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| Medicare for All and Beyond, Sanders Uses the Senate as His Launching Pad | Medicare for All and Beyond, Sanders Uses the Senate as His Launching Pad |
| (32 minutes later) | |
| WASHINGTON — Senator Bernie Sanders stepped to the podium on Wednesday, red-faced and rumpled as ever, with a placard screaming “MEDICARE for ALL,” and likened his quest for a government-run universal health plan to earlier movements for women’s rights, civil rights, workers’ rights and gay rights. | WASHINGTON — Senator Bernie Sanders stepped to the podium on Wednesday, red-faced and rumpled as ever, with a placard screaming “MEDICARE for ALL,” and likened his quest for a government-run universal health plan to earlier movements for women’s rights, civil rights, workers’ rights and gay rights. |
| “What we are involved in is not just health care legislation,” he declared, flanked by admiring doctors in lab coats, Democratic senators and one of his rivals for the Democratic presidential nomination, Senator Kirsten Gillibrand of New York. “We are involved in a great struggle.” | “What we are involved in is not just health care legislation,” he declared, flanked by admiring doctors in lab coats, Democratic senators and one of his rivals for the Democratic presidential nomination, Senator Kirsten Gillibrand of New York. “We are involved in a great struggle.” |
| Medicare for all is not passing this Congress. Its cost is still unknown, the mechanisms to pay for it still largely unexplained. But behind Mr. Sanders’ choreographed theatrics were the unmistakable politics of 2020 and his campaign for president, a campaign that never really ended with the election of Donald J. Trump. | Medicare for all is not passing this Congress. Its cost is still unknown, the mechanisms to pay for it still largely unexplained. But behind Mr. Sanders’ choreographed theatrics were the unmistakable politics of 2020 and his campaign for president, a campaign that never really ended with the election of Donald J. Trump. |
| Democratic efforts to pull Mr. Sanders, a political independent from Vermont, into the fold with a newly minted leadership post have only bolstered his platform to seek the presidency — and disrupt the party’s status quo. | Democratic efforts to pull Mr. Sanders, a political independent from Vermont, into the fold with a newly minted leadership post have only bolstered his platform to seek the presidency — and disrupt the party’s status quo. |
| “I ran for president; I got 13 million votes, going over 1,700 delegates to the Democratic convention, and got more young people’s votes than Clinton and Trump combined,” Mr. Sanders boasted in an interview in his Washington office. “And I thought that those 13 million people deserved a voice in Democratic leadership.” | “I ran for president; I got 13 million votes, going over 1,700 delegates to the Democratic convention, and got more young people’s votes than Clinton and Trump combined,” Mr. Sanders boasted in an interview in his Washington office. “And I thought that those 13 million people deserved a voice in Democratic leadership.” |
| The Medicare for All Act unveiling — its fifth iteration — comes as Mr. Sanders’s $18 million fund-raising haul has made him an instant front-runner in a very crowded field. But in many ways he is still the “same old Bernie,” as many of his colleagues like to say — a gruff and sometimes grating presence in a chamber that prides itself on civility. He still knows how to rankle. | The Medicare for All Act unveiling — its fifth iteration — comes as Mr. Sanders’s $18 million fund-raising haul has made him an instant front-runner in a very crowded field. But in many ways he is still the “same old Bernie,” as many of his colleagues like to say — a gruff and sometimes grating presence in a chamber that prides itself on civility. He still knows how to rankle. |
| He ran as a Democrat for president in 2016, then shunned the entreaties of Democratic leaders and sought re-election last year as an independent. His push for Medicare for All runs counter to the wishes of top Democrats like Senator Chuck Schumer, the minority leader, and Speaker Nancy Pelosi, who are trying to de-emphasize it. | He ran as a Democrat for president in 2016, then shunned the entreaties of Democratic leaders and sought re-election last year as an independent. His push for Medicare for All runs counter to the wishes of top Democrats like Senator Chuck Schumer, the minority leader, and Speaker Nancy Pelosi, who are trying to de-emphasize it. |
| At the same time, Mr. Sanders has managed to land a seat at the leadership table, which gives him a voice in plotting strategy. His post as “chair of outreach” — a job that did not exist until he and Mr. Schumer created it after the 2016 presidential election — has also given him license and a small budget to travel the country doing what he likes best: rallying the progressive left to resist President Trump. | At the same time, Mr. Sanders has managed to land a seat at the leadership table, which gives him a voice in plotting strategy. His post as “chair of outreach” — a job that did not exist until he and Mr. Schumer created it after the 2016 presidential election — has also given him license and a small budget to travel the country doing what he likes best: rallying the progressive left to resist President Trump. |
| [Bernie Sanders, now a millionaire, pledges to release tax returns by Monday.] | [Bernie Sanders, now a millionaire, pledges to release tax returns by Monday.] |
| More than a half dozen members of Congress are running for president, but few have used their seats as adroitly as Mr. Sanders to burnish a brand. He announced his candidacy in 2015 on a patch of grass, known as the Swamp, outside the Capitol — an unusual locale given that senators are not supposed to mix official business with politics. | More than a half dozen members of Congress are running for president, but few have used their seats as adroitly as Mr. Sanders to burnish a brand. He announced his candidacy in 2015 on a patch of grass, known as the Swamp, outside the Capitol — an unusual locale given that senators are not supposed to mix official business with politics. |
| Not long after the 2016 campaign, at a time when some moderate Democrats worried he would help foster primary challenges against them, he brought his chief strategist, Jeff Weaver, to meet behind closed doors with his colleagues tutoring them on how to appeal to his millennial base. | Not long after the 2016 campaign, at a time when some moderate Democrats worried he would help foster primary challenges against them, he brought his chief strategist, Jeff Weaver, to meet behind closed doors with his colleagues tutoring them on how to appeal to his millennial base. |
| He went on CNN to debate tax policy with Senator Ted Cruz, Republican of Texas. He held dozens of rallies in 2017 to whip up opposition to Mr. Trump’s plan to repeal the Affordable Care Act. | He went on CNN to debate tax policy with Senator Ted Cruz, Republican of Texas. He held dozens of rallies in 2017 to whip up opposition to Mr. Trump’s plan to repeal the Affordable Care Act. |
| “I think he feeds off these crowds; there’s no question about it,” said Larry Cohen, chairman of Our Revolution, the organization that spun out of Mr. Sanders’s 2016 campaign. Mr. Cohen added that Mr. Schumer realized there was “a huge benefit” to bringing on Mr. Sanders: “You don’t just bring him back after that kind of relative success and just treat him as the junior senator from Vermont.” | “I think he feeds off these crowds; there’s no question about it,” said Larry Cohen, chairman of Our Revolution, the organization that spun out of Mr. Sanders’s 2016 campaign. Mr. Cohen added that Mr. Schumer realized there was “a huge benefit” to bringing on Mr. Sanders: “You don’t just bring him back after that kind of relative success and just treat him as the junior senator from Vermont.” |
| Mr. Sanders also staked out policy crusades to address concerns that arose during his 2016 campaign. Criticized for lacking foreign policy experience, he teamed with two Republicans — Mike Lee of Utah and Rand Paul of Kentucky — to pass a resolution calling for an end to American military involvement in Saudi Arabia’s war in Yemen. He also embraced a criminal justice overhaul after being accused of not being sensitive enough to issues of racial injustice. | Mr. Sanders also staked out policy crusades to address concerns that arose during his 2016 campaign. Criticized for lacking foreign policy experience, he teamed with two Republicans — Mike Lee of Utah and Rand Paul of Kentucky — to pass a resolution calling for an end to American military involvement in Saudi Arabia’s war in Yemen. He also embraced a criminal justice overhaul after being accused of not being sensitive enough to issues of racial injustice. |
| He shrewdly hired the Democratic operative Tyson Brody, who compiled opposition research on him for Hillary Clinton’s campaign in 2016. | He shrewdly hired the Democratic operative Tyson Brody, who compiled opposition research on him for Hillary Clinton’s campaign in 2016. |
| Mr. Sanders’s allies say joining leadership has not compromised his status as an outsider. Representative Ro Khanna, Democrat of California and a co-chairman of Mr. Sanders’s 2020 campaign, calls Mr. Sanders “the perfect insider-outsider” who, unlike Mr. Trump, at least knows how Washington works. | Mr. Sanders’s allies say joining leadership has not compromised his status as an outsider. Representative Ro Khanna, Democrat of California and a co-chairman of Mr. Sanders’s 2020 campaign, calls Mr. Sanders “the perfect insider-outsider” who, unlike Mr. Trump, at least knows how Washington works. |
| “It’s sort of the best of both worlds,” Mr. Khanna said. “The only people who know that he has that position are 99 other senators and 430-something members of Congress. No one out in the rest of the country knows about it.” | “It’s sort of the best of both worlds,” Mr. Khanna said. “The only people who know that he has that position are 99 other senators and 430-something members of Congress. No one out in the rest of the country knows about it.” |
| The last time he embarked on a run for the White House, in April 2015, Mr. Sanders, was viewed by his colleagues as a kind of oddball figure — a self-identified democratic socialist on a Don Quixote, tilting-at-windmills quest. | The last time he embarked on a run for the White House, in April 2015, Mr. Sanders, was viewed by his colleagues as a kind of oddball figure — a self-identified democratic socialist on a Don Quixote, tilting-at-windmills quest. |
| “I think people should be a little bit careful underestimating me,” he said then. | “I think people should be a little bit careful underestimating me,” he said then. |
| Now the senator has a different problem: With his brand of democratic socialism taking root on the Democratic left, so many Democrats sound so much like Bernie Sanders that some are asking why America needs Bernie Sanders. His Medicare for All bill is a case in point. Its co-sponsors include at least four Senate Democrats who are running against him: Ms. Gillibrand, Cory Booker of New Jersey, Elizabeth Warren of Massachusetts and Kamala Harris of California. | Now the senator has a different problem: With his brand of democratic socialism taking root on the Democratic left, so many Democrats sound so much like Bernie Sanders that some are asking why America needs Bernie Sanders. His Medicare for All bill is a case in point. Its co-sponsors include at least four Senate Democrats who are running against him: Ms. Gillibrand, Cory Booker of New Jersey, Elizabeth Warren of Massachusetts and Kamala Harris of California. |
| The Medicare for All Act would provide health insurance to all Americans under a single plan run by the government and financed by taxpayers; private insurers could remain in business but could only provide benefits, such as elective surgery, not covered by the government. The 2019 version includes coverage for long term care, perhaps increasing its appeal but also its cost. | The Medicare for All Act would provide health insurance to all Americans under a single plan run by the government and financed by taxpayers; private insurers could remain in business but could only provide benefits, such as elective surgery, not covered by the government. The 2019 version includes coverage for long term care, perhaps increasing its appeal but also its cost. |
| The rollout — complete with Sanders-esque finger jabs and talk of “doctahs” and “dollahs” — was live-streamed from a packed room in the Dirksen Senate Office Building. | The rollout — complete with Sanders-esque finger jabs and talk of “doctahs” and “dollahs” — was live-streamed from a packed room in the Dirksen Senate Office Building. |
| The main drawback is the cost — as high as $32 trillion over 10 years, according to the plan’s critics. But the Sanders camp cites studies, including one by the RAND Corporation, that show Medicare for All would save middle-class families money by decreasing their premiums and out-of-pocket costs. | The main drawback is the cost — as high as $32 trillion over 10 years, according to the plan’s critics. But the Sanders camp cites studies, including one by the RAND Corporation, that show Medicare for All would save middle-class families money by decreasing their premiums and out-of-pocket costs. |
| As to why America needs Bernie Sanders, Mr. Sanders’s answer is simple: He was there first. | As to why America needs Bernie Sanders, Mr. Sanders’s answer is simple: He was there first. |
| “Find out how many folks in the 1980s were going up to Canada to learn about Medicare for All,” he said, adding: “In 1999, I took a busload of Vermonters across the Canadian border to purchase low-cost prescription drugs in Canada. O.K., I was the first member of Congress to do that. So are other people talking about the greed of the pharmaceutical industry? Yes. Check out who was there first.” | “Find out how many folks in the 1980s were going up to Canada to learn about Medicare for All,” he said, adding: “In 1999, I took a busload of Vermonters across the Canadian border to purchase low-cost prescription drugs in Canada. O.K., I was the first member of Congress to do that. So are other people talking about the greed of the pharmaceutical industry? Yes. Check out who was there first.” |
| He also threw some shade on another of his competitors, Senator Amy Klobuchar of Minnesota, suggesting she lifted one of his ideas. | He also threw some shade on another of his competitors, Senator Amy Klobuchar of Minnesota, suggesting she lifted one of his ideas. |
| “I know one of my colleagues who is running for president talks about a trillion-dollar infrastructure plan,” he said. “Well, we were talking about that how many years ago? 2015?” | “I know one of my colleagues who is running for president talks about a trillion-dollar infrastructure plan,” he said. “Well, we were talking about that how many years ago? 2015?” |
| He later identified the colleague as Ms. Klobuchar, who threw some shade of her own. “Klobuchar said that she agreed with Senator Sanders that there is growing support for her infrastructure plan,” she wrote in an email message, offering this quotation: “While a big infrastructure plan has been kicked around for years, I can get it done.” | He later identified the colleague as Ms. Klobuchar, who threw some shade of her own. “Klobuchar said that she agreed with Senator Sanders that there is growing support for her infrastructure plan,” she wrote in an email message, offering this quotation: “While a big infrastructure plan has been kicked around for years, I can get it done.” |
| Mr. Sanders has always been a scowling presence in the Senate. He plows through the Capitol corridors, always too busy to talk, stingy with his smiles. (“If you worked here, you wouldn’t smile either,” he said.) | Mr. Sanders has always been a scowling presence in the Senate. He plows through the Capitol corridors, always too busy to talk, stingy with his smiles. (“If you worked here, you wouldn’t smile either,” he said.) |
| His official website offers a hint of where the job falls on his priority list: Until Wednesday, after this article pointed it out, t had not been updated to reflect his re-election in 2018 and still said he was “serving his second term after winning re-election in 2012.” | |
| He is thinner these days, having dropped 10 pounds on no particular diet — or at least none that he cares to share. (“By not eating,” he said, when asked how he did it.) | He is thinner these days, having dropped 10 pounds on no particular diet — or at least none that he cares to share. (“By not eating,” he said, when asked how he did it.) |
| And though his “national support has given Bernie more credibility,” in the words of Senator Richard J. Durbin of Illinois, the No. 2 Democrat, his colleagues say not much has changed. | And though his “national support has given Bernie more credibility,” in the words of Senator Richard J. Durbin of Illinois, the No. 2 Democrat, his colleagues say not much has changed. |
| “He’s Bernie,” said Senator Tim Kaine of Virginia, who ran for vice president alongside Mrs. Clinton after she defeated Mr. Sanders for the 2016 Democratic nomination. “Whether that’s running or just being Bernie, he kind of does what he does.” | “He’s Bernie,” said Senator Tim Kaine of Virginia, who ran for vice president alongside Mrs. Clinton after she defeated Mr. Sanders for the 2016 Democratic nomination. “Whether that’s running or just being Bernie, he kind of does what he does.” |