Robert Reich: Why the New Healthcare Law Should Have Been Based on Medicare (And What Democrats Should Have Learned By Now)

robertreich:

So what do Obama and the Democrats do if the individual mandate in the new health care law gets struck down by the Supreme Court?

Immediately propose what they should have proposed right from the start — universal health care based on Medicare for all, financed by payroll taxes. The public will be behind them, as will the courts.

This is utterly wrong on all counts. It utterly and willfully ignores the year of political sausage making that only managed to barely result in a marginally workable plan that squeaked by under reconciliation rules. The law enacting Reich’s paragraph couldn’t have passed a majority of Democrats at the time, and you’ll recall there were commanding majorities in both houses of Congress then. Aren’t now. And this wouldn’t even see the floor, no matter how passionately Obama or Bernie Sanders or Nancy Pelosi or Jesus Christ Himself argued for it.

What, then, needs to happen if the mandate section of the ACA is struck down? The death spiral needs to happen is what. The ACA without a mandate will destroy the private insurance companies within a decade. But,long before that happens, when the moment arrives that the mega-rich can no longer afford premiums, the party in power on that day, whichever that may be, will be forced to enact Medicare for all. Immediately. Not because they want to, but because it will be the only way forward. And that is the one and only way it ever gets passed. Not through rousing speeches or acting tough or with anything less than a 70-80 seat majority in the Senate and a few hundred in the House coupled to a far more progressive Democratic President than is currently serving.

And until the moment that we as citizens, they the politicians, they the DCCC (and like groups that run the party, its messaging, goals, and determine its candidates), and especially they in the form of the broader media internalize this and begin to act on it accordingly, we and they will fail. Period.

Robert Reich: Why the New Healthcare Law Should Have Been Based on Medicare (And What Democrats Should Have Learned By Now)

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