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universal healthcare
Does Anyone Even Remember Trump Once Favored Medicare for All?
Who's going to pay for covering everybody, including the currently uninsured? "The government's going to pay for it," Trump said in a 2015 interview.
Nov 25, 2025
When asked what they like most about Trump, fervent supporters often say, “He says what he thinks.” Well, not always. Donald Trump has long supported government-run universal healthcare—well before he had to deal with a crazed Congressional GOP in his first term. The controlling Republicans repealed Obamacare dozens of times in the House of Representatives (repeal was blocked in the Senate)—without offering any alternative.
President Trump also denounced Obamacare in vitriolic expletives, but he offers no alternatives.
However, let’s look back at a time when Trump, before his first term, was not tongue-tied about Medicare for All.
In a little-noticed Washington Post article (May 5, 2017), headlined “Trump’s forbidden love: Single-payer health care,” Aaron Blake reports that “in his heart of hearts, [Trump] wants single-payer health care. Indeed, it seems to be his forbidden fruit.”
Blake goes back to 2000 when “he [Trump] advocated for it as both a potential Reform Party presidential candidate and in his book, “The America We Deserve,” to wit:
“We must have universal health care. Just imagine the improved quality of life for our society as a whole,” he wrote, adding: “The Canadian-style, single-payer system in which all payments for medical care are made to a single agency (as opposed to the large number of HMOs and insurance companies with their diverse rules, claim forms, and deductibles)…helps Canadians live longer and healthier than Americans…Just before the 2016 campaign, Trump appeared on David Letterman’s show and held up Scotland’s socialist system as the ideal.”
Then, in April 2017, a law professor argued in the New York Post that Trump should just go for it. Universal Healthcare would be great for the Republican Party, as it would challenge the Democrats’ claim that it is the compassionate party. Moreover, Trump’s supporters would actually like better, less costly healthcare.
“A friend of mine was in Scotland recently. He got very, very sick. They took him by ambulance and he was there for four days. He was really in trouble, and they released him and he said, ‘Where do I pay?’ And they said, ‘There’s no charge,’” Trump said. “Not only that, he said it was like great doctors, great care. I mean, we could have a great system in this country.”
Then, early in the 2016 campaign, he again praised the single-payer systems in Scotland and Canada—while also arguing that the United States needed to have a private system.
Asked on “Morning Joe” whether he supported single-payer, he said: “No, but it’s certainly something that in certain countries works. It actually works incredibly well in Scotland. Some people think it really works in Canada. But not here, I don’t think it would work as well here.”
He said two days later at a GOP debate: “As far as single-payer, it works in Canada. It works incredibly well in Scotland. It could have worked in a different age, which is the age you’re talking about here.”
Later on, Trump would repeatedly push for universal health care without specifically subscribing to the words “single-payer.”
“Everybody’s got to be covered. This is an un-Republican thing for me to say,” Trump said in a September 2015 “60 Minutes” interview. “I am going to take care of everybody. I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now.”
He added when asked who is going to pay for it: “The government’s gonna pay for it.”
[…]
Law professor F.H. Buckley argued in the New York Post last month that, in the face of defeat for the Republican health-care bill, Trump should just go for it. He argued that it would be a great thing for the Republican Party because it would eliminate Democrats’ claim to being the party of compassion and that Trump’s supporters would actually like it.
“Leave behind all the people who hated you, who curse when you succeed,” Buckley wrote. “Reach out to the people who voted for you. Challenge the Democrats by offering them what they’ve always said they wanted.”
Fast forward, and Buckley’s words are even more timely. In a few weeks, the Republicans have promised a vote on extending the Obamacare subsidies to 22 million Americans. The Grand Old Plutocrats are in a bind. If they reject these subsidies, they give the Democrats a huge and decisive winning campaign issue for the 2026 elections. If they accede and keep the prices from skyrocketing, they hand a victory to the Democrats in defiance of their past rejections of universal healthcare and look weak.
My sister Claire Nader suggests that this is a great opportunity for Trump’s sense of grandiosity. Knowing the Congressional Republicans’ bind and disarray, he can announce his single-payer universal health care—everybody in, nobody out—and cite how much more efficient such a system is in Scotland, Canada, Australia, and other countries.
Then Trump could tout the political advantages—sweeping aside all the media coverage coming about the loss of Medicaid coverage by tens of millions of Americans, including Trump voters. Gone would be the huge inflationary price increases, continued inscrutable bills, with their overcharges and fraud. Getting healthcare would be far less aggravating than today. Imagine no more giant health insurance companies with their denials of benefits, rip-offs, suffocating fine print, and prior authorization requirements that enrage physicians. All people would need to show is their Medicare card.
Trump could pluck H.R. 676 out of its obscurity (about 140 House Democrats signed on in 2019). He would get support for this bill from all the Democrats plus a hefty slice of GOP lawmakers, especially those running for re-election in 2026.
Trump is running out of distractions, and running out of the gas that kept his opponents in shock and awe. His polls are dropping. A recession is on the horizon. Inflation is here. His campaign promises are papier-mache. Government health insurance for all, with private (and some public, as with the VA) delivery of health care, comes close to the Canadian healthcare system that has worked for some 50 years, with better health outcomes.
As Claire wryly reminded me, Trump could become the Tommy Douglas of the United States. Douglas started Canadian Medicare in Saskatchewan in 1962 and is a hero in Canada.
Any Democrats holding back support for “Medicare for All” for fear of making Trump look good should think of the tens of millions of Americans who would feel good in so many ways, shorn of the anxiety, dread, and fear produced by our current broken, gouging healthcare system.
Trump’s past, present, and future will still give the Dems plenty of fodder for their loathing of the president’s policies and actions.
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Universal Healthcare Will Save Lives... and Could Save the Democratic Party
As the only wealthy country without universal health coverage, sticking to our current system is truly not “politically feasible.” Democratic leaders need to understand and embrace Americans' desire for change.
Oct 22, 2025
The ongoing government shutdown, a standoff over health insurance premiums, is a missed opportunity to truly reform healthcare and revive the Democratic Party.
Democrats have been hyper focused on restoring Medicaid cuts and preserving Affordable Care Act (ACA) subsidies to blunt the harmful healthcare impact of the Republican budget. But this narrow strategy not only fails to address the core issues of the current system but ignores what most Americans want most: a system free from profit-driven conflicts of interest, prior authorizations, co-pays, deductibles, or the threat of bankruptcy.
As a practicing gynecologic oncologist, I witness the human toll of this political timidity every day. I’ve seen patients on chemotherapy skip nausea medications because of co-pays, delay a surveillance PET scan because of the deductible, or substitute ineffective online elixirs for proven treatments because they cost less. As president of Physicians for a National Health Program, I have heard from thousands of physicians who are struggling to uphold their professional commitment to high-quality care because health insurance companies routinely deny coverage for medically recommended treatments.
What I hear in my clinic is also reflected in the polls and crosses party lines: Americans want trustworthy, high-quality healthcare without conflicts of interest, co-pays, deductibles, or financial risk. A May 2025 Pew poll confirms this, with 68% of Americans, including 90% of Democrats and 45% of Republicans, believing the government should provide health insurance for all. A November 2024 Gallup poll shows 62% of Americans, including 90% of Democrats, 65% of Independents, and 32% of Republicans, think the federal government should guarantee health coverage for everyone. And a 2024 Marist Poll found 86% of Gen Z and 76% of Millennials also share the opinion that health insurance is the government's responsibility.
Championing universal healthcare gives Democrats a chance to move away from the status quo and win back frustrated voters, especially the youth.
Today, more people, regardless of insurance status, are being forced to make difficult healthcare choices based on their finances. I have patients who regularly ignore pain and nausea because they are behind on medical bills and cannot afford to seek care. Consider that in America, 66% of bankruptcies are linked to medical issues, and 80% of those who went bankrupt had health insurance when they incurred the debt. In 2023, the average household medical debt was $10,570, and in 2024, about 20% of adults aged 18-49 borrowed money to pay for healthcare costs. A 2025 KFF poll found that 70% of adults worry about medical or dental bills leading to debt.
Americans from all parties agree that our political and economic systems need change, and most believe Republicans, not Democrats, can deliver it. According to an April 2025 Navigator poll, 74% of Americans (including 71% of Democrats, 78% of Independents, and 77% of Republicans) think our system “needs major changes,” with 12% feeling “the system needs to be torn down completely.” The same poll shows that 51% of Americans see Democrats as “focused on preserving the way government works,” including 54% of Democrats, 43% of Independents, and 54% of Republicans. Meanwhile, 65% of those surveyed believe Republicans are focused on changing the government, including 65% of Democrats, 57% of Independents, and 68% of Republicans.
Republicans are giving us change, but it’s not what Americans were hoping for. Their comprehensive efforts to reduce healthcare access, dismantle public health systems, and cut funding for essential medical research will have deadly consequences. Specifically, the mortality impacts of the Republican budget reconciliation bill—which includes deep cuts to Medicaid, the elimination of ACA subsidies, rollbacks to Medicare drug access, and weakening of nursing home safety standards—are estimated to cause 51,000 preventable deaths each year. This tragic number adds to the approximately 45,000 preventable deaths already linked to lack of insurance. While we can estimate the increased death toll among the millions losing healthcare coverage, the long-term effects of defunding the public health system and losing future lifesaving research are impossible to measure.
Meanwhile, Democrats are defending the status quo instead of fighting for the comprehensive health care reform that Americans need. Despite the unpopularity of much of what the Trump administration has done, support for the Democratic Party from its core members remains slim, with historically low voter registration and approval numbers. Championing universal healthcare gives Democrats a chance to move away from the status quo and win back frustrated voters, especially the youth.
The main arguments against universal healthcare are that it is unaffordable and politically unfeasible. However, the cost issue is challenged by basic economic analysis: We could afford to cover everyone if we weren’t actively wasting 25-30% of our healthcare spending on bureaucracy, overhead, and excessive profits for the health insurance industry. There is no evidence that these corporations improve healthcare or make any meaningful contribution. To the contrary, privatized Medicare (Medicare Advantage) wastes resources, costs more, and results in worse outcomes. In fact, when states deprivatize Medicaid, they save money and improve outcomes. For example, Connecticut shifted from privatized to public Medicaid in 2011, leading to a 4.7% increase in early cancer detection, an 8% increase in cancer survival, and savings of over $4 billion over 13 years.
The US spends more per person than other developed nations but has worse health outcomes, including lower life expectancy and higher maternal and infant deaths. As the only wealthy country without universal health coverage, sticking to our current system is truly not “politically feasible.” Democratic leaders need to understand and embrace Americans' desire for change. They must fight for guaranteed universal healthcare—a system free from profit-driven conflicts, co-pays, deductibles, prior authorizations, and bankruptcy risks. Universal healthcare will save lives and may resuscitate the Democratic Party.
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Progressive Activist Avi Lewis Launches Bid for NDP Leadership in Canada
Lewis said NDP must “fling the doors wide open, and build a party for the 99%.”
Sep 25, 2025
The longtime progressive activist Avi Lewis officially launched his bid for leadership of Canada's New Democratic Party, which he aims to revitalize with a platform of economic populism.
Lewis, a journalist and documentarian whose grandfather helped to found the NDP in 1961, says the way to bring the party back to relevance amid an electoral low point is to “fling the doors wide open, and build a party for the 99%.”
At a kickoff party in Toronto on Wednesday, the former parliamentary candidate from Vancouver railed against the “Liberal-Conservative alliance” that dominates Canadian politics. The two major parties' leaders, Lewis said, "compete fiercely in public, while behind the scenes, they collude to boost corporate profits."
"In the name of protecting the country, the government is rapidly passing and proposing legislation that will change the culture and character of Canada," Lewis said. "From sweeping aside Indigenous rights and environmental protections for so-called nation-building projects, to rolling back higher taxes on the uberwealthy and digital giants, to the generational austerity of 15% cuts to public spending, to the $9 billion that materialized in an instant for the military this year, ramping up to $150 billion a year a decade from now—the changes afoot are extreme."
Lewis pledged to “build a government that is an instrument for the people, not for corporate Canada.”
The NDP—once Canada's third-largest national political party—has been ailing of late after a dismal showing in the nation's most recent parliamentary elections. The party, which held over 100 seats 14 years ago, dropped to a new low of just seven seats in 2025, not enough to even be recognized for committee assignments or federal funding.
The humiliating showing resulted in the resignation of Jagmeet Singh, who'd led the party for eight years, but was widely criticized by those on the left for his coziness with the establishment of the dominant Liberal Party and his failure to keep the NDP competitive. It is in this state of "political wilderness" that Lewis has emerged with an ambitious change agenda.
(Video: Avi Lewis for NDP Leader)
"Life in Canada today feels on the edge," Lewis said in a video released last week announcing his leadership run. "Everyone seeking a little stability, everyone being told 'You're all on your own.'"
He identified several causes of that precarity. One was the "economic attack" from US President Donald Trump, whom Lewis described as sending "disruption grenades" in the form of steep tariffs and annexation threats. But Lewis said that Trump merely "magnifies... the everyday emergency of trying to get by in an impossible economy."
According to one survey conducted in July, 57% of Canadians said their current incomes did not allow them to afford basic necessities like housing, groceries, energy, and cell phone plans.
"Working hard doesn't earn you a living," Lewis said.
"These days, every politician claims to be shocked by the costs," he continued. "What they don't talk about is why: The billions in profits for the tiny group of corporations that control every part of our economy. Three phone providers, three grocery giants, five oil companies, and the five big banks that fund them."
Lewis' plan to confront corporate power is years in the making. Alongside his wife, the acclaimed journalist and author Naomi Klein, Lewis rolled out the Leap Manifesto in 2015 as an agenda for the NDP. Leap focused on confronting the climate crisis, but its contents formed the basis of what he now refers to as a "Green New Deal." The accelerating climate emergency remains at the center of his agenda in 2025.
"Oil and gas CEOs," he said in the video, are "not just hoarding extreme wealth," but "foreclosing on our shared future."
Lewis has never held a parliamentary office, though he has run for a federal Vancouver-area seat twice before and achieved two third-place finishes, receiving 26% of the vote in 2021 and 12.5% in 2025.
In his bid to lead NDP, he has so far leaned heavily into his family legacy and his reputation as a lifelong activist who has "butted heads with the powerful," over issues like the North American Free Trade Agreement (NAFTA) and the privatization of healthcare and public transit.
"For four decades," he said, "I have stood with workers, telling stories of working-class heroes and organizing for dignity in factories and fields, classrooms and care homes, shop floors and fishing fleets."
Lewis, who also identified free trade deals as job killers, proposed a "Green New Deal" as a means to revive Canadian industry and create "millions of good-paying jobs."
He has also proposed a wealth tax, a national cap on rent increases, a public option for groceries, and expanded universal healthcare that covers "medication to mental health."
During his speech Wednesday night, Lewis described NDP as "the only party that can accurately diagnose the cause of our everyday emergency, and offer solutions as big as the crises we face."
"The federal government has the power, the resources, and the responsibility to ensure the fundamentals of a good life—healthy food, truly affordable housing, functioning public transit, and hey, maybe a proper vacation once in a while," he said. "But we won’t get it if we don’t fight for it. And that’s where the NDP comes in. After all, the NDP is the original party of workers’ struggle. And in this moment of epic change and uncertainty, the party is needed as never before."
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