'Why the unnecessary 6?': Medicare for All advocates warn Biden that lowering age to 60 solves nothing

"These policies are what I would expect from Republicans. This is not a 'big overture' by any stretch of the imagination."

Progressives on Thursday were quick to call foul after it was reported that Joe Biden, now the presumptive Democratic presidential nominee, put forth a pair of policy proposals—one lowering the Medicare age to 60 and the other a student debt relief program—purportedly designed to win over supporters of Sen. Bernie Sanders who instead saw the plans as woefully insufficient.

"We have to do more to ease the economic burden on working people," Biden said in a tweet announcing the plan. "So today, I'm adopting two new policies to help deliver relief."

But the proposals—one a lowering of the Medicare eligibility age from 65 to 60 and the other a means-tested, complicated student debt forgiveness plan—were seen by progressives as at best insufficient.

"That he's willing to shift on these issues after telling us they were 'pie-in-the-sky' indicates that we can go further," tweeted Briahna Joy Gray, Sanders' campaign press secretary.

Gray's optimism, however, was not shared by everyone on the left. In a lengthy Facebook essay reacting to the proposals, CUNY professor Corey Robin questioned how Biden could hope to pass anything approximating his plans through Congress.

"The rule of politics is you never get 100% of what you want," said Robin, adding, "Our sense of political time is not keeping up with actual time, and I find the euphoria of complacency and incrementalism totally mystifying."

Greg Sargent and Paul Waldman of the Washington Post broke the story Thursday, reporting that Biden was announcing the shift in policy as a way to show Sanders supporters that what he now supports is "significantly more liberal than what he supported when he was vice president."

As Sargent and Waldman explained, the policy proposals show that Biden and his campaign are acknowledging the political reality that Sanders and his movement have changed the national conversation around domestic politics:

In an email to the Post, Economic Policy Institute director of research Josh Bivens said the overtures were further proof that the Sanders effect on the party was real and making a difference.

"Both of these ideas represent really welcome U-turns from what was damaging conventional wisdom even in big swaths of the Democratic Party for years," wrote Bivens.

But other progressives were skeptical, at best, of the content of Biden's proposals, calling the Medicare age rollback in particular a transparent attempt to placate concerns over the former vice president's commitment to single-payer healthcare that would benefit the private insurance industry more than taxpayers.

"These policies are what I would expect from Republicans," tweeted anthropolgist and political activist Michael Oman-Reagan. "This is not a 'big overture' by any stretch of the imagination."

In a tweet, healthcare advocacy group Physicians for a National Health Program (PNHP) wondered sarcastically if Biden had added an unnecessary "6" to the eligibility age—a reference to Medicare for All's immediate eligibility at birth.

PNHP president-elect Dr. Susan Rogers, in exclusive comment to Common Dreams, said that Biden's so-called "big" gesture is simply not sufficient to address  the healthcare crisis in the country, especially now that the coronavirus outbreak has paralyzed the economy and thrown millions out of work—and off of employer-provided insurance.

"One of the main benefits of Medicare for All is that it uncouples health coverage from employment, which is even more urgent now as our system of job-based private insurance is crumbling beneath our feet," said Rogers. "Reducing Medicare eligibility to age 60 does not resolve the underlying problem for the vast majority of working Americans and their families."

Only Medicare for All, added Rogers, packs the cost-saving punch to solve both the healthcare and fiscal crises now facing the country.

"By cutting out the waste of private insurance, Medicare for All could save nearly $600 billion a year while covering everybody for all medically necessary care," said Rogers.

"The net effect of Biden's Medicare expansion would be to slough the most expensive patients off private insurance rolls and instead put them into government-subsidized, extremely profitable privatized Medicare Advantage plans," said healthcare activist and author Timothy Faust. "Some overture."

Sanders aide David Sirota was among those pointing out that the Biden proposal is less ambitious than one defeated in the Senate by former Sen. Joe Lieberman (I-Conn.) in 2010.

"For reference, lowering Medicare to age 60 is actually a retreat from Senate Dems' own push 10 years ago to lower it to age 55," Sirota tweeted.

Meanwhile, as Gray noted, the student debt relief aspect of the plan has very narrow, means-tested prerequisites.

The cost of offering all students relief, Gray added, is the equivalent of tax cuts for the rich pushed through Congress by President Donald Trump and his Republican allies in 2018.

"Cancelling ALL student debt only costs $1.6 trillion—that's about the same as Trump's tax cut, which helped no one but the rich," said Gray.

Ultimately, the question is who should be taken care of, Gray tweeted.

"If we can bail out Wall Street," Gray said, "we can bail out students."