SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
5
#000000
#FFFFFF
Rep. Pramila Jayapal (D-Wash.) as she introduced Medicare for All legislation in 2019 on Capitol Hill.
(Photo: © Rick Reinhard 2019 / via NNU flickr)
An Open Letter to Congressional Sponsors of Medicare for All
Please improve the bill now, before it is introduced.
Mar 07, 2023
Dear Member of Congress:
As legislation for national single payer health care, an Improved Medicare for All, has not yet been introduced into the current Congress, now is the time to work to make that bill what it must be to solve the nation’s health care crisis.
We thank you for your past sponsorship of national single payer. We urge you to work to assure that the upcoming legislation is based on sound policy so that, when implemented, it will bring excellent care to all as it frees our health care from the corporate control and profits that have made it so cruel and expensive.
Then we urge you to sponsor, speak boldly, and stand up for a national single payer, not-for-profit, publicly-funded health care system, because nothing less can bring efficient, humane, compassionate care to everyone in our county.
The new bill needs these additions to HR 1976, The Medicare for All Act of 2021, from the last Congress:
1. Conversion of for-profit institutions to not-for-profit status
For-profit hospitals, nursing homes, and other institutions have been proven to provide inferior care at higher cost, and that is why the best policy proposal, the Physicians Proposal for a National Health Program, does not allow them to participate in a single payer plan. The concern and solution are discussed by Himmelstein and Woolhandler in a 2018 Health Affairs article. To accomplish this and preserve health care infrastructure, the bill must ban for-profit hospitals and other facilities and contain a plan for conversion as was in the Conyers bill, HR 676. HR 676 was in the Congress from 2003 through 2018 and had 124 cosponsors, a higher number than any single payer bill since then has achieved, indicating that such a provision did not hinder co-sponsorship. As we know, the issue becomes more crucial as private equity and venture capital firms are overwhelming all parts of health care.
2. Just transition for displaced workers resulting from this Act
In addition to first priority in job placement and retraining, the Conyers bill provided for two years of annual salary to displaced workers. H.R. 1976 should be amended to include that provision. This is critical not only to a just transition but also to winning the support of the workers and unions vital to passage of the bill.
3. Progressive funding for the Act
The Conyers bill laid out a tax structure that provided for progressive funding. H.R. 1976 has no provision for funding by a progressive tax. That should be added to assure that the tax burden is shifted from workers to the wealthy, the billionaires, and corporate entities.
4. One-year transition period to Medicare for All
H.R.1976 added a transition period through a Medicare Buy-In sold on the Exchange. Because H.R. 1976 expands care while maintaining the private insurance companies, costs will skyrocket before the savings of single payer kick in. Such a provision lends credence to the false claim that the nation cannot move directly to Improved Medicare for All. Such a transition will have unequal impacts on different age groups in the population, causing disunity and undermining support for national single payer. There should be no staged age group inclusion, no Medicare Buy-In, no selling of Medicare on the Exchange. That would be an expensive administrative nightmare and contradict sound health policy. Medicare was implemented in 10 months in 1965, and Improved Medicare for All can also be implemented quickly.
We welcome discussion of these ideas and would be happy to meet with you to further examine these vital issues.
National Single Payer Steering Committee
Kay Tillow
Judy Albert, MD
Claire Cohen, MD
Sandy Fox, ACSW, LCSW
Ed Grystar
Ana Malinow, MD
An Urgent Message From Our Co-Founder
Dear Common Dreams reader, It’s been nearly 30 years since I co-founded Common Dreams with my late wife, Lina Newhouser. We had the radical notion that journalism should serve the public good, not corporate profits. It was clear to us from the outset what it would take to build such a project. No paid advertisements. No corporate sponsors. No millionaire publisher telling us what to think or do. Many people said we wouldn't last a year, but we proved those doubters wrong. Together with a tremendous team of journalists and dedicated staff, we built an independent media outlet free from the constraints of profits and corporate control. Our mission has always been simple: To inform. To inspire. To ignite change for the common good. Building Common Dreams was not easy. Our survival was never guaranteed. When you take on the most powerful forces—Wall Street greed, fossil fuel industry destruction, Big Tech lobbyists, and uber-rich oligarchs who have spent billions upon billions rigging the economy and democracy in their favor—the only bulwark you have is supporters who believe in your work. But here’s the urgent message from me today. It's never been this bad out there. And it's never been this hard to keep us going. At the very moment Common Dreams is most needed, the threats we face are intensifying. We need your support now more than ever. We don't accept corporate advertising and never will. We don't have a paywall because we don't think people should be blocked from critical news based on their ability to pay. Everything we do is funded by the donations of readers like you. When everyone does the little they can afford, we are strong. But if that support retreats or dries up, so do we. Will you donate now to make sure Common Dreams not only survives but thrives? —Craig Brown, Co-founder |
Our work is licensed under Creative Commons (CC BY-NC-ND 3.0). Feel free to republish and share widely.
National Single Payer Steering Committee
National Single Payer is a national, grassroots organization that organizes locally in the struggle for national single payer health care. Its current members include: Kay Tillow; Judy Albert, MD; Claire Cohen, MD; Sandy Fox, ACSW, LCSW; Ed Grystar; and Ana Malinow, MD.
Dear Member of Congress:
As legislation for national single payer health care, an Improved Medicare for All, has not yet been introduced into the current Congress, now is the time to work to make that bill what it must be to solve the nation’s health care crisis.
We thank you for your past sponsorship of national single payer. We urge you to work to assure that the upcoming legislation is based on sound policy so that, when implemented, it will bring excellent care to all as it frees our health care from the corporate control and profits that have made it so cruel and expensive.
Then we urge you to sponsor, speak boldly, and stand up for a national single payer, not-for-profit, publicly-funded health care system, because nothing less can bring efficient, humane, compassionate care to everyone in our county.
The new bill needs these additions to HR 1976, The Medicare for All Act of 2021, from the last Congress:
1. Conversion of for-profit institutions to not-for-profit status
For-profit hospitals, nursing homes, and other institutions have been proven to provide inferior care at higher cost, and that is why the best policy proposal, the Physicians Proposal for a National Health Program, does not allow them to participate in a single payer plan. The concern and solution are discussed by Himmelstein and Woolhandler in a 2018 Health Affairs article. To accomplish this and preserve health care infrastructure, the bill must ban for-profit hospitals and other facilities and contain a plan for conversion as was in the Conyers bill, HR 676. HR 676 was in the Congress from 2003 through 2018 and had 124 cosponsors, a higher number than any single payer bill since then has achieved, indicating that such a provision did not hinder co-sponsorship. As we know, the issue becomes more crucial as private equity and venture capital firms are overwhelming all parts of health care.
2. Just transition for displaced workers resulting from this Act
In addition to first priority in job placement and retraining, the Conyers bill provided for two years of annual salary to displaced workers. H.R. 1976 should be amended to include that provision. This is critical not only to a just transition but also to winning the support of the workers and unions vital to passage of the bill.
3. Progressive funding for the Act
The Conyers bill laid out a tax structure that provided for progressive funding. H.R. 1976 has no provision for funding by a progressive tax. That should be added to assure that the tax burden is shifted from workers to the wealthy, the billionaires, and corporate entities.
4. One-year transition period to Medicare for All
H.R.1976 added a transition period through a Medicare Buy-In sold on the Exchange. Because H.R. 1976 expands care while maintaining the private insurance companies, costs will skyrocket before the savings of single payer kick in. Such a provision lends credence to the false claim that the nation cannot move directly to Improved Medicare for All. Such a transition will have unequal impacts on different age groups in the population, causing disunity and undermining support for national single payer. There should be no staged age group inclusion, no Medicare Buy-In, no selling of Medicare on the Exchange. That would be an expensive administrative nightmare and contradict sound health policy. Medicare was implemented in 10 months in 1965, and Improved Medicare for All can also be implemented quickly.
We welcome discussion of these ideas and would be happy to meet with you to further examine these vital issues.
National Single Payer Steering Committee
Kay Tillow
Judy Albert, MD
Claire Cohen, MD
Sandy Fox, ACSW, LCSW
Ed Grystar
Ana Malinow, MD
From Your Site Articles
- More Than 70% of Democrats Back Government-Run Universal Healthcare: Poll ›
- 'Let's Pass Medicare for All,' Says Jayapal as Survey Spotlights Failures of For-Profit System ›
- 'Everybody In, Nobody Out': What We Know So Far About the Medicare for All Act of 2019 ›
Related Articles Around the Web
National Single Payer Steering Committee
National Single Payer is a national, grassroots organization that organizes locally in the struggle for national single payer health care. Its current members include: Kay Tillow; Judy Albert, MD; Claire Cohen, MD; Sandy Fox, ACSW, LCSW; Ed Grystar; and Ana Malinow, MD.
Dear Member of Congress:
As legislation for national single payer health care, an Improved Medicare for All, has not yet been introduced into the current Congress, now is the time to work to make that bill what it must be to solve the nation’s health care crisis.
We thank you for your past sponsorship of national single payer. We urge you to work to assure that the upcoming legislation is based on sound policy so that, when implemented, it will bring excellent care to all as it frees our health care from the corporate control and profits that have made it so cruel and expensive.
Then we urge you to sponsor, speak boldly, and stand up for a national single payer, not-for-profit, publicly-funded health care system, because nothing less can bring efficient, humane, compassionate care to everyone in our county.
The new bill needs these additions to HR 1976, The Medicare for All Act of 2021, from the last Congress:
1. Conversion of for-profit institutions to not-for-profit status
For-profit hospitals, nursing homes, and other institutions have been proven to provide inferior care at higher cost, and that is why the best policy proposal, the Physicians Proposal for a National Health Program, does not allow them to participate in a single payer plan. The concern and solution are discussed by Himmelstein and Woolhandler in a 2018 Health Affairs article. To accomplish this and preserve health care infrastructure, the bill must ban for-profit hospitals and other facilities and contain a plan for conversion as was in the Conyers bill, HR 676. HR 676 was in the Congress from 2003 through 2018 and had 124 cosponsors, a higher number than any single payer bill since then has achieved, indicating that such a provision did not hinder co-sponsorship. As we know, the issue becomes more crucial as private equity and venture capital firms are overwhelming all parts of health care.
2. Just transition for displaced workers resulting from this Act
In addition to first priority in job placement and retraining, the Conyers bill provided for two years of annual salary to displaced workers. H.R. 1976 should be amended to include that provision. This is critical not only to a just transition but also to winning the support of the workers and unions vital to passage of the bill.
3. Progressive funding for the Act
The Conyers bill laid out a tax structure that provided for progressive funding. H.R. 1976 has no provision for funding by a progressive tax. That should be added to assure that the tax burden is shifted from workers to the wealthy, the billionaires, and corporate entities.
4. One-year transition period to Medicare for All
H.R.1976 added a transition period through a Medicare Buy-In sold on the Exchange. Because H.R. 1976 expands care while maintaining the private insurance companies, costs will skyrocket before the savings of single payer kick in. Such a provision lends credence to the false claim that the nation cannot move directly to Improved Medicare for All. Such a transition will have unequal impacts on different age groups in the population, causing disunity and undermining support for national single payer. There should be no staged age group inclusion, no Medicare Buy-In, no selling of Medicare on the Exchange. That would be an expensive administrative nightmare and contradict sound health policy. Medicare was implemented in 10 months in 1965, and Improved Medicare for All can also be implemented quickly.
We welcome discussion of these ideas and would be happy to meet with you to further examine these vital issues.
National Single Payer Steering Committee
Kay Tillow
Judy Albert, MD
Claire Cohen, MD
Sandy Fox, ACSW, LCSW
Ed Grystar
Ana Malinow, MD
From Your Site Articles
- More Than 70% of Democrats Back Government-Run Universal Healthcare: Poll ›
- 'Let's Pass Medicare for All,' Says Jayapal as Survey Spotlights Failures of For-Profit System ›
- 'Everybody In, Nobody Out': What We Know So Far About the Medicare for All Act of 2019 ›
Related Articles Around the Web
We've had enough. The 1% own and operate the corporate media. They are doing everything they can to defend the status quo, squash dissent and protect the wealthy and the powerful. The Common Dreams media model is different. We cover the news that matters to the 99%. Our mission? To inform. To inspire. To ignite change for the common good. How? Nonprofit. Independent. Reader-supported. Free to read. Free to republish. Free to share. With no advertising. No paywalls. No selling of your data. Thousands of small donations fund our newsroom and allow us to continue publishing. Can you chip in? We can't do it without you. Thank you.