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Medicare For All (HR 676)

Improved and Expanded Medicare for All Act (HR 676)


Improved and Expanded Medicare for All Act (HR 676)


Mission Statement of Retirees for Single Payer Health Care


History of Medicare and Medicaid


Medicare at 50: Lessons and Challenges

Medicare was enacted in a very different environment than we live in today—from the perspectives of politics, budget pressures, and medical care.  Read More

The Medicare and Medicaid Partnership at 50

Even routine care for physician visits or prescription drugs can require Medicare beneficiaries to make hard choices between needed health services and basic necessities.  Read More

Medicare Coverage, Affordability, and Access

Premiums for private supplemental coverage can add hundreds or thousands of dollars to annual out-of-pocket costs.  Read More

The Emerging Role of Private Plans in Medicare

Some organizations would market their plans primarily in places where healthy enrollees are more likely to be present, such as exercise clubs or on the upper floors of buildings without elevators.  Read More

Women and Medicare: An Unfinished Agenda

Women represent about two-thirds of all residents of nursing homes and residential care communities.  Read More

Medicare as Reflected in Public Opinion

Such reliably positive public opinion likely is due to Medicare’s nearly universal impact.  Read More


Medicaid at 50 – Introduction

The Medicaid program, signed into law by President Lyndon B. Johnson on July 30, 1965, will reach its 50th anniversary this year, a historic milestone.  Read More

Medicaid at 50 – Low-Income Pregnant Women, Children and Families, and Childless Adults

Medicaid’s most well-recognized role in our health care system is as a health coverage program for low-income pregnant women, children, and families.  Read More

Medicaid at 50 - People with Disabilities

While the public is familiar with Medicaid as a health coverage program for low-income children and families, less well recognized is its coverage role for Americans with disabilities.  Read More

Medicaid at 50 - The Elderly

The Medicaid program covers over 6 million low-income elderly Americans, nearly all of whom also have Medicare.  Read More

Medicaid at 50 - Service Delivery and Payment Systems and Health Care Innovation

Medicaid enrollees obtain care in an array of settings and systems. Most get their acute medical care from private office-based physicians, but 1 in 7 Medicaid beneficiaries obtain care in community health centers and clinics.  Read More

Medicaid at 50 - Medicaid’s Role in Health Care Financing

As the health coverage program for more than 1 in 5 nonelderly Americans and the main payer for long-term care, Medicaid is a core source of financing in our health care system.  Read More

Medicare at 50 - Looking Forward

Over its 50-year history, the Medicaid program has evolved to fill extensive gaps in our health care system, demonstrating remarkable versatility and effectiveness.  Read More

Medicaid at 50 – Conclusion

It is unlikely that the authors of the original Medicaid law ever imagined that the Medicaid program would come to occupy the integral place in our health care system that it does today.  Read More

Medicaid at 50 – Endnotes

Low-Income Pregnant Women, Children and Families, and Childless Adults - People with Disabilities - The Elderly - Service Delivery and Payment Systems and Health Care Innovation - Medicaid’s Role in Health Care Financing - Looking Forward  Read More


H.R.676 - Expanded & Improved Medicare For All Act

SEC. 101. Eligibility and registration.

(a) In general.—All individuals residing in the United States (including any territory of the United States) are covered under the Medicare For All Program entitling them to a universal, best quality standard of care. Each such individual shall receive a card with a unique number in the mail….

SEC. 102. Benefits and portability.

(a) In general.—The health care benefits under this Act cover all medically necessary services….

SEC. 103. Qualification of participating providers.

(a) Requirement To be public or non-Profit.—

(1) IN GENERAL.—No institution may be a participating provider unless it is a public or not-for-profit institution… 

SEC. 104. Prohibition against duplicating coverage.

(a) In general.—It is unlawful for a private health insurer to sell health insurance coverage that duplicates the benefits provided under this Act.  Read More

Retirees for Single Payer Health Care
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Medicare For All 
(HR 676)

Everybody In, Nobody Out Healthcare - Gives every resident of the United States and the U.S. Territories access to all medically necessary health care services, including vision and dental as well long term care with no copays or deductibles regardless of employment, income or health status.  Private insurance companies may not duplicate coverage under this bill.

Non-Profit Healthcare - Converts all healthcare providers to a not-for-profit service where illness is no longer a source of wealth for a few.

Single Payer Healthcare – Medicare today is a social insurance program for those 65 or older and the disabled under 65.  Medicare for All improves and extends that social insurance program to all of us. This gives us all the collective ability to control the out of control costs of the healthcare industry in this country.  Pays for that expanded coverage by maintaining the present level of federal government revenues for Health Care as well as increasing personal income taxes on the top 5 percent income earners, instituting a modest and progressive tax on payroll and self-employment income, on unearned income, and on stock and bond transactions.


“People need to believe that social change is possible.  If they think their only option is to exchange one oppressor for another, they will usually choose to accept their victimization and try to make the best of it.  That is why counter institutions are so important, because they are living demonstrations that better social relationships are possible and within our grasp.  They are possible because, besides the seeds of the oppressor within us, we also have the seeds of mutual liberation within us, the instincts of cooperation, of sharing, democracy, equality, extended family.”  John Curl, Poet


‘There was no formal interview like I imagined but the day turned out to be even better.  There was lots of gumbo ya-ya about politics then (60s) and now with a bunch of us sitting around a conference table eating what had to be KFC.  There were a few people there from a group called Retirees for Single Payer Healthcare, most of whom were north of 60.  They spent a good 15 minutes arguing what commerce would look like in a post capitalist society as if this new arrangement was coming next month and they were teenagers planning out the rest of their lives.  It was a freedom dream in motion with General Baker at the helm – a powerful lesson in hope.’  Robyn Spencer, from “Rest in Power, General Baker”