Labor unions and consumer advocates were among those applauding Tuesday after U.S. Vice President Kamala Harris announced her proposal for home healthcare coverage under Medicare—a broadly popular idea, according to polls, that supporters said would be a "game-changer" for millions of families.
On the ABC talk show "The View," Harris spoke about the "sandwich generation"—middle-aged Americans who find themselves caring for aging parents while they're also raising their own children.
"There are so many people in our country who are right in the middle," said the Democratic presidential nominee. "And it's just, almost, impossible to do it all, especially if they work. We're finding that so many are then having to leave their job, which means losing a source of income, not to mention the emotional stress. And so what I am proposing is that basically what we will do is allow Medicare to cover in-home healthcare."
Medicare currently only covers in-home healthcare for short periods of time, such as in cases of a patient recovering from surgery. But the number of aging Americans who need need prolonged healthcare at home is expected to explode in the coming years as members of the baby boomer generation reach their 80s.
Medicaid covers home care for low-income people who are elderly or have disabilities, but waiting lists are long and beneficiaries are required to max out their savings before qualifying.
Covering at-home healthcare for Medicare's 67 million beneficiaries would "provide much-needed relief and financial support" to about 37 million people who currently provide unpaid eldercare to their family members, said former Labor Secretary Robert Reich.
Lisa Gilbert, co-president of consumer advocacy watchdog Public Citizen, said that "home health expansion through Medicare is a smart and desperately needed place to start" on the road to expanding and improving Medicare.
"This important expansion would finally allow Medicare to cover crucial services where many beneficiaries would prefer to receive them—in the safety and comfort of their homes," said Gilbert. "Such an expansion would lay the groundwork for even further improvements and expansions to Medicare including hearing, dental, and vision services. A low out-of-pocket cap on medical expenses would ensure seniors can afford to get the care they need, and by reining in Medicare Advantage overpayments, we could fund many of these priorities."
Service Employees International Union (SEIU) president April Verrett said the plan offers the latest contrast between Harris and Republican presidential nominee Donald Trump, who aims to repeal the Affordable Care Act and has said he has "concepts of a plan" to replace the law.
"Along with her proposals to invest in childcare, in paid leave, and to make Medicaid investments in home care, as well as lower costs for working families and raising wages for care workers, Kamala Harris is showing that she's been listening to working families," said Verrett. "In this presidential election, we have the choice between a candidate who has a plan for working families and one who has only offered 'concepts of a plan,' including gutting the Affordable Care Act and the nonsensical idea of paying for childcare through tariffs, which would actually raise prices."
"Care workers rallied to elect President [Joe] Biden and Vice President Harris, and this administration has demonstrated again and again that they stand with us," added Verrett. "Now we need to finish the job with Kamala Harris as president, making home care accessible to all and delivering the historic investment in care that our nation desperately needs."
The vice president said Medicare negotiations over drug prices, which were begun under the Biden administration over the objections of Republicans and which she supports expanding, would pay for the new Medicare benefit.
"Part of what I also intend to do is allow Medicare to continue to negotiate drug prices against these big pharmaceutical companies, which means we are going to save Medicare the money, because we're not going to be paying these high prices, and that those resources are best then put in a way that helps a family," said Harris.
Gilbert expressed hope that the new benefit, which would need to be approved by Congress, would be just one step toward expanding Medicare coverage to all Americans.
"We must continue to expand the availability of Medicare by lowering the qualifying age," she said, "so we can finally build a healthcare system that ensures that every American can get the care they need when they need it without going bankrupt."
