Sixty-one years ago, President Lyndon Johnson signed Medicare and Medicaid into law, while former President and long-time national health insurance champion Harry Truman watched. What Johnson and Truman understood was that the fight for guaranteed healthcare for everyone has been a generations-long struggle. The creation of Medicare and Medicaid was a key victory in that struggle. Importantly, though, Medicare and Medicaid are—to paraphrase what President Franklin Roosevelt said about the signing of Social Security into law—“a cornerstone in a structure which is being built but is by no means complete.”

After President Truman was unable to achieve his goal of guaranteed healthcare for all Americans, healthcare advocates decided to move incrementally. They began by pushing to cover seniors. Older Americans have the highest medical costs, the hardest time affording private health insurance, and need care the most often. The signing of Medicare achieved this important milestone, alongside the creation of Medicaid to cover healthcare for low-income Americans.

In 1972, Medicare was expanded to cover people with disabilities. But that is where progress stopped. It is well past time that we expand Medicare to cover children and everyone in between. We must also improve Medicare to cover such vital services as hearing, vision, dental and, perhaps most importantly, long-term care. And we must, in this age of abhorrent income and wealth inequality, require the wealthiest to contribute more while eliminating all premiums, co-payments, co-insurance, and deductibles.

Currently, we are at a crossroads. While America’s current healthcare system is painfully vulnerable to Republican attacks, there is an opportunity to create a better future where all Americans can rely on guaranteed healthcare.

With Republicans doing everything they can to disrupt and dismantle the current healthcare system, it is the perfect time to fight for a more durable and universal alternative.

Shamefully, Republicans are chipping away at both Medicare and Medicaid. The attacks take many forms. They include the effort to confuse Americans with the inferior, propagandistically named “Medicare Advantage;” the Trump administration giving AI the power to overrule doctors and block care for Medicare patients; the $1 trillion in cuts to Medicaid and the Affordable Care Act in the so-called Big Beautiful Bill (beautiful for billionaires, ugly for everyone else) passed by Republicans; and new Republican rules for Medicaid that would force cancer patients to get back to work and would cause millions of Americans to lose their healthcare coverage. Though........

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