In our inaugural mailbag episode, Rose Roach - Executive Director of the Minnesota Nurses - joins us to answer your questions about how Medicare for All would save money and impact rural hospitals, how to answer to pushback on cost, talking to conservatives about Medicare for All, the political landscape, petitions as a base-building tool, and more!

Show Notes

Ben and Stephanie are joined by Rose Roach, the Executive Director of the Minnesota Nurses Association (MNA), and answer questions from listeners.

First, we celebrate that Congresswoman Betty McCollum (D, MN-4), Rose's own representative, signed on as a co-sponsor of HR 1976 after a conversation with MNA nurses during Nurses Week (and years of advocacy by healthcare activists in her district).

On to the mailbag questions!

Q: Jordan asked: How does insurance work for the Indian Health Service? A: The Indian Health Service (IHS) is independent but not well funded. Earlier versions of Medicare for All absorbed IHS into the system, which concerned advocates for tribal sovereignty. Under HR 1976, though, IHS will stay independent of the Medicare for All system, but will be treated as a provider, so will receive financing like any other provider.

Q: Laurie asked: Why is it taking so long for Medicare for All? A: For one, our political system and elected officials are influenced by money. The for-profit health insurance industry has deep pockets and is willing to spend big to maintain the status quo. Until we have campaign finance reform, we will have to fight this fight against monied special interests. Another issue is that we haven't quite achieved the working class solidarity that it will take to create the grassroots demand that will force elected officials to pass Medicare for All.

Q: Heather asked: How would Medicare for All affect hospitals? How will they stay up and running, especially rural hospitals?A: Medicare for All would actually be transformative for hospitals, despite the misperception generated by the industry that it would hurt them. Medicare for All would fund hospitals equitably and fairly, based on their value to the community rather than their profitability. In a market-based system, hospitals that don't generate profits, like small rural and safety net hospitals, can go under, regardless of the benefit they provide for the community. Under the Medicare for All system, hospitals will be funded based on the care needed by people in the community. Medicare for All is actually what could save rural healthcare from closures and consolidation.

Q: Steve asked: How do we educate conservative rural communities at risk of losing their hospitals about the benefits of Medicare for All? A: We have to meet people where they are. Ask them how the system works for them now? Do you have to travel far for your routine care? For some it's an ideological difference and we'll never convince them, but there are conservatives who can be engaged about the care they and their community need.

Q: Many asked: How would we pay for Medicare for All? A: The two Medicare for All bills don't have financing language yet. The plan is to build the financing through the committee process. Several studies over the years have shown ways to pay for the program and generate savings, including the Political Economy Research Institute (PERI) Economic Analysis of Medicare for All.

The PERI study found the whole system would cost about $3 trillion, which is less than we're currently paying. We already pay for about two thirds of the healthcare in the US through tax dollars. The other third is currently coming out of people's pockets in the form of employer and employee p...