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Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
If given the reins of CMS, Dr. Mehmet Oz will not only fail to improve healthcare for our seniors but also use privately managed care to actively harm Americans. The Senate must reject his nomination.
Medicine is about trust. As a medical student, I’ve been taught that trust in medicine is built on honesty, evidence, and a commitment to patient well-being—principles that should guide physicians and leaders in healthcare. But how can we trust a man who built a career on misleading patients to oversee healthcare for 160 million Americans?
Dr. Mehmet Oz, a former TV doctor notorious for promoting unproven “miracle cures,” has been nominated by U.S. President Donald Trump to lead the Centers for Medicare and Medicaid Services (CMS)—an agency that millions of seniors, children, and low-income families depend on for care. Yet, he promotes predatory Medicare Advantage programs and unscientific remedies that harm citizens. His nomination cannot stand.
As I take care of my own patients, I am consistently trained to practice evidence-based medicine and uphold ethical standards that prioritize patient well-being. Dr. Oz, in contrast, has used his platform to spread misinformation, undermining the very trust that medicine depends on. Formerly a well-regarded cardiothoracic surgeon, Dr. Oz began his journey toward harm over healing on the “Dr. Oz Show,” a nationally televised program on which he promoted unproven treatments that interfered with patients' appropriate medical care.
As the head of CMS, he would have direct influence over policies that could drive billions in profits for private insurers, companies that he has already aligned himself with.
Pennsylvania doctors even launched “Real Doctors Against Oz” to protest his 2022 U.S. Senate run, arguing that he was a “major threat to public health.” He skirted ethical responsibilities when he supported evidence-lacking recommendations to use hydroxychloroquine for Covid-19 while owning stock in the pharmaceutical companies that supply the drug and has been criticized by Congress for inappropriate claims he made about green-coffee extract as a weight-loss medication.
Dr. Oz will have an even more deleterious impact on seniors’ health, having expressed a clear intent to expand Medicare Advantage, privately managed Medicare. Medicare Advantage (MA) is rapidly reshaping senior healthcare at the expense of patient well-being. In Maryland, the proportion of MA enrollees to total Medicare beneficiaries has more than quintupled (5% to 27%) in the last decade. Seniors in these plans, especially those with significant medical conditions, are more likely to drop these plans and return to traditional Medicare because of increased denials of medically necessary care and delays accessing care due to narrow networks and increased bureaucracy. Becoming locked into a system where administrative bloat and corporate profits result in up to $140 billion in overpayments annually to Medicare Advantage companies would not only drain the Medicare trust fund but also harm seniors as cancer patients in Medicare Advantage face worse outcomes.
Even more concerning, Dr. Oz currently has a personal financial stake in the expansion of Medicare Advantage. His disclosure forms reveal he owns between 280,000 and 600,000 shares in UnitedHealth Group, the largest Medicare Advantage insurer. He has committed to divesting from these holdings if confirmed. Even still, as the head of CMS, he would have direct influence over policies that could drive billions in profits for private insurers, companies that he has already aligned himself with. Dr. Oz’s profiteering from these investments represents his prioritization of financial self-interest over patient well-being—and makes him uniquely unqualified to oversee public health programs.
Right now, we are pivoting sharply toward doing more harm at a time when we desperately need to pivot toward providing better healthcare for everyone. Medicare for All is supported by 69% of registered voters and provides truly universal coverage while cutting administrative overhead, reining in healthcare costs, and saving Americans thousands by removing the private insurance middleman. More importantly, it would make America healthy again; with prevention and primary care finally prioritized, Americans can enjoy better healthcare outcomes and quality of life.
As a Philadelphia anesthesiologist said in The New York Times, “I can’t believe he took the same oath that I did when we graduated… that oath is about first doing no harm.” As I prepare to take this same oath, I am appalled that someone who has so blatantly violated its principles could be entrusted with the health of millions. If given the reins of CMS, Dr. Mehmet Oz will not only fail to improve healthcare for our seniors but also use privately managed care to actively harm Americans. The Senate must reject Dr. Oz’s nomination. His long track record of misleading the public, pushing corporate interests, and prioritizing profit over patient health makes him wholly unfit to lead CMS.
A shadow cabinet would show us what it would mean to have a government of public servants who put the well being of American families ahead of the further enrichment of billionaires.
The rapid fire destruction initiated by President Trump, Elon Musk, and MAGA Republicans has overwhelmed Americans, with many scrambling to respond to one shock after another. Which was, of course, the point. The “flood the zone” strategy worked, for a while, leaving us alternating between fear and exhaustion.
But waiting for the lawsuits to stop the worst illegal moves or for disasters to expand to the point of collapse are losing strategies. Likewise, focusing exclusively on the failures of Trump administration policies leaves us feeling powerless and isolated.
What we need is a path forward.
Here’s one idea, discussed by North Carolina Democrat Rep. Wiley Nickel and historian and author Timothy Snyder: a shadow cabinet. The idea comes from other parliamentary democracies especially in Europe. In these systems, the opposition party establishes an alternative cabinet with specific portfolios that mirror those of the ruling government. These shadow ministers serve two crucial functions: they critique current policies while offering constructive alternatives.
Imagine having a shadow Attorney General who could provide journalists with informed counterpoints to administration claims while also creating a secure channel for alarmed federal employees to share concerns and leaks. Imagine a Secretary of Interior who could speak to the enduring value of American forests and parklands and why they should be protected.
What we need is to restore our sense of collective agency — to set a people’s agenda for the future and choose our own leaders.
A shadow cabinet would show us what it would mean to have a government of public servants who put the well being of American families ahead of the further enrichment of billionaires. During this time of overwhelm, when our physiological resources are limited by the impulse to “fight or flight,” this process could refocus us on our rights as citizens of this nation to have a government that works for us.
I propose one crucial variation on the approach proposed by Nickel and Snyder. The cabinet should not be appointed by the Democratic Party establishment — instead, we should embrace a truly democratic (small d) selection process. The Democratic Party establishment has failed to rise to the challenges of the times on many fronts, and many have felt alienated or left out.
Moreover, we need to recover our voices after the failed primary season of 2024 in which the nominations of Pres. Joe Biden followed by Vice President Kamala Harris were forgone conclusions. If Party leaders once again tell us who our leaders should be, alienation and cynicism would grow instead of engagement.
What we need is to restore our sense of collective agency — to set a people’s agenda for the future and choose our own leaders. So let’s create a grassroots process to debate priorities, hear from potential shadow cabinet candidates, and make selections collectively. We could consider a few key cabinet posts at a time. Caucuses at the local level could elect representatives to take community priorities and nominations for shadow secretaries to a national gathering for final selection.
This approach would be newsworthy, energizing, and shift our focus from mere opposition to creative problem-solving, visionary imagination, power-building, and community empowerment.
We could do this in locations across the country led by non-MAGA organizations that have large memberships and local chapters, for example The Working Families Party, Indivisible, the Women's March, Black Lives Matter, and Democratic Socialists of America come to mind, alongside local Democratic Party districts.
Americans are seeking genuine solutions to their everyday challenges, not ideological litmus tests. The questions we should be asking center on values and on practical approaches to improving the lives of current and future generations.
Our shadow cabinet members would serve as forward-looking spokespersons with the legitimacy of having been chosen through an inclusive process. They could effectively articulate alternative visions while also forming a deep bench of potential candidates for future elections.
Importantly, the democratic process itself would be enlivening. It would shift us away from the stale red-vs blue argument that too often miss the point. Is advocating for healthy lifestyles inherently conservative now that RFK Jr. is in office? Is supporting peace in Ukraine a right-wing position? Are immigration enforcement policies exclusively Republican when Democratic administrations have also implemented deportations?
Americans are seeking genuine solutions to their everyday challenges, not ideological litmus tests. The questions we should be asking center on values and on practical approaches to improving the lives of current and future generations.
This caucus process would provide valuable practice in democratic deliberation about real issues that are affecting our lives in local communities throughout the country. And it would expand our political imagination beyond the limitations imposed by establishment thinking, potentially embracing such popular proposals as Medicare for All.
No one is better equipped to define our national priorities and develop solutions than the American people themselves, engaged in pragmatic local conversations focused on constructive action. A democratic shadow cabinet offers a way to channel our energy toward building the future we want. By reclaiming our democratic voice through this process, we can begin building our vision and our power, re-engaging in our communities, and doing the essential work of renewal.
The exchange on the Senate floor came after the Finance Committee chair blocked passage of the Vermont Independent's bill.
U.S. Senate Finance Committee Chair Mike Crapo on Tuesday blocked passage of Sen. Bernie Sanders' legislation to expand Medicare to cover dental, hearing, and vision care for tens of millions of American seniors, but the bill's sponsor got the panel leader to publicly agree to further discuss the issue.
Sanders (I-Vt.) took to the Senate floor Tuesday afternoon to ask for unanimous consent to pass the Medicare Dental, Hearing, and Vision Expansion Act, which is spearheaded in the House of Representatives by Congressman Lloyd Doggett (D-Texas).
"In the richest country in the history of the world, it is unacceptable that millions of seniors are unable to read because they can't afford eyeglasses, can't have conversations with their grandchildren because they can't afford hearing aids, and have trouble eating because they can't afford dentures," Sanders said in a statement.
"That should not be happening in the United States of America in the year 2025," he continued. "The time is long overdue for Congress to expand Medicare to include comprehensive coverage for the dental, vision, and hearing care that our seniors desperately need."
After Crapo (R-Idaho) rose to stop the bill from advancing, he and Sanders had a brief exchange in which the Republican agreed to working on achieving the "outcome" of the federal healthcare program covering dental, vision, and hearing.
In Sanders' remarks on the Senate floor about his bill, he sounded the alarm about efforts by President Donald Trump, billionaire Elon Musk, and congressional Republicans to cut government healthcare programs and Social Security.
"Yeah, we have more nuclear weapons than any other country, we have more billionaires than any other country, but we also have one of the highest rates of senior poverty of any country on Earth. We might want to get our priorities right," said Sanders, who has long fought for achieving universal healthcare in the United States via his Medicare for All legislation.
"While my Republican colleagues would like to make massive cuts to Medicaid in order to provide more tax breaks to billionaires, some of us have a better idea," he said. "We think that it makes more sense to substantially improve the lives of our nation's seniors by expanding Medicare to cover dental, vision, and hearing benefits."
To pay for his expansion plan, Sanders calls for ensuring that Medicare pays no more for prescription drugs than the Department of Veterans Affairs and addressing the tens of billions of dollars that privately administered Medicare Advantage plans overcharge the federal government annually.
In a statement about the bill, Doggett highlighted that "this expanded care could help prevent cognitive impairment and dementia, worsened chronic disease, and imbalance leading to falls with deadly consequences. This is an essential step to fulfilling the original promise of Medicare—to assure dignity and health for all."
Welcoming their renewed push for Medicare expansion, Public Citizen healthcare advocate Eagan Kemp declared that "at the same time Trump and his cronies in Congress try to rip healthcare away from millions and push for further privatization of Medicare, Sen. Sanders and Rep. Doggett are showing what one of our top priorities in healthcare should be—improving traditional Medicare."
"The introduction of this legislation is an important step to ensure Medicare enrollees can access the care they need, and we hope that Congress will act quickly to pass these commonsense reforms," Kemp added. "Healthcare is a human right."
Earlier Tuesday, in anticipation of Crapo's committee holding a confirmation hearing for Dr. Mehmet Oz, the former television host Trump has nominated to lead the Centers for Medicare and Medicaid, Public Citizen released a research brief about the hundreds of millions of dollars Medicare Advantage companies have spent on lobbying.
"If Oz is confirmed as the CMS administrator," Kemp warned, "attacks on traditional Medicare are likely to move into overdrive."