The coronavirus crisis will lead to health insurance premium increases by up to 40 percent next year. We can’t afford that. Instead of seeing premiums skyrocket or bailing out private health companies, we need to seize this moment to abolish private insurance and create a single, national insurance plan.
by Tim Higginbotham
Part 2 - Now Is the Time
There has never been a more obvious moment to take the leap to single-payer health care. The familiar arguments against it, disingenuous in the first place, are suddenly outwardly ridiculous and easy to refute.
Joe Biden has been using his scarce media appearances to assure viewers that he still opposes Medicare for All, Bernie Sanders’s popular single-payer plan that would comprehensively cover all Americans at no out-of-pocket cost. But his arguments — that Medicare for All would be too expensive, that it would disrupt people’s employer-sponsored coverage, and that it would bring too large a change from the status quo — no longer carry the weight they once did. Even CNN’s Anderson Cooper recently pressed Biden to explain how his health care plan would solve the problems made evident by the current pandemic.
On the question of cost, Sanders and his fellow Medicare for All advocates have long argued that single-payer health care will cost substantially less than our current system. This is backed up by virtually every major economic analysis of his plan, although these studies have long been ignored by Medicare for All’s opponents in Congress and the media. But they become harder to ignore the more expensive the current system gets — and a massive hike in premiums or a major government bailout will only underscore Sanders’s argument further.
As for the criticism that Medicare for All would throw people off their employer-sponsored insurance, it’s a bit more difficult to defend this argument when the country is projected to possibly reach its highest ever levels of unemployment. The major flaw in tethering health care to employment has never been clearer: workers are constantly at risk of losing their employer-sponsored insurance.
Now it’s happening on a mass scale — millions of Americans have already lost their jobs during the pandemic, and it’s only going to get worse.
Liberals have spent the last decade celebrating the fact that the Affordable Care Act lowered the number of uninsured people in the United States from 44 million to a still-astonishing 28 million. Suddenly, that modest improvement is being reversed. Because we’ve relied on a fragile method of coverage instead of a bulletproof approach of automatic, universal enrollment in a public plan, all of the progress made by liberals is subject to erasure by a single crisis.
Perhaps the biggest obstacle to building the public demand for Medicare for All has been the mere fact that it will bring a major disruption to the status quo. The concept of socializing one-sixth of the US economy — which is what Medicare for All entails — has been used to frighten those wary of change.
But the pandemic has already disrupted the status quo. We no longer face a choice between keeping things as they were and implementing a major change. Change is coming, no matter what, and it’s our choice whether we respond to it by using public funds to prop up a broken system that constantly kills and bankrupts Americans in the name of profit, or by using those same funds to create a stable, single-payer program designed in the interest of public health.
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