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health insurance
Heal This Sick Country: ‘Hands Up’ for the National Day of Action for Single Payer
Over 70 local and national organizations have endorsed the National Day of Action. On May 31, focus the outrage to move the engine of change and put single payer on the nation’s agenda and remove profit from healthcare.
Apr 27, 2025
On Jan 17, 2025, on the heels of the shooting of UnitedHealthcare CEO Brian Thompson, we wrote about the failed system of our corporate controlled healthcare and the outrage against the health insurance industry the shooting spawned. We mentioned the possibility of setting a National Day of Action in 2025 to demand freeing healthcare from profit and covering everyone under a national single payer plan.
Today, we call on people across the country to gather on May 31, 2025, to put their “Hands Up” for:
- The recognition by our government that healthcare is a human right;
- The elimination of private health insurance and the banning of for-profit delivery of care;
- The enactment of a publicly financed, national single-payer program that would provide comprehensive coverage to everyone; and
- The transformation of care delivery from profit-seeking ventures into services organized to serve the people of our country, a system in which all caregivers are freed from corporate control.
President Donald Trump’s inauguration has introduced the prospect of severe hardships to working class and low-income people, people with disabilities, the elderly, and children with proposed cuts to Medicaid, Medicare, and Social Security necessary to fund tax cuts for the wealthy. This moment demands more than the protection of our public programs; it demands a national, single-payer healthcare program, free from profit, for everyone. One people, one plan.
The complicity of our government in the profit-making enterprise of health insurance has been exposed once again when, on Monday April 7, the Trump administration raised payment rates for Medicare Advantage insurers by 5.1%, significantly more than the Biden administration’s proposed increase of 2.2%, which was bad enough. This rate increase has the potential to increase payments to MA by $25 billion next year. However, the final sum will be closer to $60 billion, when the impact of gaming the system through risk scoring is included.
Paying health insurance premiums to a for-profit company that has been given permission to restrict and withhold necessary care is the great scam of modern U.S. healthcare.
As predicted, Medicare Advantage continues to gain enrollment because they offer lower premiums compared to Traditional Medicare. Now they can expect payment from the Medicare trust fund at a higher rate as they have almost every year under Democrat and Republican administrations since 2016. Early this month, while the rest of the market spun out of control due to the announcement of tariffs, insurance stocks soared after the Centers for Medicare and Medicaid (CMS) announced the Medicare Advantage rate hike.
Despite rate increases, Medicare Advantage will continue to operate within narrow networks that often don’t include specialty care, such as Cancer Centers of Excellence. Unlike Traditional Medicare, beneficiaries in Medicare Advantage must accept pre-authorization requirements to receive care that create the delays and denials of care. Many seniors are unaware that in all but four states, once they have enrolled in a Medicare Advantage plan, they cannot change to Traditional Medicare without being subjected to underwriting and the potential of very high premiums if they have preexisting conditions. Paying health insurance premiums to a for-profit company that has been given permission to restrict and withhold necessary care is the great scam of modern U.S. healthcare.
Medicare is only one part of the privatization of government sponsored health insurance: Medicaid is now largely privatized in 42 states, subjecting children from low-income families and low-income adults to the delays and denials that are the mainstay of cost controls in managed care private insurance plans. Seventy five percent of all Medicaid beneficiaries now are enrolled in a Medicaid Managed Care Organization (MCO), and Medicaid MCO denials are twice as high as denials in Medicare Advantage. Five Fortune 500 health insurance companies enroll 50% of all Medicaid beneficiaries, all publicly traded and high performing profit makers.
Over 90 million Americans eligible for government supported healthcare, both Medicaid and Medicare, are now captives of private insurance managed care schemes that control their access to healthcare. Many more millions on Traditional Medicare are being “aligned” by CMS into profit-seeking Accountable Care Organizations. The underlying profit extraction inherent in these schemes prevents critical services from reaching the right people at the right time.
The same can be said for employer-based insurance where workers are paying excessive premiums to health insurance companies to be given the privilege of paying deductibles and coinsurance that make accessing care so expensive that many forgo needed services. According to the Commonwealth Fund, premiums and deductibles consume 10% of the median household income in the U.S. This means that every household with employer health insurance making $80,610 per year or less is underinsured. Employers are faced with increasing insurance premiums for their employees that challenge their ability to stay in business, or in the case of public schools, the ability to keep schools open.
Enough is enough! Over 70 local and national organizations have endorsed the National Day of Action. On May 31, join an action or plan an action in your community. Focus the outrage to move the engine of change and put single payer on the nation’s agenda and remove profit from healthcare. On May 31, put your “Hands Up” for National Single Payer—an Improved Medicare for All free from profit with everybody in and nobody out. Nothing less can heal the nation.
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When 6,000 Immigrants Can Be Declared Dead, No One’s Benefits Are Safe
It would be short-sighted to view this as an immigration issue. In fact, this move reveals both our common vulnerability to the whims of high-up decision-makers, and our shared humanity.
Apr 17, 2025
When the Social Security Administration recently reclassified more than 6,000 living and breathing immigrants as dead in order to deny them the Social Security numbers and benefits they legally held, I empathized with those migrants.
I’m not an immigrant, and I don’t receive Social Security benefits. Yet my family, like millions of other Americans, has felt the pain and helplessness of losing access to services and benefits through no fault of our own.
The technique of declaring thousands of people “dead” with one stroke of the pen is particularly cruel and epitomizes the long-standing dehumanization of immigrants in this country.
At first glance, it might seem they target someone else, somewhere else. Upon further reflection, it is evident that the actions and tactics they deploy affect everyone.
But it would be short-sighted to view this as an immigration issue. In fact, this move reveals both our common vulnerability to the whims of high-up decision-makers, and our shared humanity.
As the Trump administration inflicts one cruel injustice after another, rapid fire, on immigrants and other vulnerable groups, these updates flash across screens as discrete, targeted acts. But it is more important than ever to focus on what we have in common and reframe these headlines as coordinated actions within systems that threaten everyone’s well-being.
A few years ago, my husband wrote the annual check for his life insurance policy, sealed it in the company’s return envelope, and dropped it into the official blue U.S. Postal Service mailbox near his bank. To his surprise, the life insurance company contacted him shortly after, notifying him that his policy was canceled due to nonpayment.
Turns out, he was one of thousands of victims of mail theft and check fraud in our town and throughout the country. Just this year, the FBI and the U.S. Postal Inspection Service warned about mail theft and announced that check fraud has recently doubled.
My husband reported the crime to the police, and his bank covered the amount of the lost check. However, the life insurance company refused to reinstate his policy because during all those years he had been paying the annual fee, he also developed a chronic disease. As a small business owner with three children, my husband watched as an essential financial tool, put in place for our family, disappeared overnight—despite the fact that he had done everything right. Just like those 6,000 immigrants.
The health insurance industry has long employed the strategy of “deny, defend, and depose” to avoid covering the costs of important treatments for the sick and suffering who continue to pay climbing premiums. A 2025 article in the American Journal of Managed Care states that “insurance claim denials have risen 16% from 2018 to 2024, affecting access to essential medications like insulin and albuterol.” At the same time, health insurance companies’ net profitability increases.
Those immigrants followed strict rules and were granted Social Security numbers; they did nothing wrong. But just as their identities were wiped away, the high rate of health insurance claim denials financially wipes out millions of Americans. Almost half a million Americans declared personal bankruptcies in 2024, with medical debt the top cause.
Disability benefits are notoriously difficult to receive, and even when accessed, they are tenuous. According to the non-partisan USA Facts, “38% of applicants who meet technical requirements are accepted initially, but 53% of applicants who appeal that decision are ultimately approved.” However, the appeals process can be burdensome and last years. Paying into a private disability insurance plan holds no guarantees either.
Given that last year, the Centers for Disease Control and Prevention reported that “more than 1 in 4—over 70 million—adults in the United States reported having a disability,” everyone in this country knows someone who contends with their disability and simultaneously battles for benefits that are rightfully theirs. It shouldn’t be difficult, then, to empathize with immigrants’ dual plight: they must ward against diffuse and dangerous anti-immigrant sentiment and at the same time fight for basic benefits promised to them.
Even recipients of disability insurance cannot rest easy. They are often stalked and photographed by investigators who use highly selective photos to “prove” the person is able to work. Now, surveillance is digital, too. Algorithms and new surveillance technologies can be laced with bias, trespass privacy laws, and lead to unjust claim denials for the people who can least defend themselves.
These new technologies also surveil migrants, with the same built-in biases. A scholarly article published this year describes the system as “a vast digital dragnet.” Once sacred boundaries that protected the privacy of income-tax payers have now been violated to help the Department of Homeland Security locate tax-paying immigrants. Once breached, that once-clear line of privacy is now erased for anyone.
The policies and actions coming from the Trump administration can feel like a barrage—because they are. At first glance, it might seem they target someone else, somewhere else. Upon further reflection, it is evident that the actions and tactics they deploy affect everyone. No one deserves to capriciously have the rug pulled out from under them through no fault of their own—yet we’re barreling toward a future where that’s commonplace, and possibly the norm.
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Working-Class Unity Key to Defeating Oligarchy, Says Sanders in Response to Trump SOTU
"We can win. We will win," said the senator. "Let's go forward together."
Mar 05, 2025
If working-class people in the United States were wondering why President Donald Trump had "very little to say about the REAL crises facing the working class of this country" in his State of the Union address, said U.S. Sen. Bernie Sanders Tuesday night, they need look no further than the people Trump surrounded himself with at his inauguration in January.
"Standing right behind him were the three wealthiest men in the country," said the Vermont Independent senator, naming billionaire mogul and "special government employee" Elon Musk, Amazon founder Jeff Bezos, and Meta CEO Mark Zuckerberg. "And standing behind THEM were 13 other billionaires who Trump had nominated to head major government agencies. Many of these same billionaires—including Musk—were there tonight."
Despite Trump's repeated campaign promises to address the rising cost of living for working people, said Sanders, the State of the Union address offered the latest proof that "the Trump administration IS a government of the billionaire class, by the billionaire class, and for the billionaire class."
Watch Sanders' address in full:
LIVE: President Trump’s Congressional Address needs a response. Here’s mine. https://t.co/O9yN04isIw
— Bernie Sanders (@SenSanders) March 5, 2025
Sanders amplified the message he has sent on his National Tour to Fight Oligarchy—which he is scheduled to continue this week with stops in Warren, Michigan on Saturday and Kenosha, Wisconsin on Friday.
The senator called on working people of all racial identities, religions, and sexual orientations to join together to fight Trump's agenda and the billionaires who would benefit from his tax cuts, slashes to essential public services like Medicaid and food assistance, and efforts to divide people by demonizing immigrants, transgender people, and people of color.
"Yes, the oligarchs ARE enormously powerful. They have endless amounts of money. They control our economy. They own much of the media. They have enormous influence over our political system," said Sanders. "But, from the bottom of my heart, I am convinced that they can be beaten."
"If we stand together and not let them divide us up by the color of our skin or where we were born or our religion or sexual orientation; if we bring our people together around an agenda that works for the many and not the few—there is nothing in the world that can stop us," he said.
In his address, Sanders remained laser-focused on issues that impact working people—raising the federal minimum wage of just $7.25 per hour to a living wage of $17 per hour, repealing the Citizens UnitedSupreme Court ruling to end corporate influence over elections, and Trump's desire to pass a "big, beautiful" budget that would cut Medicaid by $880 billion, leaving up to 36 million Americans, including millions of children, without health insurance.
His response to the State of the Union address contrasted sharply with parts of the Democratic Party's official response given by Sen. Elissa Slotkin (D-Mich.), who spoke out against the "unprecedented giveaway" Trump wants to give "to his billionaire friends" but also signaled the party leadership's disinterest in focusing primarily on issues that impact working people when she spoke positively about former Republican President Ronald Reagan.
"After the spectacle that just took place in the Oval Office last week, Reagan must be rolling over in his grave," Slotkin said, referring to Trump and Vice President JD Vance's attacks on Ukrainian President Volodymyr Zelenskyy. "As a Cold War kid, I'm thankful it was Reagan and not Trump in office in the 1980s."
Historian Moshik Temkin wondered why the Democratic Party chose to hold up Reagan as a positive example of a president—considering his deregulatory, anti-taxation policies and promotion of so-called "trickle-down economics" that helped pave the way for rising economic inequality and the decimation of the middle class—instead of former President Franklin D. Roosevelt, who introduced Social Security, reformed the financial system, and provided relief to people who were suffering due to the 1929 stock market crash and the Great Depression.
"Who was this for?" asked historian Michael Brenes of Slotkin's address. "You don't rebuild the New Deal coalition with Cold War nostalgia and deference to Ronald Reagan. A better message: national security begins with economic security."
In contrast, Sanders' response, said former journalist and author Paul Handley, "is how you respond to Trump and define him for the American people."
Sanders ended his address by acknowledging the challenge of fighting against a political system increasingly controlled by billionaires, but warned, "despair is not an option."
"Giving up is not acceptable," said Sanders. "And none of us have the privilege of hiding under the covers. The stakes are just too high. Let us never forget. Real change only occurs when ordinary people stand up against oppression and injustice—and fight back."
"We can win. We will win," he concluded. "Let's go forward together."
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