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Progressive candidates in Pittsburgh won two key races on Tuesday. Reform candidate and chief public defender Matt Dugan ousted a longtime tough-on-crime incumbent to win the primary for district attorney in Pennsylvanias Allegheny County. State Rep. Sara Innamorato won the Democratic primary for Allegheny County executive. Both will advance to general elections in November. Dugan is currently running unopposed, and Innamorato will face Republican candidate Joseph Rockey.

The wins add to a recent body of progressive success in a crucial swing state where Republicans have made inroads in recent years. Since 2018, progressives have surged in Pennsylvania races from Congress to state legislature and local government, picking up key seats in Pittsburgh and Philadelphia along the way.

Conventional politics in swing states have typically shunned progressives in favor of moderate candidates. Tuesdays results are evidence that candidates who prioritize issues facing working people can help build the Democratic base in purple states rather than shrink it, Rep. Summer Lee, a progressive Democrat who went from the Pennsylvania state House to the U.S. House last year, said during remarks at Innamoratos election party on Tuesday night.

Back in the day when they doubted us, and they said, These crazy women cant win those state House seats, we told them back then that the power of the people was greater than the people in power, Lee said. What we showed them tonight, what weve shown them in every single election cycle since weve started is that the power of the people is always greater than the people in power.

In 2018, Innamorato was first elected to the state House along with Lee, who also represented parts of Pittsburgh. They both beat longtime incumbents in Democratic primaries. Philadelphia elected its first Working Families Party council member, Kendra Brooks, in 2019. Philadelphia organizers won election to the state House 2020. And Pittsburgh Mayor Ed Gainey beat a Democratic incumbent and won election in 2021.

In 2022, Lee was elected to the U.S. House of Representatives after defeating a moderate Democrat and an onslaught of outside spending by conservative Democrats and Republicans. Sen. John Fettermans 2022 election over Republican candidate Mehmet Oz built on those progressive wins.

On Tuesday in Philadelphias mayoral race, though, the left candidate lost to Cherelle Parker, a former city council majority leader who had support from a cadre of Democratic officials and local unions, as well as Philadelphias Black clergy. Former city council member Helen Gym came in third place with 21 percent of the vote to Parkers 33 percent. Gyms campaign had been buoyed by endorsements from national progressives, and the last poll in the race showed her with a slight lead. A preliminary breakdown of votes by the Philadelphia Inquirer showed that Parker won in precincts that were majority Black and precincts with incomes below $75,000, while Gym had more support in wealthier and majority white communities. Parker will face Republican candidate and city council member at large David Oh in November.

As candidates focusing on issues of economic inequality, corporate profits, and social infrastructure have surged, theyve faced opposition from both Democrats and Republicans. Republican donors have worked with Democrats to fight insurgent progressive candidates in federal and local races across the country. A Republican megadonor poured out $1.1 million in the final days of the Philadelphia mayoral race to oppose Gym and influence city council races. He is also the sole donor to a new federal PAC launched to target challengers in Democratic primaries.

Preliminary takeaways from Philadelphias mayoral race have compared its dynamics to New York Citys election of Mayor Eric Adams in 2021. Parker campaigned on combating gun violence by ramping up the citys controversial stop-and-frisk policy, which contributed to overpolicing in many Black neighborhoods impacted by crime. Criticisms of the policy fueled a movement for reforms that elected District Attorney Larry Krasner in 2017 and again in 2021. Philadelphians have also endorsed candidates who support more aggressive criminal justice reforms, like city council members Brooks and Jamie Gauthier.

Right-wing media also attacked Dugan for his similarity to Krasner, who campaigned on addressing the citys unequal justice system and holding police accountable for misconduct. Krasner was reelected overwhelmingly in 2021, beating a police-backed opponent who pushed a return to aggressive policing and indiscriminate prosecution. In Allegheny County, Dugan ran a campaign focused on reforming the criminal justice system, diverting low-level offenses, ending cash bail, focusing on violent crime, and enhancing services for victims. Observers have criticized Dugan for his support from the Justice & Public Safety PAC, which is supported by George Soros.

Innamorato ran a campaign similarly focused on housing, environmental equality, investing in mental health treatment and diversion programs, ending solitary confinement, and enforcing corporate taxes. The office of Allegheny County executive is one of the most powerful in the western part of the state and controls a $3 billion annual budget.

Tonight, voters in Allegheny County showed once again that they are hungry for leaders with big ideas who will fight hard for working people, Working Families Party Mid-Atlantic Elections Director Shoshanna Israel said in a statement on Tuesday night. They rejected tough-on-crime fearmongering from a decrepit political establishment and embraced reformers who will invest in and support our communities.

Pennsylvania politics have shifted dramatically in the years since the state voted for former President Donald Trump in 2016. Trumps win energized Pennsylvania Republicans for the first time in decades. That momentum slowed after President Joe Biden flipped the state blue again in 2020, and Republicans have run increasingly extreme candidates as the party seeks to rebuild power. As an antidote, progressive candidates have sought to build coalitions and energize voters who might be new to politics or had grown disenchanted with machine politics.

This is a victory not just for Sara Innamorato and Matt Dugan, Israel continued, but for the people-powered movement that knocked on tens of thousands of doors to elect them. Its a victory for those who want an Allegheny County that works for everyone, not just the powerful and politically connected.

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How Progressives Won and Lost in Purple Pennsylvania - The Intercept

Progressive Democrats and climate hawks are firing warning shots at party leaders and President Joe Biden not to compromise with Republicans on permitting reform as a way to raise the debt ceiling.

In a series of letters, floor speeches and ad campaigns, many on the partys left wing says they will not accept a debt limit deal that includes any undermining of bedrock environmental laws.

If Republicans insist on selling out working Americans or trying to flood America with fossil fuels, then the President must use his constitutional authority to protect America and end this hostage taking, Sen. Jeff Merkley (D-Ore.), tweeted Thursday.

The push has echoes from just a few months ago, when left-leaning lawmakers said they were prepared to shut down the government or delay funding for defense programs rather than vote on a proposal to overhaul the nations energy project permitting laws. Ultimately, they won out, as the permitting effort fizzled.

The stakes this time, however, are far higher. Democrats are not threatening a mere lapse in federal government spending but a default on the nations borrowing authority an event economists say would be cataclysmic.

In debt limit talks between the White House and House Republicans, its not clear what negotiators are eyeing in terms of changes to the permitting process. The White House has confirmed the administration has put it on the table for discussions to avert a default as early as June 1.

Weve been clear we support permitting reform, with Senior Advisor John Podesta outlining our priorities last week, Michael Kikukawa, assistant press secretary, told E&E News in a statement earlier this week.

We have seen bipartisan support for permitting reform and certainly hope there is bipartisan progress. But were not going to detail what negotiators are discussing.

Podesta, a White House climate adviser, is touting an 11-point set of principles the administration would endorse in any permitting package, which includes accelerating grid updates, overhauling outdated mining laws and siting hydrogen and carbon dioxide infrastructure.

Democrats would probably be satisfied with those contours, as they would deal with transmission deployment and benefit clean energy projects rather than oil and gas endeavors.

But Republicans have been pushing for changes to the National Environmental Policy Act (NEPA) to speed up permitting for fossil fuel projects a proposition Democrats largely reject.

And the Republican lawmaker negotiating the terms of a debt ceiling agreement on behalf of House Speaker Kevin McCarthy (R-Calif.) is Rep. Garret Graves (R-La.), the author of the BUILDER Act, the House GOPs opening bid on permitting reform that would streamline environmental reviews with two-year deadlines and limit time for legal challenges to approved permits.

The BUILDER Act was contained in H.R. 1, the Lower Energy Costs Act, which was in turn included in House Republican-passed debt limit bill, H.R. 2811, the Limit, Save, Grow Act.

Under the guise of permitting reform, these extreme, ideological attacks on NEPA would eliminate requirements to consider climate change and pollution impacts, cut public input opportunities, and limit judicial review, more than 60 House Democrats wrote in a letter addressed to Biden and New York Democrats Chuck Schumer, the Senate majority leader, and Hakeem Jeffries, the House minority leader.

The letter, according to a Democratic aide, will be formally transmitted to the three-party leaders in the coming days with the signatures from six committee ranking members.

Among them will be House Natural Resources ranking member Ral Grijalva (D-Ariz.), who is spearheading the opposition now as he did last year, when Biden and Schumer were rallying their members to support a permitting proposal championed by Sen. Joe Manchin in exchange for the West Virginia Democrats vote on the Inflation Reduction Act.

Manchins bill could also be considered in debt limit negotiations, as it would boost transmission deployment as well as oil and gas projects.

It would, similar to the BUILDER Act, set a two-year shot clock on agencies to complete environmental reviews and require legal challenges to be filed within 150 days of a permits issuance.

The Democrats, in their letter, call for four principles to be retained in any debt ceiling discussion that includes permitting:

The Democrats further wrote: We remain deeply concerned that sacrificing any of these four principles will result in serious and detrimental harm to millions of Americans especially those living in low-income communities, Indigenous communities, and communities of color overburdened already by decades of irresponsible industry development.

House Democrats are girding for battle as the League of Conservation Voters and Climate Power prepare to spend an additional $350,000 on a seven-figure ad campaign in states and districts where congressional Republicans are enjoying clean energy manufacturing booms as a result of the Inflation Reduction Act despite voting to repeal the laws clean energy tax credits through the Limit, Save, Grow Act.

In the Senate, some Democrats are channeling their anxiety over a permitting deal that cedes too much to the fossil fuel industry by mobilizing around an effort to compel Biden to invoke the 14th Amendment to raise the debt ceiling.

We also cannot allow these budget negotiations to undermine the historic clean energy and environmental justice investments made by Congress and your administration by allowing fossil fuel companies to unleash a flood of dirty energy projects that will worsen the climate crisis and disproportionately impact frontline communities, 11 senators wrote to Biden on Thursday. We must continue the transition from fossil fuels to clean and renewable energy.

The letter was led by Senate Health, Education, Labor and Pensions Chair Bernie Sanders, a Vermont independent who caucuses with Democrats, and signed by senators including Budget Chair Sheldon Whitehouse (D-R.I.) and another avowed climate hawk, Ed Markey (D-Mass.), who took to the Senate floor on Thursday to air his concerns about where talks might be headed.

Markey, in an interview as a part of POLITICOs energy summit later in the day, accused Republicans of trying to extract a new set of permitting regulations that make it possible for the oil and gas industry to just detonate a carbon bomb over the United States while simultaneously not dealing with the transmission permitting issue.

I suspect thats going on, he said. Im not in the room, but I dont think you have to be a political savant to surmise that this will be the topic of Republican demands.

In a statement overnight, the White House said the president had received a briefing on the talks while traveling abroad. Biden is due back in Washington this weekend.

The President directed his team to continue pressing forward for a bipartisan agreement and made clear the need to protect essential programs for hardworking Americans and the economic progress of the past two years as negotiations head into advanced stages, the statement said.

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Progressives gird for battle as permitting talks escalate - E&E News

Editors note, May 17: Former city council member Cherelle Parker has been declared the winner of Philadelphias Democratic mayoral primary and is expected to be the citys next mayor. The original story, published on May 16, follows.

On Tuesday, Philadelphia voters will cast their ballots in a crowded Democratic mayoral primary that wont just decide wholl be the citys likely next mayor, but will also offer national Democrats new data on which ideological direction is resonating most with the partys voters.

Given the citys blue skew, whoever emerges triumphant on Tuesday is expected to win the general election this fall. Going into the primary, polls show a tight race between five top contenders, including former city council members Helen Gym, Cherelle Parker, and Allan Domb, former city controller Rebecca Rhynhart, and grocery store owner Jeff Brown. The narrowness of the polls and the high number of undecided voters indicate the race could be especially close and it could even take days to determine the winner, depending on how long it takes to count mail-in ballots.

The election is so close that its likely the winner will only pick up a minority of votes. Because of that, experts have cautioned against taking the result as too definitive a signal about which Democratic factions have the most momentum heading into the 2024 elections. Progressives hope, however, that the race will indicate strong support for their candidates, and are angling for another local win as they prepare to challenge more moderate figures next year.

National progressives including Sen. Bernie Sanders (I-VT) and Rep. Alexandria Ocasio-Cortez (D-NY) are backing Gym, a former city council member, teacher, and community organizer who has championed funding for schools as well as a jobs guarantee for people under 30. Theyre hopeful that Gym can continue a string of progressive mayoral wins in major cities including, most recently, former education organizer Brandon Johnson in Chicago.

If the most progressive candidate in the race, Helen Gym, wins by a significant margin and if she brings out many young voters who have traditionally sat out municipal primaries in Philadelphia, that would say something about an energized, activist-oriented left, says University of Pennsylvania political science professor Daniel Hopkins.

Turnout is a big factor Democrats will be watching, as they try to keep voters energized going into the 2024 elections when Pennsylvania Sen. Bob Caseys Senate seat is up and President Joe Biden seeks reelection. Whoever wins on Tuesday will have a major role to play as a 2024 surrogate, due to Pennsylvanias status as a battleground state.

Key issues for voters in the city include gun violence, public safety, and education, all of which have risen to the fore during the pandemic. High gun violence rates in the city, which saw a record number of 562 homicides in 2021, have been top of mind for voters, local experts say. The physical infrastructure of schools and the effects of Covid-19 on students academic success and mental health are other concerns.

Notably, the winner of this election could make history as well. Depending on the outcome, Philadelphia could be on track to elect its first woman mayor, its first Asian American mayor, or its first Black woman mayor.

Philadelphias Democratic primary marks the latest big city match-up between different factions of the party, and will offer clues as to which one voters in the city feel more aligned with. Along with Johnson, other progressives like Michelle Wu and Karen Bass have also won major mayoral races in Boston and Los Angeles in recent years, while moderate Eric Adams defeated his more progressive rivals in New York City.

As Hopkins noted, Gym is seen as the most progressive option, while Rhynhart is seen as liberal, and Parker, Domb, and Brown are viewed as more moderate. Crime and public safety are among the areas where the candidates ideological fault lines have been evident.

Parker, Domb, and Brown have indicated an interest in increasing the number of police in the city and a return to a version of stop and frisk policies. Gym, meanwhile, has said she backs more first responders who respond to mental health emergencies, more detectives for violent crimes, and moving existing police to bike and foot patrols, according to the Wall Street Journal. Rhynhart has said shes focused on ensuring theres a presence of beat officers and that police can respond more quickly to 911 calls than they currently do.

Gym, a former elementary school teacher endorsed by teachers unions, has also been a longtime activist advocating for more funding for public schools and against the state takeover of Philadelphia schools. Rhynhart has emphasized her experience making the citys budget more efficient and effective as controller, while Parker, a longtime legislator, has garnered support from a number of elected officials, including the citys Black establishment, and stressed her tough on crime credentials. Domb, a former city councilor also known as the condo king for his large stakes in property in the city, has urged investments in entrepreneurship, while Brown, an owner of multiple Shop Rite franchises, is associated with bringing businesses to food deserts and advocated for adding police officers in the city.

In general, what [the race] says about the Democratic Party is that its highly fragmented, says Drexel University political scientist Richardson Dilworth, of the candidates wide-ranging ideological positions. Theres a struggle between the traditional Democratic Party and the more progressive, democratic socialist wing.

Beyond the ideological message the race could send to Democrats, it also has important implications for the 2024 presidential election, when Pennsylvania is once again set to be an important swing state.

Historically, Philadelphia and the surrounding suburbs have been central to Democrats victories in the state, so maintaining high voter enthusiasm and energy is crucial. The race will be an important test of what type of messaging is resonating with the areas voters as statewide candidates prepare their campaign strategies. In 2022, Philadelphia saw its turnout decline significantly, a potentially bad sign for Democrats who rely on the citys voters.

Philadelphias mayor is expected to play an important role in keeping voters enthused next year, while also acting to defuse ongoing Republican attacks on Democratic city leadership. As they do so, theyll have to confront the local issues on voters minds Tuesday housing, taxes, crime, and gun violence, as well as lingering challenges its public education system has faced because of underinvestment.

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Philadelphia mayoral race 2023: What to know about the May 16 Democratic primary - Vox.com

Progressive lawmakers renewed their call for President Joe Biden to bypass Congress to avert a default after the abrupt cancellation of debt ceiling talks on Friday.

But the White House remains resistant. It issued a subdued statement indicating it sees no reason to pull the plug on talks. And privately, its message has been even blunter.

Senior Biden officials have told progressive activists and lawmakers in recent days that they do not see the 14th Amendment which says the "validity of the public debt" cannot be questioned as a viable means of circumventing debt ceiling negotiations. They have argued that doing so would be risky and destabilizing, according to three people familiar with the discussions.

The White House has studied the issue for months, with some aides concluding that Biden would likely have the authority to declare the debt limit unconstitutional as a last-ditch way to sidestep default. But Biden advisers have told progressives that they see it as a poor option overall, fearing such a move would trigger a pitched legal battle, undermine global faith in U.S. creditworthiness and damage the economy. Officials have warned that even the appearance of more seriously considering the 14th Amendment could blow up talks that are already quite delicate.

They have not ruled it out, said one adviser to the White House, granted anonymity to speak candidly about discussions. But it is not currently part of the plan.

The administrations deep skepticism of the 14th Amendment as a workable off-ramp further heightens the stakes surrounding the debt ceiling talks, after negotiators briefly walked away from the table on Friday.

The White House acknowledged that the two sides had hit an impasse, and Republicans cited disagreements over the level of spending restrictions as a major sticking point. But the presidents team reiterated the need to eventually find an agreement.

There are real differences between the parties on budget issues and talks will be difficult, a White House official said. The presidents team is working hard toward a reasonable bipartisan solution that can pass the House and the Senate.

Story continues

Biden himself has said that he sees a bipartisan deal as the only option to the current standoff, casting doubt on the 14th Amendment as workable in public remarks. But the private resistance being registered by his aides has frustrated progressives who worry the president is too readily giving up his leverage. It also threatens to fracture months of party unity behind Bidens debt ceiling strategy, exposing the White House to increasingly vocal criticism just as it enters the final stage of its high-stakes standoff with the GOP.

I think Biden is actually flirting dangerously with a backlash among his own supporters, said Robert Hockett, a Cornell University law professor close to progressive lawmakers who has advocated for ways that Biden can take unilateral action.

Top White House aides have largely dismissed the rising angst among progressives and other allies who feel left out of debt talks. Instead, the administration has effectively gone all in on a debt ceiling-and-budget agreement with Republicans that officials hoped to finalize as early as Sunday, the people familiar with the discussions said.

That would allow Biden to clinch the deal shortly after returning from the G-7 Summit in Japan, and give congressional leaders in both parties several days to lock down the votes needed to push through a debt ceiling increase.

Momentum appeared to slow on Friday, after negotiators broke camp without plans for a next sitdown.

"We've decided to press pause, because it's just not productive," Rep. Garret Graves (R-La.) said as he walked out of the meeting.

The immediate reaction in the White House was muted, with aides wary of making any public statement that Republicans could use to claim Biden was no longer working in good faith. Some close observers of the process saw it as an inevitable snag rather than a sign of impending doom.

"I can only conclude that these are the usual stumbling blocks that take place right before any agreement is reached," said G. William Hoagland, a senior vice president at the Bipartisan Policy Center and a veteran of decades of budget battles.

Indeed, the White House and Republicans later Friday evening agreed to resume talks.

But in some corners of the Democratic Party, the setback only re-energized calls for a fallback option.

"We urge you to ready the use of all possible measures at your disposal including preparing to invoke the Constitution's 14th Amendment," the 65 members of the Congressional Progressive Caucus wrote in a Friday letterthat warned Biden against "surrendering" to the GOP's demands. "Stay strong in your resolve to keep Democrats united behind our core democratic values and refuse to reward Republicans' reckless refusal to raise the debt ceiling without preconditions."

The letter led by CPC Chair Rep. Pramila Jayapal (D-Wash.) came a day after 11 Senate Democrats issued a call of their own for the White House to weigh the 14th Amendment, writing that GOP demands for concessions on spending and their opposition to any tax increases have made it seemingly impossible to enact a bipartisan budget deal.

This is a hostage taking, said Sen. Jeff Merkley (D-Ore.). The president has a mechanism to push back. He has the 14th Amendment.

House Democrats this week separately began gathering signatures on a long-shot discharge petition to force a clean debt ceiling vote.

Kevin McCarthy does not know how many votes he has, Rep. Alexandria Ocasio-Cortez (D-N.Y.) told POLITICO Playbook in an interview. He cant even go to the White House and say, If you give me this, I will have X votes; if you give me that, Ill have Y votes.

Privately, the White House shares some of the progressives anxiety that McCarthy will balk at the last minute, or prove unable to sell his conference on whatever deal is reached. But officials believe they have no choice but to forge ahead.

Biden aides have bet that a bipartisan agreement on new spending restrictions will ultimately be seen as a worthwhile tradeoff if it means protecting the major investments spurred by the Inflation Reduction Act and CHIPS and Science Act that underpin Democrats economic vision.

"This is a president that they could be reassured is fighting for clean energy, is fighting for manufacturing, is fighting for health care," press secretary Karine Jean-Pierre said Thursday in response to progressives' concerns.

White House negotiators are advocating for a pact that lifts the debt ceiling into 2025 and caps spending for as little as two years, at levels substantially higher than the 22 percent across-the-board cut initially sought by Republicans. The two sides are also discussing clawing back billions of dollars in unspent Covid aid and an agreement on energy permitting reforms.

But the GOPs envoys were still pushing for more ahead of Friday's interruption, the people familiar with the discussions said, such as lengthening the spending caps beyond two years. Republican lawmakers also now say some level of work requirements for safety net programs must be a part of the deal.

The White House, in private conversations with allies, has downplayed the odds it will agree to any new work rules. Still, Bidens unwillingness to publicly rule it out inflamed progressives who already harbored doubts about the White Houses strategy.

After Biden first appeared to open the door to work requirements for programs other than Medicaid last Sunday, officials spent hours trying to tamp down alarm among progressive advocates and lawmakers that he would agree to restrictions on food aid and cash assistance. But that work was undone early the next day, when a tweet from Bidens account went out mentioning only his vow to protect Medicaid.

The tweet, which was pre-scheduled, set off another round of panic and prompted the White House to issue a second tweet later in the day explicitly criticizing Republicans demands on food aid, according to two people familiar with the previously unreported episode.

Progressives widespread concerns about the debt ceiling talks have since broken into the open, fueling the renewed push for Biden to stick to his original vow of a clean debt ceiling hike or the use of the 14th Amendment rather than give in to any Republican demands.

The White House remains unmoved. And officials there arent alone.

David Kamin, who served as an economic adviser in both the Obama and Biden White Houses, said that invoking the 14th Amendment might technically avert a default but would do little to protect the U.S. from the subsequent fallout.

I dont think we should kid ourselves about the damage that would be imposed on the economy and the credibility of the United States, he said. That is not a position the government should be put in.

Sarah Ferris contributed to this report.

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Bidens 14th Amendment message to progressives: It aint gonna happen - Yahoo News

Photo: John Baggaley/Getty Images

Sen.Bernie Sanders and other progressives in the House and Senate have resurrected a Medicare for All bill that would seek to use the federal program as a springboard to a single-payer health system.

Sanders (I-Vermont) was joined by Representatives Pramila Jayapal (D-Washington)and Debbie Dingell (D-Michigan), as well as 14 senators and 110 members of the House of Representatives.

As a catalyst for the renewed push for Medicare for All, the lawmakers cited the lives lost during the COVID-19 pandemic about a third of which they claim was linked to a lack of health insurance as well as the roughly 15 million Americans they say could lose Medicare coverage this year.

WHAT'S THE IMPACT

Implemented over four years, the Medicare for All Act would provide healthcare coverage to all Americans with no out-of-pocket expenses, insurance premiums, deductibles or copayments. That would include coverage for primary care, vision, dental, prescription drugs, mental health, substance use disorder, long-term services and supports, and reproductive healthcare.

Lawmakers said it would also reduce the cost of prescription drugs by allowing the federal government to negotiate with pharmaceutical companies.

According to the Congressional Budget Office, Medicare for All would save the healthcare system about $650 billion annually. A study by Yale epidemiologists published in The Lancet estimates that Medicare for All would save some 68,000 lives per year, while a RAND study found that moving to a Medicare for All system would save a family with an income of less than $185,000 about $3,000 a year, on average.

Despite these figures, most of the healthcare industry stands opposed to Medicare for All. Payers are against a plan that would gut private insurance, while hospital providers say a government-run health plan would ultimately result in lower reimbursement.In previous Medicare for All attempts, AHIP has said it is against what it calls the one-size-fits-all government system for health insurance. Under current coverage, Americans have choice and control over their options and treatment, AHIP said.

Responding to the original 2019 bill introduced by House Democrats during the run-up to the presidential election, the American Hospital Association said Congress has a history of slashing provider payments for government health programs and that Medicare and Medicaid reimburse providers less than the cost of delivering care.

"America's hospitals and health systems are working with policymakers to help expand coverage and improve affordability for all Americans," said AHA EVP Tom Nickels in 2019. "However, we are opposed to 'Medicare for All,' as it would impede our shared goals. The AHA believes there is a better alternative to help all Americans access health coverage one built on fixing our existing system rather than ripping it apart and starting from scratch."

In 2020, the American College of Physicians, which represents internal medicine doctors, broke ranks with its industry peers by endorsing Medicare for All along with an optional government plan.

The ACP's reasons were numerous, as the group said such a policy would lower administrative costs and reduce barriers to care access. Physicians are becoming increasingly frustrated with the paperwork that comes with having multiple insurers with multiple rules and documentation requirements.

THE LARGER TREND

Based on 2019 surveys in a HealthPrep Data Service report, optional Medicare for All was the most popular policy among respondents at 45.4%. Keeping the current private system intact came in second, at 33.3%, while a mandatory Medicare for All system garnered the least support, at 21.2%.

This suggests that, while there's public support for a shift to some form of universal healthcare, voting-age Americans are wary of a complete break from the current system. In short, a majority of voters reject mandatory Medicare for All, while a majority support a Medicare for All option.

Twitter: @JELagasseEmail the writer:Jeff.Lagasse@himssmedia.com

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Medicare for All bill revived by House and Senate progressives - Healthcare Finance News