Skip to contentWill Trump Seize His Hour and Push for His Admired Universal Health Insurance?
By Ralph Nader
November 24, 2025
When asked what they like most about Trump, fervent supporters often say, “He says what he thinks.” Well, not always. Donald Trump has long supported government-run universal healthcare – well before he had to deal with a crazed Congressional GOP in his first term. The controlling Republicans repealed Obamacare dozens of times in the House of Representatives (repeal was blocked in the Senate) – without offering any alternative.
President Trump also denounced Obamacare in vitriolic expletives, but he offers no alternatives.
However, let’s look back at a time when Trump, before his first term, was not tongue-tied about Medicare for All.
In a little-noticed Washington Post article (May 5, 2017), headlined “Trump’s forbidden love: Single-payer health care,” Aaron Blake reports that “in his heart of hearts, [Trump] wants single-payer health care. Indeed, it seems to be his forbidden fruit.”
Blake goes back to 2000 when “he [Trump] advocated for it as both a potential Reform Party presidential candidate and in his book, “The America We Deserve,” to wit:
“We must have universal health care. Just imagine the improved quality of life for our society as a whole,” he wrote, adding: “The Canadian-style, single-payer system in which all payments for medical care are made to a single agency (as opposed to the large number of HMOs and insurance companies with their diverse rules, claim forms, and deductibles)…helps Canadians live longer and healthier than Americans…Just before the 2016 campaign, Trump appeared on David Letterman’s show and held up Scotland’s socialist system as the ideal.”
Then, in April 2017, a law professor argued in the New York Post that Trump should just go for it. Universal Healthcare would be great for the Republican Party, as it would challenge the Democrats’ claim that it is the compassionate party. Moreover, Trump’s supporters would actually like better, less costly healthcare.
“A friend of mine was in Scotland recently. He got very, very sick. They took him by ambulance and he was there for four days. He was really in trouble, and they released him and he said, ‘Where do I pay?’ And they said, ‘There’s no charge,’” Trump said. “Not only that, he said it was like great doctors, great care. I mean, we could have a great system in this country.”
Then, early in the 2016 campaign, he again praised the single-payer systems in Scotland and Canada — while also arguing that the United States needed to have a private system.
Asked on “Morning Joe” whether he supported single-payer, he said: “No, but it’s certainly something that in certain countries works. It actually works incredibly well in Scotland. Some people think it really works in Canada. But not here, I don’t think it would work as well here.”
He said two days later at a GOP debate: “As far as single-payer, it works in Canada. It works incredibly well in Scotland. It could have worked in a different age, which is the age you’re talking about here.”
Later on, Trump would repeatedly push for universal health care without specifically subscribing to the words “single-payer.”
“Everybody’s got to be covered. This is an un-Republican thing for me to say,” Trump said in a September 2015 “60 Minutes” interview. “I am going to take care of everybody. I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now.”
He added when asked who is going to pay for it: “The government’s gonna pay for it.”
[…]
Law professor F.H. Buckley argued in the New York Post last month that, in the face of defeat for the Republican health-care bill, Trump should just go for it. He argued that it would be a great thing for the Republican Party because it would eliminate Democrats’ claim to being the party of compassion and that Trump’s supporters would actually like it.
“Leave behind all the people who hated you, who curse when you succeed,” Buckley wrote. “Reach out to the people who voted for you. Challenge the Democrats by offering them what they’ve always said they wanted.”
Fast forward, and Buckley’s words are even more timely. In a few weeks, the Republicans have promised a vote on extending the Obamacare subsidies to 22 million Americans. The Grand Old Plutocrats are in a bind. If they reject these subsidies, they give the Democrats a huge and decisive winning campaign issue for the 2026 elections. If they accede and keep the prices from skyrocketing, they hand a victory to the Democrats in defiance of their past rejections of universal healthcare and look weak.
My sister Claire Nader suggests that this is a great opportunity for Trump’s sense of grandiosity. Knowing the Congressional Republicans’ bind and disarray, he can announce his single-payer universal health care – everybody in, nobody out – and cite how much more efficient such a system is in Scotland, Canada, Australia, and other countries.
Then Trump could tout the political advantages – sweeping aside all the media coverage coming about the loss of Medicaid coverage by tens of millions of Americans, including Trump voters. Gone would be the huge inflationary price increases, continued inscrutable bills, with their over-charges and fraud. Getting healthcare would be far less aggravating than today. Imagine no more giant health insurance companies with their denials of benefits, rip-offs, suffocating fine print, and prior authorization requirements that enrage physicians. All people would need to show is their Medicare card.
Trump could pluck H.R. 676 out of its obscurity (about 140 House Democrats signed on in 2019). He would get support for this bill from all the Democrats plus a hefty slice of GOP lawmakers, especially those running for re-election in 2026.
Trump is running out of distractions, running out of the gas that kept his opponents in shock and awe. His polls are dropping. A recession is on the horizon. Inflation is here. His campaign promises are paper-mache. Government health insurance for all, with private (and some public, as with the VA) delivery of health care, comes close to the Canadian healthcare system that has worked for some 50 years, with better health outcomes.
As Claire wryly reminded me, Trump could become the Tommy Douglas of the U.S. Douglas started Canadian Medicare in Saskatchewan in 1962 and is a hero in Canada.
Any Democrats holding back support for “Medicare for All” for fear of making Trump look good should think of the tens of millions of Americans who would feel good in so many ways, shorn of the anxiety, dread, and fear produced by our current broken, gouging healthcare system.
Trump’s past, present, and future will still give the Dems plenty of fodder for their loathing of the president’s policies and actions.