Searchlight Institute

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Searchlight Institute

Searchlight Institute

@SearchlightInst

Home of the next realignment. We think big, embrace heterodoxy, and chart the future of public policy and action.

Washington, DC Katılım Mart 2025
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Searchlight Institute
Searchlight Institute@SearchlightInst·
THE CASE FOR FREE PRIMARY CARE David Bowen helped write the Affordable Care Act. Now he's a senior fellow at Searchlight, focused on the future of American health care. That future: Free primary care for all — no copays, deductibles, or paying out of your pocket. A new public option for health insurance that strongly competes with private plans to lower costs and improve care. And more to come. David sat down with @treeaston to discuss the plan and Searchlight's efforts to move beyond some 16 years of frozen health care debates and inaction. 0:00 - Why pair free primary care with a public option? 3:33 - Concerns with health care tied to employment 5:49 - Lessons from the ACA 7:18 - Working with the Medicare for All coalition 11:31 - Changes for those on Medicare 12:34 - Adding more loved ones to your family plan 16:36 - Time with Sen. Ted Kennedy during the ACA fight 20:49 - Building upon the ACA as a 'starter home'
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Searchlight Institute
Searchlight Institute@SearchlightInst·
Yes, we really do mean free primary care for all. No copays. No deductibles. No surprises. Always free at the point of care.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
.@treeaston: President Obama referred to the ACA as a starter home. Talk about how our policy of providing free primary care and a competitive public option builds upon that starter home. David Bowen: It takes the structure and expands outward. ACA had free preventive care — we're going to expand that by adding in free primary care. It's not a bunker buster. The public option — the American Health Gateway — takes the existing structure and gives another option within it. A truly public option.
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tré easton
tré easton@treeaston·
Very rarely do you get to ask the person who wrote legislation that changed tens of millions of lives “what comes next?” but that’s what happened here. We worked with a key architect of the Affordable Care Act to chart a new course for health care policy: searchlightinstitute.org/research/makin…
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Rachael Bedard
Rachael Bedard@RBMD1982·
Free primary care + public option — if it’s what you say it is, I love it
Sahil Kapur@sahilkapur

Scoop: Democratic think tank @SearchlightInst is pushing the party to embrace a new idea: Free primary care for all Americans. The group wants Dems to rethink their approach to health care and break out of the M4A vs ACA rut. They’re unimpressed with CAP’s proposal and warn that Dems need to have a vision beyond opposing Trump and restoring expired subsidies. “This is still our best issue, but we have not been on offense in a way that’s capturing people’s imaginations and getting them excited,” says @AJentleson. “We don’t need to be on defense or just advocating for incremental reforms.” Story w/ @BerkeleyJr: nbcnews.com/politics/polit…

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Henry White
Henry White@Henry_White1996·
Look me in my eyes and tell me this wouldn’t be transformative for millions of American families
Henry White tweet media
Sahil Kapur@sahilkapur

Scoop: Democratic think tank @SearchlightInst is pushing the party to embrace a new idea: Free primary care for all Americans. The group wants Dems to rethink their approach to health care and break out of the M4A vs ACA rut. They’re unimpressed with CAP’s proposal and warn that Dems need to have a vision beyond opposing Trump and restoring expired subsidies. “This is still our best issue, but we have not been on offense in a way that’s capturing people’s imaginations and getting them excited,” says @AJentleson. “We don’t need to be on defense or just advocating for incremental reforms.” Story w/ @BerkeleyJr: nbcnews.com/politics/polit…

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Henry White
Henry White@Henry_White1996·
Watch this if you're looking for a way out of the circular health care debate that we've been stuck in since 2016
Searchlight Institute@SearchlightInst

THE CASE FOR FREE PRIMARY CARE David Bowen helped write the Affordable Care Act. Now he's a senior fellow at Searchlight, focused on the future of American health care. That future: Free primary care for all — no copays, deductibles, or paying out of your pocket. A new public option for health insurance that strongly competes with private plans to lower costs and improve care. And more to come. David sat down with @treeaston to discuss the plan and Searchlight's efforts to move beyond some 16 years of frozen health care debates and inaction. 0:00 - Why pair free primary care with a public option? 3:33 - Concerns with health care tied to employment 5:49 - Lessons from the ACA 7:18 - Working with the Medicare for All coalition 11:31 - Changes for those on Medicare 12:34 - Adding more loved ones to your family plan 16:36 - Time with Sen. Ted Kennedy during the ACA fight 20:49 - Building upon the ACA as a 'starter home'

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Searchlight Institute
Searchlight Institute@SearchlightInst·
David Bowen: I think there's often a dynamic presented in the debate that you're either for Medicare for All or you're for quarter measures — not even half measures. That's a false choice. You can do something that really makes a difference. Makes a difference for people who don't have coverage. Makes a difference for people who do have coverage. Makes a difference for people who have a hard time affording the medicines they need.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
David Bowen: We're building on the structure of the ACA. The ACA allowed young adult kids to stay on their parents plans — which really hit a gap that young adults were falling off coverage. But families are complex: We may have a cousin, or an aunt, or someone who has been part of our lives who isn't related by blood. What this policy says is that — just as you can enroll other family members in your coverage — so too can you enroll this broadened definition of family.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
David Bowen: It used to be that if you'd ever gotten sick you might not get insured. We took away that ability to rule out people because of preexisting conditions. The ACA gave an opportunity to find coverage options. And now we're taking the next logical step. We're also going to provide a real public option. It's another choice — it may be for many people a better choice. But it's always a choice.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
David Bowen: I think it's important for people to see real differences in their lives — immediately — from policy change. Yes, there are things in health care that take a while to materialize. But we should also make sure that people see a real difference. And there is no more tangible of a difference than not having to pay a bill when you go into to see the doctor for a routine piece of basic primary care. We started that trend in the Affordable Care Act — where we made sure that it was free at the point of service to have preventive services. Now we're simply extending that policy. Let's make sure people can get the primary care that they need in a way that is very tangible to them.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
.@sahilkapur: As Democrats look for a viable healthcare message ahead of the midterm elections, one well-connected think tank is pushing the party to embrace a new idea: free primary care for all Americans. The proposal comes as millions of Americans have lost access to health insurance or seen their coverage downgraded after Republicans allowed enhanced ACA subsidies to expire at the end of last year. nbcnews.com/politics/polit…
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Searchlight Institute
Searchlight Institute@SearchlightInst·
It's been 16 years since the Affordable Care Act was signed into law. The debate over what comes next has been stuck ever since. Immovable camps. Rigid ideologies. The status quo. Starting today, we are charting a new course. Free primary care. A competitive public option.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
.@AJentleson: This is still our best issue, but we have not been on offense in a way that’s capturing people’s imaginations and getting them excited. We don’t need to be on defense or just advocating for incremental reforms. nbcnews.com/politics/polit…
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Searchlight Institute
Searchlight Institute@SearchlightInst·
Searchlight has spent the past five months working closely with David Bowen, our senior fellow and an advisor who helped draft the Affordable Care Act, to find real solutions for America's health system. Starting with free primary care for all. nbcnews.com/politics/polit…
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Searchlight Institute
Searchlight Institute@SearchlightInst·
Introducing the American Health Gateway. An idea to transform America's health care system by establishing a non-profit, competitive public option for health insurance. Real competition with private insurers. Lower costs and better care.
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Sahil Kapur
Sahil Kapur@sahilkapur·
Scoop: Democratic think tank @SearchlightInst is pushing the party to embrace a new idea: Free primary care for all Americans. The group wants Dems to rethink their approach to health care and break out of the M4A vs ACA rut. They’re unimpressed with CAP’s proposal and warn that Dems need to have a vision beyond opposing Trump and restoring expired subsidies. “This is still our best issue, but we have not been on offense in a way that’s capturing people’s imaginations and getting them excited,” says @AJentleson. “We don’t need to be on defense or just advocating for incremental reforms.” Story w/ @BerkeleyJr: nbcnews.com/politics/polit…
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Searchlight Institute
Searchlight Institute@SearchlightInst·
Around the world, patients can walk into a doctor’s office or urgent care center and receive the primary care they need without charge to them. Americans should have the same freedom. Read our case for free primary care. searchlightinstitute.org/research/makin…
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Searchlight Institute
Searchlight Institute@SearchlightInst·
The American health care system is a mosaic of different funding sources, coverages, and structures. The most effective way to deliver better care and lower costs is to design reforms that recognize the reality of the system we have inherited, and improve it.
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Searchlight Institute
Searchlight Institute@SearchlightInst·
No copays. No deductibles. No surprises. Always free at the point of care.
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