DEMOCRATS HAVE GIVEN UP ON PRIVATE HEALTH CARE MARKETS — AND FOR GOOD REASON

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THE DEMOCRATIC PARTY has fully mobilized multiple times this year in defense of the Affordable Care Act. But when it comes to the future of health care, the party has quietly given up on the idea of trying to make the ACA principle of regulated private insurance markets work. Instead, they see expanding public health insurance as the future.

Republicans have only themselves to blame.

The most visible sign of this shift from private to public was the release of Vermont independent Sen. Bernie Sanders’s “Medicare for all” bill. His measure garnered 16 co-sponsors, including every senator seen as a 2020 Democratic presidential contender, but it was by no means the only bill of its kind.

Sen. Ben Cardin, D-Md., introduced a bill with a public option. In August, a group of senators introduced a bill for Medicare buy-in for those age 55 and above. Sen. Brian Schatz, D-Hawaii, has started working on a detailedMedicaid buy-in plan while Sen. Chris Murphy of Connecticut is working on a universal Medicare buy-in for individuals and large companies to create a path to single-payer. Sen. Tim Kaine, D-Va., is pushing a bill that would create a “Medicare Part E,” with E standing for everybody, Kaine said. At the state level, Democrats are also trying to come up with ways to let people buy into Medicaid or other public programs.

A big reason for this shift, which Democrats are unlikely to ever fully acknowledge, is how much the ACA has failed to live up to expectations. The relentless claims by Republicans that the ACA will pull the plug on grandma, or that it will explode, have allowed Democrats to redefine barely functioning as success. It has made it easy to forget, though, how great President Barack Obama’s team thought the law would turn out.


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