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abdul el-sayed
Nurses Are the Best of Us. Trump's Republican Party Should Take Notes.
The Trump administration has excluded nurses from a key loan program designed to help those with professional degrees. This is not only a slap in the face to nurses everywhere, but puts all Americans seeking care at increased risk and further harms our broken healthcare system.
Dec 16, 2025
Apart from his “concepts of a plan,” it’s clear that Donald Trump doesn’t know much about healthcare. But there is one cardinal rule: don’t mess with nurses. After all, these are the folks who keep our healthcare system alive. My mother and grandmother are both nurses. They work brutal hours under nonstop pressure, juggling complex cases, emotional trauma, and physical exhaustion, while still showing up every day with the skill, compassion, and steady judgment required. As someone who’s led two of Michigan’s largest health departments, I know that if we want stronger hospitals, better patient outcomes, and a reliable healthcare workforce, we have to invest in our nurses and their education.
But Trump’s Department of Education decided to move us in exactly the opposite direction. Under rules buried deep in his “Big Beautiful Bill,” only certain graduate programs qualify as “professional degrees” eligible for higher loan caps, up to $50,000 a year or $200,000 total. And unbelievably, graduate nursing programs were excluded from that list of programs.
Our federal government wants to make it harder for nurses to step into the roles our healthcare system desperately needs to fill? Yes, you’re reading that right. This not only is a slap in the face to nurses everywhere, it leaves Americans with less options and safety in the care we can receive. As a doctor, I know our system is nothing without the care nurses provide. These continued attacks on Medicare and now on nurses from the White House are taking our broken system to the brink of failure, straining our country’s staffing crisis. This will hit rural hospitals hardest, where nurse practitioners are already providing so much primary care to patients.
I can’t think of a career more worthy of a “professional” designation than nursing, the most honest and trusted profession in America. President Trump has messed with the wrong folks.
Your circumstances shouldn’t hold you back from being able to pursue the kind of career and education you deserve. Federal student loans are one of the most effective tools we have to recruit talented folks into the nursing profession and make sure they can keep growing in their careers. When nurses can afford to become NPs, midwives, specialists, and educators, hospitals stay safely staffed and patients get the care they deserve.
Here in Michigan, we’re facing a projected 19% shortage of nurses by 2037. It’s not hard to understand why. Across the state, nurses are facing increasingly brutal working conditions as our healthcare systems consolidate, and the CEOs at the top put profits over patients. In the past few months, I’ve joined striking nurses in Mount Clemens, Rochester, and Grand Blanc who are all calling for safer staffing. And I can’t think of a career more worthy of a “professional” designation than nursing, the most honest and trusted profession in America. President Trump has messed with the wrong folks.
Without nurses, we are all worse off. We know you can’t strengthen the healthcare workforce by choking off the pathway to advanced training. And you cannot improve patient care while putting up new barriers for the very people who provide it.
Make no mistake, this is straight from the Project 2025 playbook. We knew they wanted to defund female-dominated professions (about 90 percent of nurses are women), come for working class Americans, and make education and healthcare even less accessible.
These loans aren’t a luxury. They’re how working nurses, the backbone of our hospitals, move into the advanced roles our health system depends on. The cost of attendance for nurses pursuing graduate degrees on average is over $30,000 per year, which exceeds the proposed annual cap of $20,500 per year. Without accessible loans, we lose future providers to burnout, stalled careers, and financial barriers that shut out entire communities.
We need loan programs that open doors, not close them.
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Soaring Medicare Part B Premium Takes Big Bite Out of Social Security Increase
"Medicare shouldn’t have premiums... or copays or deductibles," said US Senate candidate Abdul El-Sayed. "Medicare should cover vision, dental, and hearing. And Medicare should cover everyone."
Nov 25, 2025
With much of the nation's focus on skyrocketing Affordable Care Act costs, the Trump administration recently announced a Medicare Part B premium increase of nearly 10% for next year—an amount that will swallow a significant chunk of Social Security recipients' already paltry cost-of-living boost.
The monthly premium for recipients of Medicare Part B, the insurance portion of the program, will be $202.90 next year—a $17.90 increase compared to 2025. The increase will push the monthly premium above $200 for the first time in the program's history.
Jeanne Lambrew, director of healthcare reform at The Century Foundation, wrote in an analysis last week that the $17.90-per-month Medicare premium increase will effectively wipe out 33% of next year's Social Security cost-of-living adjustment (COLA), which was 2.8%—or $53.76 monthly.
"This is the greatest erosion of the COLA in nearly a decade," Lambrew observed. "The Medicare premium increase is the highest in four years, the projected employer-sponsored insurance increase is the highest in fifteen years, and the health insurance marketplace premium increase for 2026 is the highest out-of-pocket cost increase for all types of coverage in history."
To proponents of Medicare for All—a proposal that would provide comprehensive health coverage to everyone in the US for free at the point of service, for a lower overall cost than the status quo—rising premiums across the for-profit US healthcare system provide yet another reason for urgent, transformational change.
"Medicare shouldn’t have premiums... or copays or deductibles," Michigan US Senate candidate Abdul El-Sayed wrote in a social media post on Tuesday. "Medicare should cover vision, dental, and hearing. And Medicare should cover everyone."
Sen. Bernie Sanders (I-Vt.), the lead sponsor of the Medicare for All Act in the Senate, bashed Republicans for their willingness to entertain a range of healthcare proposals "except one."
"They will never acknowledge that healthcare is a human right—to be guaranteed to ALL," the senator wrote on Monday, the day President Donald Trump was expected to unveil a patchwork healthcare proposal aimed at averting an Affordable Care Act (ACA) subsidy disaster of the GOP's making.
But the White House postponed the rollout as the plan—which reportedly would have extended the ACA tax credits for two years while imposing new limits on the program—faced pushback from Republicans on Capitol Hill. The president's proposal also reportedly included a scheme to push Americans into higher-deductible plans.
"Trump, facing collapsing polling and a potential riot-inducing scenario on health insurance, might have backed off temporarily on the longstanding Republican tendency to ruin the healthcare system so rich people can have more tax cuts," The American Prospect's David Dayen and Ryan Cooper wrote Tuesday. "But he’s still ruining the healthcare system, make no mistake, just a bit more stealthily. This has always been the GOP approach to healthcare, and it’s not going anywhere."
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As Dr. Oz Helps Prove 'There Is No Republican Health Care Plan,' Democrats Have Solution Most Refuse to Embrace: Medicare for All
"Healthcare is becoming unsustainable under Trump," says one progressive politician running for US Senate. "Medicare for All would fix it."
Nov 16, 2025
The Trump administration came under fire on Sunday after sending Dr. Mehmet Oz, the Administrator of the Centers for Medicare and Medicaid Services, onto CNN's weekend news show to try to explain the Republican Party's elusive "solution" to the nation's healthcare crisis, a topic of much interest in recent weeks amid the longest government shutdown in the nation's history and growing fears over massive premium increases or loss of coverage for tens millions of Americans.
Asked during his appearance to explain what Republicans are considering to address the surging cost of healthcare, Oz talked about direct cash payments—something Trump himself has floated in recent weeks—as well as the idea of health saving accounts (or HSAs) which allow for personalized accounts set up to help pay for out-of-pocket medical needs, though not premium payments.
"If you had a check in the mail, you could buy the insurance you thought was best for you," Oz stated without explaining in what way that is different from people who received tax credits to purchase plans on the insurance exchanges established by the Affordable Care Act signed into law by former President Barack Obama.
Pushing such empty ideas while claiming them as viable solutions to soaring costs is partly what led critics like Sen. Patty Murray (D-Wash.) this week to issue a public service announcement which stated flatly: "There is no Republican health care plan"—despite repeated claims to the contrary by GOP lawmakers, including Speaker of the House Mike Johnson (R-La.).
Dr Oz: "If you had a check in the mail, you could buy the insurance you thought was best for you" pic.twitter.com/rLoMdxhNPV
— Aaron Rupar (@atrupar) November 16, 2025
"Dr. Oz a few years ago was pitching Medicare Advantage for All—a scheme to put every person on the corporate health insurance plans he used to sell," said Andrew Perez, a politics editor for Zeteo, in response to the interview. "Now, he’s saying let’s take away insurance from millions and give them a few bucks for their health care instead. Insane."
In a blog post published last week, Nicole Rapfogel, a senior policy analyst with the Center on Budget and Policy Priorities (CBPP), a nonpartisan policy think tank, explained why expanded HSAs, backed by the government or otherwise, would do little to nothing to improve access or lower costs for healthcare.
"Expanding HSAs has been a consistent theme, including in the House-passed version of the Republican megabill, though those provisions didn’t pass the Senate," explained Rapfogel. "But these policies are misguided and would do little to preserve access to affordable, comprehensive coverage."
She further explains that HSAs generally are better for wealthier people who have spare income to direct into such accounts, but of little use to poorer Americans who are already struggling to make ends meet each month. According to Rapfogel:
Most people do not have spare cash to set aside in HSAs; an estimated 4 in 10 people are in debt due to medical and dental bills.
People in lower tax brackets also benefit less from HSA tax savings. For example, a married couple making $800,000 saves 37 cents for each dollar contributed to an HSA, more than three times the 12 cents per dollar a married couple making $30,000 would save.
Further, HSAs do not promote efficient use of health care services. Research has shown that HSAs do not reduce health care spending, but rather shield more of that spending from taxes.
Given that understanding of the well-known limitations of HSAs or other avenues of government backstopping of private insurance, the level of bullshitting or straight up ignorance by Oz on Sunday morning, for many, was hard to take.
It's "pretty amazing," said economist Dean Baker on Sunday, "that Dr. Oz doesn't know that people choose their insurance under Obamacare, but no one ever said Dr. Oz knew anything about healthcare."
In an interview with Newsmax earlier this month, Johnson—who has argued that the GOP has reams of policy proposals on the topic—accused Democrats of having no reform solutions to the nation's healthcare crisis other than permanently fighting to save the status quo, including the "subsidizing the insurance companies" which is at the heart of the Affordable Care Act.
Taxpayer subsidies for private insurance giants "is not the solution," Johnson admitted at the time, though his party has refused to offer anything resembling a departure from the for-profit model which experts have demonstrated is the central flaw in the US healthcare system, one that spends more money per capita than any other developed nation but with the worst outcomes.
Meanwhile, as Republicans show in word and deed that they have nothing to offer people concerned about healthcare premiums in the nation's for-profit system, only a relative handful of Democratic Party members have matched renewed focus on the nation's long-simmering healthcare crisis with the popular solution that experts and economists have long favored: a single-payer system now commonly known as Medicare for All.
Sen. Bernie Sanders, the Independent from Vermont who caucuses with the Senate Democrats, made the demand for Medicare for All a cornerpost of his two presidential campaigns, first in 2016 and then again in 2020. On the heals of those campaigns, which put the demand for a universal healthcare system before voters in a serious way for the first time in several generations, a growing number of lawmakers in Congress embraced the idea even as the party's establishment leadership treated the idea as toxic.
While a 2018 study by the Political Economy Research Institute (PERI) at the University of Massachusetts at Amherst detailed why it is "easy to pay for something that costs less," people in the United States exposed to the arguments of Medicare for All over the last decade a majority have shown their desire for such a system in poll after poll after poll.
A single-payer system like Medicare for All would nullify the need for private, for-profit insurance plans and the billions of dollars in spending they waste each year in the form of profits, outrageous pay packages for executives, marketing budgets, and administrative inefficiences.
Despite its popularity and the opportunity it presents to show the working class that the Democratic Party is willing to turn its back on corporate interests by putting the healthcare needs of individuals and families first, the party leadership continues to hold back its support.
Lawmakers like Rep. Ro Khanna (D-Calif.), who served as national co-chair to Sanders' second presidential run, has been arguing in recent weeks, amid the government shutdown fight, that Democrats should be "screaming" their support for universal healthcare "from the rooftops" in order to seize on a moment in which voters from across the political spectrum are more atuned than usual to the pervasive and fundamental failures of the for-profit system.
Rep. Pramila Jayapal (D-Wash.), lead sponsor of the Medicare for All Act in the US House, on Thursday reiterated her support for universal coverage by saying, "Instead of raising premiums for millions, how about we just get rid of them? Medicare for All!!"
As former Ohio state senator and progressive organizer Nina Turner said on Saturday, "This is a moment to mobilize for Medicare for All."
I went on Fox News to make the case for national health insurance & Medicare for All.
Democrats need to be screaming this from the rooftops. pic.twitter.com/eq9VO0pAxw
— Ro Khanna (@RoKhanna) November 15, 2025
Dr. Abdul El-Sayed, another former Sanders surrogate now running for the Democratic nomination in Michigan's US Senate race, has been another outspoken champion of Medicare for All in recent weeks.
"While MAGA slowly suffocates our healthcare system, we’re watching corporate health insurance choose profits—and corporate Democrats capitulating," El-Sayed said last week, expressing frustration over how the shutdown fight came to end. "Who suffers? The rest of us. It’s time for a healthcare system that doesn’t leave our insurance in the hands of big corporations—but guarantees health insurance for all of us."
Following Dr. Oz's remarks on Sunday, El-Sayed rebuked the top cabinet official as emblematic of the entire healthcare charade being perpetrated by the Republican Party under President Donald Trump.
"They think we're dumb," said El-Sayed of Oz's convoluted explanation of direct payments. "They know that no check they send will cover even a month of the healthcare Trump bump we can’t afford—but they think we’re not smart enough to know the difference. Healthcare is becoming unsustainable under Trump. Medicare for All would fix it."
In Maine on Sunday, another Democratic candidate running for the US Senate, Graham Platner, also championed the solution of Medicare for All.
After watching Oz's peformance on CNN, Tyler Evans, creative director who works for Rep. Alexandria Ocasio-Cortez (D-N.Y.) declared in a social media post: "If we had Medicare for All, you could simply go to the doctor."
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