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Today, the Progressive Change Campaign Committee is partnering with Senate Democrats to introduce and rally around a Senate resolution calling for every American to have the choice of a public health insurance option. A broad progressive coalition will engage millions of Americans this week in support.
This Merkley-Schumer-Murray-Durbin-Sanders resolution is led in the Senate by Jeff Merkley (D-OR), Chuck Schumer (D-NY), Patty Murray (D-WA), Dick Durbin (D-IL), and Bernie Sanders (I-VT), and 22 other original co-sponsors (full list below).
A grassroots coalition led by the PCCC includes Presente.org, UltraViolet, Working Families Party, MoveOn.org, Democracy for America, Daily Kos, and the AFL-CIO. Groups will engage their 14 million plus members nationwide on a petition in support of the resolution at WeWantAPublicOption.com and put in phone calls to Senate offices in support. The PCCC worked behind the scenes with senators and organizations on this strategy to elevate the public option in 2016 and put Democrats on offense when talking about health care.
"We see this as the most significant health care push by Democrats since the passage of Obamacare. This resolution supporting a public option for every American represents a Democratic Party increasingly unified behind a strategy of playing offense on big progressive ideas," said Stephanie Taylor, Progressive Change Campaign Committee co-founder. "Aetna's failed extortion attempt and decision to pull out of 11 states has created new urgency in this moment for making a public option available to every American. With Hillary Clinton actively campaigning on big ideas like a public option, debt-free college, and expanding Social Security benefits, Democrats will earn a mandate in 2016 to govern boldly and progressively in 2017. Bernie Sanders' partnership with Senate leaders and grassroots groups on this push shows increasing Democratic unity around big progressive ideas."
Hillary Clinton called for a public option onMay 9 and reaffirmed this support in a big economic speech onAugust 11. This was echoed by President Obama on July 11, an important signal that Democrats were ready to write the next chapter of health care reform after the Affordable Care Act.
Senator Jeff Merkley (D-OR), who filed the resolution, said: "The Affordable Care Act has already expanded health coverage to millions who were previously uninsured and given countless Americans greater peace of mind. We should build on this success by driving competition and holding insurance companies accountable with a public, Medicare-like option available to every American."
Senator Chuck Schumer (D-NY), a member of Democratic leadership, added: "Rather than refighting old political battles and trying to put insurance companies back in charge, Republicans should join Democrats in expanding choice for consumers by supporting a public health insurance option. We need more competition in the insurance markets, not less, and a public option would help reduce costs and provide consumers with more affordable options when it comes to their health insurance."
After laying out the case for the public option, the new Senate resolution states: "Resolved, that the Senate supports efforts to build on the Affordable Care Act by ensuring that, in addition to the coverage options provided by private insurers, every American has access to a public health insurance option which, when established, will strengthen competition, improve affordability for families by reducing premiums and increasing choices, and save American taxpayers billions of dollars."
The PCCC will hold a media call with Sen. Jeff Merkley, Prof. Jacob Hacker (creator of the public option), and others Thursday, 9/15, at 11am ET. To RSVP, email press@boldprogressives.org.
A GBA Strategies poll commissioned by the Progressive Change Institute in January 2015 shows a majority of likely 2016 voters support a public option, 71%-13%, including a majority of Republicans, 62%-22%. Among Hispanic voters, it is popular 64%-23%. Among African American voters, it is popular 86%-6%. Among women voters, it is popular 72%-13%. Among young voters, it is popular 81%-9%.
See statements from progressive grassroots coalition members and more senators below. Also see key Aetna/Clinton/Obama facts below.
Nita Chaudhary, Co-Executive Director, UltraViolet: "Since the implementation of the Affordable Care Act, health insurance companies have prioritized profits and mergers ahead of patients. When it comes to basic women's health care like birth control, insurers have attempted to force women to pay co-pays or denied their claims altogether. This is unacceptable and would not happen if we had a public option that provides a Medicare-like choice to keep health insurance companies honest."
Charles Chamberlain, Executive Director, Democracy For America: "If our leaders are serious about ensuring real competition in the health insurance market and driving down our out-of-control healthcare costs, giving every American the option to buy into a public, Medicare-like health insurance program is a no brainer that every single Democrat should support."
Joan McCarter, Senior Political Writer, Daily Kos: "The public option was a good idea in 2009, and it's a great idea today. It's time to expand the access to health insurance promised in the Affordable Care Act and make that 'affordable' part a reality, giving everyone an alternative to high-deductible, high-cost plans."
Matt Nelson, Executive Director, Presente.org: "While Obamacare has helped millions of Americans gain access to healthcare, nearly 10 million Latinx people remain uninsured. Now, Aetna and other corporate insurers are pulling out of states with high Latinx populations -- putting many in our communities at risk of losing the care they need and deserve. We need a public option that guarantees every American an affordable health care choice -- and to truly increase access such a public option should have a Spanish-language website and adequate services. Healthcare is a public good and should never have been entrusted to corporate insurers alone. A public option could save the lives of Latinxs who are still uninsured, and it would help hold corporate insurers responsible for their actions. We applaud senators for proposing this bold resolution and working with grassroots organizations to put the public option back in the national conversation."
Dan Cantor, National Director, Working Families Party: "Congressional Republicans spent six years trying to destroy Obamacare. They failed, and thanks to Obamacare, fewer people than ever are uninsured. But our health insurance industry still needs reform, especially as corporations like Aetna put profit ahead of all else and pull out of the exchanges. It's time to revive a good idea and pass a public option for every American. All Americans need a quality, affordable health plan, whether big insurers want to play ball or not. Senators Sanders, Merkley, Schumer, Durbin and Murray are right to put it back on the table."
William Samuel, Government Affairs Director, AFL-CIO: "We strongly support this resolution calling for a public health insurance option that will be available to all Americans. A public plan will change the rules of our healthcare system, lowering costs for working people, employers and government, injecting competition into the health insurance market, and helping keep private insurers honest."
The petition by the coalition of groups at WeWantAPublicOption.com states: "We want a public option! All Americans should have the option of health insurance like Medicare that competes with private for-profit insurers. Members of Congress and candidates should embrace it in 2016 so we have momentum and can pass it under the next president."
Senator Bernie Sanders (I-VT): "The Affordable Care Act has made great progress in helping millions of people get access to health insurance. But at a time when 29 million people are still uninsured, and 31 million are underinsured, we must continue to make needed health care reforms so that the American people can have health care as a right, not a privilege. Insurance companies have shown they are more concerned with serving their shareholders than their customers. Every American deserves the choice of a public option in health insurance."
Senator Patty Murray (D-WA): "The passage of the Affordable Care Act was an important step toward making healthcare more affordable and accessible, but it shouldn't be the last step we take. "I believe that there should be a public option in our insurance marketplaces to help reduce premiums, compete with the insurance companies so that consumers are put first, and give working families across the country more affordable choices."
Senator Dick Durbin (D-IL): "Ensuring that everybody in America has access to quality affordable healthcare is something that generations of leaders have worked toward. The Affordable Care Act was a massive step toward that goal, but it's critical that we continue to push until we achieve it. A public option would get us there by increasing competition and accountability in the health insurance market and saving taxpayers billions of dollars."
Senator Al Franken (D-MN): "Thanks to the Affordable Care Act, we've cut the rate of uninsured Minnesotans in half, people no longer have to worry about being denied coverage because of a pre-existing condition, and people no longer have to worry about being dropped from their coverage when they get sick. We need to protect these and other important gains we've made, but we must do more to help those who are still struggling to afford coverage. I pushed for a public option during ACA negotiations because I strongly believed then -- as I do now -- that a robust public option is one of the best ways to bring down costs, hold insurance companies accountable, and protect health coverage for Minnesotans. As a member of the Senate Health Committee, I'm going to fight to move the public option forward, and I'll keep working ensure that the Affordable Care Act serves the best interests of Minnesota."
On July 5, Aetna CEO Mark Bertolini threatened to "leave the public exchange business entirely" if the DOJ opposed Aetna's merger with Humana. Two weeks later, the DOJ rejected this mega-merger as bad for competition.
Then, on August 15, Aetna announced it would pull out of 11 state exchanges: Arizona, Florida, Georgia, Illinois, Kentucky, Missouri, North Carolina, Ohio, Pennsylvania, South Carolina, and Texas. Next year, one-third of ACA healthcare exchanges will be served by a single health insurer and more than half -- 55 percent -- may end up having two or fewer to choose from. Seven entire states are projected to have just one carrier in 2017: Alaska, Alabama, Kansas, North Carolina, Oklahoma, South Carolina, and Wyoming.
Hillary Clinton called for a public option onMay 9 and reaffirmed this support in a big economic speech onAugust 11. This was echoed by President Obama on July 11.
The Congressional Budget Office has found that a public health insurance option would save taxpayers $158 billion over 10 years and extend coverage to the nearly 29 million Americans who remain uninsured. Nearly 4 million adults, disproportionately people of color, lack coverage as a result of the decision in 19 states not to expand Medicaid.
In 2010, the PCCC and grassroots allies partnered with Sen. Michael Bennet and others on "The Bennet Letter" calling for passage of the public option through reconciliation -- a process that only requires 51 votes. The letter gained great momentum, and the PCCC aired TV ads showing 51 senators supported the public option.
A GBA Strategies poll commissioned by the Progressive Change Institute in January 2015 shows a majority of likely 2016 voters support a public option, 71%-13%, including a majority of Republicans, 62%-22%. Among Hispanic voters, it is popular 64%-23%. Among African American voters, it is popular 86%-6%. Among women voters, it is popular 72%-13%. Among young voters, it is popular 81%-9%.
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S. Res.
Supporting efforts to increase competition and accountability in the health insurance marketplace, and extend accessible, quality, affordable health care coverage to every American through the choice of a public insurance plan.
In the Senate of the United States, Mr. MERKLEY (for himself, Mr. SCHUMER, Mrs. MURRAY, Mr. DURBIN, Mr. SANDERS, Mrs. STABENOW, Mrs. BOXER, Mrs. FEINSTEIN, Mr. FRANKEN, Mr. WHITEHOUSE, Mr. UDALL, Mr. WYDEN, Mr. BROWN, Mrs. GILLIBRAND, Mr. MURPHY, Mr. MENENDEZ, Mr. REED, Mr. CARDIN, Mr. BLUMENTHAL, Mr. CASEY, Mr. MARKEY, Mrs. SHAHEEN, Mr. BENNET, Mrs. BALDWIN, Mrs. WARREN, Mr. PETERS and Mr. SCHATZ) submitted the following resolution, which was referred to the Committee on Health, Education, Labor, and Pensions.
RESOLUTION
Purpose: Supporting efforts to increase competition and accountability in the health insurance marketplace, and advance the goal of accessible, quality, affordable health care for everyone in America as a basic human right by offering the choice of a public insurance plan.
Whereas under the Affordable Care Act, 20 million Americans have gained health insurance coverage, including 11 million individuals that have coverage on the public exchanges created by the law;
Whereas the uninsured rate is at its lowest point in history; however, there is still more work to be done to provide access to coverage for Americans that remain uninsured and reduce deductibles and out of pocket costs for the 31 million Americans currently underinsured;
Whereas before the Affordable Care Act millions of individuals with pre-existing conditions were denied health coverage by insurance companies that controlled who received care in the United States;
Whereas profound disparities persist in health outcomes based on race, ethnicity, and geography, and nearly four million adults, disproportionately people of color, lack coverage as a result of the failure of 19 states to expand Medicaid under the Affordable Care Act;
Whereas public insurance options for workers' compensation insurance have resulted in lower rates for small businesses and more competition in several states;
Whereas giving all Americans the choice of a public, nonprofit health insurance option would lead to increased competition, reduced premiums, cut wasteful spending on administration, marketing, and executive pay, and ensure consumers have the affordable choices they deserve;
Whereas establishing a state-based public health insurance plan is possible today through the use of State Innovation Waivers as created by the Affordable Care Act which allow states to promote unique, creative and innovative approaches to implementing meaningful health care reform including a public option;
Whereas public programs like Medicare often deliver care more cost-effectively by limiting administrative overhead and securing better prices from providers;
Whereas the Congressional Budget Office has found that a public health insurance option would save taxpayers billions of dollars;
Resolved, that the Senate supports efforts--
to build on the Affordable Care Act by ensuring that, in addition to the coverage options provided by private insurers, every American has access to a public health insurance option which, when established, will strengthen competition, improve affordability for families by reducing premiums and increasing choices, and save American taxpayers billions of dollars.
The Progressive Change Campaign Committee (BoldProgressives.org) is a million-member grassroots organization building power at the local, state and federal levels. It engages in electoral work and issue advocacy work -- fighting on democracy issues and for economic populist priorities like expanding Social Security, Medicare For All, a Green New Deal, student debt cancellation, and Wall Street reform. PCCC has been a proud supporter of Elizabeth Warren since her first run for Senate and was the first national political organization to endorse her for president in the 2020 election.
"Today's ruling is a setback in the fight for dignity and fairness for public servants. But it's not the end of that fight," said one union leader.
After temporarily blocking a deadline for U.S. President Donald Trump's deferred resignation program to purge the federal workforce, a judge on Wednesday allowed the initiative to move forward, ruling that the labor unions challenging it lacked the standing to do so and the court didn't have jurisdiction over their claims.
District Judge George O'Toole Jr. initially halted the program's progress last Thursday, just hours before a deadline for federal workers to decide whether to take the "Fork in the Road" offer seemingly inspired by Elon Musk's Twitter takeover. The billionaire is now chairing Trump's Department of Government Efficiency (DOGE), which the president further empowered last Tuesday.
After a Monday hearing, O'Toole, a Boston-based appointee of former President Bill Clinton, issued Wednesday's five-page order declining to grant the unions' request for a temporary restraining order or a preliminary injunction against the program—under which workers who resign supposedly could be put on leave and continue receiving pay through the end of September.
The case was filed by Democracy Forward on behalf of the American Federation of Government Employees, AFGE Local 3707, the National Association of Government Employees, and the American Federation of State, County, and Municipal Employees (AFSCME).
"Importantly, this decision did not address the underlying lawfulness of the program."
"Today's ruling is a setback in the fight for dignity and fairness for public servants. But it's not the end of that fight," AFGE national president Everett Kelley said in a Wednesday statement. "AFGE's lawyers are evaluating the decision and assessing next steps."
"Importantly, this decision did not address the underlying lawfulness of the program," Kelley stressed. "We continue to maintain it is illegal to force American citizens who have dedicated their careers to public service to make a decision, in a few short days, without adequate information, about whether to uproot their families and leave their careers for what amounts to an unfunded IOU from Elon Musk."
AFSCME president Lee Saunders similarly said that his organization "and our partners remain committed to stopping this illegal attack on the freedoms of public service workers. It is critical that we act swiftly to protect working people against the billionaires who want to take our power and block us from serving our communities. Today may be a step back, but we won't back down."
Government Executivereported Wednesday that the Trump administration "said Monday that 65,000 employees had accepted the deferred resignation offer thus far" and the Office of Personnel Management, the federal human resources agency, "did not immediately respond to a request for comment regarding what the new deadline would be."
The outlet also noted that "around the same time that O'Toole issued his decision, a new lawsuit brought in Washington, D.C., by a union for Treasury Department employees asked a judge to declare the deferred resignation program illegal."
Trump and Musk's sweeping attacks on the government since the Republican returned to the White House last month have been partly thwarted by the federal judiciary—leading to concerns that the administration will simply defy court orders.
Even before Wednesday's rare court victory in the "fork" fight, Trump on Tuesday continued his push to overhaul the federal workforce with an executive order directing leaders of nonmilitary federal agencies to develop hiring plans with DOGE.
The unions behind the case before O'Toole also criticized that order. Kelley said that "firing huge numbers of federal employees won't decrease the need for government services... It will just make those services harder or impossible to access for everyday Americans, veterans, and seniors who depend on them."
"Americans just want government to work when they need it," the AFGE leader stressed. "These reckless, unjustified cuts will accomplish only two things: huge tax cuts for Musk and Trump's billionaire buddies and a broken government for the rest of us."
AFSCME's Saunders said: "It is unsurprising that an administration run by billionaires is eliminating oversight and firing dedicated federal workers. They know federal workers protect the public against corporate abuse and won't allow them to use taxpayer dollars as their own personal slush fund."
"So, instead of trying to improve the lives of working people, they are creating a staffing crisis in the public service that hurts children, seniors, people with disabilities, working people, and those most vulnerable," Saunders added. "We won't stand for it, and we will keep fighting back."
This article has been updated with additional comment from AFSCME.
"We strongly oppose any efforts by Musk—or anyone else in your administration—cutting or damaging these vital programs," the lawmakers wrote.
Amid mounting concerns over Elon Musk and his Department of Government Efficiency's unprecedented access to payment and contracting systems at the Centers for Medicare & Medicaid Services—and wider fears that the Trump administration and congressional Republicans will slash spending on crucial public programs—Democratic U.S. senators on Wednesday wrote to President Donald Trump, urging him not to cut more holes in the nation's social safety net.
"We write to say no to Elon Musk and DOGE, and demand hands off Medicare or Medicaid. We strongly oppose any efforts by Musk—or anyone else in your administration—cutting or damaging these vital programs," Sens. Ed Markey (D-Mass.), Elizabeth Warren (D-Mass.), and Chuck Schumer (D-N.Y.), the minority leader, wrote in a letter to Trump signed by two dozen other Democratic senators and Sen. Bernie Sanders (I-Vt.).
"Medicare and Medicaid must not be raided to pay for tax cuts for billionaires."
"Medicare and Medicaid must not be raided to pay for tax cuts for billionaires. Every cut risks Americans paying more, waiting longer, and wading through more insurance red tape for care," the senators added. "Every cut risks hospitals and community health centers struggling harder to keep their doors open and forcing health providers and workers out of their jobs."
"It is dangerously unacceptable that an unelected Musk and his unqualified acolytes have access to sensitive CMS systems and are ready to bypass Congress to make life-and-death decisions affecting millions of Americans," they argued. "No one asked for this lawless approach to our critical government healthcare systems. We urge you to stop this threat to Americans' healthcare, now."
The letter states:
We continue to fight for a healthcare system that works better for all Americans, so they experience lower costs, shorter wait times, and receive better care. But your administration, Elon Musk, and DOGE have already made that harder. Your administration is already responsible for the shutdown of Medicaid portals across all 50 states, disruptions to vital healthcare communication, closures of community health centers, and significant delays in funding for lifesaving health research. Cuts to Medicare and Medicaid will only serve to deepen the harm.
The lawmakers' letter came on the same day that House Republicans introduced a draft budget resolution that recommends $4.5 trillion in tax breaks that would disproportionately benefit the ultrarich, while slashing $2 trillion to Medicaid, federal nutrition assistance, and other programs.
"Republicans are pulling a fast one on working people by reaching into their pockets to pay for billionaire handouts," Warren said in response to the Republican proposal. "Make no mistake: This GOP plan will raise the cost that American families pay for groceries, healthcare, and getting an education—all to fund tax cuts for the ultrarich."
A survey published Tuesday by Data For Progress, Student Borrower Protection Center, and Groundwork Collaborative reaffirmed the deep unpopularity of slashing spending on social services.
NEW with @groundwork.bsky.social work and @thesbpc.bsky.social: Rather than give tax breaks to corporations and wealthy households, voters want programs like Social Security, Medicare, Medicaid, and SNAP to be protected or expanded. www.dataforprogress.org/blog/2025/2/...
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— Data for Progress (@dataforprogress.org) February 11, 2025 at 1:10 PM
"The poll shows that many government programs are very popular with likely voters: Medicare, Medicaid, Social Security, and [Supplemental Nutrition Assistance Program] each have support from more than 3 in 4 respondents," Data for Progress said.
"Voters support increasing funding for Social Security and Medicare, and few want to see cuts to other popular government programs, the pollster added. "Over 80% of voters want to increase funding or keep funding the same for Social Security, Medicare, Medicaid, and SNAP."
Earlier this week, lawmakers, advocates, and beneficiaries of safety net programs gathered outside the Social Security Administration headquarters in Maryland to tell Musk "hands off" Social Security, Medicare, and Medicaid. Speakers included the state's two Democratic senators, Angela Alsobrooks and Chris Van Hollen, who both also signed the Wednesday letter to Trump.
"The nation and the world need to know that U.S. nuclear secrets are robustly safeguarded," argue Sen. Ed Markey and Rep. Don Beyer.
A pair of Democratic U.S. lawmakers on Wednesday asked the Trump administration to clarify whether any members of Elon Musk's Department of Government Efficiency have access to classified information about the nation's nuclear arsenal.
Responding to U.S. Energy Secretary Chris Wright's admission that he granted DOGE associates access to the Department of Energy, and to reporting that a 23-year-old former intern at Musk's SpaceX was allowed into DOE's IT systems without the requisite security clearances, Sen. Ed Markey (D-Mass.) and Rep. Don Beyer (D-Va.)—both members of the congressional Nuclear Weapons and Arms Control Working Group—wrote to Wright to voice their concerns.
"The National Nuclear Security Administration (NNSA), an integral part of the Department of Energy, is entrusted with protecting the nation's most sensitive nuclear weapons secrets. The nation and the world need to know that U.S. nuclear secrets are robustly safeguarded," the lawmakers wrote.
"It is, therefore, dangerously unacceptable that Elon Musk's Department of Government Efficiency—including individuals lacking adequate security clearances—has been granted access to DOE's information technology (IT) system despite legitimate security concerns inside the agency," they added.
Elon Musk and DOGE are getting access to the department that controls nuclear material for bombs. If we were alarmed at his access to systems for Medicare payments, we should be horrified by their access to nuclear payloads. I will be demanding answers. www.reuters.com/world/us/thr...
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— Senator Ed Markey (@markey.senate.gov) February 9, 2025 at 2:17 PM
"There is no justification for relaxing basic security procedures when it comes to our nuclear stockpile, but recent actions reflect a brazen disregard for DOE security policies," Markey and Beyer argued. "DOE must ensure that all personnel with access to classified information and systems surrounding our nation's nuclear arsenal follow the highest security standards."
The letter continues:
Recently, you were quoted as saying that three individuals involved with DOGE are at DOE and "have access to look around, talk to people, and give us some good feedback on how things are going." And, according to media reports, a 23-year-old former SpaceX intern, who does not have the appropriate security clearances needed to access DOE's IT system, received access over the objections of members of its general counsel and chief information offices. This incursion into some of the nation's most sensitive files is the latest in a series of Trump administration moves to plant unqualified Musk and DOGE staffers throughout the federal government, some of whom have records of leaking sensitive information and potentially wreaking havoc with vital information systems.
"As members of the congressional Nuclear Weapons and Arms Control Working Group, we are deeply concerned by this disregard of DOE security protocols and the potential impacts on our nuclear security," Markey and Beyer wrote.
The lawmakers asked Wright to answer the following questions by Friday:
Appearing on
CNBC Friday, Wright dismissed "rumors" that DOGE members are "seeing our nuclear secrets."