Medicare for all? How about this:

[James48]

One way to get to Medicare for All May be to
Actually allow it to be adopted by a state- one state at a time.

How about this- We propose creating the actual structure of a national program, capable of being scaled up, but premise it on these conditions:

1. In order to participate, a state must vote to participate. If the majority of voters in that state decide, then a process to begin to transition to a single-payer Medicare for all system begins.

2. The transition happens over a three year period. The first year, all public employees and anyone who changes jobs becomes covered under the new system. In addition, it takes a one-year waiting period to come under the new system, to prevent sick people from other states from simply moving in to obtain coverage. The second year, any private company or individual can opt in. The third year, it becomes mandatory for all. The State and the Federal Government both create a Medicare for all tax, with tax credits for those remaining under private insurance for the transition period.

3. As Medicare for All is rolled out, the best ideas from different states are shown and highlighted, so the program can be tweaked based on experience. A participating state is also given money to establish expanded medical schools, nursing and technician training, and medical public service career assistance.

This way nobody can say their state was forced into it; people can see how it actually works, and cost savings are highlighted across the country.

[True Blue American]

1. Not to worry

Trump says if you re-elect him and a Republican House and Senate you will have great health care! They are working on it now! Trust him!

[Hortensis]

2. :) This! After SCOTUS declares national mechanisms unconstitutional,

of course. Which presumably happily leaves a door open to state actions. Until those are closed legally also.

James48, whether we'll have universal healthcare at all for the next couple of generations at least depends on much bigger issues. Like whether we continue to have a living constitution or whether wealth-serving and social conservative-serving texual and originalist interpretations rule. If the latter, our "general welfare" and "privacy" rights to Social Security and things like contraception and abortion, protection from web exploitation, and much else that make us America go poof!

Btw, November 3 is now 336 days away. We're already a solid majority, but...widespread election theft, electoral college, Russia.

WITHIN that time, we must win over more of the wobblies. The Republicans will stick pins in some of the nonvoters. But if we don't get a ruling majority, say goodbye to national healthcare and to Social Security and Medicare itself since "privatization" to the wolves would be an end to what we have.

[dansolo]

3. Let me guess, you live in a blue state

I keep hearing that we can't do an incremental approach. Coverage must be universal. This proposal doesn't solve any of the inherant problems with M4A. How is this better than a public option approach? I guess you don't care if people living in red states are going to be covered. How very progressive of you.

[True Blue American]

5. Health care has to be

Universal! Other wise it will not work. Look how many red states refused MEDICAID!

Kasich approved it here because he said it was the right thing to do.

With DeWine and the loony tune Legislature I am not hopeful for the future. Not after that ignorant abortion law they passed. Let us see if Mike signs it.m

[greymattermom]

4. This is actually how it happened in Canada.

So we just need to look a few miles north to see how it could work.

[AlexSFCA]

6. California couldn't do it

It turned out too expensive for the wealthiest state in the nation.