A Democratic Blueprint for America's Future
An Address by Senator Edward M. Kennedy at the National Press Club
January 12, 2005
To revitalize the American dream, we also need to renew the battle to make health care affordable and available to all our people. In this new century of the life sciences, breakthrough treatments and miracle cures are steadily revolutionizing the practice of medicine and the quality of life. The mapping of the human genome enables us to understand far more about the molecular basis of disease, and to plan far-reaching cures that were inconceivable only a few years ago.
Sadly, in America today, the miracles of modern medicine are too often the province only of the wealthy. We need a new guarantee for the years ahead that the cost of these life-saving treatments and cures will not be beyond the reach of the vast majority of the American people.
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 strikes.
The battle to achieve Medicare for All will not be easy. Powerful interests will strongly oppose it, because they profit immensely from the status quo. Right wing forces will unleash false attack ads ranting against socialized medicine and government-run health care.
But those attacks are a generation out of date - retreads of the failed campaign that delayed Medicare in the 1950s and 1960s. Today, we are immunized against such attacks by the obvious success of Medicare. It is long past time to extend that success to all.
The Democratic Party's proudest moments and greatest victories have always come when we stand up against powerful interests and fight for the common good - and this coming battle can be another of our finest achievements.
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 to complete the job now.
As we implement this reform, financing must be a shared responsibility. All will benefit, and all should contribute. Payroll taxes should be part of the financing, but so should general revenues, to make the financing as progressive as possible.
We can offset a large part of the expense by a single giant step - bringing health care into the modern age of information technology.
By moving to electronic medical records for all Americans when they go to the hospital or their doctor, we can save hundreds of billions of dollars a year in administrative costs while improving the quality of care.
Equally important, we should pay for health care based on value and results, not just the number of procedures performed or days in a hospital bed. We must also expand our investments in medical research, so that we can realize even more of its extraordinary promise. We must confront and defeat the misguided ideology that - in the name of life - denies life-saving cures by blocking stem cell research.
http://kennedy.senate.gov/~kennedy/statements/05/1/2005112713.html
