SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
");background-position:center;background-size:19px 19px;background-repeat:no-repeat;background-color:var(--button-bg-color);padding:0;width:var(--form-elem-height);height:var(--form-elem-height);font-size:0;}:is(.js-newsletter-wrapper, .newsletter_bar.newsletter-wrapper) .widget__body:has(.response:not(:empty)) :is(.widget__headline, .widget__subheadline, #mc_embed_signup .mc-field-group, #mc_embed_signup input[type="submit"]){display:none;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) #mce-responses:has(.response:not(:empty)){grid-row:1 / -1;grid-column:1 / -1;}.newsletter-wrapper .widget__body > .snark-line:has(.response:not(:empty)){grid-column:1 / -1;}:is(.grey_newsblock .newsletter-wrapper, .newsletter-wrapper) :is(.newsletter-campaign:has(.response:not(:empty)), .newsletter-and-social:has(.response:not(:empty))){width:100%;}.newsletter-wrapper .newsletter_bar_col{display:flex;flex-wrap:wrap;justify-content:center;align-items:center;gap:8px 20px;margin:0 auto;}.newsletter-wrapper .newsletter_bar_col .text-element{display:flex;color:var(--shares-color);margin:0 !important;font-weight:400 !important;font-size:16px !important;}.newsletter-wrapper .newsletter_bar_col .whitebar_social{display:flex;gap:12px;width:auto;}.newsletter-wrapper .newsletter_bar_col a{margin:0;background-color:#0000;padding:0;width:32px;height:32px;}.newsletter-wrapper .social_icon:after{display:none;}.newsletter-wrapper .widget article:before, .newsletter-wrapper .widget article:after{display:none;}#sFollow_Block_0_0_1_0_0_0_1{margin:0;}.donation_banner{position:relative;background:#000;}.donation_banner .posts-custom *, .donation_banner .posts-custom :after, .donation_banner .posts-custom :before{margin:0;}.donation_banner .posts-custom .widget{position:absolute;inset:0;}.donation_banner__wrapper{position:relative;z-index:2;pointer-events:none;}.donation_banner .donate_btn{position:relative;z-index:2;}#sSHARED_-_Support_Block_0_0_7_0_0_3_1_0{color:#fff;}#sSHARED_-_Support_Block_0_0_7_0_0_3_1_1{font-weight:normal;}.grey_newsblock .newsletter-wrapper, .newsletter-wrapper, .newsletter-wrapper.sidebar{background:linear-gradient(91deg, #005dc7 28%, #1d63b2 65%, #0353ae 85%);}
To donate by check, phone, or other method, see our More Ways to Give page.
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
"It bodes well for the future," said Jane O'Meara Sanders of the gathering where elected officials, union leaders, experts, and organizers discussed solutions for the climate, housing, healthcare, and more.
In preparing for The Sanders Institute Gathering this year, Jane O'Meara Sanders and Dave Driscoll knew they would have to pry some of the nation's leading advocates for climate action, labor rights, and economic justice away from their crucial work for a few days.
But doing so meant that progressive leaders including Third Act founder Bill McKibben, One Fair Wage president Saru Jayaraman, economist Stephanie Kelton, and Sen. Bernie Sanders (I-Vt.) would be able to spend three days collaborating on solutions to some of the most pressing issues facing communities across the United States and the globe.
"We are all working so hard in our own areas," O'Meara Sanders told Common Dreams after the event wrapped up on June 2. "It allowed people to get out of the silos that too often separate the policymakers. So to have elected officials and advocates in so many different areas, having them be able to come together and discuss different things... it bodes well for the future."
Over three days filled with more than 15 livestreamed panel discussions, film screenings, and other events, participants in the Gathering learned about how advocates in California are working to implement social housing, taking inspiration from countries like Austria and Spain; the labor rights movement's "25x2" strategy of pushing living wage legislation and ballot measures in dozens of states; and a number of reasons to be optimistic about fighting the climate crisis—even as scientists warn the continued burning of fossil fuels will push global temperatures past 1.5°C of heating in at least one of the next five years.
Climate
Despite experts' bleak projections, McKibben and Sierra Club executive director Ben Jealous welcomed guests on the first night of the conference by offering evidence that electric vehicles and solar panels are rapidly becoming more powerful and more accessible to more U.S. households, providing hope that the world's largest historic emitter of carbon dioxide is making strides to cut down on planet-heating pollution from transportation and electricity.
"Right now, the sea surface temperature in the Atlantic is two to three degrees higher than we've ever seen it before," said McKibben. "And at the exact same moment that the planet is physically starting to disintegrate precisely the way the scientists 30 years ago told us it would—as if scripted by Hollywood—you'll also see finally the sudden spike in... the only antidote we have at scale to deal with this: the application of renewable energy around the world."
"Last summer, just as scientists were telling us that it was the hottest week in the last 125,000 years, that same week was the week that the engineers told us that for the first time, human beings were now installing more than a gigawatt's worth of solar panels every single day on this planet," he added. "That's a nuclear power plant's worth of solar panels. So we are right at the moment when one or the other of these trends is going to cancel out... the other one. Our job, I think, is to make sure that we figure out how to dramatically accelerate that second trend so that we have some hope of catching up with the physics of climate change before it does in everything that we care about on this planet. So for me, that's the context of the moment that we're in."
That theme—giving guests at the Gathering an unvarnished accounting of the very real crises that face communities while providing a glimpse into campaigners' ongoing efforts and positive results of their tireless advocacy work, with the crucial help of progressive lawmakers like Sen. Sanders—continued throughout the weekend.
Joseph Geevarghese of Our Revolution, The Hip Hop Caucus' Rev. Lennox Yearwood, Jamie Minden of Zero Hour, and Friends of the Earth U.S. president Erich Pica. (Photo: Will Allen / via The Sanders Institute)
On the climate front, advocates shared their hopes to seize on the opportunity of Republican plans to extend Trump-era tax cuts if they regain power in the November elections.
Participants on a Saturday panel at the Gathering—including Joseph Geevarghese of Our Revolution, the Hip Hop Caucus' Rev. Lennox Yearwood, Jamie Minden of Zero Hour, and Friends of the Earth U.S. president Erich Pica—argued that ending federal handouts to Big Oil is part of the broader effort to ultimately "kill the fossil fuel industry" that's cooking the planet while blocking the worker-led demand for a green energy transition.
Too often when covering advocacy work, the corporate media focuses on "the controversy," O'Meara Sanders told Common Dreams. "What's the controversy as opposed to what's the plan?"
The Gathering set out to offer an antidote to that dynamic and many participants—including Dr. Deborah Richter, board president of Vermont Health Care for All—said the effort was a success.
"Sometimes when you're trying to get some sort of major social change, it can get really, really strenuous and make you sad," Richter told Common Dreams. "I felt incredibly rejuvenated after this weekend."
"You tend to get single-focused when you're working on one issue," she added. "And I actually really appreciated the updates, the good and the bad on climate change... I came away thinking, I have to learn more about climate change. I'm going to learn more about this. I'm going to learn more about that."
Healthcare
Richter spoke to attendees about her group's efforts to bring government-funded healthcare to Vermont, noting that she has spent years advocating to expand Medicare to the entire population while also witnessing her own patients' struggles with the for-profit system as a primary care doctor and addiction medicine specialist.
Joining Richter for the panel discussion was Dr. Jehan "Gigi" El-Bayoumi, a Georgetown University School of Medicine professor who founded the Rodham Institute, which works to achieve health equity in communities across Washington, D.C.
"Many people think that what determines how long you live and how healthy you are is access to healthcare," El-Bayoumi told Common Dreams. While crucial, "that only accounts for 20%." The remaining 80% is other "social determinants of health," such as whether people live in a neighborhood with access to affordable, nutritious food and clean air or a fenceline community next to a chemical plant or oil refinery, raising their chance of developing respiratory problems or other health issues.
"Health is the air that we breathe. Health is what we eat and where we live," El-Bayoumi said, noting that the same factors are also "the social determinants of education and the social determinants of employment."
"If you don't have those things in place," the physician continued, "then how are you going to have better health?"
In Burlington, El-Bayoumi spoke about efforts to ensure people of color in Washington, D.C. had access to Covid-19 vaccines when they were first introduced. Working with the Black Coalition Against Covid, she partnered with medical schools at historically Black universities, Black fraternities and sororities, the hip-hop community, and others to hold a mass vaccination event in Ward 8.
"Community needs to be at the table," she told the audience. "The people that are closest to the problem know the solutions."
El-Bayoumi stressed to Common Dreams the importance of not only engaging with impacted community members but also following the lead of success stories around the world. While progressives often cite European examples, she pointed to models such as the International Union Against Tuberculosis and Lung Disease's Project Axshya, which set up nearly 100 tuberculosis treatment and information kiosks in 40 cities across India.
She also cited models from Egypt, Namibia, and Zimbabwe, where the Friendship Bench project trained elder volunteers without any formal medical credentials to discreetly counsel patients on wooden benches on the grounds of clinics, aiming to address "kufungisisa," the local word closest to depression.
When it comes to providing healthcare, "we're all spokes on a wheel," El-Bayoumi said. "The nurses and the physicians and the custodians... we're all spokes. We could not function without each other."
"But then similarly, health, environment, food, political, education—all spokes on a wheel," she added. "There is not one thing that's more important."
Housing
The latest Gathering built on the institute's April conference on housing justice—an event that brought together leaders in Los Angeles, including the city's Mayor Karen Bass, California Assemblyman Alex Lee (D-25), and U.S. Reps. Pramila Jayapal (D-Wash.) and Ro Khanna (D-Calif.).
Lee also attended the Burlington conference, where he spoke on a panel with Michael Monte of Vermont's Champlain Housing Trust and AIDS Healthcare Foundation president Michael Weinstein, who argued that "housing is not high enough on the progressive agenda."
"Our job as progressives is to do everything we can every day to make people's lives materially better, and this is an area that we have to focus on," Weinstein said, echoing his remarks during the 2018 Gathering, the very first such event hosted by the institute.
In terms of actually getting people into affordable homes, "we could do a lot to make it less bureaucratic," he said—touching on a topic that dominated a second housing crisis panel.
For that discussion, O'Meara Sanders was joined by Brian McCabe, deputy assistant secretary for policy development at the U.S. Department of Housing and Urban Development, and Nika Soon-Shiong of the Fund for Guaranteed Income (F4GI), which provides "cash transfers that support those who have been locked out of welfare programs and economic systems."
F4GI is also working on a pilot program to provide a "cash on-ramp" to help people who are participating in the federal Housing Choice Voucher Program, commonly called Section 8, while they search for rental units, Soon-Shiong explained.
.@nikasoonshiong: I founded @fund4gi out of a belief massive wealth redistribution is an urgent necessity…We research government bureaucracies and we join hands with movement leaders across the country to design a safety net that actually lives up to its name. pic.twitter.com/j7Xbdmh9E1
— Sanders Institute (@TheSandersInst) June 2, 2024
She stressed the importance of including community members in the development and implementation of the programs designed to help them, and pushed back against common messages about financial and logical hurdles.
"Part of addressing the root cause of the housing crisis is actually removing that false frame," she said, "and demonstrating that it's possible to collaborate, to move quickly, and to design things that are new and actually relatively inexpensive."
Workers' Rights
During one of the labor panels, Jayaraman of One Fair Wage spoke about the nationwide fight for better pay and working conditions—and how the movement's wins had provoked threats to her and her family.
El-Bayoumi said that before Jayaraman's remarks, she knew a bit about restaurant workers' fight for higher pay due to experiences living and working in Washington, D.C.—where residents passed ballot measures to raise the minimum wage for tipped employees in 2018 and 2022.
"What did I not know? Always scale," the physician continued. She was struck by the specifics that the labor leader shared, as well as her perseverance while being attacked for being successful.
"She was so inspiring and invigorating… She was raw. She was real. I'm just a great admirer now, and I learned a lot from her," El-Bayoumi said. "Her energy was amazing... It was the information, but also her commitment."
One Fair Wage co-founder and president Saru Jayaraman during a speech at The Gathering. (Photo: Will Allen / via The Sanders Institute)
During her speech at the Gathering, Jayaraman said the fight being fought by the millions of low-wage workers her group represents, many of whom work two or even three jobs just to stay afloat, are crucial if the progressive movement more broadly wants to win the battles on climate, healthcare justice, and housing.
"It's not a competition with all of our issues," Jayaraman said, "because if these folks could work one job instead of two or three, they would have the capacity to work on healthcare and climate change and everything else. I asked them, 'What would you work on if you could only work one job?' They've said climate. They've said public education. They've said, 'I would do so much, but I have time to survive right now. I just have to get from job to job.'"
.@SaruJayaraman: We are on the cusp of an incredibly historic moment and we decided it was time to go huge…We are going to raise 3.5 million workers wages because guess what, when minimum wage is on the ballot it never ever fails. Ever. pic.twitter.com/0TKWqmNmLK
— Sanders Institute (@TheSandersInst) June 1, 2024
So if the question is what's the problem and what's the opportunity, Jayaraman said, "The opportunity is this November—we have 3.5 million workers get a raise and then turn around and work on all of the issues everybody else cares about in this room."
Media & Technology
At a panel on progressive news media, The Nation national affairs correspondent John Nichols spotlighted another labor struggle that has national and global implications, as U.S. newsrooms lose thousands of working journalists to layoffs and budget cuts—frequently stemming from private equity firms purchasing newspapers and then looking to raise revenues at the expense of the reporters whose work the outlets rely on to operate.
"Since 2005, we have lost 45,000 working journalists in this country," said Nichols. "So we have a collapse of journalism. We have no filling of the void, and the institutions themselves are collapsing. Since 2005, roughly 20 years, we have lost a third of all print and online publications that existed at that time."
Nichols, who edited Sanders' book, It's OK to Be Angry About Capitalism, and spoke on the senator's podcast in April about the current crisis in media, was joined by The Lever founder David Sirota and Common Dreams managing editor Jon Queally.
"We are in a period where our media in this country is in such crisis and such collapse and such dysfunction that it is no longer sufficient to sustain democracy itself," Nichols told the audience.
John Nichols: We are in a period where our media in this country is in such crisis and such collapse and such dysfunction that it is no longer sufficient to sustain democracy itself pic.twitter.com/bwUKQJ6wsj
— Sanders Institute (@TheSandersInst) June 1, 2024
As traditional newsrooms across the country struggle to survive in an industry increasingly dominated by private equity firms and hedge funds, Sirota spoke about starting an online investigative news outlet with the aim of breaking news stories that might otherwise go uncovered by large publications—or that might be reported on briefly, with the stories of the people affected forgotten within a few days.
After a Norfolk Southern train carrying toxic chemicals derailed in the town of East Palestine, Ohio, Sirota said, The Lever "broke open a story that looked back at what were the decisions on specific policies that were made to create an environment for a disaster like that to happen, and which politicians took money at the time while they were making those decisions."
The Leverreported on how Norfolk Southern lobbied lawmakers to repeal a rule requiring widespread use of electronic braking systems, which were meant to help avoid accidents, and how the Trump administration rescinded the rule in 2017 after the rail industry donated more than $6 million to GOP candidates.
"Ultimately, our reporting ended up playing a big role in getting the Senate and the House to introduce major rail safety legislation that had specific provisions in it that dealt with exactly what we were reporting on," said Sirota. "The New York Times asked us to do a full page op-ed about our reporting... That's how elevated it became."
"The reason to do that is not for our own glory," he added. "It's ultimately to shape what actually happens moving forward. So our goal is to hold accountable those who are making these decisions with the hope that if they are held accountable, they will be deterred from making such bad decisions in the future."
In addition to the media, the Gathering featured panels on civil discourse and technology. During the latter discussion, which addressed topics including artificial intelligence and data collection, journalist Sue Halpern pointed out that in Congress, "there's a tension between... wanting to protect us—theoretically—and commerce."
She suggested that corporate pressure is blocking bipartisan efforts to pass federal privacy legislation, explaining that "the lobbyists for the Big Tech companies are constantly saying to lawmakers... if you regulate this, if you pull back on this, you will harm the American economy and you will limit innovation. And I have to say that most congresspeople are terrified of being accused of limiting innovation."
"Congress can't get it together to make national legislation. And so we see kind of a piecemeal thing going on, at least with privacy," Halpern said, highlighting laws passed by California, Illinois, and recently, Vermont, that serve as models for other states, in the absence of federal action.
Screenings
Along with panel discussions, the Sanders Institute incorporated film screenings and music into the Gathering to offer attendees another avenue into some of the issues discussed.
Kelton, an economist at Stony Brook University, presented a film spotlighting efforts by her and several colleagues to prompt a "paradigm shift" in Americans' understanding of the national deficit by introducing the public to Modern Monetary Theory (MMT).
Directed by Maren Poitras, Finding the Moneyfollows Kelton and economists including Randall Wray as they explain their vision for how the national debt could be viewed not as a burden that American taxpayers must pay back through cuts to government programs, but "as simply a historical record of the number of dollars created by the U.S. federal government currently being held in pockets, as assets, by the rest of us."
Kelton questioned how the Republican Party can, year after year, name reducing the federal deficit as one of their top priorities when the tax cuts introduced by the GOP under the George W. Bush and Trump administrations have been the primary drivers of the increasing debt ratio in recent years.
"They don't care about the fiscal or budgetary impacts. They want to pass their agenda. So we get sweeping tax cuts," Kelton said. "[The Congressional Budget Office] says the tax cuts will add $1.9 trillion to the deficit. Republicans shrug and say, who cares? On the other side of the government deficit lies a financial windfall for somebody else. Every deficit is good for someone. The question is for whom and for what."
In the film, Kelton argues that as the issuer of U.S. currency, the federal government does not need to "find the money" to spend on public programs, but instead needs only to ensure that real resources like workers and construction supplies are available when it comes to spending. The government can avoid a surge in inflation through policy decisions, the economists in the film argue, but greater deficits in a large country like the U.S. are far more sustainable than Americans have been led to believe.
Along with the Bush and Trump tax cuts, Kelton used the relief packages passed by Congress when the coronavirus pandemic began in 2020. A total of $5 trillion in relief was passed through several laws, raising people's unemployment benefits and helping small businesses to stay afloat.
"We cut child poverty by roughly 40%, and you can talk on and on about the benefits, because every deficit is good for someone," Kelton said. "The question is for whom and where does the windfall on the other side of the government deficit go? In March of 2021, it went to the bottom... That's who it helped. The Republicans did $1.9 trillion with their tax cuts. Where did it go? Eighty-three percent of the benefits went to people in top 1% of the income distribution."
Now, said Kelton, the deficit should be seen as a way for the government to pass more far-reaching legislation to fight the climate emergency.
The weekend also featured screenings of trailers for filmmaker Josh Fox's The Welcome Table—which is about the climate emergency causing displacement and is set to be released on HBO—and The Edge of Nature, an evolving documentary project that connects the crises of Covid, climate, and healthcare.
Fox, known for the award-winning anti-fracking film Gasland, brought his banjo—signed by Sen. Sanders—to Burlington to preview a musical performance that accompanies The Edge of Nature, which he is bringing to New York City with a 12-person ensemble from June 14-30.
"I thought that his telling of his own experience with Covid and the healing power of nature is just so true," El-Bayoumi said of the performance. "I have patients who are just struggling with life, with mental health issues. I will tell them, go outside, take off your shoes, feel the ground under your feet, because nature is healing."
The Edge of Nature "actually gave me hope... which I think is one of the things that was brought up over and over again at the Sanders Institute Gathering," she added. "How do you present that, the issues and solutions, if you will. And I thought that he did that very well."
.@joshfoxfilm -- playing a Bernie-signed banjo discussing Long Covid film: I went off to the woods, you know, Thoreau-style…I discovered something in the midst of all of our grief. In the midst of all our trauma, something weird & miraculous was happening. The planet was healing pic.twitter.com/qj12iZK6ed
— Sanders Institute (@TheSandersInst) June 2, 2024
There was also a screening of a video produced by the Power to the Patients campaign, which has worked to educate the public about healthcare transparency requirements through murals painted in cities across the United States. While the auditorium was waiting for that video to start amid technical difficulties, the audience broke out in song, singing "Solidarity Forever."
"It was so beautiful. And that was an amazing moment to me," Fox told Common Dreams. "And it said to me, go ahead and sing your song in your presentation, because this is a room where you can sing."
"My takeaway was, we have our differences, and we definitely have our identities, and we have our priorities, and we have... teachable moments where we have to instruct each other as to how we're messing up," he said. "But also, we really need to focus on solidarity."
Sierra Club executive director Ben Jealous, filmmaker Josh Fox, and The Sanders Institute's Dave Driscoll listen to a presentation during the Gathering in Burlington, Vermont on Saturday, June 1, 2024. (Photo: Will Allen / via The Sanders Institute)
Fox noted that when he used to introduce Sen. Sanders during his 2016 presidential campaign, the filmmaker would say, "All the movements are in this room."
As he prepared for the NYC performances, Fox said that in the current "moment of division… the more we can come together in physical space—and that's what we're offering here with this show, a chance to be in an audience, a chance to be together, a chance to be in reality with each other—the better we can break those boundaries down."
"My takeaway from the Gathering is, I wish this was happening all the time and at the White House," he added, "but if it's not, we can recreate this in our small ways throughout this [election] cycle."
What's Next
O'Meara Sanders said the Sanders Institute intends to have one large Gathering each year and will continue to hold smaller events focused on specific issues, as it did in April with housing.
International Gatherings are one possibility, said O'Meara Sanders, expressing hope that some of the policymakers and advocates who shared their aspirations and plans for the United States in Burlington could convene with lawmakers in other countries who have been successful at implementing social housing, far-reaching climate action, and government-funded healthcare.
The institute aims to bring "members of Parliament together with members of Congress, to bring together diplomats from different countries," said O'Meara Sanders, "to talk about specific issues. Who's doing it best? How can we learn from them?"
"We're going to be bringing people together from all the different countries to explore what they're doing best and how we can do it better together," she added. "And then what's the political will necessary to accomplish these things?"
"More and more people are waking up to realize, we do not want private insurance companies to be in control of our healthcare system," said one advocate who attended the latest Sanders Institute Gathering.
At The Sanders Institute Gathering in Burlington, Vermont last weekend, U.S. Sen. Bernie Sanders repeated the grim facts and statistics about one of the issues he's most passionate about—healthcare—that were no doubt familiar to many of the progressive advocates at the conference.
Americans spend twice as much per capita as what people in other wealthy countries pay for healthcare, with "significantly lower" life expectancy to show for it.
Medical debt pushes more than half a million people in the U.S. into bankruptcy each year.
More than a third of healthcare expenses go not to actual medical care, but to administrative costs.
Bernie Sanders: It goes without saying that our health care system is broken. I think everybody in America knows that. pic.twitter.com/A2ZiwyoLmT
— Sanders Institute (@TheSandersInst) June 2, 2024
But despite the well-known state of the U.S. healthcare system and a current political climate in which the fight for Medicare for All has been relatively "quiet," as one advocate said, Dr. Deborah Richter believes the Gathering showed a resurgence in the movement for a government-funded healthcare system is on its way.
Growing bipartisan anger over a lack of transparency about healthcare prices, private insurers' denial of claims, and the huge profits raked in by insurance companies while an estimated 98 million American adults skip or delay medical appointments to avoid an unaffordable bill are all pushing people to demand change, according to Richter, who gave a presentation about efforts to bring government-funded healthcare to Vermont.
"Walter Cronkite once said that the U.S. healthcare system is neither healthy nor caring, nor a system," said Richter in the talk, which like the rest of the three-day conference was livestreamed. "And decades later, it's still true. But I think that's the bad news. The good news is that it is possible to cover every single Vermonter, every single American with comprehensive coverage without spending a penny more than we're spending currently."
The system that costs Americans twice the amount which people in other wealthy countries pay for healthcare is spending money not on caring for people, but on administration, said Richter, showing a chart that compared Duke University Hospital Medical Center, a facility with 957 beds and 1,600 billing clerks, with a Canadian hospital with 1,200 beds and just seven billing clerks.
Since 1970, she said, the U.S. has seen more than a 4,000% increase in the number of healthcare administrators, while the number of doctors has risen just 200%.
The discrepancy has helped lead to a system in which insurers are increasingly denying claims to maximize their own profits.
"The good news is that it is possible to cover every single Vermonter, every single American with comprehensive coverage without spending a penny more than we're spending currently."
"I'm hearing from people who were pretty much Republicans and more conservative in their views complaining about Medicare, complaining about the fact that Medicare doesn't cover things," Richter told Common Dreams after her talk, pointing particularly to Medicare Advantage, which is billed as an alternative to traditional Medicare that provides greater benefits, but whose participating private insurers frequently deny claims and overcharge the government, costing taxpayers $140 billion annually.
Richter, a primary care physician who chairs Vermont Health Care for All, said she frequently hears from patients "about having to jump through all kinds of hoops in order to get a procedure or a prescription or whatever. And you're hearing that from pretty much everybody now... Those are all the kindling that we need to get this movement ignited again."
"It's the silver lining to having things just crumbling before your eyes," she added.
In Vermont and across the country, the crumbling healthcare system is one in which primary care doctors are leaving their profession in droves—fed up with the bureaucracy put in place by for-profit insurance companies that force them to get approval to provide certain services.
With insurers placing more value on surgeries and other procedures than on the preventative healthcare management provided by primary care doctors, physicians are spending their days "having to deal with prior authorizations and having to deal with paperwork to justify that you deserve to be paid for the services you render," said Richter. "When you're seeing 16 to 20 patients a day, and each one of those has its own enormous bureaucracy, you can imagine how you end up taking your computer home to do your charts. Medical students are not blind to this and are not choosing [primary care], and that's become a catastrophe."
At a panel discussion on healthcare for senior citizens and the hospital system, Medicare for All advocate Wendell Potter recalled that while he was working in the for-profit health insurance industry, an executive told him the greatest threat to the business was the possibility that employers—who pay for insurance plans for roughly half of insured Americans—would begin to see that the industry does little to ensure people get the healthcare for which they pay an average of $477 per month in premiums.
"Someone asked [the executive], 'What keeps you up at night?' And he said disintermediation," said Potter, who worked in communications for health insurance giants Humana and Cigna before leaving the industry to advocate for Medicare for All. "He said that employers in particular would begin to wake up and question the value proposition of big insurance companies as the middleman. But they as middleman take more and more and more of the dollars that we spend on healthcare."
Another panel focused on price transparency in healthcare, a cause which Sanders (I-Vt.) has championed along with Medicare for All to reduce patients' costs within the current system.
Along with Sen. Mike Braun (R-Ind.) earlier this year, Sanders introduced the Healthcare Prices Revealed and Information to Consumers Explained (PRICE) Transparency Act 2.0 (S. 3548), which would require all negotiated rates and cash prices between healthcare plans and providers to be accessible to patients.
Healthcare price transparency has officially been the law of the land since 2021, explained Cynthia Fisher, founder and chair of Patient Rights Advocate, at the Gathering. But many hospitals refused to comply with the price transparency rule finalized by the Centers for Medicare and Medicaid Services under the Trump administration—even suing to block the rule and appealing when they lost the case.
More than three years later, Fisher's organization still sees medical bills "beyond the negotiated rates that are in place now today," she told Common Dreams. Only 35% of hospitals post all of their pricing data for patients to see online, she said, and "the insurance industry has made the files very difficult for anybody to read and parse through."
Under the for-profit healthcare system, Fisher said, patients become victims of the equivalent of "extortion" as they are forced to arrange medical procedures without knowing how much they'll cost out of pocket or how much another hospital might charge for the same care.
"Every time we get care we have to pay by first signing a blank check," said Fisher. "We're signing away our rights to know those prices upfront... And we're signing away our rights to say... that we are responsible to pay whatever they choose to charge us."
Fisher told the story of one patient in Colorado who was provided only with an estimate of the cost before she got a hysterectomy, with her insurer telling her she was likely to pay a $500 copay and the procedure would cost an estimated $5,000 total.
"What happened in reality was the insurance company denied the claim and the doctor charged $9,000 out-of-network and the hospital had a lien on her home," said Fisher, "because she couldn't pay the $74,000 bill."
"Everybody in this room has a healthcare story, and those stories are about the problems with having a crazy for-profit system with these middlemen that are completely unnecessary, and that raise our cause."
Patient Rights Advocate helped the patient find the hospital pricing file and found that the procedure "was indeed closer to $5,000. And indeed it should have been covered," Fisher explained. "It took us, with her, about four or five months to get that lien off of her house. But [transparent] prices empowered her, they saved her, they protected her, and it's happening across the country."
The group has started a project called Power to the Patients, partnering with famous musicians as well as artists to make sure Americans know they have the right to know how much their healthcare will cost ahead of time.
Artist Shepherd Ferry designed a mural for the group that has now been painted by local artists in nearly 50 cities across the U.S., including Seattle, Los Angeles, and New York.
With 54% of American adults delaying medical care to avoid the cost, said Kevin Morra, co-founder of Power to the Patients, millions of people across the country have come to believe that "healthcare is not for them."
"They can't afford it. They don't want to be in a critical moment where they decide, 'Do I pay my rent or do I pay this medical bill?'" Morra said at the Gathering. "People are making a decision, a deliberate decision to not seek medical care, to not take these nondiscretionary procedures. And when nondiscretionary becomes discretionary, we all have a real infrastructural issue in this country."
During the question and answer session at the panel on healthcare for senior citizens, healthcare providers and patients alike raised their hands and shared personal stories about the "demoralizing" nature of fighting to have medications and procedures covered by insurance companies, with doctors "stripped of [their] professionalism" and patients forced to prove to companies that they're required to cover certain services.
Potter agreed with Richter that Medicare for All advocates are "regrouping," particularly around the issues of improving traditional Medicare by including dental and vision coverage and protecting the program "from creeping, almost galloping, privatization by big insurance companies" through Medicare Advantage.
"More and more people are waking up to realize, we do not want private insurance companies to be in control of our healthcare system," said Potter. "Private companies have grown massively over the last several years and they control so much of their access to care."
From the audience, Ellen Oxfeld of Vermont Health Care for All rallied other attendees of the Gathering.
"The left gets very splintered," said Oxfeld. "And I think Medicare for All is one issue that can unify all of us. I know it's not happening tomorrow, but... everybody in this room has a healthcare story, and those stories are about the problems with having a crazy for-profit system with these middlemen that are completely unnecessary, and that raise our cause."
"We can get there, is what I'm going to say," she added.