Tuesday, November 14, 2023
Chair Friedman, Chair Lawn, and members of the Joint Committee on Health Care Financing:
My name is Jonathan Cohn, and I am the policy director at Progressive Massachusetts. We are a statewide, multi-issue, grassroots membership organization focused on fighting for policy that would make our Commonwealth more equitable, just, sustainable, and democratic.
We urge you to give a favorable report to S.744/H.1239: An Act establishing Medicare for All in Massachusetts.
Massachusetts has a storied role in the history of the fight for universal health care in the US. Our former senator Ted Kennedy was a longtime champion of single payer, and our 2006 health care reform law was a model for the Affordable Care Act nationally.
Although our health care reform law, boosted by the ACA, has helped Massachusetts achieve near-full universality in health insurance coverage, we still see underinsurance, high premiums, high rates of medical debt, and significant disparities—all inevitable outcomes of a reliance on private sector provision. Universal coverage alone doesn’t guarantee affordability, quality, or equity without additional steps.
The COVID-19 pandemic has made the flaws of our current system clear. As we recognize the central public health message that our health is intertwined, we must build that recognition into health care delivery and ensure everyone can access the best-quality care possible. When anyone is too afraid of medical bills or debt to seek the care they need, we are all worse off.
The US remains the only advanced industrial country that has not recognized this as a fundamental right, but Massachusetts can lead the way. A single payer system would save the Commonwealth money through increased efficiency; take the burden of rising health care costs off small businesses, municipalities, and families; eliminate medical debt and medical bankruptcy; and finally guarantee access to quality, affordable health care as a right for all residents of the Commonwealth.
We often hear rhetoric around “choice” in our health care system. And indeed, there are plenty of places where “choice” is important, where it provides a valuable outlet for self-expression. Health insurance is not that. “Choice” in health insurance only means “you get as much as you can afford, and no more.”
The way we design our health care system has a significant impact on the lives of all residents of the Commonwealth, and putting equity and justice at the center of such a design is vital to ensuring that every person is able to live up to their full potential.
Sincerely,
Jonathan Cohn
Policy Director
Progressive Massachusetts
