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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)
A 17-year-old plaintiff commended the federal lawmakers for "using their voices to weigh in on the importance of our rights to access justice and to a livable climate."
Dozens of members of Congress on Monday submitted an amicus brief to the U.S. Supreme Court supporting 21 youth plaintiffs who launched a historic constitutional climate case against the federal government nearly a decade ago.
Since Juliana v. United States was first filed in the District of Oregon in August 2015, the Obama, Trump, and Biden administrations have fought against it. Last May, a panel of three judges appointed to the 9th Circuit Court of Appeals by President-elect Donald Trump granted a request by President Joe Biden's Department of Justice to dismiss the case.
After the U.S. Supreme Court in November denied the youth plaintiffs' initial request for intervention regarding the panel's decision, their attorneys filed a different type of petition last month. As Our Children's Trust, which represents the 21 young people, explains on its website, they argued to the justices that federal courts are empowered by the U.S. Constitution and the Declaratory Judgment Act (DJA) "to resolve active disputes between citizens and their government when citizens are being personally injured by government policies, even if the relief is limited to a declaration of individual rights and government wrongs."
The Monday filing from seven U.S. senators and 36 members of the House of Representatives argues to the nation's top court that "the 9th Circuit's dismissal of the petitioners' constitutional suit for declaratory relief has no basis in law and threatens to undermine the Declaratory Judgment Act, one of the most consequential remedial statutes that Congress has ever enacted."
The Supreme Court "should grant the petition to clarify that declaratory relief under the DJA satisfies the Article III redressability requirement," wrote the federal lawmakers, led by Sen. Jeff Merkley (D-Ore.) and Rep. Jan Schakowsky (D-Ill.). "Doing so is necessary because Congress expressly authorized declaratory relief 'whether or not further relief is or could be sought.'"
"The 9th Circuit's jurisdictional holding, which prevented the district court from even reaching the question whether declaratory relief would be appropriate, conflicts with this court's holding that the DJA is constitutional," the lawmakers continued. "It also conflicts with this court's holding that Article III courts may not limit DJA relief to cases where an injunction would be appropriate."
In a Monday statement, Juliana's youngest plaintiff, 17-year-old Levi D., welcomed the support from the 43 members of Congress—including Sens. Ed Markey (D-Mass.) and Bernie Sanders (I-Vt.) as well as Reps. Pramila Jayapal (D-Wash.), Ro Khanna (D-Calif.), Alexandria Ocasio-Cortez (D-N.Y.), Ilhan Omar (D-Minn.), Jamie Raskin (D-Md.), and Rashida Tlaib (D-Mich.).
"After 10 years of delay, I have spent more than half of my life as a plaintiff fighting for my fundamental rights to a safe climate. Yet, the courthouse doors are still closed to us," said Levi. "Five years ago, members of Congress stood by me and my co-plaintiffs on the steps of the Supreme Court. Today, as the climate crisis worsens and hurricanes ravage my home state of Florida, they are still with us, using their voices to weigh in on the importance of our rights to access justice and to a livable climate."
"The recent win in Held v. State of Montana and historic settlement in Navahine v. Hawaii Department of Transportation showed the world that young people's voices, my voice, and legal action are not just symbolic, but they hold governments accountable to protect our constitutional rights," Levi added. "Now, it's our turn to be heard!"
The lawmakers weren't alone in formally supporting the young climate advocates on Monday. Public Justice and the Montana Trial Lawyers Association filed another brief that takes aim at the government's use of mandamus—a court order directing a lower entity to perform official duties—to deny the Juliana youth a trial.
"The government's sole argument to justify mandamus is the Department of Justice's past and anticipated future litigation expenses associated with going to trial. That argument is firmly foreclosed by precedent," the groups argued. "And even if it wasn't foreclosed by precedent, the argument trivializes the extraordinary nature of mandamus and would improperly circumvent the final judgment rule."
The organizations urged the high court to grant certiorari to uphold the mandamus standard set out in Cheney v. United States District Court for the District of Columbia in 2004. Plaintiff Miko V. said Monday that "I'm incredibly grateful to Public Justice and the Montana Trial Lawyers Association for standing with us in our fight for justice."
"We're not asking for special treatment; we're demanding the right to access justice, as our constitutional democracy guarantees," Miko stressed. "The recent victory in Held v. State of Montana demonstrates the power of youth-led legal action, and the urgent need for courts to recognize that our generation has the right to hold our government accountable. Every day that the government prevents us from presenting our case, we all lose more ground in the fight for a livable future. It's time for the judiciary to open the courthouse doors and allow us a fair trial."
The briefs came just a week before Big Oil-backed Trump's second inauguration and on the same day that the U.S. Supreme Court rejected attempts by fossil fuel giants to quash a Hawaiian municipality's lawsuit that aims to hold the climate polluters accountable, in line with justices' previous decisions. Dozens of U.S. state and local governments have filed similar suits.
"It's outrageous that Trump and House Republicans are threatening to withhold recovery aid if their conditions aren't met," said a leader in the Working Families Party.
The deputy national director of the Working Families Party had sharp words for a group of House Republicans and President-elect Donald Trump, who, according to Politicoreporting published Monday, discussed tying fire relief for California to the politically charged issue of increasing the debt ceiling.
The reporting comes as California continues to battle fires in the Los Angeles area that have consumed tens of thousands of acres and left over 20 people dead. The scale of the destruction could make them, collectively, the costliest wildfire disaster in U.S. history, a climate scientist told the Los Angeles Times last week.
"The Palisades wildfires have destroyed homes, schools, and businesses and left thousands of families without a roof over their heads. It's outrageous that Trump and House Republicans are threatening to withhold recovery aid if their conditions aren't met," said Working Families Party deputy national director Joe Dinkin in a statement Monday.
"Every Republican should be on the record denouncing this abominable plan," he added.
Per Politico, nearly two dozen House Republicans attended a dinner at Trump's Mar-a-Lago Club over the weekend where the option was discussed.
Speaker Mike Johnson (R-Fla.), who was not a part of the conversation but did later confirm the conversation, must deal with the looming debt cliff, which is set to be reached sometime in mid-January, and he faces obstacles within his own party. In December, fractures appeared in the GOP when fiscal hawks refused to back legislation that Trump supported that would have raised the debt limit.
Johnson has also said he would try to lift the debt limit by including it in a reconciliation bill full of President-elect Donald Trump's legislative priorities, though this could run afoul with those same fiscal hawks. Some House Republicans reportedly brought up the pitfalls of this option during discussions at Mar-a-Lago over the weekend.
Of the potential move to link fire relief to the debt ceiling, Politico reported: "The Sunday night discussions prove Republicans are desperately looking for a plan before the nation is due to exhaust its borrowing authority—though Democrats and some Republicans are sure to balk at the prospect of linking disaster relief dollars to a politically charged exercise like extending the debt limit."
Congress recently passed a spending bill that included funding for natural disaster relief, but scope of the destruction in California has some officials wondering if more may be needed, Politico reports.
"Defeating the MAGA movement does not require clever theories, it requires the hard work of opposition on behalf of the millions who will suffer at the hands of Trump's corporate Cabinet."
The government watchdog group Revolving Door Project on Monday denounced Democratic lawmakers for the "perfunctory resistance" with which they appear to be preparing for confirmation hearings on President-elect Donald Trump's nominees to lead federal agencies, saying some in the party's upper ranks appear willing to allow far-right appointees to sail to top government positions without facing a true opposition party.
As Sen. Brian Schatz (D-Hawaii) toldNOTUS on Monday, some of Trump's nominees are "objectionable," but others "are going to get bipartisan support."
Jeff Hauser, executive director of Revolving Door Project (RDP), acknowledged that with Republicans now holding 53 seats in the Senate and the Democratic Party holding 45, "Democrats do not have the votes to kill any of these nominations."
"But they do have the ability to begin drawing attention to the cronyism that will inevitably appear from within the Trump administration. Contrary to the party's current position, being able to say 'I told you so' is helpful to future success," said Hauser.
Democrats aren't ensuring they'll have the ability to say that, Hauser warned, as they signal little resistance "to the few Trump nominees so brazenly offputting that they draw nearly uniform skepticism."
"For all the Trump nominees not accused of killing a dog or committing heinous crimes, Democrats do not seem poised to offer even a whisper of resistance, no matter how unqualified," said Hauser.
"Democrats must find their inner populists and fight at all times, even in battles that they will almost certainly lose."
Senate Minority Leader Chuck Schumer (D-N.Y.) held a meeting Monday with Democrats on the Senate Armed Services Committee to discuss the upcoming questioning of defense secretary nominee Pete Hegseth this week, saying his upcoming confirmation hearing on Tuesday will provide the party an opportunity to attack the GOP's "brand." Hegseth has been accused of sexual assault, which he has denied.
But the party has not called attention to problems with nominees like Scott Bessent, Trump's treasury secretary nominee, or Chris Wright, the fracking CEO who has denied the climate emergency and whom Trump picked to run the Department of Energy (DOE).
"Senate Democrats have failed to question how Scott Bessent's experience of running a second-tier hedge fund with declining assets under management qualifies him to hold one of the most powerful economic policymaking in the world," said Hauser. "Or how Chris Wright's experience as an unhinged plutocrat out of touch with scientific reality would qualify him to manage some of the world's most important laboratories."
Sen. Cory Booker (D-N.J.) told NOTUS that Democrats are prepared to use the confirmation hearings to answer the question: "Are they fighting for Americans, or are they going to fight for the kind of cronyism politics that's really hurt this place?"
"I want to support nominees that are going to really fight for the American people, not fight for special interests, not fight for rich people, not fight to take away our freedoms," he told NOTUS.
But with nominees like hedge fund manager Bessent, former corporate lobbyist Pam Bondi for attorney general, cryptocurrency promoter Howard Lutnick for commerce secretary, and Medicare Advantage proponent Mehmet Oz to head the Centers for Medicare and Medicaid Services, Hauser said Democrats shouldn't act as though the nominees' conflicts of interest and loyalty to the wealthy are a question.
"Every senior Trump administration official will have the discretion to exercise presidential authority on behalf of corporate interests in ways that will hurt ordinary Americans. Workers, consumers, breathers of air—every typical American is at risk from the most corporate captured set of nominees in American history," said Hauser. "Democrats should be telling this story now, not only to raise alarms ahead of the inauguration, but to be able to tell a compelling story about what went wrong and why when things inevitably decline across so many critical fronts in the next few years."
Instead, Booker told NOTUS that the party is "not looking to make this partisanship or tribalism."
Sen. John Fetterman (D-Pa.), for his part, met with Trump at Mar-a-Lago and told NOTUS his plan going into confirmation hearings is "to listen." He has expressed support for secretary of state nominee Marco Rubioubio, United Nations ambassador nominee Elisa StefanikStefanik, and transportation secretary nominee Sean Duffy.
"Senate Democrats are seeking strategic retreat wherever possible, convinced that 'opposition' is a bad strategy for the opposition party," Hauser warned.
In a post at RDP's Substack newsletter, research assistant KJ Boyle wrote that the problem with Booker and Fetterman's approach "is that Trump's picks are partisan, chosen for their loyalty both to him and the moneyed interests they'll ostensibly be tasked with overseeing. Now is not the time to sit back and listen. It's time to make a big stink about how unqualified and dangerous these nominees are, and explain how that will translate to real world consequences that harm everyday people."
The group plans to release suggested questions for Democrats to ask at each of the confirmation hearings in the coming days; Boyle started with Wright, interior secretary nominee Doug Burgum, and Office of Management and Budget director nominee Russell Vought.
He suggested senators ask Wright about his former company, trade association Western Energy Alliance, and its public comment opposing energy efficiency standards for gas stoves.
"The public comment erroneously claimed the DOE's rule was 'intended to ban new gas stoves and compel a transition to electric,' rather than a commonsense rule to reduce carbon dioxide emissions and save consumers money," Boyle wrote in a suggested question. "Moreover, are you aware that approximately 13% of childhood asthma cases can be attributed to nitrogen dioxide exposure from gas stoves? Do you believe the federal government has no role in protecting our children from exposure to these hazardous airborne pollutants?"
Boyle suggested senators ask Vought about his record of budget cuts that have harmed low-income families, and ask Burgum why he opposed a rule requiring coal plants to reduce mercury emissions, which are linked to heart attacks, cancer, and developmental delays in children.
"Why do you think that the coal industry should be given handouts and allowed to make people sick?" Boyle suggested senators ask.
Hauser said that Democrats' electoral defeat in November has left them "doubling down on an ostrich-like strategy of hiding their heads until Donald Trump goes away."
"But the MAGA movement will not go away on its own, it will have to be defeated," he said. "Defeating the MAGA movement does not require clever theories, it requires the hard work of opposition on behalf of the millions who will suffer at the hands of Trump's corporate Cabinet. Democrats must find their inner populists and fight at all times, even in battles that they will almost certainly lose."
"There is never a better opportunity to find an opposition's voice," he said, "than when a would-be populist president appoints a corporate-owned Cabinet."