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Don't we all deserve a bed that goes up and goes down?


With the Republicans probably not quite ready to try killing off Obamacare again during an election year (nothing's guaranteed, though -- they may suddenly require poor people to deposit a kidney to get Medicaid), Democrats are floating a whole bunch of fun ideas for going beyond the Affordable Care Act. As the indispensable Sarah Kliff outlines over at Vox, there are at least five major universal-coverage plans floating around in progressive circles; in addition to a very popular Medicare for All bill in the Senate, there are also a whole bunch of proposals for public options, where individuals or employers could buy in to Medicare or Medicaid, plus a proposal from the Center for American Progress that would offer Medicare to everyone but allow private insurance to keep operating if people want it. Go check 'em out; they're all interesting!

It looks like our Dems is learning! Millions of people who have finally gotten a taste of decent healthcare from the ACA weren't in any mood to let the GOP take it away last year, and Democrats sure would like to mobilize the people who turned out in defense of Obamacare to show up and vote this year and in 2020. There's no shortage of good proposals, and yesterday, Senators Chris Murphy of Connecticut and Jeff Merkeley of Oregon added one more to the mix, a Medicare buy-in bill they're calling the "Choose Medicare Act," which has two words that Americans really like, and while it isn't single-payer, it would address several shortcoming of our current healthcare system (which isn't a "system" at all but a patchwork of public and private systems that just doesn't work so great unless you're fairly well off. You may have noticed). New York Times health policy reporter Margot Sanger-Katz outlines the bill in nice detail on the Tweeter machine. The Big Ideas in Murphy-Merkley are:

  • It would allow individuals and employers to buy into Medicare. People getting subsidies on the Obamacare exchanges would also be able to purchase a Medicare plan. Premiums would be set according to enrollees' age and income.
  • Murphy-Merkley (we like saying that) would fix one of the shortcomings of Obamacare: It would expand subsidies for health insurance (private or Medicare) to people making up to 600 percent of the poverty level (subsidies currently cut off at 400 percent of that level).
  • Like most other Dem plans for health reform, it would allow Medicare to negotiate drug prices, and it would also set an out-of-pocket maximum for people receiving Medicare -- both retirees and people buying in to the plan.

One thing this isn't, and that's by design: It isn't single-payer, but would pave the way for single-payer by letting people buy into a program that most Americans already really, really like. Private insurance would still be an option, and by golly, if people would rather go that way, that's the "choose" part:

"We think this is a way for the market to decide whether a Medicare plan or private sector plans are better for individuals and businesses," Sen. Murphy said. (He thinks most people will pick Medicare, but wants to preserve choice.)

As Sanger-Katz points out, since Medicare reimbursements are lower than private insurance, this plan is likely to get pushback from doctors, for-profit hospitals, and the medical device industry. But Murphy and Merkley are hoping the idea would be an easier sell than an immediate shift to single-payer -- and Merkley has signed on as a co-sponsor of the Senate Medicare For All bill himself. The health-reform nonprofit FamiliesUSA has already endorsed the Choose Medicare Act, and while we aren't certain it would be our first choice among the several very good ones, it looks like a very plausible plan. We need to get the healthcare discussion moving forward from a rearguard action to protect the ACA from all the Trumpfuckery, and to find ways of expanding healthcare to all Americans in a political reality where a third of voters are still really keen on letting people die if they can't organize a successful GoFundMe to cover their cancer treatments.

Mostly, we're just excited to see so many good ideas being floated for moving beyond the ACA, which most Americans finally seem to agree is both a good first step and not good enough. Go check out Sarah Kliff's piece at Vox for details on the Medicare/Medicaid buy-in plans being floated, too. A real fix to healthcare seems at least a possibility, even if we can't become Canada overnight. (But hey, maybe we could do that too, eh? First, we'll take Justin Trudeau.)

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Yr Wonkette is supported by reader donations. Please click here to help feed Dok's need to read more healthcare policy proposals. He's hooked.

[Vox / Margot Sanger-Katz on Twitter]

Doktor Zoom

Doktor Zoom's real name is Marty Kelley, and he lives in the wilds of Boise, Idaho. He is not a medical doctor, but does have a real PhD in Rhetoric. You should definitely donate some money to this little mommyblog where he has finally found acceptance and cat pictures. He is on maternity leave until 2033. Here is his Twitter, also. His quest to avoid prolixity is not going so great.

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How do you do, fellow libs? We come together tonight to cheer and clap and cry and laugh, with our leader, Elizabeth Warren, and her fellow nice people Jay Inslee (the gold standard in climate action), Beto O'Rourke (excellent on being a good ally mostly), Cory Booker (best corny love hippie but also Wall Street, it's weird), Julian Castro (I don't know, people are super into him despite his creepy twinness and his too much pomade), Amy Klobuchar (bad bitch), Bill de Blasio ( ... ), John Delaney (???), and Tim Ryan and Tulsi Gabbard.

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We know, the thing we said in our headline is a thing you can say every day, but it's really intense today, maybe because Donald Trump is now filled with fear of the inescapable reality that millions of Americans who have not read the Mueller Report are going to see Robert Mueller testify on live TV on July 17, and Donald Trump will be exposed. Maybe the Big Mac vending machine next to his golden toilet is on the fritz and he hasn't had gotten to eat a Big Mac on the poop chair since last night. Maybe he's just a weak and sad person, a collection of shithole cells God meant to throw in the garbage, but accidentally implanted in Mary Trump's turkey incubator. We imagine that'd lead to a pretty constant state of anxiety and ennui.

Whatever it is, he's totally fucked right now. We were going to write a nice post about Trump's batshit interview on Fox Business with Maria Bartiromo, but we were busy, and by the time we got to it, he had performed so many batshit feats that we're just going to stick them all in this one post.

Let's start with the fight he's trying to wage with US soccer star Megan Rapinoe, who in a now-viral video stated that she has no fuckin' interest in going to the White House to meet that idiot. He got into a quarrel with her on Twitter ... or at least with a Twitter account that didn't belong to her. It's now been replaced, in order that the adult president may shit-tweet at the soccer superstar who hurt his feelings, but Splinter grabbed the original:

The rant continued:

Right. And Megan Rapinoe just said win or lose, she has no interest in meeting your crusty ass, because no decent American would consider that an honor.

Besides, she has already been to the White House to meet a legitimately elected president:

By the by, the owner of the incorrect Megan Rapinoe account saw Trump's whining and told him to grow a dick and set it on fire:

Ya burnt!

But as we said, it was a whole day of batshit from Trump, so let's continue.

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