Sen. Bernie Sanders urged Democrats to pursue government-funded universal health care, lower Medicare eligibility to age 55 and expand benefits following the party’s midterm victories, arguing that major changes could advance through Senate budget reconciliation.

By yourNEWS Media Newsroom

WASHINGTON — Sen. Bernie Sanders, I-Vt., called Thursday, Nov. 5, for Democrats to pursue Medicare for All legislation after winning control of the Senate in Tuesday’s midterm elections, renewing his campaign to establish a federally funded universal health care system.

In a video released Thursday, Sanders argued that the election results provided Democrats with an opportunity to expand government health coverage and reduce Americans’ medical expenses.

“Health care must be considered as a human right, not a privilege,” Sanders said. “That means passing Medicare for All legislation now supported by 66% of the American people.”

The video, reported by The National News Desk, outlined several proposals, including lowering the Medicare eligibility age, expanding covered services and establishing universal health benefits for children.

“Democrats must lower the Medicare eligibility age from 65 down to 55, expand Medicare to cover dental, vision and hearing, and guarantee universal health coverage for every child from birth through age 19,” Sanders said. “All of this can be accomplished with 51 votes in the Senate, through the reconciliation process.”

Budget reconciliation allows certain legislation affecting federal spending and revenue to advance through the Senate without the usual 60-vote threshold needed to overcome a filibuster. However, its procedural restrictions limit which provisions can qualify, and a broader Medicare for All overhaul would face additional legislative and legal hurdles.

Sanders’ proposal would significantly expand the federal government’s role in financing health care and change how Americans obtain coverage.

Unlike the current Medicare program, which primarily serves people 65 and older and certain younger individuals with qualifying disabilities or medical conditions, Medicare for All would establish a national system intended to cover virtually all U.S. residents.

Previous versions of Sanders’ legislation proposed eliminating most private insurance arrangements that duplicate government-covered benefits, while replacing premiums and many out-of-pocket expenses with federal financing.

Supporters argue that a unified system could reduce administrative costs, expand access to medical services and eliminate financial barriers to care.

Opponents warn that replacing employer-sponsored and private health insurance would require substantial federal spending, changes to taxation and a major restructuring of the health care industry.

The latest proposal comes as Democrats prepare to assume control of Congress in January 2027 following substantial gains in both chambers.

Sanders is positioned to become chairman of the Senate Health, Education, Labor and Pensions Committee, which oversees major federal health policies.

Sen. Ron Wyden, D-Ore., another supporter of expanded federal health coverage, is expected to lead the Senate Finance Committee, which has jurisdiction over Medicare, Medicaid and federal health care financing.

According to STAT’s examination of the incoming congressional leadership, the expected committee assignments could give Medicare for All supporters greater influence over the party’s health care agenda.

The election of Abdul El-Sayed to the Senate from Michigan also adds another prominent supporter of universal health care.

El-Sayed, a former Detroit health director, campaigned on expanding coverage and reducing medical costs. His proposals included a plan to finance universal coverage through changes to federal taxation and health care spending.

However, Democratic control of Congress does not guarantee passage of Medicare for All.

President Donald Trump remains in office and could veto legislation approved by both chambers. Overriding a presidential veto requires a two-thirds vote in the House and Senate.

The Democratic caucus also includes lawmakers who favor expanding the Affordable Care Act or strengthening existing public insurance programs rather than replacing the current system.

A Nov. 4 analysis by Fierce Healthcare found that Democratic leaders are considering several immediate priorities, including restoring enhanced Affordable Care Act premium subsidies, reversing Medicaid funding reductions and strengthening federal oversight of insurance companies.

The enhanced subsidies expired at the beginning of 2026, increasing marketplace insurance premiums for many Americans.

House Democratic leaders have also discussed medical debt protections, prescription drug affordability and restoring federal health research funding.

Those proposals could compete with Medicare for All for legislative attention during the opening months of the new Congress.

Health policy analysts have cautioned that sweeping reform faces significant obstacles under divided government.

Molly Turco of TD Cowen Washington Research Group said that even more limited Democratic proposals, including reversing Medicaid cuts or restoring Affordable Care Act subsidies, would face resistance from the White House.

Other analysts have identified potential areas for bipartisan agreement involving prescription drug pricing, insurance transparency and federal health care administration.

Sanders has remained a leading advocate of Medicare for All for years, arguing that the United States spends substantially more on medical care than other wealthy countries while failing to guarantee coverage to every resident.

In a September 2026 essay, Sanders criticized the existing insurance system and defended the financial feasibility of universal coverage.

He has repeatedly maintained that medical care should be treated as a guaranteed right rather than a benefit dependent on employment or personal income.

His latest remarks indicate that he intends to use the Democratic Senate majority to renew that effort, even as party leaders weigh more incremental changes.

The proposals to lower Medicare eligibility to 55, add dental, vision and hearing benefits, and guarantee coverage for children could also be pursued separately from a comprehensive single-payer overhaul.

Such measures would still require congressional approval, federal financing and consideration of their long-term effects on Medicare spending.

The question for Democrats is whether to prioritize legislation that could attract sufficient support under the current administration or advance a broader restructuring of the health care system despite the likelihood of presidential opposition.

Sanders’ Thursday announcement places Medicare for All back at the center of that debate as Democrats prepare to take control of Congress in January.

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