Medicare for all is dead, writes rickjnewman
The Bernie Sanders revolution hasn’t materialized. Elizabeth Warren is out of the race. Democratic voters say Joe Biden, familiar and unthreatening, is the man they want as their presidential nominee.
Some Sanders supporters hope Biden will move toward Medicare for all as a way of placating the Sanders wing, once the Vermont senator officially withdraws from the presidential race. Biden won’t do that. His support for more moderate health reform is a key differentiator between him and Sanders, and Biden will need that positioning to win Independents in a general election race against President Trump.
While Biden doesn’t support Medicare for all, he does support other reforms that would address some of the glaring problems in the health care system. He proposes a government-run “public option,” similar to Medicare, that anybody could buy into if they can’t afford available options in the private market. Enrollees would pay premiums, but those could be lower than many private plans, because the public option would be large and there’d be no profit to skim off the top.
Though Biden’s public option is less disruptive than Medicare for all, it would still have a hard time getting through Congress. It’s possible no Republicans would vote for it, requiring Democratic control of not just the House, but the Senate for the first time since in a decade. Even some moderate Democrats could be opposed to a new public option, since it could destabilize private insurers by undercutting them in the market.
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