Top Stories Daily Listen Now
RawStory

Opinion

Will Trump throw McConnell under the bus for blocking a new stimulus?

In Thursday night's debate, President Trump skirted Joe Biden's observation that it's Senate Majority Leader Mitch McConnell and other Republican Senators — not House Speaker Nancy Pelosi — who are blocking the "go big" stimulus package that Trump recently decided to promote before the election.

Keep reading... Show less

Here's the list of white supremacist and extremist Trump donors the president's campaign refuses to denounce

Suburban women are on a mission to save America — and it may not stop at ousting Trump

Keep reading... Show less

Critics laugh at GOP's boastful tweets about Trump's 'accomplishments'

With less than two weeks until the upcoming presidential election, the Republican Party is going to great lengths to justify their support of President Donald Trump being elected for a second term. But their latest attempt to boast about Trump's "accomplishments" has fallen flat and Twitter users are taking advantage of the moment.

Keep reading... Show less

Trump's smile falls from his face as his attempt to get a foreign leader to attack Biden backfires

President Donald J. Trump, joined by White House senior staff, speaks on the phone with Prime Minister Benjamin Netanyahu of Israel, and Sheikh Mohammed Bin Zayed, Crown Prince of Abu Dhabi and Deputy Supreme Commander of the United Arab Emirates about their agreement to establish full normalization of relations between Israel and the United Arab Emirates Thursday, Aug. 13, 2020, in the Oval Office of the White House. (Official White House Photo by Joyce N. Boghosian)

Keep reading... Show less

Defeating Donald Trump won't heal the damage of 2020

How many times can you say "I'm so sorry" without the words losing their meaning? How many times can you answer a text or an instant message or an email by typing "I'm so sorry" without becoming inured to the feeling of sorrow? Even if you manage to pause your constant grief, you're hit between the eyes with another statistic, another story. The day the coronavirus death total hit 220,000, we learned that the parents of 545 children who were separated at the border cannot be found. Can you even imagine? Can you imagine being a three-year-old child and not knowing where your mommy and daddy are? Can you imagine being a father or a mother and having no idea if you'll ever see your daughter or your son again?

Keep reading... Show less

Paul Krugman explains why Ayn Rand's libertarianism is absolutely deadly

During the coronavirus crisis, President Donald Trump and many of his Republican allies have not only downplayed the severity of the pandemic — they have also vehemently opposed social distancing restrictions, mask wearing and other measures meant to slow down the spread of COVID-19. Liberal economist Paul Krugman discusses that mindset this week in his New York Times column, slamming it as "libertarianism gone bad" and the toxic influence of the late right-wing author Ayn Rand.

Keep reading... Show less

Trump is headed for a demographic disaster on Election Day by dismissing this key group of voters

Pennsylvania small business owners have a drastically different take on Trump than they did 4 years ago

Keep reading... Show less

Trump's fevered imagination goes on full display

I live in a ghost town – at least Donald Trump seems to think so. It’s “a ghost town!” he exclaimed more than once at Thursday night’s second and last debate with Joe Biden. “Take a look at New York and what’s happened to my wonderful city. For so many years, I loved it. It was vibrant. It’s dying. Everyone’s leaving New York.”

Keep reading... Show less

Trump still looked like a callous psychopath despite his relatively calm demeanor at the final debate

The word on the media reviews for Thursday night's second — and blessedly last — debate of the presidential campaign is that it was civil.

Keep reading... Show less

Expert: Trump's funneled lips are a primal display associated with intense emotion and anger

President Donald Trump and former Vice President Joe Biden met on Oct. 22 for the final debate in the 2020 election and, like the first debate, it was unusual.

Keep reading... Show less

Trump buried in mockery after trying -- and failing -- to get Israeli prime minister to slam Biden

President Donald Trump tried to goad Israeli prime minister Benjamin Netanyahu into attacking Joe Biden, but the gambit failed.

Keep reading... Show less

Confused? Trump's debate remarks indicate he does not understand Biden's health care plan

During the final presidential debate, President Donald Trump claimed that 180 million people would lose their private health insurance to socialized medicine if the Democratic presidential nominee, former Vice President Joe Biden, is elected president.

“They have 180 million people, families under what he wants to do, which will basically be socialized medicine — you won’t even have a choice — they want to terminate 180 million plans,” said Trump.

Trump has repeated this claim throughout the week, and we thought the linkage of Biden’s proposed health care plan with socialism was something we needed to check out. Especially since Biden opposed “Medicare for All,” the proposal by Sen. Bernie Sanders (I-Vt.) that would have created a single-payer health system run completely by the federal government, and has long been attacked by Republicans as “socialist.”

The Trump campaign did not respond to our request asking where the evidence for this claim came from. Experts called it a distortion of Biden’s plan.

Where the Number Comes From

Experts agreed the number of people who have private health insurance either through an employer-sponsored plan or purchased on the Affordable Care Act’s health insurance marketplace is around 180 million people.

KFF, a nonpartisan health policy organization, estimated in 2018 that about 157 million Americans had health insurance through their employer, while almost 20 million had insurance they purchased for themselves. Together, that adds up to about 177 million with private health insurance. (KHN is an editorially independent program of KFF.)

What Does Biden Support?

Biden supports expanding the ACA through several measures, including a public option. Under his plan, this public option would be a health insurance plan run by the federal government that would be offered alongside other private health insurance plans on the insurance marketplace.

“The marketplace is made up of multiple insurers in areas,” said Linda Blumberg, a health policy fellow at the Urban Institute. “Sometimes there are five or more [plans]; sometimes there is only one. Biden is talking about adding a public option in the marketplace. You could pick between these private insurers or you could pick the public option.”

Getting rid of the so-called employer firewall is also part of Biden’s proposal.

This firewall was implemented during the rollout of the ACA. It was designed to maintain balance in the insurance risk pools by preventing too many healthy people who have work-based coverage from opting instead to move to a marketplace plan. And it all came down to who qualified for the subsidies that made these plans more affordable.

Currently, those who are offered a health insurance plan through their employer that meets certain minimum federal standards aren’t eligible to receive these subsidies, which come in the form of tax credits. But that leaves many low-income workers with health care plans that aren’t as affordable or comprehensive as marketplace plans.

Biden’s plan would eliminate that firewall, meaning anyone could choose to get health insurance either through their employer or through the marketplace. That’s where many Republicans argue that we could start to see leakage from private health insurance plans to the public option.

“The problem is healthy people leaving employer plans,” said Joseph Antos, a scholar in health care at the conservative-leaning American Enterprise Institute. That could mean the entire workplace plan’s premiums would go up. “You could easily imagine a plan where it spirals, the premiums go up, and then even more people start leaving the plans to go to the public option.”

Blumberg, though, said that because the marketplace would still include private health insurance plans alongside the public option, it doesn’t mean everyone who chooses to leave their employer plan would go straight to the public option.

She has done estimates based on a plan similar to the one Biden is proposing. She estimates that only about 10% to 12% of Americans would choose to leave their employer-sponsored plans, which translates to about 15 million to 18 million Americans.

KFF also did an estimate and found that 12.3 million people with employer coverage could save money by buying on the exchange under the Biden plan.

But “it’s not clear all of those people would choose to leave their employer coverage, though, as there are other reasons besides costs that people might want to have job-based insurance,” Cynthia Cox, vice president and director of the program on the ACA at KFF, wrote in an email.

Either way, none of the estimates are anywhere close to the 180 million that Trump claimed.

Is This Type of Public Option Socialism?

Overall, experts said no, what Biden supports isn’t socialized medicine.

“Socialized medicine means that the government runs hospitals and employs doctors, and that is not part of Biden’s plan,” Larry Levitt, executive vice president for health policy at KFF, wrote in an email. “Under Biden’s plans, doctors and hospitals would remain in the private sector just like they are today.”

However, Antos said that, in his view, the definition of socialism can really vary when it comes to health care.

“I would argue in one sense, we would already have socialized medicine. We have massive federal subsidies for everybody, so in that sense, we’re already there,” said Antos. “But, if socialized medicine means the government is going to dictate how doctors practice or how health care is delivered, we are obviously not in that situation. I don’t think the Biden plan would lead you that way.”

And in the end, Antos said, invoking socialism is a scare tactic that politicians have been using for years.

“It’s just a political slur,” said Antos. “It’s meant to inflame the emotions of those who will vote for Trump and meant to annoy the people who will vote for Biden.”

Our Ruling

Trump said 180 million people would lose their private health insurance plans to socialized medicine under Biden.

While about 180 million people do have private health insurance, there is no evidence that all of them would lose their private plans if Biden were elected president.

Biden supports implementing a public option on the health insurance marketplace. It would exist alongside private health insurance plans, and Americans would have the option to buy either the private plan or the public plan. While estimates show that a number of Americans would likely leave their employer-sponsored coverage for the public plan, they would be doing that by choice and the estimates are nowhere near Trump’s 180 million figure.

Experts also agree that the public option is not socialized medicine, and it’s ridiculous to conflate Biden’s plan with Medicare for All.

We rate this claim Pants on Fire.

Subscribe to KHN's free Morning Briefing.

Keep reading... Show less

Trump's voters loved him in the first debate -- but on Thursday, he seemed sour, flattened and all but defeated

If you watched Donald Trump this past week, you might have expected him to show up for the final debate of the 2020 campaign on Thursday night as loaded for bear as he was in the first one. His rallies have been filled with scalding vitriol toward his political opponents and his Twitter feed has been nearly incoherent with rage. He seemed to be working himself up into a full-blown frenzy in anticipation of another Fight Club-style encounter with Joe Biden.

But Trump may have peaked a little early with his petulant interview with "60 Minutes" reporter Lesley Stahl on Wednesday and lost his mojo. He was so upset with Stahl's questions that he suddenly ended the interview and flounced out of the room like a sullen teenager. The next day he followed through on his threat to release a White House recording of the interview, reportedly made for archival purposes. Trump described Stahl's interview as a "vicious attempted 'takeout'" and offered this summary on Twitter: "Watch her constant interruptions & anger. Compare my full, flowing and 'magnificently brilliant' answers to their 'Q's'."

Keep reading... Show less