Repeal and Replace jingoism from the Republicans should have been a lesson to Democrats. When it comes to health care details matter and people care. Health care providers care and the insurance and pharmaceutical industries care. (More)

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I spent 35 years in Human Resources and can remember open enrollment meetings where employees came armed with very detailed questions. Even changes that offered better benefits or more choices were viewed with concern. Personally, if we could map out and explain all the changes and their impacts, I would prefer single payer like Canada has. I have Canadian relatives and they are happy with their system.

What I don’t want to see is the Democrats falling into the trap of having a popular slogan with no details only to find out that changing it is much harder than they thought.

John Conyers D MI has bill HR676 in draft form and has the backing of 60% of the House Democrats.

But by its author’s own admission, the House single-payer plan — Rep. John Conyers’s (D-MI) HR 676 — may not be ready for legislative primetime. For instance, it contains only a skeletal outline of how to raise the trillions of dollars needed to achieve the universal, free coverage it wants to give every American.

The most important change would be to virtually eliminate private medical insurance, forcing the 150 million people who get insurance through their employer to switch to a new plan and creating a universal system that would give every American free health care with no premiums or deductibles.

Currently, 153 million Americans — or about 47 percent of the country — receive insurance from their employers. There are also government programs, most importantly, Medicaid and Medicare, that combine to insure close to another 38 percent of Americans. Then there are the last two buckets — the 5 percent of Americans who receive coverage on the Obamacare exchanges and the approximately 9 percent of Americans with no insurance at all.

Sen. Bernie Sanders will propose a similar bill in September.

Sen. Brain Schatz D HI has another bill that allows people to buy into Medicaid and equalizes the payment structures of Medicare and Medicaid.

Schatz said he would support Medicare-for-all, even as he puts forward a different proposal. “If there’s ever a vote for single-payer, I’m a ‘yes,’” he told Vox. “But there are lots of things we can do in the meantime to make progress for tens of millions of Americans. And we should do those things.”

It is time for rank and file Democrats to pay attention and contact their represenatives and senators. I have written that I would prefer that we be very deliberate about what we/they come up with and that we not rush to single payer without considering the sales job required and the potential backlash.

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