The United States has the most dysfunctional, inefficient, bureaucratic and expensive health care system in the world. That’s not just what I believe. That’s what the American people know to be true. According to a March 2022 survey by Gallup and West Health, an estimated 93 percent of American adults feel what they pay for health care is not worth the cost. That poll also showed that 64 percent of Americans are dissatisfied with the availability of affordable health care. Today, according to the Center for Medicare and Medicaid Services (CMS), we now spend an unbelievable $12,530 per person for health care. Yes. $12,530 for every man, woman and child in this country. Despite this huge expenditure, 30 million Americans have no insurance at all and 112 million struggle to pay for the health care they need.
United States Senator from Vermont
Bernard Sanders (born September 8, 1941) is an American politician who has served as the junior from Vermont since 2007. The for the state's at-large congressional district from 1991 to 2007, he is the longest-serving independent in U.S. congressional history and a member of the Democratic caucus. Sanders ran unsuccessfully for the 2016 and 2020 Democratic nomination for president.
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GARRETT: Senator Sanders -- no, Senator Sanders, I have a question for you, sir. You're the frontrunner in this race. You're on the ballot in South Carolina. Mayor Bloomberg, you'll understand that preamble in just a second. If elected, Senator Sanders, you would be America's first Jewish president. You recently called a very prominent, well-known American Israel lobby a platform for, quote, "bigotry." What would you say to American Jews who might be concerned you're not, from their perspective, supportive enough of Israel? And specifically, sir, would you move the U.S. embassy back to Tel Aviv?
I applaud President Obama for his efforts on DAPA and DACA. And I think we have got to expand those efforts. ... Now I happen to agree with President Obama on many, many issues. I think he has done a great job as president of the United States. He is wrong on this issue of deportation. I disagree with him on that.
Today, in terms of health, we have a dysfunctional healthcare system in which we spend the astronomical and unsustainable sum of nearly $13,000 for every man, woman and child, twice as much as most developed countries and almost 20% of our GDP. Yet, despite that huge expenditure, 85 million Americans are uninsured or underinsured and we have worse health outcomes and lower life expectancy than many other nations. While the insurance companies make huge profits, over 500,000 people declare bankruptcy each year from medically related debt, and over 68,000 die because they can’t afford the care they need. Our complicated and fragmented system is so broken that it cannot even produce the number of doctors, nurses, dentists and mental health personnel that we desperately need. As a nation, we must focus on the reality that the function of a rational healthcare system is to provide quality care for all, not simply huge profits for the insurance industry.
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During the pandemic, while the billionaire class saw a $2 trillion increase in their wealth some of the largest corporations and wealthiest people in America did not pay a nickel in federal income taxes. Democrats voted to end that absurdity and begin the process of moving to a fairer tax system. Not one Republican voted to support that effort. In fact, at a time of massive wealth and income inequality, Republicans have proposed trillions of dollars in tax breaks for the most profitable corporations and wealthiest people in America.
At a time when inflation is a worldwide phenomenon (European Union- 10.1 percent, Germany-10 percent, UK-9.7 percent, Canada-7%, etc.), corporations are using the war in Ukraine, the supply chain crisis and the ongoing pandemic to jack up the price of gas, food, and just about everything the American people need. Many Democrats believe that we should enact a windfall profits tax on large, greedy corporations. Not a single Republican in Washington agrees.
Medicare for All, free college education, and expanded Social Security, along with other universal guarantees, are good ideas in and of themselves, as is explained in other sections of this book. But they are dramatically more necessary in a transition period from an old economy to a new one. The best models for that new economy will include strong unions and well-defined workplace protections. But the definition of the workplace will change radically, making guarantees to workers unpredictable as the economy is transformed. The availability of health care and education—as human rights—will be essential. If people do not have access to them, they will be forced to work harder for less. Inequality will continue to increase and our political debates will grow more desperate. That doesn't have to be our future. By embracing Medicare for All, as well as plans to expand Social Security, we can ensure that working-class people—many of whom will find themselves self-employed or working in the gig economy—will not be left in the lurch because they do not have a steady employer that provides health benefits and a pension. And in an era where people will need more training and expertise than ever before, free college education should be a no-brainer.
But let’s be clear. Opposition to this bill is not just limited to the pharmaceutical industry. At a time when millions of senior citizens and people with disabilities cannot afford the home health care, dental care, hearing aids, and eyeglasses they desperately need, private health insurance companies are strongly opposed to this legislation. They are spending tens of millions of dollars to defeat this bill because they do not want Congress to expand Medicare to provide dental, hearing, and vision benefits and they apparently do not want seniors to receive the quality care they need in their own homes. And it’s not just the health care industry and big drug companies. The fossil fuel industry is launching a major advertising campaign to defeat this legislation because it seems to be more concerned about protecting their short-term profits than addressing the existential threat of climate change. At a time of record-breaking forest fires, drought, rising sea levels and extreme weather disturbances the fossil fuel industry has, since 2000, spent more than $2 billion on lobbying to protect its special interests and prevent the federal government from making cuts in carbon emissions to protect our planet. Further, at a time of massive wealth and income inequality – when the two richest people in this country own more wealth than the bottom 40 percent – the billionaire class is vigorously opposing this legislation because it wants to prevent Congress from making the wealthiest people and most profitable corporations finally start paying their fair share of taxes. The corporate elite seem to love the idea that billionaires have a lower effective tax rate than nurses or teachers and that, in a given year, there are dozens of profitable corporations that don’t pay a nickel in federal income tax.
Can I respond? Amy used the word alienating. Hey, Amy, my favorability nationally I believe are the highest up here, as a matter of fact. All right. But the point is -- the point is the way we are going to beat Trump, which is what everybody up here wants, is we need a campaign of energy and excitement. We need to have the largest voter turnout in the history of the United States. We need to bring working people back in to the Democratic Party. We need to get young people voting in a way they have never done before. That is what our campaign is about.
It looks like the is prepared to tell the billionaire class they cannot have it all. It looks like the South Bronx wants to create an economy that works for all of us, not just the 1%. What this campaign is about is creating a political revolution. All over this country I am seeing millions of people standing up, fighting back, saying, “enough is enough.”
What he [Donald Trump] is doing and this is his entire political strategy is to divide the American people... So you have a president who gives tax breaks to billionaires and wants to cut Medicare, Medicaid and Social Security. That's not what he's going to run on. You've got a president who tried to throw 32 million people off health care. He ain't gonna run on that one. You got a president who gave 83% of the tax benefits to the top 1%, not going to run on that one. So how do you win an election? What do you say — "You see those undocumented people, they all your enemy. Stand with me. Hate them. Let's divide this country up." I think that is an incredibly ugly and dangerous thing to be done. And I will do everything I can to stop that.
Why do we hear more about O. J. Simpson or the Superbowl or a plane crash than we do about the fact that in a period of declining wages for working people the average CEO of a major American corporation makes more than $3 million a year? Could there be any relation between what we see on the ABC Evening News and the fact that Michael Eisner runs Disney and that Disney in turn owns ABC?
While psychologists tell us that the first four years of life are the most important in terms of human intellectual and emotional growth, it’s hard to deny that our childcare system is in disarray. The cost is unaffordable for many working parents, there are not enough slots available, the quality is spotty and the pay and benefits childcare workers receive is unconscionably low. This is not how we should be treating our children, the future of America. The situation in K-12 education is not much better. For a variety of reasons – lack of respect, low pay, the stress of Covid and the politicization of school boards – thousands of gifted and dedicated teachers are quitting the profession, leaving students unprepared for the challenges they face as they enter the adult world. The future of this country depends upon the quality of education we provide our kids, and there is no reason why we cannot create the best public educational system in the world. In terms of higher education, we face the absurd situation of hundreds of thousands of bright young people who have the desire and ability to get a college education but cannot do so because their families lack the money. How many great doctors, scientists, and teachers are we losing as a result? There are also millions of young people who need training in order to become skilled mechanics, carpenters, welders, and electricians who are not getting the post-high school training they need. Further, 45 million Americans are struggling with student debt – sometimes in the hundreds of thousands of dollars.
Through reconciliation, we must make sure that unemployment benefits during this crisis period are not taxable so that workers don’t get hit with a huge tax bill they didn’t expect on April 15. Moreover, we need to create millions of good paying jobs by rebuilding our crumbling infrastructure – our roads, bridges, sidewalks, schools, water systems and affordable housing. Further, as we lead the world in combating the existential threat of climate change, we can create millions more jobs by making massive investments in wind, solar, geothermal, electric vehicles, weatherization and energy storage. We must guarantee at least 12 weeks of paid family and medical leave and end the international embarrassment of the United States as the only high-income nation that fails to provide paid maternity leave. In order to address our dysfunctional early childhood education system, we must provide universal pre-K for every 3- and 4-year-old in the country and greatly expand childcare. And, if we are to have the best-educated workforce in the world, we need to make public colleges and universities tuition free and cancel all student debt for working-class Americans.
Americans must not be naive about China’s repression, disregard for human rights, and global ambitions. I strongly believe that the American people have an interest in strengthening global norms that respect the rights and dignity of all people—in the United States, in China, and around the world. I fear, however, that the growing bipartisan push for a confrontation with China will set back those goals and risks empowering authoritarian, ultranationalistic forces in both countries. It will also deflect attention from the shared common interests the two countries have in combating truly existential threats such as climate change, pandemics, and the destruction that a nuclear war would bring. Developing a mutually beneficial relationship with China will not be easy. But we can do better than a new Cold War.