San Francisco Chronicle

Biden unveils alternativ­e to ‘Medicare for all’

- By Evan Halper and Noam N. Levey Evan Halper and Noam N. Levey are Los Angeles Times writers.

WASHINGTON — Joe Biden unveiled a robust plan to expand Obamacare by adding a public program that all Americans could choose, as the former vice president argued Monday that medical insurance can be made universall­y accessible without scrapping the nation’s current model of delivering health care.

The Biden plan would provide tens of billions of dollars in new health care spending in a bid to lower the outofpocke­t costs that families face for health care, make Medicarest­yle coverage available to any American who wants it and significan­tly expand tax credits to help people pay for insurance.

He would pay for that primarily by raising capital gains taxes on those earning more than $1 million, according to a summary Biden’s campaign provided to reporters in advance.

The blueprint comes amid intensifie­d tangling between the former vice president and progressiv­e rivals who are pushing more transforma­tional change in health care, through a “Medicare for all” system that would abolish private insurance.

As progressiv­es in the race dismiss the current system as unfixable and beholden to corporate pharmaceut­ical and insurance interests, Biden warns that walking away from Obamacare could leave a large swath of the country vulnerable to losing coverage.

“He is rememberin­g how hard it was to get the Affordable Care Act passed,” said a senior campaign official, who would speak only on condition of anonymity before Biden presented the plan. “It took a century of presidents thinking about and pushing for health care reform before Barack Obama and Joe Biden got it done.

“He is going to oppose every Republican who is seeking to tear down Obamacare, just as he’s going to oppose Democrats seeking to tear down Obamacare,” the aide said.

Over the weekend, Sen. Bernie Sanders accused Biden of using the same tactics as President Trump and the insurance industry to mischaract­erize his Medicarefo­rall plan.

As the candidates trade barbs, Biden is unveiling a blueprint that would step up the generosity of Obamacare and expand coverage to the poor even in conservati­ve states that rejected the Medicaid expansion in the Affordable Care Act.

The plan still fundamenta­lly preserves the employerba­sed health insurance system that most workingage Americans rely on for coverage. It builds off the health insurance system created by the Affordable Care Act, with targeted adjustment­s that appear aimed at fixing some of the law’s shortcomin­gs.

Biden’s plan envisions creating a new government health plan akin to Medicare — popularly called a “public option” — that any American could elect to purchase if they are unhappy with their commercial health plan option.

 ?? Elizabeth Frantz / New York Times ?? Joe Biden’s plan would let more people get subsidies to help pay for their health insurance and reduce the maximum percentage of income they would spend on premiums.
Elizabeth Frantz / New York Times Joe Biden’s plan would let more people get subsidies to help pay for their health insurance and reduce the maximum percentage of income they would spend on premiums.

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