Dems And Repubs Create Sneaky Backdoor to Privatize Medicare

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Instead of looking to improve and expand Medicare as the majority in the U.S. favor, the Biden administration is using a back door created by the Trump administration to invite Wall St. to privatize it. Since this would be an unpopular move, a bureaucratic structure known as Direct Contracting Entities (DCE) has crept in behind the scenes.

In case you think the U.S. health care system already has too many middlemen raking in profits from people’s illnesses, you ain’t seen nothing yet.  

Doctors are enticed to sign up for a DCE on the promise that their revenues will go up. 

Then patients are opted into the DCE without their consent or even knowledge. They can opt out again and change doctors, but only if they know about it.

Physicians for a National Health Program has put together this explainer about the threat posed by DCEs — which already exist in 43 states, including Maine. (It’s a pdf so I can’t embed it but I’ll include a screenshot.)

Why would both Democratic and Republican administrations create a way for private investors to prey on the elderly or people with disabilities who currently receive Medicare?

Because when Wall St. says Jump, both Democrats and Republicans ask, How high? 

The big bucks that flow into campaign coffers on “both sides of the aisle” are what buys representation in this alleged democracy, while the people get fleeced with the government’s cooperation.


We already spend the most on health — enough and then some to fund universal health care — and rather than good health we have lousy outcomes. The fact that we alone of rich countries have no public health system is a direct result of ultra wealthy health “insurance” corporations sponsoring our government.  

Commerce and health just don’t mix.

A more in-depth discussion of DCEs is here on YouTube.

Join me in signing the PNHP petition to stop DCEs here.

Masses Demand Medicare For All, The Most Broken Campaign Promise Of Democrats

Today the 600,000+ people in the U.S. who died from COVID won’t be marching for Medicare for All. 

Neither will many Democrats in Congress who campaigned on the most popular form of universal health care, a basic human right that people in the U.S. lack. 

My own congressperson Jared Golden co-sponsored M4A legislation last time around. Then he ran for re-election and took campaign contributions from big tech firms looking to expand into the for-profit health care sector. Guess who doesn’t support M4A anymore? His rationale: he’s heard from constituents that they want to keep their employer-sponsored healthcare. Really? Then why do Mainers call it the Unaffordable Care Act? 

Once you’ve been sick with your ACA mandated insurance you understand that Obama’s deal with the insurance industry to guarantee their profits had nothing to do with providing you with a reasonable standard of care.

The so-called squad of progressive Democrats came under fire this year from lefty organizers who wanted them to withhold their vote to re-elect Speaker of the House Nancy Pelosi until she agreed to put M4A to a vote. Alexandria Ocasio-Cortez, formerly the darling of people who yearn to believe the Democratic Party serves people rather than corporations, has fallen from grace over the “Force the Vote” issue. Progressive types see her coddling Pelosi, whose wealth has grown by hundreds of millions in office, and whose husband just raked in $5 million in profits buying tech stocks Congress was about to regulate. 


14.6 million people lost their health insurance during the pandemic. Pelosi’s response: continue enjoying the gold standard health care she has as a member of Congress while showing off her two refrigerators full of gelato. Together she and her husband have grown obscenely wealthy as she represented the interests of corporations rather than the people, and no one in the squad cares to oppose her. (Note: that’s why electing women doesn’t solve anything.)

Republicans are just as bad, but they’re more honest about it.

It’s clear that health care is a top priority for many voters. Inadequate insurance plus major illness is a leading cause of household bankruptcy and home foreclosures. Many of my friends are affluent enough in retirement to live in Mexico part of the year and receive their health care at affordable prices. Many of my friends are low income enough to be on MaineCare, a medicaid expansion program that applies to any children and some adults in my state. Many of my friends can only afford catastrophic health insurance because the premiums for comprehensive coverage are too high for the middle class to handle. 

That’s why Democrats continue to run on promising to support M4A. 

A slew of so-called progressive Democrats claimed they supported it while campaiging, and then backpedaled as soon as they were in office.

Thus the marches today in big cities across the nation. Also the widespread campaigns to bring single payer health care at the state level.

I’m involved with both Maine’s campaign to pressure Jared Golden to support M4A as well as the campaign to mandate that the legislature enact universal health care by a ballot initiative in 2022. And I support today’s rally in Portland which will hear from Jess Falero, an advocate for the unhoused who will eloquently share just how much it sucks to be without housing AND health care.

But here’s the reality as I see it: two things need to happen before the U.S. can achieve univeral coverage via M4A.

First, the Pentagon would have to be defunded to afford it. 

The reason we have warfare but not healthcare is that both are enormously expensive and members of Congress would rather keep their bread buttered than help their neighbors who are struggling. (Just yesterday the Senate voted to increase Biden’s $715 billion Pentagon budget by another $25 billion to keep the weapons industry lobbyists happy.)


Second, the workers of this nation will need to stage a general strike. 

As we saw from the pandemic, their labor is essential to turning the profits demanded by capitalists. Only withholding that labor would exert enough pressure on our elected officials to bend to the will of the people. 

Photo by Angela Weiss / AFP via Getty Images

Here’s hoping that today’s marches display the desperation people feel around health care in this country, and bring together organizers who can make it happen, without being coopted by the Democratic Party.