Make no mistake. Senator Elizabeth Warren wants the nation to have a single-payer government-run health insurance plan (commonly called Medicare-For-All). She truly believes that kind of plan will be the best for all Americans -- covering all citizens with decent insurance and lowering the cost of drugs and medical care.
But Warren is also a realist. She understands that a Medicare-For-All plan could not pass Congress right away if she's elected -- even with Democrats in control of both branches of Congress. Too many Americans get their private insurance through their employer, and they like the plan they have. A true Medicare-For-All plan could not be initiated until these people are convinced it would be better for them.
That does not mean that Obamacare could not be improved to cover all Americans and start to lower costs. In fact, most Americans would support a government public option for health insurance -- one that would cover anyone who can't afford private insurance and would allow any person to buy into the plan. And such a plan could be easily passed with a Democratic president and a Democratic-controlled Congress.
So Warren has made it clearer what she supports, and what she would try to achieve if she became president. She says she would first get a transition plan passed -- a public option that would cover those without insurance and that any American could buy into. She believes this step would convince most Americans that Medicare-For-All could work, and then it could be passed.
Here, from her website, is how she describes what she would do for health insurance if elected president:
Every serious proposal for Medicare for All contemplates a significant transition period. Today, I’m announcing my plan to expand public health care coverage, reduce costs, and improve the quality of care for every family in America. My plan will be completed in my first term. It includes dramatic actions to lower drug prices, a Medicare for All option available to everyone that is more generous than any plan proposed by any other presidential candidate, critical health system reforms to save money and save lives, and a full transition to Medicare for All. Here’s what I'll do in my first 100 days:
- I’ll pursue comprehensive anti-corruption reforms to rein in health insurers and drug companies – reforms that are essential to make any meaningful health care changes in Washington.
- I’ll use the tools of the presidency to start improving coverage and lowering costs – immediately. I’ll reverse Donald Trump’s sabotage of health care, protect individuals with pre-existing conditions, take on the big pharmaceutical companies to lower costs of key drugs for millions of Americans, and improve the Affordable Care Act, Medicare, and Medicaid.
- I will fight to pass fast-track budget reconciliation legislation to create a true Medicare for All option that’s free for tens of millions. I won’t hand Mitch McConnell a veto over my health care agenda. Instead, I’llgive every American over the age of 50 the choice to enter an improved Medicare program, and I’ll give every person in America the choice to get coverage through a true Medicare for All option. Coverage under the new Medicare for All option will be immediately free for children under the age of 18 and for families making at or below 200% of the federal poverty level (about $51,000 for a family of four). For all others, the cost will be modest, and eventually, coverage under this plan will be free for everyone.