A brief aside in former President Barack Obama's 35-minute speech at the Democratic National Convention Tuesday night provided a glimmer of hope that a Kamala Harris victory in November could be a catalyst for transformational change to the United States' disastrous for-profit healthcare system.
Obama—who before becoming president described himself as a "proponent of a single-payer universal healthcare program"—told Democratic delegates, leaders, and activists gathered inside the United Center in Chicago that the party should be "proud of the enormous progress that we've made through the Affordable Care Act," the 2010 law commonly known as Obamacare.
"But," the former president added, "Kamala knows we can't stop there, which is why she'll keep working to limit out-of-pocket costs."
Obama's remarks were far from an explicit endorsement of Medicare for All, a longstanding progressive goal that Harris backed as a senator and continued to support—at least in name—as a 2020 presidential candidate.
But longtime single-payer advocate Michael Lighty told Common Dreams on Wednesday that Obama's acknowledgment that the ACA has not been nearly enough to rein in the nation's out-of-control healthcare costs and crack down on the rampant abuses of the for-profit insurance industry "signals a new opening for reform" if Harris defeats Republican nominee Donald Trump.
"I was struck by the juxtaposition of 'access to affordable coverage,' which is the usual centrist frame for healthcare reform, and this reference to going beyond the ACA," Lighty said in response to Obama's comments. "It recognizes that rising costs overall and out-of-pocket costs especially are unsustainable."
"The cost frame is good for Medicare for All advocates," he added, "if we 'prosecute' the argument for the savings generated by Medicare for All."
Research has repeatedly shown that a Medicare for All system of the kind envisioned by Sen. Bernie Sanders (I-Vt.) and Rep. Pramila Jayapal (D-Wash.)—the leading single-payer advocates in Congress—would cost less than the status quo while providing everyone in the U.S. with comprehensive insurance coverage for free at the point of service.
Under the nation's current for-profit system—which leaves tens of millions of Americans uninsured or underinsured and struggling to afford their out-of-pocket costs—annual healthcare spending is projected to rise to $7.7 trillion by 2032, according to federal estimates.
"It is clear that the North Star of a Harris-Walz administration is consistent with what Senator Bernie Sanders said from the DNC stage last night: guaranteeing healthcare to every person in this country."
Despite co-sponsoring Sanders' Medicare for All bill in the Senate in 2017 and campaigning on a proposal that donned the "Medicare for All" label during the 2020 Democratic primary, Harris has not made the popular progressive idea part of her 2024 platform.
A Harris campaign official toldPolitico earlier this week that Medicare for All is "no longer part of" the vice president's healthcare policy agenda, which has thus far focused largely on slashing prescription drug costs and relieving the burden of medical debt.
But Medicare for All advocates, who have seen support for the proposal surge at the state and local levels amid federal inaction, are not disheartened by the vice president's decision to sideline single-payer in her 2024 campaign.
Alex Lawson, executive director of Social Security Works, pointed to the newly unveiled Democratic platform's support for expanding Medicare benefits to include dental, vision, and hearing services as part of a viable "path forward."
"It is clear that the North Star of a Harris-Walz administration is consistent with what Senator Bernie Sanders said from the DNC stage last night: guaranteeing healthcare to every person in this country, so if you get sick you get the care you need," Lawson told Common Dreams. (The Democratic platform states that "healthcare should be a right in America, not a privilege"—a line popularized by Sanders.)
"As president," said Lawson, "it is clear that Kamala Harris would use every tool at her disposal to rein in the corporate greed, delays, and denials of the current system and continue building step by step towards a goal of universal guaranteed healthcare."
Rose Roach, national coordinator of the Labor Campaign for Single Payer, offered a similar assessment, telling Common Dreams in an email on Wednesday that while President Joe Biden "was clear that he did not support Medicare for All," he "supported important improvements to traditional Medicare that begins to build the public infrastructure we'll need for Medicare for All when it does pass"—specifically the drug price negotiation program and new constraints on corporate-run Medicare Advantage plans.
"The Labor Campaign for Single Payer believes VP Harris is equally committed to securing and protecting traditional Medicare and will work with the movement to continue the work of stabilizing our public Medicare program," said Roach. "Improving and expanding traditional Medicare, protecting it from the privatizers who are overbilling Medicare while inflicting obstacles for enrollees to access care via onerous prior authorizations and outright claims denials, is job one."
"Doing so not only offers the infrastructure building we need on the pathway to Medicare for All," Roach added, "but it also makes traditional Medicare affordable for enrollees, unions who negotiate retiree health benefits, and even for employers who offer retiree benefits. It's a win-win."
