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bernie sanders
Short of Medicare for All, Sanders Offers Democrats 6 Other Ways to Tackle Healthcare Crisis
"There are a number of much-needed reforms to the healthcare system that we could offer now that would substantially improve the lives of the American people and are also incredibly popular."
Nov 18, 2025
As Americans face soaring health insurance premiums and a vote to extend expiring Affordable Care Act subsidies looms, Sen. Bernie Sanders argued in a Tuesday letter to Democratic lawmakers that "it is imperative that we all support that legislation, but we must do much more.
Congressional Democrats' fight for ACA subsidies led to the longest government shutdown in US history—which ended last week, after eight members of the Senate Democratic Caucus caved without securing any guarantees. Instead, as Sanders (I-Vt.) noted, Majority Leader John Thune (R-SD) agreed to hold a vote on extending the tax credits no later than the second week of December.
"At a time when the Republicans have been forced to finally talk about the healthcare crisis facing our country, it is essential that the Democratic Caucus unify behind a set of commonsense policies that will make healthcare more affordable and accessible," Sanders wrote. "The American people are paying attention. Now is the time to act."
Sanders, who caucuses with Democrats, is the ranking member of the Senate Committee on Health, Education, Labor, and Pensions. The panel's chair, Sen. Bill Cassidy (R-La.), is now pushing President Donald Trump's proposal to encourage Americans to shift to high-deductible plans and have the government put money directly into their health savings accounts.
"What Republicans are proposing is a bad deal for hardworking Americans, but a good deal for the wealthy," Jessica Schubel, who was a healthcare adviser to former President Joe Biden, explained Tuesday in a Fox News op-ed. "This new proposal could push millions into buying high-cost plans that make you pay thousands of dollars before they start paying for your care. Healthcare costs could skyrocket while undermining the entire Obamacare system—putting care at risk for millions of Americans."
Sanders' letter similarly warns that "while President Trump and some other Republicans in Congress are rightfully going after what they call 'the money sucking, BIG, BAD Insurance Companies,' the policies they have been discussing would make a bad situation even worse" by leading to "more medical bankruptcies, more unaffordable care, and more Americans going without the healthcare they desperately need."
The country's current debate over ACA subsidies has sparked fresh calls for a shift to government-funded universal healthcare, for which Sanders has long led the fight in Congress. He acknowledged that "while I believe that the long-term solution to the healthcare crisis is Medicare for All, and I appreciate the 16 cosponsors we have on that legislation in the Senate, and the more than 100 cosponsors we have in the House, this bill does not yet have majority support in the Democratic Caucus."
"The good news, however, is that there are a number of much-needed reforms to the healthcare system that we could offer now that would substantially improve the lives of the American people and are also incredibly popular," he continued.
Specifically, Sanders called for:
- Extending the ACA tax credits;
- Repealing Trump and congressional Republicans' $1 trillion in cuts to the ACA and Medicaid;
- Expanding Medicare to cover dental, vision, and hearing;
- Cutting the cost of prescription drugs by at least 50% with legislation requiring pharmaceutical companies to charge no more for medications in the United States than they do in Europe or Canada;
- Expanding primary healthcare with investments in the National Health Service Corps as well as community and teaching health centers; and
- Banning stock buybacks and dividends, and restricting CEO compensation.
"At a time when the vast majority of Americans understand that our current healthcare system is broken, dysfunctional, and cruel, we must offer serious proposals which begin to address the systemic deficiencies within American healthcare," he stressed. "We should not be defending a system which is not only, by far, the most expensive in the world, but one which numerous international studies describe as one of the worst."
For example, last year the US-based Commonwealth Fund examined 10 peer countries—Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom, and the United States—and found that "the US continues to be in a class by itself in the underperformance of its healthcare sector."
Without federal intervention, conditions in the US sector are on track to get worse. Thanks to expiring subsidies, soaring premiums, and Trump and GOP lawmakers' recent cuts in their so-called One Big Beautiful Bill Act, an estimated 15 million Americans could lose health insurance altogether over the next decade.
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Trump Healthcare Payment Proposal Sparks Fresh Medicare for All Demands to Fix ‘Broken’ Healthcare System
“These subsidies have to get bigger and bigger and bigger to keep the ACA affordable,” said US Senate candidate Dr. Abdul El-Sayed. “The fight for healthcare right now can’t end with ACA subsidies. It has to be bigger.”
Nov 10, 2025
As the government appears poised to reopen, with Republicans having successfully avoided concessions on their goal of eliminating Affordable Care Act tax credits, President Donald Trump has proposed his own solution to the looming explosion in health insurance costs.
By agreeing to reopen the government without a deal, Democrats have given up their main leverage to force Republicans to extend the credits set to expire at the end of the year. If this happens, over 22 million Americans are expected to see their monthly insurance premiums more than double. As enrollment data for next year shows, Americans are already seeing skyrocketing healthcare costs, not just for ACA recipients but for everyone.
While Republicans successfully strong-armed their opposition into caving by using the shutdown to turn the screws on government workers and food stamp recipients, they still have to weather the political fallout of the coming healthcare apocalypse. A poll released Thursday by KFF found that 74% of Americans—half of whom are self-identified Republicans—want to see the credits extended. Three-quarters also say they'd blame either Trump or Republicans in Congress if they weren't.
On Truth Social Saturday, as a shutdown deal appeared likely, Trump proposed his own idea:
I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking Insurance Companies in order to save the bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE, and have money left over. In other words, take from the BIG, BAD Insurance Companies, give it to the people, and terminate, per Dollar spent, the worst Healthcare anywhere in the World, ObamaCare.
Trump is correct that under the current scheme, Americans don't actually receive money directly. But experts warn that while there’s a visceral populist logic to his proposal, the flaws of replacing those annual subsidies with a one-time payment become obvious with the barest of scrutiny, especially when it is paired with a proposal to fully repeal the ACA.
"You have to read between the lines here to imagine what President Trump is proposing," said Larry Levitt, the executive vice president for health policy at KFF. "It sounds like it could be a plan for health accounts that could be used for insurance that doesn’t cover preexisting conditions, which could create a death spiral in ACA plans that do."
One of the Senate's most prominent proponents of eliminating the ACA and other parts of the social safety net, Sen. Rick Scott (R-Fla.), said he was "writing the bill right now," and clarified that it would indeed involve "HSA-style accounts" for Americans in place of subsidized insurance.
On Sunday, Sen. Adam Schiff (D-Calif.) noted that this was just a reheating of the "same old, tired proposal of repealing the Affordable Care Act, giving people a benefit in the form of a health savings account, but allowing insurance companies once again to cancel policies and refuse to write policies for people who have preexisting health conditions."
HSAs were a key component of the Republicans' failed 2017 plan to "repeal and replace" the ACA, which many critics pointed out would allow insurers to skyrocket the costs of insurance for those dealing with preexisting conditions.
Sen. Chris Murphy (D-Conn.), who sits on the Senate Committee on Health, Education, Labor, and Pensions (HELP), called Trump's new plan "unsurprisingly nonsensical."
"Is he suggesting eliminating health insurance and giving people a few thousand dollars instead?" Murphy asked. "And then when they get a cancer diagnosis, they just go bankrupt?"
But while many Democrats decried yet another effort to dismantle the ACA, some progressives pointed out that health insurance costs, and healthcare costs more generally, have still exploded under Obamacare, which—despite introducing new guardrails—still leaves profit-driven insurance intact and requires all Americans to purchase it.
"Yes, Mr. President: You’re right. We do have 'the worst healthcare' of any major country," replied Sen. Bernie Sanders (I-Vt.), the HELP committee's ranking member, who has long decried the profiteering of insurance companies. "Despite spending twice as much per capita, we are the only major country not to guarantee health care to all as a human right. The solution: Medicare for All."
He was joined by Rep. Ro Khanna (D-Calif.), who ripped Trump's plan on Fox News.
"Healthcare premiums... they are going to spike about 100% in some cases," Khanna said. "Now, if you take the tax credits and you just give them to the American people, who is the president expecting them to buy the plans from? Is he expecting them to get junk insurance?"
"I agree with him that the system is broken," he continued. "And we should be expanding Medicare to have Medicare for All. But in the meantime, we've got to give people help so that their premiums don't spike."
On social media, Khanna pointed to a 2020 analysis by the nonpartisan Congressional Budget Office (CBO), which found that the US would spend about $650 billion less on healthcare per year in 2030 if it adopted Medicare for All because it would drastically reduce the administrative waste and non-healthcare-related spending inherent to private insurance. It would also allow the government to use its massive leverage as America's primary insurer to negotiate dramatic price reductions for drugs and medical services.
Those arguments have also been made by Dr. Abdul El-Sayed, a long-time Medicare for All proponent who is running for the open Senate seat in Michigan in 2026. He explained to a crowd that the fact that Republicans "can muck around with subsidies" in the first place is evidence of a broader healthcare crisis that stems from the preeminence of privatized healthcare.
"The very fact that we're watching as these subsidies have to get bigger and bigger and bigger to keep the ACA affordable, the very fact that we're relying on Medicaid to be expanded, that, to me, is the reason why in a moment like this, it's not enough just to protect what we have," he said.
He continued on social media: "The fight for healthcare right now can’t end with ACA subsidies. It has to be bigger. Too many Americans are suffering over medical debt and spiraling costs. It should be nothing short of Medicare for All."
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Endorsing Peggy Flanagan in Minnesota, Sanders Expands Push for 'Fighters' for Working Class in Senate
"We don’t need more corporate Democrats in the Senate. We need Peggy Flanagan, who’ll fight for working people."
Nov 10, 2025
Calling for more Democratic lawmakers who have “the guts to stand up for working people," Sen. Bernie Sanders weighed in on another US Senate primary on Monday, hours after a handful of Democrats agreed to reopen the federal government without Republican concessions on healthcare.
Sanders (I-Vt.), who earlier this year announced his support for Democratic Senate candidates Graham Platner in Maine and Abdul El-Sayed in Michigan, has now formally endorsed Minnesota Lt. Gov. Peggy Flanagan's candidacy for the US Senate.
In his endorsement, Sanders said that the Senate needs lawmakers who will stand up "against the billionaires and the corporate interests," and argued that Flanagan understands the needs of working-class people personally due in part to her own blue-collar background.
"Peggy knows what it is to struggle," he said. "She was raised by a hard-working single mother who needed [the Supplemental Nutrition Assistance Program] to help put food on the table and Medicaid for healthcare. And she’s dedicated her career to fighting for working families."
Sanders also hailed Flanagan's accomplishments as both lieutenant governor and Minnesota state legislator, and he said she would work to fight for progressive priorities on a national level.
"Peggy fought to raise the minimum wage and she got it done," he said. "She fought for paid family leave and she got it done. We need fighters who are from the working class and for the working class here in the Senate. Peggy will fight for Medicare for All, to raise the minimum wage to a living wage, and to address the crises we face in childcare, education, and housing."
Sanders concluded his endorsement by arguing that "we don’t need more corporate Democrats in the Senate. We need Peggy Flanagan, who’ll fight for working people."
Progressive political consultant Rebecca Katz hailed Sanders' endorsements of Flanagan, Platner, and El-Sayed, whom she described on X as "three good candidates who understand the stakes and know how to fight back."
Flanagan is running to replace retiring Sen. Tina Smith (D-Minn.), who has been serving in the Senate ever since former Sen. Al Franken (D-Minn.) resigned in 2018. Flanagan will be facing off against Rep. Angie Craig (D-Minn), a centrist Democrat who has several endorsements from the Democratic establishment, including House Minority Leader Hakeem Jeffries (D-NY) and former House Speaker Nancy Pelosi (D-Calif.).
According to Minnesota Reformer, Flanagan has also scored endorsements from Sens. Elizabeth Warren (D-Mass.) and Ed Markey (D-Mass.), who both stumped for her at the Minnesota State Fair this past summer.
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