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Universal Healthcare Will Save Lives... and Could Save the Democratic Party
As the only wealthy country without universal health coverage, sticking to our current system is truly not “politically feasible.” Democratic leaders need to understand and embrace Americans' desire for change.
Oct 22, 2025
The ongoing government shutdown, a standoff over health insurance premiums, is a missed opportunity to truly reform healthcare and revive the Democratic Party.
Democrats have been hyper focused on restoring Medicaid cuts and preserving Affordable Care Act (ACA) subsidies to blunt the harmful healthcare impact of the Republican budget. But this narrow strategy not only fails to address the core issues of the current system but ignores what most Americans want most: a system free from profit-driven conflicts of interest, prior authorizations, co-pays, deductibles, or the threat of bankruptcy.
As a practicing gynecologic oncologist, I witness the human toll of this political timidity every day. I’ve seen patients on chemotherapy skip nausea medications because of co-pays, delay a surveillance PET scan because of the deductible, or substitute ineffective online elixirs for proven treatments because they cost less. As president of Physicians for a National Health Program, I have heard from thousands of physicians who are struggling to uphold their professional commitment to high-quality care because health insurance companies routinely deny coverage for medically recommended treatments.
What I hear in my clinic is also reflected in the polls and crosses party lines: Americans want trustworthy, high-quality healthcare without conflicts of interest, co-pays, deductibles, or financial risk. A May 2025 Pew poll confirms this, with 68% of Americans, including 90% of Democrats and 45% of Republicans, believing the government should provide health insurance for all. A November 2024 Gallup poll shows 62% of Americans, including 90% of Democrats, 65% of Independents, and 32% of Republicans, think the federal government should guarantee health coverage for everyone. And a 2024 Marist Poll found 86% of Gen Z and 76% of Millennials also share the opinion that health insurance is the government's responsibility.
Championing universal healthcare gives Democrats a chance to move away from the status quo and win back frustrated voters, especially the youth.
Today, more people, regardless of insurance status, are being forced to make difficult healthcare choices based on their finances. I have patients who regularly ignore pain and nausea because they are behind on medical bills and cannot afford to seek care. Consider that in America, 66% of bankruptcies are linked to medical issues, and 80% of those who went bankrupt had health insurance when they incurred the debt. In 2023, the average household medical debt was $10,570, and in 2024, about 20% of adults aged 18-49 borrowed money to pay for healthcare costs. A 2025 KFF poll found that 70% of adults worry about medical or dental bills leading to debt.
Americans from all parties agree that our political and economic systems need change, and most believe Republicans, not Democrats, can deliver it. According to an April 2025 Navigator poll, 74% of Americans (including 71% of Democrats, 78% of Independents, and 77% of Republicans) think our system “needs major changes,” with 12% feeling “the system needs to be torn down completely.” The same poll shows that 51% of Americans see Democrats as “focused on preserving the way government works,” including 54% of Democrats, 43% of Independents, and 54% of Republicans. Meanwhile, 65% of those surveyed believe Republicans are focused on changing the government, including 65% of Democrats, 57% of Independents, and 68% of Republicans.
Republicans are giving us change, but it’s not what Americans were hoping for. Their comprehensive efforts to reduce healthcare access, dismantle public health systems, and cut funding for essential medical research will have deadly consequences. Specifically, the mortality impacts of the Republican budget reconciliation bill—which includes deep cuts to Medicaid, the elimination of ACA subsidies, rollbacks to Medicare drug access, and weakening of nursing home safety standards—are estimated to cause 51,000 preventable deaths each year. This tragic number adds to the approximately 45,000 preventable deaths already linked to lack of insurance. While we can estimate the increased death toll among the millions losing healthcare coverage, the long-term effects of defunding the public health system and losing future lifesaving research are impossible to measure.
Meanwhile, Democrats are defending the status quo instead of fighting for the comprehensive health care reform that Americans need. Despite the unpopularity of much of what the Trump administration has done, support for the Democratic Party from its core members remains slim, with historically low voter registration and approval numbers. Championing universal healthcare gives Democrats a chance to move away from the status quo and win back frustrated voters, especially the youth.
The main arguments against universal healthcare are that it is unaffordable and politically unfeasible. However, the cost issue is challenged by basic economic analysis: We could afford to cover everyone if we weren’t actively wasting 25-30% of our healthcare spending on bureaucracy, overhead, and excessive profits for the health insurance industry. There is no evidence that these corporations improve healthcare or make any meaningful contribution. To the contrary, privatized Medicare (Medicare Advantage) wastes resources, costs more, and results in worse outcomes. In fact, when states deprivatize Medicaid, they save money and improve outcomes. For example, Connecticut shifted from privatized to public Medicaid in 2011, leading to a 4.7% increase in early cancer detection, an 8% increase in cancer survival, and savings of over $4 billion over 13 years.
The US spends more per person than other developed nations but has worse health outcomes, including lower life expectancy and higher maternal and infant deaths. As the only wealthy country without universal health coverage, sticking to our current system is truly not “politically feasible.” Democratic leaders need to understand and embrace Americans' desire for change. They must fight for guaranteed universal healthcare—a system free from profit-driven conflicts, co-pays, deductibles, prior authorizations, and bankruptcy risks. Universal healthcare will save lives and may resuscitate the Democratic Party.
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As Americans Feel Sharp Rise of Healthcare Costs, Advocacy Orgs Launch Ad Campaign Calling Out GOP for Shutdown
“Doubling insurance premiums,” the ad says, “is not what Americans need.”
Oct 15, 2025
As Americans increasingly struggle with healthcare inflation, a new ad campaign is targeting Republicans in Congress over their refusal to extend tax credits that have lowered insurance premiums for tens of millions of Americans, which has dragged the government shutdown toward its third week.
The ad campaign was launched by a collection of progressive advocacy groups—including Public Citizen, Indivisible, MoveOn, Fair Share America, People for the American Way, the American Federation of Teachers, SEIU, the National Education Association, and Working Families Power—and is scheduled to appear in each issue of Axios' "Hill Leaders" newsletter this week.
The newsletter that will carry the ad campaign is geared primarily towards those who work on Capitol Hill. Sponsors of the ad campaign hope that members of Congress and their staff will see it and that they will "stand firm in defense of healthcare even as the Trump administration launches cruel and wholly unnecessary firings above and beyond traditional shutdown furloughs."
"Republicans have shut down the government because they have no interest in keeping healthcare affordable for millions of Americans," the ads say. "Doubling insurance premiums is not what Americans need. Enough is enough! We must fight to save healthcare."
The government shut down at the beginning of October after Democrats refused to vote for a GOP funding bill that did not extend Biden-era tax credits for the more than 24 million Americans who purchase health insurance on the Affordable Care Act (ACA) marketplace.
If the credits are allowed to expire at the end of 2025, KFF estimates that the average recipient's insurance premiums will more than double, from $888 to $1,906 per year, which will result in about 4 million people losing their insurance due to unaffordability, according to the Congressional Budget Office.
This is on top of the roughly 10 million projected by the CBO to lose insurance coverage due to the GOP's massive cuts to Medicaid and other ACA marketplace spending in the Republican budget law.
"Across the country, Americans are urging their representatives to push back against Trump's destructive agenda and fight for a budget that protects access to healthcare and safeguards Congress' authority over federal spending," said Lisa Gilbert, co-president of Public Citizen.
The campaign comes as new data shows that the rate of healthcare inflation has already more than doubled in the nine months since US President Donald Trump took office, compared to the previous two years. Between January and August 2025, the Consumer Price Index for medical care has grown by 3.8%, compared to an increase of just 1.8% between January 2023 and January 2025.
In a September Fox News poll, 52% of voters said that Trump has made the economy worse, while just 30% said he's made it better. 81% of respondents said that healthcare costs were a "problem" for their families, with 51% calling them a "major problem."
As a new report from the Groundwork Collaborative points out, these price increases are having an impact on households before most of the changes from the OBBBA are set to go into effect.
In addition to skyrocketing insurance premiums, the bill's cuts to Medicaid have put hundreds of rural hospitals and nursing homes at risk of closure. The law also repeals a portion of the 2022 Inflation Reduction Act that allowed Medicare to negotiate the costs of several widely used drugs, whose prices have climbed this year. It also introduced new restrictions preventing Medicare recipients from accessing additional financial aid for their premiums and co-pays, with $535 billion worth of cuts to the program scheduled to take effect in 10 years unless Congress intervenes.
Meanwhile, the Trump administration killed a rule that would have wiped $49 billion of medical debt from the credit reports of about 15 million people, which would have opened up their ability to obtain credit. The Centers for Disease Control and Prevention, overseen by Health and Human Services Secretary Robert F Kennedy Jr., also terminated a program that offered free Covid-19 vaccinations to uninsured Americans and is reportedly seeking to eliminate them from the recommended vaccination schedule, which could prevent insurers from covering them.
Maurice Mitchell of Working Families Power, one of the ad's sponsors, said: "It's important that voters know that Republicans would rather shut down the government than lower healthcare costs for our families."
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‘Reality Breaking Through,’ Says Casar, as MTG Scolds Fellow Republicans Over Healthcare
"Not a single Republican in leadership... has given us a plan to help Americans deal with their health insurance premiums DOUBLING!!!" wrote MAGA firebrand Marjorie Taylor Greene.
Oct 07, 2025
Congressional Progressive Caucus Chair Greg Casar said Tuesday that "reality" was finally starting to hit some Republicans in Congress about the catastrophic results of reopening the government without a plan to extend tax credits that help tens of millions of Americans afford healthcare.
The government shut down this past Wednesday after Democrats refused to vote for a GOP funding bill that did not extend Biden-era subsidies for the more than 24 million Americans who purchase health insurance on the Affordable Care Act (ACA) marketplace.
Republicans did not vote to extend the subsidies in July's One Big Beautiful Bill Act (OBBBA). And if they are allowed to expire at the end of 2025, KFF estimates that the average recipient's insurance premiums will more than double, from $888 to $1,906 per year, which will result in about 4 million people losing their insurance due to unaffordability, according to the Congressional Budget Office.
This is on top of the roughly 10 million expected to lose insurance coverage due to the GOP's massive cuts to Medicaid and other ACA marketplace spending in the Republican budget law.
Senate Majority Leader John Thune (R-SD) and House Speaker Mike Johnson (R-La.) have maintained that they would not negotiate on extending the subsidies unless Democrats vote to reopen the government, thereby sacrificing their main point of leverage.
But while many Republicans have hoped to divert attention from the wildly unpopular subsidy cuts to instead push the false narrative that Democrats are pushing for "free healthcare for illegal aliens," one of the most outspoken members of the MAGA coalition put her own party's leaders on blast Monday for their apparent willingness to let millions face higher healthcare costs.
In a blistering post on X, Rep. Marjorie Taylor Greene (R-Ga.) said that while she was "not a fan" of the ACA and blamed it for "skyrocketing premiums," she was "going to go against everyone on this issue because when the tax credits expire this year my own adult children's insurance premiums for 2026 are going to DOUBLE, along with all the wonderful families and hardworking people in my district."
"No, I'm not [toeing] the party line on this, or playing loyalty games," Greene continued. "I'm carving my own lane. And I'm absolutely disgusted that health insurance premiums will DOUBLE if the tax credits expire this year."
Greene lamented that "not a single Republican in leadership talked to us about this or has given us a plan to help Americans deal with their health insurance premiums DOUBLING!!!"
She then turned her attention to the tens of billions of dollars worth of military aid sent to Israel and Ukraine in recent years: "All our country does is fund foreign countries and foreign wars, and never does anything to help the American people!!!"
Johnson brushed off Greene's attack, noting that she "does not serve on the committees of jurisdiction to deal with those specialized issues, and she’s probably not read that in on some of that, because it’s still been sort of in their silos of the people who specialize in those issues."
But Casar described Greene's post as evidence that Republicans were beginning to recognize the hardship their policy may have wrought.
" Mike Johnson hasn't picked a fight with Democrats—he's picked a fight with reality," Casar said. "Here's reality breaking through."
While hardly toning down her conspiracy theorizing or her attacks on immigrants and transgender people, Greene has taken some notable stands against her party, as well as President Donald Trump, on some key issues in recent months. These have included opposing additional weapons aid for Israel's war in Gaza, which she has described as a "genocide," and the full release of the Epstein files, which Trump and other Republicans have seemed intent on burying.
But she may not be the only Republican for whom the reality of the GOP's healthcare cuts is "breaking through." On Monday, Trump told reporters gathered at the Oval Office: "We have a negotiation going on with the Democrats that could lead to good things... And I'm talking about good things with regard to healthcare."
Asked if he'd be willing to extend the expiring subsidies, Trump said: "If we made the right deal, I'd make a deal. Sure," adding that "we're talking to the Democrats."
The top House and Senate Democrats denied talking to Trump, and the president did not specify which party members he's allegedly talking to. But it nevertheless marked a notable shift in tone from the week before, when Trump responded to Democrats' healthcare demands with derisive, artificially generated sombrero memes and top congressional Republicans swore off any negotiations unless Democrats agreed to fund the government first.
Other Republicans have joined calls for the subsidies to be extended, including Sen. Josh Hawley (R-Mo.), who told reporters: "You've got to do something to make sure the premiums don't essentially double, which they will in my state for private insurance. I mean, we just can't allow that to happen. That's a lot of Missourians who will not be able to afford healthcare."
Hawley notably raised similar concerns about the OBBBA's cuts to Medicaid earlier this year but ultimately voted for the legislation.
Nevertheless, the rhetorical change from some Republicans may have something to do with public opinion on the tax credits.
A poll released Friday by KFF found that 78% of Americans want Congress to extend the credits, compared to just 22% of Americans who want to let the credits expire. These majorities extend across the political spectrum, including 92% of Democrats, 82% of independents, and even 57% of Republicans who identify themselves as part of Trump's MAGA movement.
The same poll found that if the tax credits are not extended, about 4 in 10 adults would blame Trump, while another 4 in 10 would blame Republicans in Congress. Just 2 in 10 would blame Democrats.
Rep. Pramila Jayapal (D-Wash.) said Tuesday that waiting to extend the subsidies until after the shutdown ends is not an option.
"Mike Johnson wants to kick the can down the road when it comes to addressing skyrocketing premiums—but this is a crisis right now," Jayapal said. "Now is the time to negotiate to lower costs—not after millions have been kicked off their healthcare."
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