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Adam Gaffney, President of Physicians for a National Health Program, awg174@mail.harvard.edu
Clare Fauke, Physicians for a National Health Program, clare@pnhp.org
WASHINGTON - The COVID-19 pandemic and the deteriorating economy pose a grave risk to the health of the nation. The Medicare Crisis Program Act, introduced in Congress today by Representatives Pramila Jayapal (D-Wash.), and Joseph Kennedy (D-Mass.), would expand coverage to many of the uninsured, while requiring coverage of copays and deductibles for COVID-19-related care for the insured. Physicians for a National Health Program (PNHP), a non-profit education and advocacy organization of over 23,000 physicians, welcomes this proposal, along with the Health Care Emergency Guarantee Act, which was recently announced by Rep. Jayapal and Sen. Bernie Sanders (I-Vt.), as emergency measures to provide coverage during the pandemic. The physicians' group also emphasizes that full health protection for Americans will only be realized through a fully public, Medicare for All system.
As unemployment soars, so has uninsurance: Some 7.3 million of the 47 million Americans likely to lose their jobs by June 30 will join the ranks of the uninsured, as will about 6 million of their dependents, raising the total number of uninsured Americans to about 43.5 million. For many more, income losses will make copays and deductibles all the more unaffordable, further straining household finances and forcing them to avoid needed medical care.
"To forestall medical and economic catastrophe, emergency action to cover the uninsured and underinsured through the federal Medicare program is needed now," said PNHP President Dr. Adam Gaffney, who is also a pulmonary and critical care physician at the Cambridge Health Alliance, a Massachusetts safety-net hospital system which has the highest share of beds devoted to the care of COVID-19 patients of any hospital in that state. "Yet only single-payer reform will secure health care for all Americans in the years ahead," he added.
Earlier this month, Rep. Jayapal and Sen. Sanders announced the Health Care Emergency Guarantee Act, a more comprehensive bill which would have both provided emergency Medicare for the uninsured for the duration of the crisis, and provide wrap-around coverage to the insured for all copays and deductibles, not just those for COVID-19-related care.
Today's bill (the Medicare Crisis Program), would create an insurance program open to individuals who become uninsured and who qualify for unemployment benefits; would provide additional funds to expand state-based Medicaid programs; and require coverage of COVID-19-related medical costs for both the uninsured and underinsured. It would also create a "National Clearinghouse" for the purchase and distribution to hospitals of needed medical equipment.
PNHP welcomes these proposals as immediate health protections during the crisis. However, the physicians' group stresses that copays and deductibles should be eliminated for all medical conditions, not only for COVID-19, because American households urgently need relief from medical bills. The group also warned that in contrast to emergency Medicare expansion, proposals to subsidize private health insurance premiums through the COBRA program would leave far more Americans uninsured or burdened with unaffordable deductibles, while imposing higher costs for society. A detailed comparison of the three emergency coverage bills can be found HERE.
Ensuring full health protection for every American requires universal, comprehensive reform, PNHP emphasized, which would be achieved by Medicare-for-All bills previously introduced by Rep. Jayapal (H.R. 1384) and Sen. Sanders (S. 1129). During the pandemic, additional steps are required to protect vulnerable groups and minimize loss of life, as the physicians' group outlined in its recently released "Eight Needed Steps in the Fight Against COVID-19."
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
"What AOC is doing is leadership—and people see that," said one observer.
A poll released Friday from the progressive think tank Data for Progress has Democratic Rep. Alexandria Ocasio-Cortez besting Senate Minority Leader Chuck Schumer, also a Democrat, by 19 points in a hypothetical matchup in the 2028 New York primary for a U.S. Senate seat.
According to the poll, which was was first shared exclusively with Politico, 55% of voters said they would cast a ballot for Ocasio-Cortez or leaned toward supporting her, and 36% said they would support Schumer or leaned toward supporting him, with 9% undecided.
The only subgroup that supported Schumer over Ocasio-Cortez were moderates, who favored Schumer 50%-35%, with 15% undecided. Ocasio-Cortez carried all other subgroups with an outright majority, except for voters over the age of 45, 49% of whom said they would support her or leaned toward supporting her.
The poll—while several years out from the actual race—comes in the wake of Schumer's decision to throw his support behind a Republican-backed spending bill in early March, a move that roiled his own party and prompted calls for him to step aside from his leadership position in the Senate.
The episode also sparked murmurs among some Democrats that Ocasio-Cortez should consider a primary bid against Schumer in 2028.
The poll was conducted March 26-31 and surveyed 767 likely Democratic primary voters in New York state. According to Data for Progress, the polling indicated that the hypothetical matchup between Ocasio-Cortez and Schumer is "relatively static" and does not shift when voters are offered more information about the respective candidates.
Ocasio-Cortez recently declined to speak about a potential run for Senate in 2028, according to Politico.
"Replacing Chuck Schumer with AOC would be an incredible upgrade. I guess we'll have to wait four more years…," wrote Bhaskar Sunkara, president of The Nation.
Zephyr Teachout, a professor at the Fordham University School of Law, shared Politico's reporting on the poll and wrote: "Good morning to leadership and fighting oligarchy!"
"What I mean is that what AOC is doing is leadership—and people see that," added Teachout, who also highlighted that the poll found that an overwhelming majority of respondents, 84%, want their leaders to do more to resist the actions of U.S. President Donald Trump.
Another observer, market researcher Adam Carlson, highlighted that despite Schumer's loss in the hypothetical race, most respondent subgroups still view him favorably, according to the poll. Besides "very liberal" voters and those between ages 18-44, Schumer stands at over 50% "favorable" among all other subgroups surveyed.
"People just want a changing of the guard," said Carlson.
"Trade and tariff wars have no winners," said China's foreign ministry. "We urge the U.S. to stop doing the wrong thing."
The Chinese government on Friday responded to U.S. President Donald Trump's sweeping new tariffs with 34% import duties on all American goods beginning next week, intensifying global blowback against the White House and accelerating a worldwide financial market tailspin.
China's tariffs on U.S. imports, which match the tariffs the Trump administration moved this week to impose on Chinese goods, are set to take effect on April 10. Trump's 34% tariffs on Chinese imports come on top of the 20% tariffs the U.S. president imposed earlier this year.
"The U.S. approach does not conform to international trade rules, seriously damages China's legitimate rights and interests, and is a typical unilateral bullying practice," China's Ministry of Finance said in a Friday statement.
Additionally, China's Commerce Ministry announced immediate export restrictions on rare earth materials and "added 16 entities from the U.S., including High Point Aerotechnologies and Universal Logistics Holdings Inc., to its export control list," according to the state-run China Daily.
"Under the new rule," the outlet reported, "Chinese companies are prohibited from exporting dual-use items to these 16 U.S. entities. Any ongoing related export activities should be immediately halted, said the Ministry of Commerce."
Retaliatory tariffs from the world's second-largest economy mark the latest step in a global trade war launched by the Trump White House, which—despite warnings of disastrous impacts for working-class U.S. households and the broader economy—plowed ahead this week with a 10% universal tariff on imports and larger tariffs on a number of trading partners, including China.
Following Trump's official tariff announcement, Beijing condemned the duties as "unacceptable" and vowed to "take measures as necessary to firmly defend [China's] legitimate interests."
"Trade and tariff wars have no winners. Protectionism leads nowhere," said the spokesperson for China's foreign ministry on Thursday. "We urge the U.S. to stop doing the wrong thing, and resolve trade differences with China and other countries through consultation with equality, respect, and mutual benefit."
Other nations hit by Trump's tariffs are expected to respond in the coming days.
European Commission President Ursula von der Leyen told reporters Thursday that the E.U. was "already finalizing the first package of countermeasures in response to tariffs on steel, and we are now preparing for further countermeasures to protect our interests and our businesses if negotiations fail."
Canadian Prime Minister Mark Carney vowed that "we are going to fight these tariffs with countermeasures."
"In a crisis, it's important to come together and it's essential to act with purpose and with force," Carney added. "And that's what we will do."
"What Republicans are trying to jam through Congress right now is a level of economic recklessness we’ve never seen before," said a group of Democratic lawmakers.
A new analysis indicates Republicans' plan to extend soon-to-expire provisions of their party's 2017 tax law, as well as their push to tack on additional tax breaks largely benefiting the rich and big corporations, would cost $7 trillion over the next decade, a figure that a group of congressional Democrats called "staggering."
The analysis from the nonpartisan Joint Committee on Taxation (JCT), published on Thursday, updates previous estimates that suggested the GOP effort to extend expiring provisions of the 2017 law would cost $4.6 trillion over a 10-year period. The new assessment shows that extending the law's temporary provisions—which disproportionately favored the wealthy—would cost $5.5 trillion over the next decade.
The projected cost of the GOP agenda balloons to $7 trillion after adding Senate Republicans' call for $1.5 trillion in additional tax cuts in the budget resolution they advanced in a party-line vote on Thursday. The GOP has come under fire for using an accounting trick to claim their proposed tax cuts would have no budgetary impact.
"The Republican handouts to billionaires and corporations will come at a staggering cost, and it's unconscionable that their plan to pay for those handouts includes kicking millions of Americans off their health insurance, hiking the cost of living with tariffs, and driving up child hunger," Sen. Ron Wyden (D-Ore.), Sen. Jeff Merkley (D-Ore.), Rep. Richard Neal (D-Mass.), and Rep. Brendan Boyle (D-Pa.) said in a joint statement issued in response to the JCT figures.
"Even after making painful cuts that will inflict hardship on typical American families, Republicans will still risk sending us into a catastrophic debt spiral that does permanent harm to our economy," the Democrats added. "What Republicans are trying to jam through Congress right now is a level of economic recklessness we've never seen before."
The JCT's updated cost analysis came as President Donald Trump plowed ahead with what's been characterized as the biggest tax hike in U.S. history, one that will hit working-class Americans in the form of price increases on household staples and other goods.
Trump administration officials, not known for providing reliable numbers, have claimed the president's sweeping new tariffs could produce roughly $6 trillion in federal revenue over the next decade. The Trump tariffs have sent financial markets into a tailspin, heightened recession fears, and prompted swift retaliation from targeted nations, including China.
In an appearance on MSNBC on Thursday, Boyle—the top Democrat on the House Budget Committee—said Trump's tariffs represent "the single largest tax increase in American history."
"It's a tax that everyone will pay in this country, based on the goods that they buy," said Boyle. "However, it's also a tax that is highly regressive—the poorest amongst us will end up paying a higher percentage of their income."
A previous version of this story incorrectly stated the analysis was conducted by the Congressional Budget Office. It was conducted by the Joint Committee on Taxation.