Buttigieg unveils health plan, calls it 'glide path' to Medicare for All
WASHINGTON — Democrat Pete Buttigieg is unveiling his long-awaited health care plan that aims to move millions of Americans into government-run health care without imposing it on all Americans all at once — a middle ground that Buttigieg hopes will draw a clear contrast with the "Medicare for All" approach.
The South Bend, Ind. mayor and presidential candidate described his plan as a "glide path to Medicare for All" in an interview with NBC News.
While Sens. Elizabeth Warren, D-Mass., and Bernie Sanders, I-Vt., propose eliminating private insurance in one fell swoop, Buttigieg wants the government to introduce a public plan that would be so competitive that Americans will ultimately choose voluntarily to abandon insurance companies.
"Freedom is one of the main themes of this campaign. And I do think commanding Americans to abandon the coverage they've got is inconsistent with our commitment to freedom," Buttigieg said.
He said unlike his rivals' "Medicare for All" proposal, his plan allows for as long a transition period as necessary to get the public option up and running well, a concern highlighted by the disastrous rollout of the HealthCare.Gov online insurance marketplace during the Obama administration.
Buttigieg said leaving the current system intact while any unforeseen kinks in the public option are ironed out would be "far less traumatic" than putting the entire country in government-run health care all at once.
Buttigieg's plan hews closely to the proposal backed by former Vice President Joe Biden, the Democratic primary's front-runner. But their plans differ over how Americans would get enrolled in the new public plan and what subsidies would be available to help them pay for it.
Under Buttigieg's proposal, Americans would again be effectively required to maintain some type of health insurance, a requirement put in place by President Barack Obama's Affordable Care Act but nullified by the Trump administration.
Americans whose incomes are so low that they're eligible for free coverage through Medicaid or the public option would be automatically enrolled, along with those eligible for "an affordable insurance option," although Buttigieg's plan doesn't explicitly define what constitutes affordable. Those Americans could opt out of the public option if they have private insurance, and even those with employer-provided insurance could choose to use the public option instead.
Those who aren't automatically enrolled and lack insurance would later be "retroactively enrolled" in the public plan. Buttigieg said they'd have to pay back premiums for the time they were uninsured if they get sick and need coverage.
But critics have long argued that allowing people to wait until they're sick to get insurance drives up health care costs because there are fewer healthier people — who cost less to insure — to pay into the system.
Buttigieg would also expand subsidies to help pay for premiums — currently limited to people whose incomes are less than four times the federal poverty level. Under his plan, Americans could buy into a "gold-level" public option at a premium capped at 8.5 percent of their income.
"This plan is not moderate by historical standards, but it certainly is moderate compared to Medicare for All," said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation, which studies health care policy. "It goes well beyond the Affordable Care Act in providing help paying for healthcare to a much larger number of people and taking significant steps to control costs."
As Buttigieg works to break into the top tier in the crowded Democratic race, his critiques of his competitors and their plans have become increasingly sharp and direct in recent weeks. An NBC News-Wall Street Journal poll this week found Buttigieg in fourth place at 7 percent, far behind Biden at 31 percent, Warren at 25 percent and Sanders at 14 percent.
In Facebook ads taking aim at Sanders and Warren over health care, Buttigieg has argued their vision would "dictate" a public option to Americans and "risk further polarizing them."
And although Warren and Sanders cite statistics showing Americans support Medicare for All, Buttigieg says in the NBC News interview that a closer look reveals that what the majority are thinking of when they hear "Medicare for All" is actually closer to his plan, not those of the two senators.
The Buttigieg plan also cracks down on exorbitant costs insurance companies charge for providers who are out-of-network by capping their reimbursement rates at double the rate that Medicare pays. It would also aim to end "surprise bills" that result when patients go to an in-network hospital but are unknowingly treated by an out-of-network provider working there.
—Benjy Sarlin contributed
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Leigh Ann Caldwell
19h ago / 9:32 PM UTC
Former N.C. Gov. McCrory to run for open Senate seat
The North Carolina Senate race is about to get more crowded.
Former Republican Governor Pat McCrory plans to announce on Wednesday that he is running for the open seat to replace retiring Sen. Richard Burr, according to two sources familiar with his plans.
McCrory, who led the state from 2012 until he lost his re-election in 2016, will enter what is expected to be a crowded Republican primary that already includes former Rep. Mark Walker, who took a shot at McCrory on Monday upon the news of his potential bid.
If Pat wasn’t good enough for Trump’s administration, he’s not good enough for NC.
I am running to provide NC with its first real conservative Senator in years. at 97%, I was the most conservative and pro-Trump member from NC and would be the top member in the entire Senate.
Sources say the GOP field could also include Lara Trump, former President Donald Trump’s daughter-in-law, and possibly Rep. Ted Budd, D-N.C.
The Democratic primary is expected to get bigger soon, too. Former N.C. Supreme Court Chief Justice Cheri Beasley could announce her candidacy as early as this week, three sources tell NBC News.
Beasley, an African American woman, lost a close re-election in 2020 as the top judge in the state. Her race went to a recount. She would be running against former state Sen. Erica Smith and state Senator Jeff Jackson, who have both already announced their bids. Jackson's campaign said he raised $1.3 million in the first quarter of 2021.
The outcome of the election in the swing state will be critical in the battle for the Senate, which is currently evenly divided.
Former President Donald Trump won the state in 2016 and 2020 but voters in those elections also elected Democratic Governor Roy Cooper on the same ballot.
“Arguably North Carolina is the swingiest state in the nation,” Democratic consultant Morgan Jackson said. “It’s the right recipe for a really big Senate race.”
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1d ago / 4:07 PM UTC
Progressive Kentucky Democrat explores Senate bid against Rand Paul
Former state Rep. Charles Booker, the progressive Democrat who narrowly lost the party's Democratic Senate primary in 2020, is launching an exploratory committee for a potential bid against Republican Sen. Rand Paul.
Booker made the announcement in a video posted to social media where he recounted his 2020 campaign's rise amid the backdrop of public outcry after police shootings of Black people, all amid a global pandemic. And he criticized the push by Republican legislators across the country to enact new voting restrictions after former President Donald Trump lost the presidential election.
"As we made our stand together, I could not have imagined the new world we were about to step into — the height of racial tension, the pandemic, an insurrection. While Kentuckians lost their livelihoods and their homes, a handful of privileged politicians chose to continue criminalizing poverty. While our loved ones were brutalized they chose to do nothing," Booker says in the video.
"Those folks building walls between us, they're scared now. They saw how close we came to shifting the scales, our forward motion knocking them on their heels. And they'll stop at nothing to drag us backwards."
Booker fell just three percentage points short of winning the 2020 Senate Democratic primary to former fighter pilot Amy McGrath. McGrath, who massively outraised and outspent Booker, went on to lose to then-Senate Majority Leader Mitch McConnell by almost 20 points.
Booker shares many ideas with the Democratic Party's progressive wing, supporting the Green New Deal and Medicare for All. He's also been an outspoken advocate for racial justice — he rallied Kentuckians after the shooting death of Breonna Taylor in Louisville, which happened during the primary campaign.
While Booker hasn't officially declared a bid, if he decides to challenge Paul, it will be difficult sledding — while Democrats did successfully flip the governor's mansion in 2019, Republicans have held both Senate seats since the turn of the century. Paul first won his seat in the 2010 midterms, winning a second term in 2016 after he dropped out of the presidential race.
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5d ago / 12:32 PM UTC
Virginia Gov. Northam backs Terry McAuliffe's bid to return to governor's mansion
Virginia Democratic Gov. Ralph Northam announced Thursday that he is endorsing Terry McAuliffe to be the state's next governor, a move that gives McAuliffe another big backer in his corner as he looks to leverage his experience, deep pockets and relationships with establishment Democrats in the state to help him secure another, non-consecutive term as governor.
In a statement released by the McAuliffe campaign, Northam pointed to the former governor's experience as a key attribute that can help the state as it claws out of the health and economic crises created by the Covid-19 pandemic.
"The longer-term impacts of this pandemic, however, will be around long after I leave office, and it's critical that our next governor has the plans and experience to continue the fight to rebuild Virginia into a stronger, more equitable future. That's why I am so proud to support Terry McAuliffe to be our next governor," Northam said.
"When Terry puts his mind to something, he'll move heaven and earth to make it happen. I've worked side-by-side with him for years, and simply put, he always gets the job done. Virginians need and deserve Terry's committed leadership as our next governor to continue to move us forward and build on the incredible progress Democrats have made over the past eight years."
Northam served as McAuliffe's lieutenant governor from 2014-2017 and won McAuliffe's endorsement to succeed him, an endorsement that served particularly helpful in the 2013 Democratic primary. Virginia elects governors to one, four-year term, after which they can't immediately run for re-election. However, they can run for non-consecutive terms, as McAuliffe is attempting to do.
McAuliffe has been touting his experience as the centerpiece of his bid — he left office well-liked and has remained a fixture in the state's political scene, as well as the national one (House Speaker Nancy Pelosi, D-Calif., has endorsed him). Mark Bergman, one of Northam's top political advisers, told the Associated Press that the governor was choosing between Northam and two other candidates — former state Delegate Jennifer Carroll Foy and state Sen. Jennifer McClellan.
Both Carroll Foy and McClellan are trying to fashion themselves as candidates who represent a new direction for the state, with Carroll Foy specifically criticizing McAuliffe in recent weeks as a return to politics of the past. Lt. Gov. Justin Fairfax, who has been accused of sexual assault, is also running, as is state Delegate Lee Carter, a marine veteran and socialist.
While Northam's reputation in the state has rebounded, he faced a smattering of calls to resign in 2019 after a photo emerged from his medical school yearbook page that showed one man posing in blackface and another donning a Ku Klux Klan robe. While denying he was in that photo, he admitted to using shoe polish to darken his face while impersonating Michael Jackson in a dance contest in 1984. McAullife initially called on Northam to step down, Northam never did and the pressure campaign faded away.
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Amanda Golden and Hallie Jackson
6d ago / 3:40 PM UTC
Pence launches new policy and advocacy group to champion Trump-era policy and oppose Biden agenda
Former Vice President Mike Pence has launched his new policy and advocacy group, called Advancing American Freedom, the biggest brick yet in the foundation Pence is building toward a potential future bid for president.
The group, according to a new statement announcing the launch, will “promote the pro-freedom policies of the last four years that created unprecedented prosperity at home and restored respect for America abroad, to defend those policies from liberal attacks and media distortions, and to prevent the radical Left from enacting its policy agenda that would threaten America’s freedoms.”
Advancing American Freedom is incorporated in Indiana, but will have office space in Washington D.C., according to a source involved with the group.
The announcement comes as Pence begins to tiptoe back into the public eye after a high-profile break with former President Donald Trump over whether he could overturn the 2020 election results. He's expected to make his first public speech since leaving office later this month in South Carolina.
Advancing American Freedom's messaging previews the pitch Pence may make to GOP voters during presidential primary season: that he's the person who can carry on the Trump message on behalf of the voters the former president brought into the Republican fold in 2016, while also speaking to more traditional GOP base.
“Mike Pence is looking to chair this new organization in a direction that continues to fuse those different parts of our movement together because that's a winning formula,” former Pence chief of staff Marc Short, the group's co-chair, said on Fox Business Wednesday morning.
Along with Short, senior advisor Marty Obst and political strategist Chip Saltsman are also co-chairing the group. The group’s executive director, Paul Teller, worked as one of Pence’s liaisons to Capitol Hill.
Its advisory board includes a handful of former Trump administration officials and top allies, including former Senior Counselor to the President Kellyanne Conway, former United States Ambassador to the United Nations Kelly Craft, Arizona Republican Gov. Doug Ducey, former House Speaker Newt Gingrich, former U.S. Ambassador to the Holy See Callista Gingrich, former Director of the National Economic Council Larry Kudlow, former U.S. Trade Representative Robert Lighthizer, former Pennsylvania Sen. Rick Santorum, former Centers for Medicare & Medicaid Services Administrator Seema Verma, former Office of Management and Budget Director Russ Vought and former Wisconsin Gov. Scott Walker.
And the group's announcement makes clear how it views the Biden administration, adding that "In addition to articulating and advancing a policy agenda, Advancing American Freedom will oppose the expansion of government under Joe Biden and Kamala Harris’ radical Left policy agenda from Washington, D.C., into communities across the country.
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6d ago / 1:49 PM UTC
Trump backs Mo Brooks, key ally in unfounded election fraud push, for Alabama Senate
Former President Donald Trump has endorsed the Senate campaign of Rep. Mo Brooks, the Alabama Republican and key ally who played a central role in promoting the former president’s unfounded claim that he won the 2020 presidential election and that Congress could overturn the result.
Trump announced the endorsement in an emailed statement Wednesday, as he remains banned from most social media platforms in the wake of his false claims about the election and the subsequent attack on the Capitol by his supporters.
“Few Republicans have as much COURAGE and FIGHT as Alabama Congressman Mo Brooks. Mo is a great Conservative Republican leader, who will stand up for America First no matter what obstacles the Fake News Media, RINOs, or Socialist Democrats may place in his path,” Trump wrote.
“Mo Brooks has my Complete and Total Endorsement for the U.S. Senate representing the Great State of Alabama. He will never let you down!”
Brooks is running for the Senate seat that will be vacated by Republican Sen. Richard Shelby’s decision not to run for another term. The president is siding with Brooks over Lynda Blanchard, Trump’s former ambassador to Slovenia. Blanchard has also tried to position herself as a loyal Trump ally, pointing to her work in the administration, and has deep pockets from which to self-fund her race.
The congressman repeatedly echoed Trump’s claims of widespread electoral fraud after the 2020 election, helping to spearhead the attempt by over 100 Republican members of Congress to object to the Electoral College results.
Brooks also spoke, along with Trump, at a Washington D.C. rally that coincided with the vote. Many of those rallygoers then headed to the Capitol, and some attacked police officers as they stormed the building.
Trump won Alabama in 2020 with 62 percent of the vote, his highest vote share of any state. It's not the first time Trump waded into Alabama's Senate race — when Brooks was running in 2017, Trump endorsed sitting Sen. Luther Strange, who had been appointed to the seat after then-Sen. Jeff Sessions left to become Trump's attorney general. Strange advanced to a runoff against Republican Roy Moore, who defeated Strange but lost the general election after he was accused by multiple women of sexually harassing them when they were teenagers.
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Henry J. Gomez
7d ago / 7:48 PM UTC
Ohio doctor who led state's coronavirus response decides against seeking Portman's Senate seat
Dr. Amy Acton, the former Ohio health director who helped navigate the state through the early days of the coronavirus pandemic, said Tuesday that she won't seek the Senate seat being left by retiring Republican Rob Portman next year.
"While I am not entering the race for U.S. Senate, I recognize there is a genuine longing for a fresh approach to leadership that is honest, collaborative, and empowering," Acton, who served under Republican Gov. Mike DeWine and was exploring a run, said in an emailed statement.
"Ohioans — do not accept anything less from your elected officials," Acton added. "Our leaders’ words and actions matter. We must set the bar higher."
Several prominent Democrats had encouraged Acton to run, including Connie Schultz, a nationally syndicated columnist married to the state's other senator, Sherrod Brown.
A national group working to draft science, technology, engineering and math professionals to run for office — 314 Action — also tried to get Acton to run. The organization commissioned a poll that measured Acton, who was a daily presence at DeWine's televised coronavirus briefings, with a high favorability rating. The polling also found Acton within the margin of error in a hypothetical primary matchup with Democratic Rep. Tim Ryan, who is expected to launch a Senate bid soon.
Acton resigned as DeWine's health director last June and remained as an adviser until August. Acton, who is Jewish, had been a target of anti-Semitism and other vitriol from those unhappy with the governor's stay-at-home orders and lockdowns in the first months of the pandemic.
"Let our future honor the dignity of true public service and citizenship," Acton said in her Tuesday statement. "I know many of us are tired of the vitriol and hate. We are weary from the battle. No one has gone untouched and much has been exposed and revealed. Yet as we cautiously re-emerge this spring, we dare to hope that a new way is possible. The opportunity for repairing and reimagining is at hand: a rebirth for ourselves, our relationships, and for the institutions of our civil society."
Ryan announced last week that his campaign account, which can be applied toward a Senate bid, raised $1.2 million in the first quarter of 2021. On the Republican side, former State Treasurer Josh Mandel, former Ohio GOP Chair Jane Timken, and Cleveland-area businessman Bernie Moreno — who launched his candidacy Tuesday — are already running. Others, including Reps. Mike Turner and Steve Stivers and "Hillbilly Elegy" author J.D. Vance, also are considering entering the GOP primary.
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Ben Kamisar and Carrie Dann
7d ago / 5:22 PM UTC
Hastings seat to be filled by special election scheduled by Gov. DeSantis
State law says a special election "shall be held" when there's a vacancy in Florida's congressional delegation, but the state's governor gets to set the dates for the election.
Unlike in other states, where election laws allow state parties to choose their special-election nominees (like New Mexico) or hold a special election with every candidate of any party on the same ballot (like Lousiana), Florida voters will choose their party's nominees during the special election primaries.
The current 20th district is far from a competitive one. Hastings, who was first elected in 1992, won 79% of the vote in 2020 and ran unopposed in the 2018 general election. A majority of district residents — 53% — are Black.
That said, the Republican-controlled legislature will have the chance to redraw congressional district lines through the redistricting process before the 2022 midterms, so the district may look different in future elections.
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7d ago / 5:38 PM UTC
With Colorado poised to be new home for MLB All-Star Game, here's a look at its voting laws
With voting laws at the center of the decision to move from Georgia, here's a look at Colorado's rules:
Colorado has had universal mail balloting since 2013. The state is one of five that allows elections to be conducted by mail (there are also early in-person voting options for those who do not wish to vote by mail, but only about 6% of voters in 2020 chose to do that.)
All active eligible voters are automatically mailed a ballot, which can be returned by mail or at drop boxes.
The state has same-day registration for both in-person voters who choose to vote early or on Election Day. It also has automatic voter registration through the DMV.
Voters who choose to vote in-person must provide an ID. Those voting by mail for the first time may also need to include a photocopy of their ID.
Manchin balks at level of tax increases in Biden infrastructure plan
President Joe Biden is facing opposition from at least one Senate Democrat to a key aspect of his $2 trillion infrastructure proposal — how to pay for it.
Senator Joe Manchin, D-W.V., told West Virginia Radio Host Hoppy Kercheval on Monday he wants the plan rewritten. “As the bill exists today it needs to be changed,” Manchin said pointedly, adding that he doesn’t support tax hikes other than raising the corporate tax rate. “I'm not talking about raising taxes, other than I think corporate should have never been below 25.”
But even then, the Democrats’ key swing vote doesn’t support raising the corporate tax rate to 28 percent, telling the radio host he won’t back the bill in its current form.
Asked if Democrats could push the bill through by way of reconciliation, the technical procedure they used to pass the latest Covid-19 relief package with just a majority vote instead of requiring 60 yes votes, Manchin says, “No, they can’t,” citing at least half-dozen Democrats who may feel the same way as him.
“If I don’t vote to get on it it’s not going anywhere. So we’re going to have some leverage here — It's more than just me there are six or seven other Democrats who feel very strongly about this. We have to be competitive and we’re not going to throw caution to the wind," he added.
Another Senate Democrat, Mark Warner, D-Va., told the reporters in the Capitol on Monday that he also has some reservations about the package. Warner says he spoke to the White House, but wouldn’t divulge those details. “It was more outreach, it was more heads up than input into the package. I have already expressed some concerns.”
Republicans have so far balked at the tax increases, with Mississippi Sen. Roger Wicker telling "Meet the Press" on Sunday that the infrastructure bill was "a tax increase on small businesses, on job creators in the United States."
Biden, though, stood by his proposal to raise the corporate tax rate from 21 percent to 28 percent, saying he isn’t worried that the hike would further harm the economy. “Not at all,” Biden said when asked. “There’s no evidence of that.”
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8d ago / 4:10 PM UTC
Group of former Democratic members of Congress, candidates, starting PAC to defend moderate Dems
Seven Democrats who lost their 2020 congressional bids — including five former House members and two unsuccessful candidates — are teaming up to launch a new Political Action Committee aimed at protecting moderate Democratic incumbents as the party looks to hold onto the House majority in 2022.
Former Reps. Anthony Brindisi of New York, Joe Cunningham of South Carolina, Kendra Horn of Oklahoma, Ben McAdams of Utah and Xochitl Torres Small of New Mexico, as well as former candidates Jackie Gordon of New York and Christina Hale of Indiana, announced the creation of the group, called Shield PAC, in an op-ed in USA Today.
The group pointed to GOP lines of attack used against them in 2020 — including attempts to frame them as socialists as well as lump them in with progressives who support policies like a ban on fracturing or the "defund the police" movement — to warn Democrats that they will be levied against swing-district Democrats again in 2022.
"The GOP already has spun up its attack machine to lie about those members, as they did about us. Unless their voters learn more about them, those lies could take hold," they wrote."
"We are teaming up to do something about it. We helped create and now serve as advisers to Shield PAC, a new political action committee to define and shield the most at-risk House moderates from Republican efforts to tie them to socialism and other ideas that are toxic in their districts.
Third-Way, the moderate think-tank, is joining with the Democrats to launch the PAC.
Brindisi, Cunningham, Horn, McAdams and Torress Small all won their House seats in the 2018 midterm election, when a wave of Democrats won Republican-held seats and delivered their party the House majority.
But while Democrats had strong success in those 2018 elections, they did not fare nearly as well in 2020. Even though their party won back the White House, Republicans won every single race rated by the Cook Political Report as a "toss-up," leaving Democrats with a very narrow majority. A handful of Democrats specifically pointed to the messaging as one main reason for their losses.
Since the president's party typically performs poorly in a midterm election, and with the possibility that redistricting could help Republicans shore up some more seats, Republicans have a strong chance at being able to take back control of the House after the 2022 election, and they've been optimistic that their 2020 success, even as their presidential candidate lost, is indicative of their chances in 2022.
New Mexico congressional special election matchups set
Democratic state Rep. Melanie Stansbury will face off against Republican state Sen. Mark Moores in the New Mexico special House election to replace newly-minted Interior Secretary Deb Haaland after both parties selected their nominees over the last week.
While Sedillo Lopez finished with a significant lead after the committee's first vote on Tuesday, she fell short of the majority needed to secure the nomination and was forced into a runoff, where Stansbury leapfrogged her.
The candidates will face off, along with Libertarian Chris Manning, for the right to fill the seat vacated by Haaland. Instead of holding primary elections where voters could choose their party's nominees, in New Mexico, the party committees choose their own nominees instead.
Democrats hold the upper hand in the race — Haaland won re-election in 2020 by more than 16 points, and Democratic presidential nominees won the district by double-digits in each of the last three presidential races (per data from the Daily Kos). But special electorates are notoriously difficult to predict because they are not held during the traditional election cycle.