He is proposing a phased in approach, starting by the 55-65 ones and the children and progressing.
The speech is a great speech for a progressive vision of America.
http://www.commondreams.org/views05/0112-37.htm
An essential part of our progressive vision is an America where no citizen of any age fears the cost of health care, and no employer refuses to create new jobs or cuts back on current jobs because of the high cost of providing health insurance.
The answer is Medicare, whose 40th birthday we will celebrate in July. I propose that as a 40th birthday gift to the American people, we expand Medicare over the next decade to cover every citizen - from birth to the end of life.
It's no secret that America is still dearly in love with Medicare. Administrative costs are low. Patients' satisfaction is high. Unlike with many private insurers, they can still choose their doctor and their hospital.
For those who prefer private insurance, we will offer comparable coverage under the same range of private insurance plans already available to Congress. I can think of nothing more cynical or hypocritical than a Member of Congress who gives a speech denouncing health care for all, then goes to his doctor for a visit paid for by the Federal Employees Health Benefit Plan.
I call this approach Medicare for All, because it will free all Americans from the fear of crippling medical expenses and enable them to seek the best possible care when illness strike
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To make the transition from the current splintered system, I propose to phase in Medicare for All, age group by age group, starting with those closest to retirement, between 55 and 65. Aside from senior citizens themselves, they have the greatest health needs and the highest health costs, and need our help the most.
The first stage of the phase-in should also guarantee good health care to every young child. We made a start with the Children's Health Insurance Program in 1997. It does a major part of the job, and it's time t