Is Nancy Pelosi Opposed to Medicare For All?

Oh dear:

Top Nancy Pelosi Aide Privately Tells Insurance Executives Not to Worry About Democrats Pushing “Medicare for All”

That’s from Ryan Grim at the Intercept, and it’s kinda sorta accurate. It’s based on a PowerPoint deck used for a presentation to Blue Cross Blue Shield executives, but let’s skip the opening slides on prescription drug costs, breast re-excision rates, and different-day elective upper and lower endoscopy rates. Here’s the slide on universal health care:

This is followed by some slides about ACA, Medicare, boomer retirement, and the opioid epidemic. There are a couple of reasons that none of it bothers me too much. First, it’s a presentation that sets out Democratic priorities for the next two years. We’re obviously not getting Medicare for All while Trump is in office, so it hardly matters if Pelosi’s people are downplaying it.

Second, and more important, this just goes to show the enormous malleability of the term “Medicare for All.” It can mean:

  • Literally, expanding Medicare to cover everyone.
  • Universal coverage of any kind.
  • Single-payer universal coverage.

Personally, I’m in favor of universal coverage and I don’t care much how we get there. Maybe we slowly expand the age limits for Medicare. Maybe we have a revolution and nationalize the entire American health care system. Maybe we keep expanding Obamacare until we get to 100 percent coverage. Maybe we expand both Obamacare and Medicare until they mush together and cover everyone. Maybe we adopt a German-style multi-payer system.

Some of these are inherently more efficient than others. Some of them are more politically feasible in the US given where we’re starting from. The politics is messy no matter how you approach it, and the key thing is to focus like a laser on universal coverage—as Democrats have—and not worry too much about how the sausage gets made. It looks to me like that’s what Pelosi is doing, and in the meantime she figures that there’s no point in pissing off the insurance industry to no purpose. That’s politics.

Thank you!

We didn't know what to expect when we told you we needed to raise $400,000 before our fiscal year closed on June 30, and we're thrilled to report that our incredible community of readers contributed some $415,000 to help us keep charging as hard as we can during this crazy year.

You just sent an incredible message: that quality journalism doesn't have to answer to advertisers, billionaires, or hedge funds; that newsrooms can eke out an existence thanks primarily to the generosity of its readers. That's so powerful. Especially during what's been called a "media extinction event" when those looking to make a profit from the news pull back, the Mother Jones community steps in.

The months and years ahead won't be easy. Far from it. But there's no one we'd rather face the big challenges with than you, our committed and passionate readers, and our team of fearless reporters who show up every day.

Thank you!

We didn't know what to expect when we told you we needed to raise $400,000 before our fiscal year closed on June 30, and we're thrilled to report that our incredible community of readers contributed some $415,000 to help us keep charging as hard as we can during this crazy year.

You just sent an incredible message: that quality journalism doesn't have to answer to advertisers, billionaires, or hedge funds; that newsrooms can eke out an existence thanks primarily to the generosity of its readers. That's so powerful. Especially during what's been called a "media extinction event" when those looking to make a profit from the news pull back, the Mother Jones community steps in.

The months and years ahead won't be easy. Far from it. But there's no one we'd rather face the big challenges with than you, our committed and passionate readers, and our team of fearless reporters who show up every day.

We Recommend

Latest

Sign up for our newsletters

Subscribe and we'll send Mother Jones straight to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate

We have a new comment system! We are now using Coral, from Vox Media, for comments on all new articles. We'd love your feedback.