Backers of ColoradoCare — the state ballot initiative that would establish universal health care in Colorado — think they have the perfect job for former presidential candidate Sen. Bernie Sanders.
With the Democratic National Convention in Philadelphia behind him, Sanders "comes to Colorado and campaigns for single-payer — and we win," says T.R. Reid, one of the architects of ColoradoCare. The initiative aims to provide every resident of Colorado with affordable health insurance. Sanders made universal coverage one of the cornerstones of his presidential bid.
The proposal comes with a $38 billion annual price tag — to be paid by a tax on workers and businesses. The program would eliminate the need for insurance premiums and deductibles, and proponents claim it would save the state and individuals a lot of money.
Reid says the backers of ColoradoCare have pitched Sanders' team, hoping he will campaign on behalf of the measure that will come before voters in November.
Sanders has already championed the issue in the state — he pushed for a single-payer system during his Democratic primary campaign in Colorado. It was one of his key health care positions, and it got thousands of his supporters cheering at an event in Denver in February.
"I believe that health care is a right, not privilege," Sanders told cheering crowds.
He also beat that drum during a TV appearance with MSNBC's Rachel Maddow in May. Sanders pointed out that Canada started what would eventually become its nationwide system of universal health care by persuading lawmakers in each province — one province at a time.
"So if you're asking me, do I think if a major state — whether it's Colorado or California or whatever — goes forward and it works well, [will] other states say 'Hey, you know, I got a brother over there in Colorado and he's getting health care, great health care and it's less expensive than the current system,' " Sanders said. "Yeah, I think that is one possibility."
The whole concept of ColoradoCare — or Amendment 69, as it will appear on the ballot — appeals to Andrew Kleiman, a 35-year-old Sanders supporter from Grand Junction.
"I think we're just at such a tipping point," Kleiman says. "The momentum of Bernie's campaign carried over into something like this would be a perfect fit and pretty necessary."
Kleiman says if Sanders actively backed the proposal in Colorado it would help motivate millennials like him to vote.
Reid agrees. "The last poll showed 60 percent of millennials support ColoradoCare," he says. "Those are Bernie people and if he can turn them out to vote, we win."
But a coalition of opponents, including conservatives, insurance firms and business groups, has come out against the initiative, which is expected to draw big money from both sides.
"I don't think the economics of it work out," says Nina Anderson, a small business owner in Grand Junction. She says the proposed program would be too expensive for small businesses and employees.
Colorado has been on the cutting edge of some other big policy changes, like legalizing recreational pot. Anderson says she's not ready for the state to take the lead on a huge government-run health care system, and does not think Sanders should jump in.
"That is the scary part, I think, about being in Colorado and being on the forefront of anything that is attempting to move to socialized care," Anderson says. "You do get everybody with outside interests coming in and playing in your sandbox."
Cody Belzley, who served as senior health policy analyst to former Democratic Gov. Bill Ritter, opposes the proposal and says she's not sure what difference Sanders would make — if he did come.
"It's such a strange political year," Belzley says. "I think it's really hard to know what's going to impact Colorado voters or the outcome of Amendment 69. I think this is a decision to be made by Colorado voters, based on what's going to be best for them and their families."
Colorado voters haven't passed a general tax increase in years. Obamacare cut the state's uninsured rate in half, but many residents still struggle with high premiums and deductibles.
Belzley, who works for a group opposing the amendment, Coloradans for Coloradans, urges voters to look at the details. "I think when folks look at that," she says, "they come to understand this is just too risky a proposal."
Sanders' presence in Colorado could motivate voters on both sides, says Seth Masket, a political science professor at the University of Denver.
"That's kind of the mixed message of initiatives," Masket says. "They can really draw out both sides, depending on how passionate people are on the subject. The key for supporters of this initiative would be to translate passion for Sanders into passion for this initiative. Sanders is probably the best equipped to actually make that case."
A representative from the Sanders campaign, Michael Briggs, says the topic is something that "interests Bernie very much. We don't have a trip scheduled yet, but he has been keeping a close eye on this."
This story is part of NPR's reporting partnership with Colorado Public Radio and Kaiser Health News.
ROBERT SIEGEL, HOST:
Backers of a Colorado ballot proposal for universal health care want the attention of Bernie Sanders. It's a high-profile issue in the state, and supporters want Sanders to use his influence to help get it passed in November. Sanders' campaign says he hasn't planned a trip to Colorado yet but that he is keeping an eye on what's going on there. Colorado Public Radio's John Daley has more.
JOHN DALEY, BYLINE: The ColoradoCare initiative would rock the health care world if voters approve it in November. It would create a new public health system to cover most of the state's residents. This is where proponent T.R. Reid hopes Bernie Sanders will come in.
T R REID: He goes home to Burlington, Vt. He doesn't have 8,000 people cheering for him every day. He needs something to do, so he comes to Colorado and campaigns for single-payer, and we win.
DALEY: Reid is one of the architects of ColoradoCare. He says Sanders could create another chapter in his political legacy. The Vermont senator made the case for one of his key health care positions, universal coverage, in Colorado before the state's Democratic caucus. It got thousands of his supporters cheering at an event in February.
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BERNIE SANDERS: To my critics, let me say this as clearly as I possibly can. I believe that health care is a right, not a privilege.
DALEY: Despite an unsuccessful try at a similar plan in Vermont, Sanders still thinks a state-by-state approach can work. In a cable TV appearance with Rachel Maddow, he explained that Canada started its single-payer system one province at a time.
(SOUNDBITE OF ARCHIVED RECORDING)
SANDERS: So you're asking me, do I think if a major state, whether it's Colorado or California or whatever, goes forward and it works well, other states say, hey, you know, I've got a brother over there in Colorado who's getting health care, great health care and it's less expensive than the current system - yeah, I think that is one possibility, absolutely.
DALEY: ColoradoCare comes with an estimated $38 billion a year price tag. A tax on workers and businesses would pay for it, eliminating the need for insurance premiums and deductibles. Backers say it'll save the state and individuals a lot of money. Andrew Kleiman is a 35-year-old Sanders supporter from Grand Junction. He says if Sanders actively backed the proposal in Colorado, it would help motivate millennials like him to vote.
ANDREW KLEIMAN: The momentum of Bernie's campaign carried over into something like this would be a perfect fit and pretty necessary I think.
DALEY: A coalition of opponents, including conservatives, insurance and business groups, have come out against the initiative which is expected to draw big money from both sides.
NINA ANDERSON: I don't think the economics of it work out.
DALEY: That's Nina Anderson, who owns a small staffing firm in Grand Junction. She says the proposal would be too expensive. Colorado has been on the cutting edge of some big policy changes like legalizing recreational pot. Anderson says she's not ready for the state to take the lead or Sanders to jump in on a huge government-run health care system.
ANDERSON: That is the scary part, I think, about being in Colorado and being on the forefront of anything that is attempting to move to socialized care, is that you do get everybody with the outside interests coming in and playing in your sandbox.
DALEY: She says Sanders' involvement would bring people like her out to vote against the measure. One recent poll shows the initiative trailing but ahead among millennials who tend not to vote in large numbers. Advocates hope that Sanders can spur turnout among that key group. For NPR News, I'm John Daley.
SIEGEL: That story is part of a reporting partnership of NPR, Colorado Public Radio and Kaiser Health News. Transcript provided by NPR, Copyright NPR.