She Made a Mistake, But We Still Need Her

I’ve read Elizabeth Warren’s Medicare For All proposal and think it has some big problems. You can read about it here (there’s a lot to read).

(1) The financing is very complicated. It assumes lots of changes to the tax code. The senator’s 2% Wealth Tax on fortunes over $50 million is a great idea, but raising it to 6% on billionaires, along with the other changes she proposes, makes the whole thing less likely to be enacted and complicates her message.

(2) She says Medicare For All is a long-term goal, but it’s being criticized as if she thinks it could take effect immediately. She has promised to deliver a transition plan, but waiting weeks to explain the transition makes the plan sound too disruptive and even less likely to be enacted.

(3) Although Medicare For All would save the country money overall, nobody is reporting what we would spend without enacting it. It’s simply reported and criticized as the Senator’s very expensive, multi-trillion dollar plan. She needed to emphasize the cost of doing nothing (even though she would have gotten very little cooperation from the press even then).

(4) It isn’t clear how our current Medicare taxes and costs (like deductibles) fit into the plan. Since Medicare costs less than private insurance, it would be reasonable to say Medicare taxes would go up somewhat, but people would save money because they wouldn’t be paying for private insurance? Implying there would be no extra taxes suggests the Senator is again promising too much. Medicare isn’t free now. There is no reason to think it would be free in the future, even with the Senator’s proposals for funding it.

So I think the Senator’s announcement of her Medicare For All plan has been a mistake. Maybe she can get past this by emphasizing that Medicare For All is a goal and would require major changes, and that she supports a public option in the meantime. She has supported a public option in the past. Believe it or not, Joe Biden’s public option plan seems to make sense. (The Bernie Sanders site says you can see the details of his Medicare For All proposal, but when you click on “Details”, there aren’t any.) Somewhere between Biden’s and Sanders’s proposals would be a good place for Senator Warren to be. We need her if we want to replace the Toddler and turn this country around.