Nancy Pelosi Wants to Pump the Brakes on Medicare for All

Just who could she be talking about?

Melina Mara/Xinhua/ZUMA

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How does Speaker of the House Nancy Pelosi (D-Calif.) feel about two of the three leading Democratic presidential candidates campaigning on a Medicare-for-all health care system? Not great, Bob. Not great at all. In an interview with Bloomberg News published on Saturday, Pelosi argued for a more modest expansion on the status quo, the 2009 Affordable Care Act:

Pelosi said Democrats should seek to build on Obamacare instead of pushing ahead with the more sweeping Medicare for All plan favored by Warren and Sanders that would create a government-run health insurance system and abolish private coverage.

“Protect the Affordable Care Act—I think that’s the path to health care for all Americans. Medicare For All has its complications,” Pelosi said, adding that “the Affordable Care Act is a better benefit than Medicare.”

Pelosi, who expressed similar sentiments to Bloomberg in a Friday TV interview, also took aim at the Green New Deal, a sweeping economic overhaul backed by Sanders and Warren to forestall the worst effects of climate change.

The speaker’s rebukes to the party’s left flank aren’t anything new—she has subtly and not subtly signaled her disagreement’s with the party’s most outspoken first-term members—but it comes at a time when the presidential primary is beginning to enter the home stretch just before Iowa’s caucus goers have to make their final choices. Her comments also come the day after, following weeks of questions, Warren released a funding plan to pay for her Medicare-for-all proposal.

Pelosi’s word carries a lot of weight—as speaker, she not only determines what legislation comes up for a vote, she also sets the rules. In the same interview, she signaled that in the next Congress, she’d once again adopt “pay-as-you-go” rules requiring any new spending to be offset or paid for—a House rule that progressives have objected to in the past because they believe deficit spending is often necessary. Pelosi’s comments on Saturday may not move the needle in the Democratic primary—she’s still not endorsing a candidate. But it’s a sign that some of the party’s biggest fights may be yet to come.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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