Two weeks after Elizabeth Warren released her much-ballyhooed and Warrenishly detailed plan for how she would pay for Medicare for All, the 2020 contender released another proposal on Friday about how, as president, she would transition the country to a system under which the government provides health insurance to everyone. Like the other plans from the “I have a plan for that” candidate, this document was long on details and full of proposals likely to have broad support on the left. But when you zoom out from those details, it amounts to an admission that Warren won’t push for Medicare for All, and instead will embrace a more cautious path to expanding insurance coverage.
One important thing about this plan is that it is less about what Warren wants the U.S. healthcare system to look like and more about specifically what she would do as president, a level of detail that is often elided in Democratic debates. She says that she will reverse Donald Trump’s executive actions that have weakened the Affordable Care Act and use the powers of the presidency to lower drug prices by cracking down on the pharmaceutical industry. She also wants the government to manufacture generic medications, and severely limit the lobbying power of Big Pharma.
But the big question facing 2020 Democratic candidates isn’t about those kinds of policies, but how hard they would push for a government-provided health insurance system, a progressive goal since the days of FDR. Warren has said she favors Medicare for All, a position that has become controversial as debate moderators and her opponents have pressed her to admit such a massive expansion of government spending would require a tax increase. In this plan, she tweaks her stance somewhat: The bill she’ll focus on early in her administration would be a “Medicare for All Option.”
That last word matters a lot. Medicare for All is sometimes a somewhat vague phrase, but generally it means putting everyone on a single government-run health insurance system, abolishing private insurance. Warren’s Medicare for All Option wouldn’t be that disruptive. Instead of forcing everyone to buy insurance from the government, Warren would expand Medicare benefits and extend coverage to everyone younger than 18 and those making up to 200 percent of the poverty level. People who earn more than that and who are uninsured would pay premiums capped at 5 percent of their incomes.
By providing government insurance to those who want it, rather than requiring everyone to have it, this proposal seems akin to the “public option” systems favored by candidates like Joe Biden and Pete Buttigieg, though as the New York Times noted, Warren’s slate of benefits is more generous than theirs. On Friday, the Buttigieg campaign attacked Warren’s plan as an effort to “paper over” Warren’s plan to “force 150 million people off their private insurance.”
Warren says this isn’t the end goal of her healthcare policy. “No later than my third year in office,” she writes, she will push for legislation moving the country into true Medicare for All, wiping out private insurance for good. Many progressives have praised this plan, including Pramila Jayapal, the Democrat who is the chief sponsor of the House’s Medicare for All bill. But the assurance that Warren will eventually get to Medicare for All wasn’t enough for her critics on the left, who saw this as a capitulation. If you aren’t willing to fight for full Medicare for All from day one of your presidency, they argue, you have no chance of getting it.
If Warren’s plan is a dodge, it’s also an extremely logical piece of political strategy. She claims that unlike Medicare for All, she could pass her bill through a Senate process known as “reconciliation,” meaning it would require 50 votes, not 60. Furthermore, Warren supporters could argue, it’s extremely unlikely that centrist Democrats like West Virginia’s Joe Manchin and Arizona’s Kyrsten Sinema would vote for Medicare for All—meaning you might not even have 50 votes for M4A—but they might vote for a slightly less radical option.
But where this pragmatism falls apart is the idea that Warren would get to Medicare for All by year three of her term. As many people have pointed out, most presidents lose seats in Congress during midterm elections and struggle to pass big pieces of legislation late in their terms as a result. A candidate saying she’ll fight for Medicare for All in 2023 rather than 2021 sounds like your parents promising to get you a puppy two birthdays from now—in other words, just putting off a tough decision.
Not that there’s anything wrong with that. Warren’s position on healthcare is still far more ambitious than anything contemplated by the Obama administration, and she’s previously said that her highest priority will be fighting political corruption (in other words, not healthcare). A President Bernie Sanders might launch a contentious, uphill battle to try to ram through Medicare for All, but a President Warren likely will not. If that wasn’t obvious before this latest plan, it’s clear now.
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Stressed Students, Bridesmaids Drama, And More: An Advice Column From A Total Amateur
Hi! A while ago I asked the BuzzFeed Community to tell me a problem they’re having, so that I — a person with absolutely zero professional qualifications to help anyone — could give them advice. So, here are the results! NBC 1. “Dear Andy,I have NO idea where I should go to school… I’m applying…
Hi! A while ago I asked the BuzzFeed Community to tell me a problem they’re having, so that I — a person with absolutely zero professional qualifications to help anyone — could give them advice. So, here are the results!
I have NO idea where I should go to school… I’m applying to 12 schools, 10 on the west coast and two in BC. I’m a high achieving student (I’m in five AP classes, president of two clubs, volunteering and a job, etc.) and I don’t want to go somewhere that’s all about the pressure, but I still want a high quality education. I’m so lost, help!”
—The Overwhelmed Student
You posted this just to dunk on all of us academically, didn’t you?
Kidding. In all seriousness, you can get a very good education at a bunch of different schools. And when you’re done, you’ll have a degree that probably nobody will ever verify! In my completely amateur opinion, the only reason people think the “Ivy League” schools are better is because a lot of wealthy, well-connected people go there (and have gone there), and therefore when you graduate from one, you’re more likely to get in at some fancy law firm or whatever because of your connections. So if you aren’t planning on being like, IDK, the CFO of Waystar Royco or something, just pick the school that you really want to go to. Where are you going to be happy living? Is one of the schools in a city you already want to move to and/or the city that has jobs in your future profession? Is it important for you to be close to home? How many Wendy’s are there on campus, and do they carry Spicy Nuggets? These are the questions you should be asking.
Oh, wait, actually…forget all that. Go to the school that will cost the least when you factor in tuition, room & board, and any scholarships you might get. Student loans are a curse and you want as little of them as possible. In the end, you might not even end up doing the thing you studied in college. Wanna know what degree I have? A BFA in Theater Performance. An acting degree. And now here I am, writing for a website. You’ll be fine.
I got married this summer, and I decided to choose only family to be my bridesmaids. For me this included three female cousins and my (now) sister-in-law. My husband, on the other hand, decided to do a mix of family as well as friends from high school for his groomsmen. I had no problem with this at all.
I had a few friends who I knew would expect to be bridesmaids, so I made it clear to them from the very beginning that I would be choosing family only as to not have a huge wedding party, but I told them they were not any less important to me and that I still wanted them to be involved in the wedding as much as they felt comfortable with. Most of the friends I had this conversation with were very understanding, however one straight up told me that she was disappointed (this was two years before the wedding).
Now it’s been a few months since I got married and this friend (a friend from childhood) started talking about the wedding. She told me she felt left out of the wedding since she wasn’t part of the wedding party. It particularly bothered her that my husband included friends and I didn’t. She then proceeded to tell me that it was difficult for her to be there the day of my wedding because of these feelings. AT MY WEDDING. She also included the fact that she didn’t want to upset me and that it doesn’t change our friendship. But if that is the case then why say anything in the first place? I’ve already said one too many times the reason for my bridesmaid choices and how important she is to me regardless. And she says she understands. I just wish she would let it go. Ever since this conversation I feel like I’ve been seeing her in a whole new light.
I do care about her feelings, but I stick by my decision and I don’t regret anything. I feel like I’ve done everything I can to make her feel better.”
—The Besieged Bride
[TL;DR: Bride had only family as bridesmaids, groom had some friends in the mix, bride’s childhood friend felt left out and complained about it a few months after the wedding.]
Question one: How drunk was your friend when she brought this up to you? If she was like, a 6 or more out of 10, I say let’s give it a pass and hope she got it out of her system.
Question two: Has your friend had a wedding of her own yet? If yes, then she should’ve understood the situation, because wedding planning is a special kind of hell and inevitably you have to make difficult decisions like this one that might hurt people’s feelings. So if you’ve planned your own wedding, you know the deal and you’re able to say to yourself, “It’s their wedding, I’m just going to be supportive and have fun.” If she hasn’t gotten married yet, she’ll realize later that it was totally inappropriate to complain about this to you. Hopefully.
I have been taking so many of the relationship quizzes on BuzzFeed but they all say I’m single. The major problem is I have an S.O. Is she just faking or am I?? Help me!! Is my girlfriend not actually mine or are we real?”
—The Quizzical Quiz-Taker
You’re not real. This is all a simulation.
—Andy (or am I?)
I’m not sure where to live. I live in Milwaukee, WI, right now. Moved here three years ago for school, but that fell through because Milwaukee is friggin expensive. My family wants me to move back to the other side of the state, towards Minneapolis/St. Paul. What should I do?”
—Meandering the Midwest
Get the fuck out of there, it’s so cold! Listen, I used to live in Michigan, and it was depressing because it was grey and miserable nine months out of the year. Now I live in Southern California, it’s sunny and beautiful and my vitamin D levels are through the roof. Migrate south, seriously.
But if you HAVE to stay, I will say that everybody who lives in Minneapolis seems to LOVE Minneapolis for some reason.
My problem is that I struggle with feeling attractive. I started taking birth control when my boyfriend and I started dating (six years ago). I started gaining the weight right after. I’m now a size 12 and my boyfriend is a slender guy. I haven’t felt attractive in the last year. I gained so much weight at one point I was a size 16. I’m back to a 12 and trying to lose weight again. I don’t feel sexy or beautiful in any way. I prefer to keep my shirt on during sex now. I don’t know why my boyfriend still finds me attractive. I have a tummy, I have rolls when I sit down, I just don’t know what he sees anymore. Any advice you could give me would be much appreciated.”
—Struggling With Size
First off, don’t worry about your boyfriend. Clearly he finds you attractive, and when you actually care about someone, the size tags on their clothes don’t matter to you at all. Appreciate that fact and find some security there.
Now, consider the possibility that if your boyfriend finds you attractive at any size, you can too! It’s not easy. It requires shedding every bit of toxic influence that the media and our society overall has thrown at you for your entire life. That takes time and work.
But if you are worried about your physical health at all, consult a doctor. There are many different types of birth control and like 40 different pills, and everyone reacts to each one differently. It can take time to find the right one, and not every doctor is going to be helpful about it. Advocate for yourself if you’re unhappy with your medication. You may have done all of this already and I’m just sitting here mansplaining BC to you, but if so at least you can cross that off your Mansplaining Bingo Card.
That’s it for this week. But if you’re having a problem that you need advice about, let me know! It could be anything: petty arguments that you need a judge to decide who was right and who was wrong, help making life decisions, relationship issues — I’m your completely unqualified man. Email firstname.lastname@example.org (for total anonymity) or leave a comment here!