There's nothing loose about it. We're being gouged literally to death by the cost of health care on all fronts.

Make some noise Dems!

Hard to argue with that.

Focus on the goal and envision a pathway that gets there.

I don't think there is a pathway for jumping directly to MfA. I think there will be too much resistance. People aren't crazy about their private insurance through employers but they are at least happy that it exists. Those are a lot of apple carts to turn over in a short period of time. If you thought the resistance to the ACA was high, you ain't seen nothing yet.

My vision with the ACA has always been that it needs to grow into MfA over time. We missed a critical opportunity for that when we lacked a public option in the pool. Here is the path that I see.

1) Offer buy-in to Medicare as an option on the ACA pool
2) It becomes super popular
3) Expand the buy-in to Medicare as an option to group buyers and employers.
4) Medicare grows as more and more people shift to it. Giving it time to grow organically and strengthening it with cash to balance its pool of patients.
5) Offer medicare to anyone who wants it as an opt-out for employer based insurance. In other words, I would have to be offered an MC option along side my employer sponsered Cigna, Anthem whatever. This is probably the most complicated step because it would undermine the purchasing power of the employers by hurting the size of the patient pool.
6) Insurance collapses under its own weight and Medicare for All is the standing system

I already know that as I get older my medical bills are going to be high because of my personal medical condition. So medicare for all is something that I am very interested in. What I don’t appreciate is pie in the sky dreams turned into political theater. Yes we should be advocating and pushing like hell for quality affordable healthcare but we also need to put in real work developing a plan to make that happen with real solid funding plans and implementation plans that deal with the side effects that will come on the human side of change. I want to see real in depth plans not just a 4 sentence blurb on a campaign website.

We need to make this happen because if we campaign on it and don’t deliver that will be disastrous.

obvious alternative. Nothing is getting taken away from anyone, and it simply becomes an additional choice.

Medicare Advantage fits better with the ACA model and is, overall, a lot better than just giving everyone Medicare. Medicare Advantage plans (Medicare underneath a standard health care plan) have out-of-pocket limits and no lifetime maximums. So you could just make sure everyone has access to Medicare (Medicare for all) but add Medicare Advantage plans to the ACA for its subsidies and standards. (It may already allow them. I'm not sure.)

Take it a step further though and add a public option for Medicare Advantage plans.

Calling it Medicare for all is the equivalent of a boxer leading with their nose. We don't call our roads "roads for all." The "for all" stuff sounds bad. It sounds like I lose control and am forced to accept some one-size-fits-all health care.

MFA is little more than a slogan with none of its advocate giving a believable plan to get it accomplished.

that the average person will never have access to. Pelosi needs to speak to relatives of people who have died due to lack of healthcare and try to develop some compassion. This PNHP page has info on the Medicare for All Act.