M4A is vastly improved!
The Medicare for All bill H.R. 676 originally put forward by John Conyers in 2003, has recently been re-introduced in Congress by Keith Ellison and has 123 co-sponsors in Congress.
H.R. 676 is now called National Improved Medicare for All or NIMA.
Why is H.R. 676 “Improved” Medicare for All?
Unlike traditional Medicare, H.R. 676 NIMA will cover everyone, rich and poor alike, so that its budget can not be cut or under funded. H.R. 676 NIMA will cover all medical, prescription, dental, vision, long term care, & mental health needs. Everyone will be covered from prenatal to end of life.
H.R. 676 NIMA will have no premiums, no co-pays, no deductibles . H.R. 676 NIMA will be funded by using the federal budgets/funds from the current federal programs (i.e. Medicare, Medicaid, ACA, CHIP, FEHB ). H.R. 676 NIMA will also be funded by new taxes, but only for those who can afford to pay (progressive taxation).
H.R. 676 NIMA removes all for profit insurance companies as well as removes all ACO’s and HCO’s (Accountability and Health Care Organizations) that siphon off even more millions for administration as part of the “oversight” and regulation/risk management of the current system.
Contrary to what the President stated, H.R. 676 National Improved Medicare for All will not “eviscerate” senior’s current coverage but expand senior’s current coverage , allowing seniors their CHOICE of not only doctors, clinics, and providers, but most importantly their choice of Long Term Care (LTC)with Home and Community Based Services.
Currently, LTC is not covered by Medicare. You either have to purchase your own LTC insurance or be forced onto Medicaid, as proposed by Senator Sanders. Unlike Senator Sander’s proposal, LTC for seniors and the disabled under H.R. 676 NIMA will not be “Medicaid” . Medicaid is currently the main federal program where an individual can access LTC if they can’t afford LTC insurance. Because Medicaid only serves the poorest of seniors and other poor disabled of any age, if a middle class family needs LTC, they are forced to “spend down” and deplete all their assets in order to qualify and receive any LTC through Medicaid. Medicaid is currently 90% managed care so all federal money is going to big insurance companies where access to needed care is routinely denied. Medicaid does not cover everything, especially chronic and severe conditions, vision and dental. Medicaid pays very little so a limited number of providers can participate. Using the Medicaid program for LTC is one of the main reasons why Senator Sander’s single payer bill S.B. 1804 falls short. (Besides the fact that S.B. 1804 will still include the for profit insurance companies).
According to a recent article in the LA Times, long term care for an increasing population of seniors and chronically ill is one of the most important issues of our time.
“Who on earth is going to do this job for essentially minimum wage? You could go work at Starbucks and have a lot less stress in your life.”
’It’s been especially difficult for advocates to shake off the sense that caring for the elderly is a family matter, not one of statewide concern. Donna Benton, professor of gerontology at USC, said the strain that aging can cause for seniors and their families has long been seen as “a private affair.”
“But domestic violence used to be considered a private affair,” Benton added. “This is a public health issue now.”
We need to address this impending crisis of long term care for seniors and the disabled by enacting a comprehensive H.R. 676 NIMA.
In closing, as a home bound, disabled, low income senior (that is at present being denied health care under Medicaid managed care), I know that H.R. 676 NIMA is the only equitable way to address our health care needs.
H.R. 676 National Improved Medicare for All is the only Pro-Senior, Pro-Choice, Pro-Consumer health care bill.
I am not a Democrat or a Republican and according to a recent new poll by Reuters/IPSOS nearly 85% of Democrats and 52% of Republicans support Medicare for All. They apparently didn’t poll independents, a larger group than either major party, but other polls have found majority support among independents.
And even though the poll gives us valuable information, party affiliation should not be an arbiter of what kind of health care we receive. Enacting H.R. 676 NIMA will cover us all under one safe umbrella, including Congress and the President. And when H.R. 676 NIMA becomes law, it won’t preclude the President, Congress, or anyone from purchasing their own private health insurance if they so desire.
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