Congressional Democrats are pushing big changes to health care that would affect nearly 145 million Americans covered by government programs, Republicans say the plan is too big, meaning Democrats can succeed only if they bridge divisions among themselves.
Mindful of the politics ahead, Democrats are assembling the package with their slim hold on Congress.
—Expanding Medicare to cover dental care, vision, and hearing aids for seniors. This provision, championed by Sen. Bernie Sanders, I-Vt., has been a long time coming. Vision care would begin the latter part of next year and hearing aids in 2023, but in an apparent concession to costs, dental coverage would not start until 2028.
—Promoting a shift to long-term care in the patient’s own home as opposed to nursing facilities, which turned into incubators for the coronavirus as the pandemic spread. Biden had wanted $400 billion for this initiative under Medicaid, but it looks like Congress will give him about half that. “My constituents are expecting me to deliver, and I’m committed to doing it,” said Rep. Lauren Underwood, D-Ill., whose professional background is in health care policy.
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