
Advocates hold signs during a news conference on Medicare Advantage plans in front of the U.S. Capitol on July 25, 2023 in Washington, D.C.
Project 2025 Threatens Full Privatization of Medicare—A Death Sentence for Millions
Despite the overwhelming evidence showing that privatized Medicare does not serve our seniors’ best interests and wastes money, Project 2025 wants to take over all of Medicare by automatically enrolling seniors in corporate insurance plans without their full consent.
Once you’ve been told you have cancer, waiting is the last thing you want to do. As a practicing Gynecologic Oncologist, I know patients with so-called “Medicare Advantage” plans will be waiting—waiting to find a specialist like me within their network, waiting to get pre-authorization for the tests they need so we can discuss their diagnosis and possible treatments and, ultimately, waiting to get approval for their surgery and treatments.
Unfortunately, Project 2025 would make this already difficult process even worse. By fully privatizing Medicare, this Heritage Foundation plan would shift even more power into the hands of corporate insurers, who prioritize profits over patient care. The result would be even narrower provider networks, more restrictive approvals for tests and treatments, and a system designed to delay or deny care to those who need it most. For patients, that means critical time lost—time that may mean more pain, more symptoms, and a decreased chance of being cured.
Under Project 2025, the burden of navigating these hurdles would fall not just on patients, but on physicians and health care workers who are already stretched thin. Physicians for a National Health Program estimates that doctors and their teams would spend up to 43 million hours annually dealing with prior authorizations alone. This clinically meaningless administrative burden steals time that should be spent caring for patients, wastes resources that we can’t afford to lose, and is a source of burnout and moral distress for healthcare professionals.
Corporate insurance plans are designed to make profits, not take care of patients.
I feel helpless to overcome the negative impact that delays in care have on patients’ chances of being cured. But delayed care is often the best-case scenario for seniors in “Advantage” plans, because there is a high potential that the best cancer center in their area is outside of their narrow network and that treatments will be denied.
Research shows seniors with corporate “Advantage” plans have lower access to the high-volume hospitals that most successfully care for uncommon cancers. For example, people with stomach, pancreatic, and liver cancer requiring surgery were shown to have a higher likelihood of dying when compared to seniors with real Medicare.
Despite the overwhelming evidence showing that privatized Medicare does not serve our seniors’ best interests and wastes money, Project 2025 wants to take over all of Medicare by automatically enrolling seniors in corporate insurance plans without their full consent.
This will be catastrophic for people on Medicare, who will face increasing financial burdens and decreased access to care. An estimated 24 million seniors in corporate “Advantage” plans would face limited provider networks that exclude up to 70% of the doctors in their regions. And more than 15 million people would be considered underinsured due to the reduced benefits available under privatized plans. Without the choice of sticking with real Medicare, our seniors would all be threatened by the health impacts of delayed and denied care.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare.
Corporate insurance plans are designed to make profits, not take care of patients, and so they use shady techniques such as upcoding, which boost payment rates by making patients seem sicker than they are. In 2024, so-called “Advantage” plans overcharged the American people by as much as 140 billion dollars—and provided less care with worse health outcomes. If this system of skimming funds were extended to all seniors, the Medicare trust fund would immediately begin deficit spending, leading to insolvency within five years. It would cost $1.5 trillion more than real Medicare over 10 years.
Congress must take a stand to protect American seniors and the Medicare Trust Fund by rejecting Project 2025’s dangerous push to privatize Medicare.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare. For example, a cap on out-of-pocket spending is crucial to ensure seniors receive the financial protection they deserve. We should also invest in much-needed dental, vision, and hearing coverage for everybody on Medicare.
It’s time to give all seniors access to the best care possible and stop wasting our healthcare dollars on corporate profits.
Urgent. It's never been this bad.
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 from the outset was 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 and doing some of its best and most important work, the threats we face are intensifying. Right now, with just three days to go in our Spring Campaign, we're falling short of our make-or-break goal. When everyone does the little they can afford, we are strong. But if that support retreats or dries up, so do we. Can you make a gift right now to make sure Common Dreams not only survives but thrives? There is no backup plan or rainy day fund. There is only you. —Craig Brown, Co-founder |
Once you’ve been told you have cancer, waiting is the last thing you want to do. As a practicing Gynecologic Oncologist, I know patients with so-called “Medicare Advantage” plans will be waiting—waiting to find a specialist like me within their network, waiting to get pre-authorization for the tests they need so we can discuss their diagnosis and possible treatments and, ultimately, waiting to get approval for their surgery and treatments.
Unfortunately, Project 2025 would make this already difficult process even worse. By fully privatizing Medicare, this Heritage Foundation plan would shift even more power into the hands of corporate insurers, who prioritize profits over patient care. The result would be even narrower provider networks, more restrictive approvals for tests and treatments, and a system designed to delay or deny care to those who need it most. For patients, that means critical time lost—time that may mean more pain, more symptoms, and a decreased chance of being cured.
Under Project 2025, the burden of navigating these hurdles would fall not just on patients, but on physicians and health care workers who are already stretched thin. Physicians for a National Health Program estimates that doctors and their teams would spend up to 43 million hours annually dealing with prior authorizations alone. This clinically meaningless administrative burden steals time that should be spent caring for patients, wastes resources that we can’t afford to lose, and is a source of burnout and moral distress for healthcare professionals.
Corporate insurance plans are designed to make profits, not take care of patients.
I feel helpless to overcome the negative impact that delays in care have on patients’ chances of being cured. But delayed care is often the best-case scenario for seniors in “Advantage” plans, because there is a high potential that the best cancer center in their area is outside of their narrow network and that treatments will be denied.
Research shows seniors with corporate “Advantage” plans have lower access to the high-volume hospitals that most successfully care for uncommon cancers. For example, people with stomach, pancreatic, and liver cancer requiring surgery were shown to have a higher likelihood of dying when compared to seniors with real Medicare.
Despite the overwhelming evidence showing that privatized Medicare does not serve our seniors’ best interests and wastes money, Project 2025 wants to take over all of Medicare by automatically enrolling seniors in corporate insurance plans without their full consent.
This will be catastrophic for people on Medicare, who will face increasing financial burdens and decreased access to care. An estimated 24 million seniors in corporate “Advantage” plans would face limited provider networks that exclude up to 70% of the doctors in their regions. And more than 15 million people would be considered underinsured due to the reduced benefits available under privatized plans. Without the choice of sticking with real Medicare, our seniors would all be threatened by the health impacts of delayed and denied care.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare.
Corporate insurance plans are designed to make profits, not take care of patients, and so they use shady techniques such as upcoding, which boost payment rates by making patients seem sicker than they are. In 2024, so-called “Advantage” plans overcharged the American people by as much as 140 billion dollars—and provided less care with worse health outcomes. If this system of skimming funds were extended to all seniors, the Medicare trust fund would immediately begin deficit spending, leading to insolvency within five years. It would cost $1.5 trillion more than real Medicare over 10 years.
Congress must take a stand to protect American seniors and the Medicare Trust Fund by rejecting Project 2025’s dangerous push to privatize Medicare.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare. For example, a cap on out-of-pocket spending is crucial to ensure seniors receive the financial protection they deserve. We should also invest in much-needed dental, vision, and hearing coverage for everybody on Medicare.
It’s time to give all seniors access to the best care possible and stop wasting our healthcare dollars on corporate profits.
- Medicare Advantage Is a For-Profit Scam. Time to End It. ›
- Here is the Truth: Medicare Advantage Is Neither Medicare Nor an Advantage ›
- 'End the Scam': Democrats Unveil Bill to Change Name of Medicare Advantage ›
- Medicare Advantage Industry 'Scare Tactics' and Lobbying Intensify Over Efforts to Curb Fraud ›
- A $600 Billion Swindle: Study Makes Case to 'Abolish' Medicare Advantage ›
- 7 Questions to Ask to Protect Yourself From Medicare Advantage Scams ›
- 'This Should Be a National Scandal': For-Profit Medicare Advantage Plans Using AI for Denials ›
- The Corporate Plan to Murder Medicare Runs Through Medicare Advantage ›
- Opinion | Improved Medicare for All Can Heal This Sick Country | Common Dreams ›
Once you’ve been told you have cancer, waiting is the last thing you want to do. As a practicing Gynecologic Oncologist, I know patients with so-called “Medicare Advantage” plans will be waiting—waiting to find a specialist like me within their network, waiting to get pre-authorization for the tests they need so we can discuss their diagnosis and possible treatments and, ultimately, waiting to get approval for their surgery and treatments.
Unfortunately, Project 2025 would make this already difficult process even worse. By fully privatizing Medicare, this Heritage Foundation plan would shift even more power into the hands of corporate insurers, who prioritize profits over patient care. The result would be even narrower provider networks, more restrictive approvals for tests and treatments, and a system designed to delay or deny care to those who need it most. For patients, that means critical time lost—time that may mean more pain, more symptoms, and a decreased chance of being cured.
Under Project 2025, the burden of navigating these hurdles would fall not just on patients, but on physicians and health care workers who are already stretched thin. Physicians for a National Health Program estimates that doctors and their teams would spend up to 43 million hours annually dealing with prior authorizations alone. This clinically meaningless administrative burden steals time that should be spent caring for patients, wastes resources that we can’t afford to lose, and is a source of burnout and moral distress for healthcare professionals.
Corporate insurance plans are designed to make profits, not take care of patients.
I feel helpless to overcome the negative impact that delays in care have on patients’ chances of being cured. But delayed care is often the best-case scenario for seniors in “Advantage” plans, because there is a high potential that the best cancer center in their area is outside of their narrow network and that treatments will be denied.
Research shows seniors with corporate “Advantage” plans have lower access to the high-volume hospitals that most successfully care for uncommon cancers. For example, people with stomach, pancreatic, and liver cancer requiring surgery were shown to have a higher likelihood of dying when compared to seniors with real Medicare.
Despite the overwhelming evidence showing that privatized Medicare does not serve our seniors’ best interests and wastes money, Project 2025 wants to take over all of Medicare by automatically enrolling seniors in corporate insurance plans without their full consent.
This will be catastrophic for people on Medicare, who will face increasing financial burdens and decreased access to care. An estimated 24 million seniors in corporate “Advantage” plans would face limited provider networks that exclude up to 70% of the doctors in their regions. And more than 15 million people would be considered underinsured due to the reduced benefits available under privatized plans. Without the choice of sticking with real Medicare, our seniors would all be threatened by the health impacts of delayed and denied care.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare.
Corporate insurance plans are designed to make profits, not take care of patients, and so they use shady techniques such as upcoding, which boost payment rates by making patients seem sicker than they are. In 2024, so-called “Advantage” plans overcharged the American people by as much as 140 billion dollars—and provided less care with worse health outcomes. If this system of skimming funds were extended to all seniors, the Medicare trust fund would immediately begin deficit spending, leading to insolvency within five years. It would cost $1.5 trillion more than real Medicare over 10 years.
Congress must take a stand to protect American seniors and the Medicare Trust Fund by rejecting Project 2025’s dangerous push to privatize Medicare.
Instead of funneling money into the hands of corporate insurers, we should be cracking down on overcharging and using those savings to strengthen Medicare. For example, a cap on out-of-pocket spending is crucial to ensure seniors receive the financial protection they deserve. We should also invest in much-needed dental, vision, and hearing coverage for everybody on Medicare.
It’s time to give all seniors access to the best care possible and stop wasting our healthcare dollars on corporate profits.
- Medicare Advantage Is a For-Profit Scam. Time to End It. ›
- Here is the Truth: Medicare Advantage Is Neither Medicare Nor an Advantage ›
- 'End the Scam': Democrats Unveil Bill to Change Name of Medicare Advantage ›
- Medicare Advantage Industry 'Scare Tactics' and Lobbying Intensify Over Efforts to Curb Fraud ›
- A $600 Billion Swindle: Study Makes Case to 'Abolish' Medicare Advantage ›
- 7 Questions to Ask to Protect Yourself From Medicare Advantage Scams ›
- 'This Should Be a National Scandal': For-Profit Medicare Advantage Plans Using AI for Denials ›
- The Corporate Plan to Murder Medicare Runs Through Medicare Advantage ›
- Opinion | Improved Medicare for All Can Heal This Sick Country | Common Dreams ›

