially hard, as many people work in the service industry and don't receive employer-sponsored insurance.
"An estimated 100,000 Nevadans are impacted by this, [could be] kicked off Medicaid, including 22,000 just in my one congressional district, and it's children, it's seniors, and it's people with disabilities who are going to be impacted so directly."
"The failure to continue the [ACA] tax credits... has knocked more people off," she said. "Then people who do have it pay higher rates to cover that. So it doesn't just impact the people who are on Obamacare. It impacts everybody."
According to an analysis by Protect Our Care, more than 1,000 hospitals, nursing homes, maternity wards, and other critical care facilities around the country have either shut down, are at risk of closing, or have cut essential services since the law went into place.
"In my more than 25 years as a practicing physician and now a legislator for the last four years, I've never seen a more dangerous and purposeful attempt to make people sick and hungry," said Pennsylvania state Rep. Arvind Venkat (D-30), an emergency physician who represents the suburbs outside Pittsburgh.
"There are a number of hospitals in Pennsylvania that have closed or are under threat to close as a result of the devastation that's being caused by this legislation," he said.
After $187 billion was cut from the Supplemental Nutrition Assistance Program (SNAP), more than 4 million low-income people—10 % of enrollees—no longer receive food assistance, according to the Center on Budget and Policy Priorities.
Millions more are expected to also lose benefits as stringent new work requirements go into effect. This includes 3 million people aged 18-24, according to a report from the Urban Institute, which noted that young adults often have greater difficulty finding stable jobs that allow them to meet the work requirements.
An analysis from ProPublica last month found that across just 12 states that break down data based on age, at least 776,000 children are no longer appearing on SNAP rolls.
"I think when we're talking about SNAP, we should start from the fact that the average benefit per person is [less than] $3 per meal," said Jared Bernstein, who served as the chair of the United States Council of Economic Advisers under former President Joe Biden.
"Nobody's getting rich off of SNAP," he said. "What's happening is people, including a lot of children, are getting fed."
"There's a long line of careful research showing long-term benefits for not just the beneficiaries themselves, but for the broader society," he said, noting that receiving benefits early in life is associated with "better academic performance, long-run health, educational attainment, and economic self-sufficiency."
The report from Defend America Action also said the Trump budget law squashed "an unprecedented American clean energy and manufacturing boom" that began during the Biden years, which created hundreds of thousands of jobs.
The law eliminated clean energy tax credits and led hundreds of projects to be canceled. Citing an analysis by Climate Power, the report said that over 140,000 clean energy jobs have been lost, are at risk, or have been delayed due to H.R. 1, stemming from 382 canceled or delayed projects that represented $69 billion in investment.
This has also contributed to the $92 billion spike in energy bills since Trump took office, the report said. Those canceled projects could have powered more than 17 million homes.
The law also killed the $7,500 electric vehicle (EV) tax credit, which has locked consumers into driving gas-powered cars that cost more to power, especially as Trump's war with Iran has sent gas prices soaring.
Bernstein noted that EV sales "fell off a cliff" after the tax credits were canceled.
"I can't begin to describe how shortsighted this is," he said. "Not just in terms of the environment, but also in terms of the US ever having a chance to capture market share in what I believe already is a do-or-die product development for the auto sector."
He noted that the US abandonment of clean energy, even as its use grows worldwide, has led China to dominate the market.
"This isn't China just eating our lunch," Bernstein said. "This is us serving our lunch to them."
Defend America Action's report notes that at the time of its passage, H.R. 1 was the most unpopular piece of legislation to pass through Congress since at least 1990, with just 31% approving and 55% disapproving, according to an average of four major polls.
Just months before the midterm elections, the bill remains equally unpopular, with only 33% of Americans saying they favor it and 48% opposing it, according to a recent survey by Navigator Research.
Titus told Common Dreams that one year ago, her colleagues in the GOP were very excited to pass H.R. 1.
Now, she said, "They don't really talk about it."
"They always are up for cutting programs," Titus said. "They call it fraud, waste, and abuse, but it's not. It's benefits that people needed."
"I think as you get closer to the election, there will be more concern about it," Titus said. "You know they cleverly made some of these cuts not go into effect until after the election, so they had to have been aware that they weren't very popular."
"I think we need to get the message out as much and as often as we can," she said, "and that's been kind of focused on affordability because all these different programs that we mentioned tie together."
"It's not just one little hit," Titus said. "It's across-the-board hits."
"If animals don’t have a place to live, they can’t live," said one critic.
President Donald Trump's administration on Friday paved the way for letting US corporations destroy the habitats of endangered species by rescinding a longtime interpretation of the Endangered Species Act.
As reported by The New York Times, the Interior Department and the Commerce Department announced that they were narrowing the law's definition of what constitutes harming endangered species.
Whereas the law has for decades been interpreted as protecting endangered animals' habitats from significant "modification or degradation," the administration said that offenders would have to directly injure or kill an endangered animal to be considered in violation of the law.
"The change could open the door for fossil fuel companies, agricultural interests, land developers, and others," wrote the Times, "to disturb or even destroy the habitats of vulnerable species."
The Endangered Species Act has been interpreted as protecting animals' habitats for decades, and that interpretation upheld by the US Supreme Court in 1995.
Environmental advocates expressed horror in response to the rule change, which they said would put endangered species at unprecedented risk.
Kristen Boyles, attorney for Earthjustice, vowed that the administration would face legal challenges for its rule change, which she said would jeopardize endangered animals' ability to "raise their young, or search for food."
"Let’s be clear: There is no support for the Trump Administration’s rule—no scientific support, no legal support, no public support," Boyles said. "We will see the Trump Administration in court."
Ben Greuel, wildlife campaign manager at the Sierra Club, called the rule changed "a direct attack on the foundation of the Endangered Species Act" that, if kept in place, would put species "on a path to extinction."
"This rule ignores that reality in an unlawful attempt to open the door for corporate polluters to degrade vitally important habitats, wildlife be damned," Greuel emphasized. "The Endangered Species Act is a bedrock law that must be followed."
Tara Zuardo, a senior campaigner at the Center for Biological Diversity, pointed out that "habitat destruction is the number one threat to endangered species," while calling the Trump administration's new policy "a death knell for America’s wildlife."
"If animals don’t have a place to live, they can’t live," Zuardo said. "Spotted owls, Atlantic salmon, Florida panthers, and thousands of other species need protections for the wild places where they make their homes."
Andrew Bowman, president and CEO of Defenders of Wildlife, accused the Trump administration of embracing an "erroneous and nonsensical interpretation" of the Endangered Species Act that he vowed to challenge in court.
"We intend to fight back with the full force of the law," said Bowman, "to defeat this attack and innumerable others by the administration on the statutes and regulations that protect America’s cherished wildlife."