Jayapal Introduces Medicare for All Act of 2021 Alongside More Than Half of House Democratic Caucus After Millions Lose Health Care During a Pandemic
Legislation guarantees health care to everyone as a human right by providing comprehensive benefits including primary care, vision, dental, prescription drugs, mental health, long-term services and supports, reproductive health care, and more with no copays, private insurance premiums, deductibles, or other cost-sharing.
Today, U.S. Representatives Pramila Jayapal (WA-07) and Debbie Dingell (MI-12) introduced the Medicare for All Act of 2021, transformative legislation that would guarantee health care to everyone in America as a human right at a moment in which nearly 100 million people are uninsured or underinsured during a pandemic. Endorsed by 300 local, state, and national organizations and co-sponsored by more than half of the House Democratic Caucus including 14 committee chairs and key leadership Members, the landmark bill provides comprehensive benefits to all with no copays, private insurance premiums, deductibles, or other cost-sharing.
The Medicare for All Act of 2021 is being introduced in the House of Representatives one year to the day that the COVID-19 virus was first confirmed in all 50 states and the District of Columbia. This devastating public health crisis, which has taken the lives of more than 540,000 Americans, has only underscored how the country's current health care system leaves millions behind. As unemployment skyrocketed to historic levels during the pandemic, millions of additional families lost their health care and the country experienced the highest increase in the number of uninsured Americans ever recorded.
"While this devastating pandemic is shining a bright light on our broken, for-profit health care system, we were already leaving nearly half of all adults under the age of 65 uninsured or underinsured before COVID-19 hit. And we were cruelly doing so while paying more per capita for health care than any other country in the world," said Congresswoman Jayapal. "There is a solution to this health crisis -- a popular one that guarantees health care to every person as a human right and finally puts people over profits and care over corporations. That solution is Medicare for All -- everyone in, nobody out -- and I am proud to introduce it today alongside a powerful movement across America."
"A system that prioritizes profits over patients and ties coverage to employment was no match for a global pandemic and will never meet the needs of our people," said Congresswoman Dingell. "In the wealthiest nation on earth, patients should not be launching GoFundMe pages to afford lifesaving health care for themselves or their loved ones. Medicare For All will build an inclusive health care system that won't just open the door to care for millions of our neighbors, but do it more efficiently and effectively than the one we have today. Now is not the time to shy away from these generational fights, it is the time for action."
The Medicare for All Act builds upon and expands Medicare to provide comprehensive benefits to every person in the United States. This includes primary care, vision, dental, prescription drugs, mental health, substance abuse, long-term services and supports, reproductive health care, and more. The Medicare for All Act of 2021 also includes universal coverage of long-term care with no cost-sharing for older Americans and individuals with disabilities, and prioritizes home and community-based care over institutional care. Additionally, patients have the freedom to choose the doctors, hospitals, and other providers they wish to see without worrying about whether a provider is in-network. Importantly, the legislation streamlines the health care system to negotiate drug prices and reduce exorbitant administrative waste.
This growing movement for universal, single-payer health care has robust support inside and outside of Congress. The Medicare for All Act of 2021 has several new co-sponsors including the Chair of the House Committee on Energy and Commerce, Representative Frank Pallone, Jr. who just committed to a hearing on Medicare for All. Last Congress, the legislation had four historic hearings--the first-ever on Medicare for All--in the House Committee on Rules, the House Committee on Ways and Means, the House Committee on the Budget, and the House Committee on Energy and Commerce. Medicare for All is supported by 69 percent of registered voters including 87 percent of Democrats, the majority of Independents, and nearly half of Republicans. Additionally, over 50 cities and towns across America have passed resolutions endorsing Medicare for All.
The Medicare for All Act of 2021 is also endorsed by 300 local, state, and national organizations that represent nurses, doctors, business owners, unions, and racial justice organizations. This includes Physicians for a National Health Program, Public Citizen, National Nurses United, Center for Popular Democracy, People's Action, Social Security Works, Labor Campaign for Single Payer, SEIU, and hundreds more.
For a full list of endorsing organizations, click here.
"The pandemic has underscored the cruelty and irrationality of our current health care system--and the urgency of replacing it with Medicare for All. Amid the worst acute public health crisis in generations, millions lost their health insurance and health insurer profits soared," said Robert Weissman, president of Public Citizen. "Medicare for All will ensure everyone has health care coverage, including when they need it most, and will eliminate the waste and profiteering that drives ever-escalating costs. Public Citizen thanks Reps. Pramila Jayapal and Debbie Dingell, as well as the other original co-sponsors of the Medicare for All Act, for their leadership and determination in delivering health justice."
"The pandemic has highlighted in deadly detail what nurses have known for decades: Our current health care system, based on private insurance tied to employment, is a colossal failure and leaves far too many of our patients to suffer and die unnecessarily," said Bonnie Castillo, RN and executive director of National Nurses United. "We thank Rep. Pramila Jayapal and Rep. Debbie Dingell for their leadership in guaranteeing health care is a human right. While we mourn the more than 500,000 lives lost to Covid, we rededicate ourselves to the fight to ensure that everyone is provided with high-quality health care regardless of where they live, how much money they make, or their health, immigration, or employment status. Nurses will never rest until we get this done."
"Physicians have been saying it for years: We cannot give patients the care they need in a fractured and profit-driven system. For too long, doctors have watched helplessly as our patients delayed or skipped needed care--even walking out our hospital doors--because they could not afford to pay. While some are uninsured, many of these are patients enrolled in commercial insurance plans, but can't afford the thousands of dollars they must pay upfront in deductibles and copays," said Dr. Susan Rogers, President of Physicians for a National Health Program. "Medicare for All is the only plan that puts patients first: It guarantees health care for life, with free choice of hospital and provider, and no financial firewalls to stand in the way of care. It's no surprise that a majority of physicians and other health providers now support single-payer Medicare for All."
"More than any other policy, Medicare for All, would help families impacted by COVID to recover and would move to address the extreme racial disparities in health care," said Jennifer Flynn Walker, Senior Director of Advocacy and Mobilization at the Center for Popular Democracy Action. "Imagine going to the doctor without the fear of an enormous bill. Imagine losing your job, but still being able to access health care for your family. Medicare for All is a necessary policy for us to address the new normal. It is not radical. It is compassionate and sensible policy making."
"This pandemic has made it plain that our collective health and our economy depend on all of us staying healthy and safe," said People's Action Deputy Director Bree Carlson. "Our government can make this a reality by passing Medicare for All, ensuring that every one of us has access to free, high quality health care. We can and we must build a health care system strong enough to protect us all from the next health crisis."
"The costs of our current health care system remain unsustainable for too many working families, for seniors, and for employers. IFPTE applauds Rep. Jayapal, Rep. Dingell, and the cosponsors of the Medicare for All Act of 2021 for proposing a solution that will benefit all Americans by ensuring that all Americans are guaranteed high quality comprehensive health care as a right," said Paul Shearon, President of the International Federation of Professional and Technical Engineers (IFPTE). "Medicare for All would end the drag that rising health care costs have on our union members' wages and benefits, while advancing health justice and equity for all workers."
"We need to reform our national health care system now more than ever after everything we've been through this past year in battling a world-wide pandemic," said Eric Dickson, MD, President and CEO of UMass Memorial Health Care. "I believe a Medicare-for-All type of system could greatly improve health care equity in this country while ultimately reducing costs and physician burnout."
The Medicare for All Act of 2021 is co-sponsored by 14 committee chairs and several key leadership Members. Co-sponsors include Alma S. Adams Ph.D., Nanette Diaz Barragan, Karen Bass, Don Beyer, Earl Blumenauer, Suzanne Bonamici, Jamaal Bowman, Brendan F. Boyle, Cori Bush, Salud Carbajal, Tony Cardenas, Andre Carson, Matt Cartwright, Judy Chu, David Cicilline, Katherine Clark, Yvette D. Clarke, Emanuel Cleaver, II, Steve Cohen, Bonnie Watson Coleman, Danny K. Davis, Peter DeFazio, Diana DeGette, Mark DeSaulnier, Lloyd Doggett, Mike Doyle, Ted Deutch, Veronica Escobar, Adriano Espaillat, Teresa Leger Fernandez, Lois Frankel, Ruben Gallego, Jesus G. "Chuy" Garcia, Jimmy Gomez, Al Green, Raul M. Grijalva, Josh Harder, Alcee L. Hastings, Jahana Hayes, Brian Higgins, Jared Huffman, Sara Jacobs, Hakeem Jeffries, Hank Johnson, Mondaire Jones, Kaiali'i Kahele, William R. Keating, Robin L. Kelly, Ro Khanna, Daniel T. Kildee, Ann Kirkpatrick, James R. Langevin, Brenda L. Lawrence, Barbara Lee, Sheila Jackson Lee, Andy Levin, Mike Levin, Ted W. Lieu, Alan Lowenthal, Carolyn B. Maloney, James P. McGovern, Jerry McNerney, Gregory W. Meeks, Grace Meng, Jerrold Nadler, Grace F. Napolitano, Joe Neguse, Marie Newman, Eleanor Holmes Norton, Alexandria Ocasio-Cortez, Ilhan Omar, Frank Pallone Jr., Jimmy Panetta, Ed Perlmutter, Chellie Pingree, Mark Pocan, Katie Porter, Ayanna Pressley, Jamie Raskin, Lucille Roybal-Allard, Bobby L. Rush, Gregorio Kilili Camacho Sablan, Linda Sanchez, John Sarbanes, Jan Schakowsky, Adam Schiff, Robert C. "Bobby" Scott, Brad Sherman, Adam Smith, Jackie Speier, Eric Swalwell, Mark Takano, Bennie G. Thompson, Mike Thompson, Dina Titus, Rashida Tlaib, Paul Tonko, Ritchie Torres, Lori Trahan, Juan Vargas, Marc Veasey, Nydia M. Velazquez, Maxine Waters, Peter Welch, Susan Wild, Nikema Williams, Frederica Wilson, and John Yarmuth.
To view the text of the legislation, click here.
U.S. Representatives Pramila Jayapal (WA-07)
With Attention on Presidential Contest, GOP Goes on Austerity Rampage
One leading Democrat warned Republicans' spending proposals would "demolish public education" and "let corporate price gouging run rampant."
With much of the public's attention on the looming presidential election and high-stakes jockeying over who will take on Donald Trump in November, congressional Republicans in recent weeks have provided a stark look at their plans for federal spending should their party win back control of the presidency and the Senate.
The appropriations process for Fiscal Year 2025, which begins in October, is currently underway, with congressional committees engaging in government funding debates that are likely to continue beyond the November elections.
In keeping with their longstanding support for austerity for ordinary Americans, Republicans in the House and Senate have proposed steep cuts to a wide range of federal programs and agencies dealing with education, environmental protection, Social Security, election administration, national parks, nutrition assistance, antitrust enforcement, global health, and more—all while they pursue additional deficit-exploding tax giveaways for the rich.
"Some of the most concerning policy riders in the House Fiscal Year 2025 budget bills include mandates for new oil and gas leasing, prohibitions on the establishment of important protected areas for wildlife and natural ecosystems, and limitations that hinder federal agency ability to regulate polluters, putting water quality, air quality, and the climate at risk," the Surfrider Foundation noted in a statement earlier this week.
"Two of the key federal agencies that administer these programs are the Environmental Protection Agency (EPA) and National Oceanic and Atmospheric Administration (NOAA), yet the House budget bills call for a 20% funding cut to the EPA, and a 12% funding cut to NOAA," the group added.
Rep. Rosa DeLauro (D-Conn.), the top Democrat on the House Appropriations Committee, has been attempting to sound the alarm over the GOP's proposals, which she has warned would "demolish public education," endanger the health of women and children, gut mental health programs, "let corporate price gouging run rampant," and "expose children to dangerous products."
"I respectfully request that those on the other side of the aisle go back to the drawing board and come back with a new slate of workable subcommittee allocations across all 12 bills so that we can proceed with the important business of our 2025 appropriations work," DeLauro said during a markup hearing last month.
But Republican lawmakers have made clear that they are bent on pursuing steep cuts across the federal government, proposing spending levels well below the caps implemented by the Fiscal Responsibility Act, legislation that suspended the debt limit through January 1, 2025.
"House Republicans now intend to fund 2025 non-defense appropriations bills 6% below the 2024 level rather than provide the 1% increase" negotiated in 2023, noted David Reich, a senior fellow at the Center on Budget and Policy Priorities.
Republicans in the Senate have also pushed for damaging cuts to non-military spending as the upper chamber prepares to hold markup hearings for its appropriations bills next week.
The Food Research & Action Center warned in a recent statement that legislation put forth by the top Republican on the Senate Agriculture Committee would slash Supplemental Nutrition Assistance Program (SNAP) benefits by $30 billion over the next decade, jeopardizing critical food aid for tens of millions of people as hunger rises.
According to a May report by Feeding America, "the extra amount of money that people facing hunger said they need to have enough food" has "reached its highest point in the last 20 years."
Congressional Republicans' spending proposals for next fiscal year are in line with the draconian cuts pushed by Project 2025, a sweeping far-right agenda from which Trump—the presumptive GOP presidential nominee—is attempting to distance himself as horror grows over the initiative's vision for the country.
Project 2025's 922-page policy document calls for more punitive work requirements for SNAP recipients, massive cuts to Medicaid, the abolition of the Department of Education, the elimination of major clean energy programs, and the gutting of key Wall Street regulations.
"Despite Trump's claims to have 'nothing to do with' Project 2025, his administration and campaign personnel contributed to the project," The Intercept's Shawn Musgrave wrote Friday. "Former Trump administration officials wrote and edited massive chunks of the manifesto. One of its two primary editors, Paul Dans, who directs the Heritage Foundation's 2025 Presidential Transition Project, served as the White House liaison for the U.S. Office of Personnel Management during the Trump administration, among other positions."
"Rick Dearborn, who was briefly Trump's deputy chief of staff, wrote the White House chapter," Musgrave added. "Russ Vought, Trump's director of the Office of Management and Budget, wrote the chapter on OMB and similar executive offices."
As New Campaign Implores Him to 'Pass the Torch,' Biden Rejects Calls to Drop Out
"I don't think anybody's more qualified to be president or win this race than me," the incumbent declared in a televised interview.
U.S. President Joe Biden on Friday delivered a defiant response to those within the Democratic Party urging him to drop out of the 2024 race, characterizing his abysmal debate performance against Donald Trump as a "bad episode" rather than validation of longstanding concerns about his age and cognitive health.
At a rally in Wisconsin and in a later sit-down interview with ABC News anchor George Stephanopoulos, Biden acknowledged his poor debate showing but said emphatically that he's staying in the race, a message that came as Democratic activists and organizers launched a campaign imploring the president to step aside in the interest of ensuring Trump's defeat in November.
"I don't think anybody's more qualified to be president or win this race than me," Biden declared Friday, downplaying recent polling data showing him faring worse against Trump than potential Democratic alternatives, including Vice President Kamala Harris.
Asked how he would feel if he stayed in the race and Trump—a would-be authoritarian who's plotting a devastating attack on basic freedoms and the planet—won another four years in the White House, Biden suggested he would be at peace "as long as I gave it my all."
"That's what this is all about," the president said.
Stephanopoulos: If you stay in, and Trump is elected and everything you're warning about comes to pass, how will you feel in January?
Biden: I'll feel, as long as I gave it my all, and I did as good a job as I know I can do, that's what this is about. pic.twitter.com/79HSyGcOI2
— nikki mccann ramírez (@NikkiMcR) July 6, 2024
Hours before the ABC News interview, a network of Democratic organizers, activists, and voters teamed up to launch the "Pass the Torch" campaign in a coordinated attempt to push Biden to "make good" on his 2020 pledge to be a "transition" president.
"President Joe Biden has achieved great things. His administration led us out of the pandemic and has been rebuilding our economy, standing up to corporate greed, taking urgent climate action, and so much more—domestically, he is arguably the most accomplished progressive Democratic president in generations," the campaign's website states.
"All of that—and much, much more—will be lost if Donald Trump takes back the presidency," the website continues. "Democrats need the strongest possible ticket to maximize our chances of winning in November. It has become very clear, based on both long-term polling and the recent debate, that Democrats' current ticket is not the strongest one we can put forward."
The campaign includes a petition urging Democratic members of Congress and delegates to the Democratic National Convention (DNC) to join calls for the president to step aside.
Today Democrats across the country are launching a grassroots campaign to call on Biden to #PassTheTorch, step aside as the nominee and support the candidate best able to beat Trump. Follow the campaign at @PassTheTorch24 and sign our petition at https://t.co/2dftntqMR3
— Aaron Regunberg (@AaronRegunberg) July 5, 2024
Thus far, five sitting Democratic lawmakers—Reps. Lloyd Doggett (D-Texas), Raúl Grijalva (D-Ariz.), Seth Moulton (D-Mass.), Mike Quigley (D-Ill.), and Angie Craig (D-Minn.)—have urged Biden to drop out of the race, but more are expected to do so in the coming days as the party's August convention approaches.
The Washington Postreported Friday that Sen. Mark Warner (D-Va.) is "attempting to assemble a group of Democratic senators to ask President Biden to exit the presidential race." Earlier in the week, Reutersreported that "there are 25 Democratic members of the House of Representatives preparing to call for Biden to step aside if he seems shaky in coming days."
Major Democratic donors, meanwhile, have "undertaken a number of initiatives to pressure" Biden to drop out of the race, according toThe New York Times.
"A group of them is working to raise as much as $100 million for a sort of escrow fund, called the Next Generation PAC, that would be used to support a replacement candidate," the Times reported. "If Mr. Biden does not step aside, the money could be used to help down-ballot candidates, according to people close to the effort."
But Biden still has the support of top congressional Democrats, with both Senate Majority Leader Chuck Schumer (D-N.Y.) and House Minority Leader Hakeem Jeffries (D-N.Y.) backing the president in the wake of the debate.
Sen. Bernie Sanders (I-Vt.), the upper chamber's leading progressive, has also declined to join calls for Biden to end his reelection bid.
"He's not a great debater, he’s not necessarily a great speaker," Sanders toldSemafor. "People are just gonna have to say: Okay, you know what? Yeah, he's old. Yeah, he's not as articulate as he should be. But you're voting for somebody whose policies will impact your life."
"Biden is the candidate," the senator added. "I suspect he will be the candidate. I'll do my best to get him elected."
House progressives, too, have thus far not backed the push for Biden to drop out and pave the way for an alternative candidate.
"There has been not a peep from the Squad or the other members of Congress known for barnstorming progressive activism," Slate's Alexander Sammon noted Saturday. "The reason is that the question of whether Biden should run again is an internecine fight within the centrist wing of the party. Joe Biden has, for his lengthy, decadeslong career, always been the man in the middle, if not slightly to the right, of the Democratic continuum."
"Now many of the same centrists who previously pushed for Biden are freaking out about his ability to win the election," Sammon wrote. "There's no real upside for Squad members to put themselves in the line of fire during an already bitter public deliberation."
The Timesreported late Friday that Biden's interview with Stephanopoulos appears to have done little to change the minds of people on either side of the question.
"A handful of current and former Democratic officials who had called on Mr. Biden to end his reelection campaign said the interview had done little, or even nothing, to address their concerns," the Times observed. "Reliable supporters of the president's reelection campaign similarly fanned out to television networks, declaring once more that they were sticking with Mr. Biden."
"Other Democrats who had raised concerns about the president's performance, but had not gone as far as to call for Mr. Biden to drop out, said the interview did not significantly change their views of his candidacy," the newspaper continued.
Doggett, who was the first congressional Democrat to urge Biden to step aside, toldCNN following Biden's Friday interview that "the need for him to step aside is more urgent tonight than when I first called for it on Tuesday."
The Texas Democrat warned that "every day he delays" dropping out "makes it more difficult for a new person to come on board who can defeat Donald Trump."
Biden, Doggett added, "does not want his legacy to be that he's the one who turned our country over to a tyrant."
This story has been updated to include additional House Democrats who have called on Biden to step aside.
As Other Governors Boost Biden, Maura Healey Says 'Listen to the American People'
"Whatever President Biden decides, I am committed to doing everything in my power to defeat Donald Trump," the Massachusetts Democrat said.
While other Democratic governors across the United States reiterate their support for President Joe Biden amid calls for him to be replaced as the party's nominee for the November election, Massachusetts Gov. Maura Healey on Friday suggested that he should consider some of the criticism.
"President Biden saved our democracy in 2020 and has done an outstanding job over the last four years," Healey said in a statement, recalling his previous win over former President Donald Trump, who is now the presumptive Republican nominee.
"I am deeply grateful for his leadership. And I know he agrees this is the most important election of our lifetimes," Healey continued. "The best way forward right now is a decision for the president to make. Over the coming days, I urge him to listen to the American people and carefully evaluate whether he remains our best hope to defeat Donald Trump. Whatever President Biden decides, I am committed to doing everything in my power to defeat Donald Trump."
Despite mounting calls for Biden to step aside—and "pass the torch" to Vice President Kamala Harris or another top Democrat—since his poor performance in a CNN-hosted debate against Trump last week, the president has remained defiant, declaring at a campaign event in Wisconsin on Friday that "I am running and going to win again."
"I am running and going to win again."
President Joe Biden addressed the pressure to end his campaign during a rally in Wisconsin. pic.twitter.com/N1y6Pidkqp
— MSNBC (@MSNBC) July 5, 2024
After a Wednesday gathering with Democratic governors—including Healey—at the White House, the Biden-Harris reelection campaign sent out an email that said, "Coming out of the meeting, the message was clear: Joe Biden has governors' backs, and they are proud to have his."
The email highlighted recent supportive statements from Govs. John Carney of Delaware, Roy Cooper of North Carolina, Josh Green of Hawaii, Kathy Hochul of New York, Dan McKee of Rhode Island, Wes Moore of Maryland, Phil Murphy of New Jersey, Gavin Newsom of California, Tim Walz of Minnesota, and Gretchen Whitmer of Michigan.
The president told governors at the meeting that "he needs to get more sleep and work fewer hours, including curtailing events after 8:00 pm," The New York Timesreported. "Biden also told the governors that he had been examined by his physician at some point in the days after the debate because of the cold he was suffering from and that he was fine."
On Capitol Hill, U.S. Sen. Mark R. Warner (D-Va.) "is attempting to assemble a group of Democratic senators to ask President Biden to exit the presidential race," The Washington Postreported Friday. The newspaper noted that "Warner spokeswoman Rachel Cohen would neither confirm nor deny that the senator thinks Biden needs to drop out of the race."
U.S. Rep. Lloyd Doggett of Texas became the first Democrat in Congress to call on Biden to withdraw from the race on Tuesday. The following day, Congressman Raúl Grijalva of Arizona became the second.
Biden is also facing pressure to drop out from some major donors. In a lengthy statement to CNBC on Thursday, Abigail Disney said: "I intend to stop any contributions to the party unless and until they replace Biden at the top of the ticket. This is realism, not disrespect. Biden is a good man and has served his country admirably, but the stakes are far too high."
Democrats and other critics urging Biden to reconsider his run have pointed to growing concerns about a second Trump term considering a new U.S. Supreme Court ruling giving the president king-like powers, the Republican's desire to be a dictator on "day one," and fears that Trump will work to impose the far-right's Project 2025 policy agenda.
In an effort to reassure voters, Biden's team has set up a televised interview with ABC News' George Stephanopoulos, which is set to air Friday at 8:00 pm ET. Viewers will also be able to watch the interview on the ABC application for smartphones or tablets, or online at ABC.com.