Discover and read the best of Twitter Threads about #Med4America

Most recents (10)

đź“Ł Since @NikkiHaley decided to remind everyone that @NeeraTanden's organization, @AmProg, produced a universal healthcare plan called "Medicare Extra for All", let's take a look at the plan (which was actually spearheaded by @TopherSpiro, I believe). 1/
acasignups.net/18/04/11/updat…
Note: I wrote up my analysis of Medicare Extra for All (#MEFA) back in February 2018, and in May 2019 I wrote an analysis of the House bill largely based on it, #MedicareForAmerica, sponsored by @RosaDelauro & @RepSchakowsky. 2/
Full disclosure: From June 2019 - last month, I was contracted w/@AmProg to do part-time healthcare analysis. However, my analyses of both #MEFA & #MedicareForAmerica were done prior to this, and this thread is being written after my contract expired) 3/
Read 26 tweets
(sigh) Once Again: Yes. She. Is.

Here (again) is my deep dive into #Med4America, the universal healthcare coverage bill introduced by @rosadelauro & @RepSchakowsky, endorsed by @BetoORourke, which is largely based on @amprog's #MedicareExtra4All proposal:
acasignups.net/20/04/10/reall…
Furthermore, @KamalaHarris' own universal healthcare plan from the primaries (which she also branded "Medicare for All", much to Bernie's dismay) shared many similarities with #Med4America & #MedExtra4All.

acasignups.net/19/07/29/updat…
Of course, even if Dems flip *both* GA Senate seats in January, nothing *close* to M4All, MedExtra4All *or* Med4America is gonna get passed before 2023 anyway; we'll be very lucky to get #BidenCare passed in anything close to its' current form, which makes this a bit academic.
Read 6 tweets
Again: The ACA succeeded where "HillaryCare" failed in large part because the Obama Administration learned not to try and take on EVERY PART of the health insurance industry SIMULTANEOUSLY. This led to a law which is far from perfect but which still made major improvements. 1/
The ACA took on and won SOME battles, but not so many as to guarantee that it would go down in flames...and even then it BARELY squeaked by, and only in a watered-down way. If they had insisted on going after EVERY player at once, it would never have happened at all.
The insurance lobby had mixed feelings about the ACA. It stopped most (not all) of their ugliest practices, forced them to stop discriminating against "undesirable" enrollees, and put a cap on their profits. On the other hand, it also provided a flood of enrollees & subsidies.
Read 9 tweets
My personal guess is that *if* Dems hold the House, take the White House and retake the Senate, the best healthcare bill we're likely to see passed/signed before 2024 will be:
--If they kill the filibuster: ACA 2.0 + Public Option
--If they don't kill the filibuster: ACA 2.0 only
...either of which would still be a MASSIVE improvement over current status quo.

That doesn't mean I have a problem with pushing for #M4All or for #Med4America (as I'm doing). What to push for, what to settle for and what will actually get passed/signed are separate questions.
Obama basically campaigned on "ACA 2.0 + Public Option", was willing to accept "ACA 2.0 only" after Lieberman screwed us, but *signed* "ACA 1.0" after Kennedy died & Scott Brown won his seat, leaving the weaker Senate version as the only option left.
Read 4 tweets
It is. It basically splits the difference between Biden/Buttigieg's plans and Bernie/Warren's plan. Similar to Harris' plan, but phased in more quickly because it deals with the "union contract" issue differently.
FWIW, here's my deep dive into #Med4America (warning: it gets wonky...on the other hand, it also includes colorful psychedelic donuts!):

acasignups.net/19/05/16/reall…
OK, here's the visuals to give a sense of how it'd be phased in:

Here's the current healthcare coverage situation for the entire U.S. population...the "Psychedelic Donut®" as I've dubbed it:
Read 15 tweets
đź“Ł A Really Deep Dive into the updated #MedicareForAmerica bill:
acasignups.net/19/05/02/reall…

#Med4Am #HealthcareForAll
FWIW, here's a handy comparison of the implementation timelines for the #MFA bills vs. the #Med4America bill. Note that BOTH would keep the VA and IHS in place. Aside from which would be mandatory vs. optional, the other big difference is *how* the transition is phased in.
Under #MFA, ~97% of the pop. would be mandatorily transferred over to the new program within 2 or 4 years, regardless of what their current situation is. Under #Med4America, ~55% would be mandatorily transferred over within 5 years; the rest would have the *option* of switching.
Read 5 tweets
đź“Ł THREAD, WITH TABLES & GRAPHS! 1/

A Really Deep Dive into #MedicareForAmerica: acasignups.net/19/05/02/reall…
So yesterday, @RosaDelauro & @RepSchakowsky re-introduced their #Med4America universal healthcare coverage bill. It’s important to note that BOTH of them are members of the Congressional Progressive Caucus, and Schakowsky is also a co-sponsor of the House #MFA bill. 2/
@rosadelauro @RepSchakowsky In other words, this is NOT a battle between “progressives” and “centrists”. #Med4America is *very* progressive…while also, in my view, simply being more practical than the “pure” #MFA bills. It starts out as a robust Public Option for 2 yrs, but then becomes MUCH more. 3/
Read 24 tweets
Trump’s DOJ, enabled by the GOP who allowed the #TexasFoldEm lawsuit to happen in the first place, just said that they want the ENTIRE ACA scrapped.
Meanwhile, tomorrow, @HouseDemocrats will roll out #ACA 2.0.
DON’T *EVER* CLAIM THE PARTIES ARE THE SAME.
acasignups.net/19/03/24/its-o…
As I keep pointing out (and as @RonBrownstein JUST WROTE ABOUT a few days ago), while it’s fine to discuss & debate #MFA vs #Med4America, etc, THE #ACA IS STILL UNDER ATTACK. MFA/etc won’t happen until 2022 at the earliest. The ACA is under attack NOW.

theatlantic.com/politics/archi…
REMINDER: If the entire ACA were to be repealed:
—16 million people would lose Medicaid
—9 million people would lose subsidized exchange coverage
—850,000 would lose BHP coverage in MN & NY
...and that’s just for starters.
Read 8 tweets
Here’s some crude graphics explaining how #Med4America would be phased in. First, here’s a rough breakout of the current healthcare/ health insurance coverage situation of the entire country today:
Nearly half the population is covered through their employer. Another third is covered by Medicare, Medicaid or CHIP. Around 5% is on ACA Indy market plans. Another 2% or so has miscellaneous coverage including junk policies, sharing ministries etc., and 10% have nothing at all.
Read 14 tweets
AGAIN: This is among the most important differences between the various universal coverage plans on the table. The #MFA bill most of the Dem Senators running for POTUS cosponsored does NOT allow for it to be optional for anyone...but most of them cosponsored OTHER plans as well.
There’s NOTHING WRONG w/them cosponsoring multiple plans. ALL of them greatly expand publicly funded healthcare coverage, just to different degrees, different timeframes & via different frameworks. The final version will likely be somewhat different from ANY of the current plans.
The only bad thing here are purists of any plan insisting that ONLY their preference will suffice. I’m a huge fan of the #Med4America bill, but I’m not going to insist that ONLY that one is acceptable. That’s insanity.
Read 3 tweets

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