What If We Can’t Get Medicare For All?

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Like most lefties, I would like the United States to adopt true universal health care. This has been my position for, oh, 30 or 40 years. However, I also accept the reality that this will never happen in one grand swoop. That’s why I was—and am—a big supporter of Obamacare, warts and all.

So if I were president and had to propose health care reform that actually had some chance of passing, what would it be? I’d go with a two-prong approach:

  • Lower the Medicare age to 55
  • Add Medicare as a public option to Obamacare.

Employers could keep their current private-sector plans if they wanted to, or they could enroll their employees in Medicare. The federal government would make Medicare available at its cost.

There are details, of course. Perhaps Medicare reimbursement rates would have to go up. Employers might need to offer Medigap coverage. Etc. But this would be a big step forward.

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It’s risky, but also unavoidable: A full one-third of the dollars that we need to pay for the journalism you rely on has to get raised in December. A good December means our newsroom is fully staffed, well-resourced, and on the beat. A bad one portends budget trouble and hard choices.

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We simply can’t afford to come up short. There is no cushion in our razor-thin budget—no backup, no alternative sources of revenue to balance our books. Corporations and powerful people with deep pockets will never sustain the fierce journalism we do. That’s why we need you to show up for us right now.

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