The Atlantic

Bernie Sanders Thinks He Can Vanquish Health Insurers. He’s Wrong.

His “Medicare for all” plan is the best known—and the most politically impractical.
Source: Yuri Gripas / Reuters

Whether they’re running for president or just hoping to hold on to their seats, Democratic lawmakers face growing pressure to endorse one of Bernie Sanders’s signature causes. “Doc, they keep coming—pressing me to sign onto Medicare for all,” a somewhat hesitant and confused congressman told me recently. “Should I?”

“It all depends what you mean by ‘Medicare for all,’” I said. He was hoping for a better answer than I had. About 70 percent of Americans say they support the idea—under which Medicare, the federal program that now provides health coverage for about 60 million seniors and disabled individuals, would expand to cover millions more people.

Yet Medicare for all is a messy concept. At least four different approaches to health reform could truthfully carry the Medicare for all label. Sanders’s plan is the best

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