The health and insurance sectors are mobilizing to end health insurance for all »

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The partnership with industry mission includes advocacy, publicity, lobbying and public education, but was not registered under federal lobbying legislation. Forbes Tate, a public affairs firm that lobbies for many health care and drug companies, coordinates the work of the partnership, but is not allowed to lobby on its behalf.

"There are no direct lobbyists for the partnership," said Shaver. "We work in all our groups. They have their own lobbyists who are obviously putting pressure on Medicare for all. But there is no registered lobbyist for the partnership because we do not do it directly for the moment. "

The coalition, like President Trump, is attacking all the proposals of socialized medicine. But he also has a positive agenda. He wants to expand Medicaid under the Affordable Care Act in Texas, Florida, and other states that have not yet done so. He wants to increase federal subsidies under the Health Act so that insurance is affordable for more people. And he wants to stabilize premiums by persuading states to put reinsurance programs in place, using a combination of federal and state funds to help pay the largest claims.

Beyond their desire to maintain the status quo, coalition members have achieved good results through the Affordable Care Act. Many participants, such as the American Medical Association, the Pharmaceutical Lobby and the Hospital Association, supported the A.C.A. From the outset, funding more insured Americans would mean more clients. Hospitals viewed Medicaid's expansion into health law as a lifeline as they struggled against the uninsured working poor.

Others, like the National Retail Federation, opposed A.C.A. but tried to make it work.

The need to strengthen the law on affordable care will become even more urgent, the coalition said, if Texas and other states succeed their lawsuit to invalidate the entire law.

Even without legislation to expand Medicare, the program will certainly grow due to the aging of the baby boomer generation. The number of Medicare beneficiaries, 60 million today, is expected to exceed 75 million within 10 years. The Congressional Budget Office estimates that under current law Medicare's spending will increase to $ 1.5 trillion by 2029, double the projected total for that year.

E. Neil Trautwein, vice president of the health retail federation, representing companies such as Walmart, McDonald's and Amazon, said his priority was to protect the stability of employer-provided coverage. employees.