politicsKFF Health News
Midterm Wave Sets a Course for ‘Medicare for All’ Fight
The Democrats' win in the midterm elections, helped by voter frustration over healthcare costs, doesn't mean a government-run "Medicare for All" system will follow. Medicare for All refers to a single-payer system, in which a public programme covers everyone instead of private insurers. Controlling Congress lets a party hold hearings, set budgets and block measures, but passing a sweeping law requires both chambers and the president's signature, and the party is divided on how far to go. Some Democrats want a full single-payer system, while others prefer building on the Affordable Care Act or adding a public option. Republicans and the insurance industry oppose single-payer.
Health costs are among voters' top concerns, and the fight over how to cover people is one of the main divides in US politics. The scale of the change, and what it would do to taxes and private insurance, is why it remains contested.
After Democrats won the House in 2018, Medicare for All got congressional hearings in 2019 but no law passed. Winning an election is rarely enough to pass a major overhaul of health care, as shown when the Affordable Care Act needed a large majority in 2010.
Medicare, the US health programme for people aged 65 and older, was signed into law in 1965.
KFF Health News · CC BY-NC-ND 4.0
