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‘Medicare-For-All’ Gets Buzzy In Unexpected Locales

Published

7 years ago

March 15, 2019

Shefali Luthra, Kaiser Health News

It was a sleepy South Carolina Saturday in mid-February. But Virginia Sanders was speaking, and the audience was rapt.

“One might not have the power. But a thousand has the power,” she said. “Don’t let anybody fool you that you don’t.”

Sanders, 76, has been an organizer and activist all her life. She marched in the civil rights movement. She protested against the Vietnam War. During the 2016 primary, friends recall, this petite Black woman marched up to men in Ku Klux Klan robes to distribute flyers about then-candidate Bernie Sanders — no relation. (They took the papers, she said.)

Now, she is focused on a different battle, one that has captured liberals’ imagination across the country: “Medicare-for-all.”

Outside Washington, Sanders is among the ranks of activists readying for a fight, even in states where, backers acknowledge, this approach often isn’t considered mainstream.

Organizers working with National Nurses United, the largest union and professional association for registered nurses in the U.S., have launched a grassroots campaign, championing a sweeping Medicare-for-all bill introduced in Congress late last month by Rep. Pramila Jayapal (D-Wash.) and Rep. Debbie Dingell (D-Mich.).

In states including Texas, Arizona, Louisiana, Idaho and Missouri, a series of events have been held to harness energy on the ground and to showcase enthusiasm — even in unlikely places — for the Medicare-for-all idea.

And that enthusiasm is sizable.

Sanders was speaking at what activists call a “barnstorm.” The event was meant to turn the roughly three dozen people in this gray hotel conference room into foot soldiers in what’s at best a sharply uphill health care fight.

Winning Medicare-for-all wouldn’t be easy, Sanders told her audience of would-be activists, but she is still a believer.

“When I say South Carolina is a red state, it’s a blood-red state,” Sanders said after the event. “[But] if we can just educate people who live at or below the poverty level to vote with their best interest, we can change South Carolina.”

The battle over health care reform is playing out in heated rhetoric on the national stage. Polling shows the concept has general support. But that backing wanes if respondents are told about potential consequences, such as eliminating private insurance or raising taxes.

Democrats seeking the party’s 2020 presidential nomination are for the most part adopting the Medicare-for-all slogan head-on, though often hedging on specifics. Health industry interests are lining up in opposition. And Republicans decry it as “socialized medicine.”

At this barnstorm in South Carolina’s capital, about 36 people showed up to munch sandwiches and potato chips at what was effectively a two-hour organizing lesson in an off-election year — and on the same day as a visit here from Sen. Kirsten Gillibrand, a New York Democrat running for president.

In Columbia, S.C., local activists meet to brainstorm advocacy strategies for “Medicare-for-all,” a slogan that has captured the imagination of liberals nationwide.

The following afternoon, in Fayetteville, W.Va., about 30 came to a similar event, this one hosted above a local sandwich shop and bar. Activists sipped beers, swapped health care stories and planned phone banks and canvassing events to spread the word.

It’s an unusual kind of energy around a policy that, before 2016, had been relegated to a progressive pipe dream.

“There is an incredible amount of activism among liberal communities, which also exist in conservative states,” said Robert Blendon, a professor of health policy and political analysis at Harvard University. That activism, he added, could shape the Democratic primary and, by proxy, the 2020 presidential contest.

The coalition pushing Medicare-for-all is widening — with what started as a signature proposal for Sen. Sanders’ presidential campaign taking on broader appeal.In Fayetteville, local Democrats who had fiercely supported Sanders or Hillary Clinton in the 2016 primary came together to learn about Medicare-for-all, said Chris Pennington, a 36-year-old substitute teacher and Bernie Sanders delegate in 2016.

Columbia’s event certainly drew a familiar crew, said Lucero Mesa, 61, who organized it and co-chairs the local chapter of Our Revolution, a political action group with ties to Sanders’ 2016 presidential campaign. But then her eyes widened as more attendees filed in: “I’m starting to see faces I don’t recognize!”

Chad Pennington served as a Bernie Sanders delegate in the 2016 Democratic primary. But in his town of Fayetteville, he says, enthusiasm for “Medicare-for-all” isn’t a partisan issue.

On a national level, Medicare-for-all earns ire from Republican lawmakers. But “it’s not a partisan issue” in a place like West Virginia, Pennington said. Indeed, polling from the Kaiser Family Foundation suggests that as many as a third of Republicans support the idea.

Kaiser Health News is an editorially independent program of the foundation.

Shefali Luthra, Kaiser Health News

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State of Preschool Yearbook Provides an Annual Snapshot of State-Funded Preschool

By National Institute for Early Education Research Georgia’s state-funded pre-k program for 4-year-olds was recognized as the largest state-funded preschool program in the nation to meet all 10 quality benchmarks, and the first universal program to do so. Georgia’s recognition is the top finding in the National Institute for Early Education Research’s new 2025 State of Preschool Yearbook. The yearbook provides an annual snapshot of state-funded preschool across the country. Forty-four states and the District of Columbia fund preschool programs. “Georgia is proud to be a leader in quality early childhood education as we work to ensure all Georgians have the opportunity to succeed, including our youngest learners,” said Georgia Governor Brian P. Kemp. “Having strategically invested in our Pre-K classrooms, we are both meeting all 10 NIEER benchmarks of excellence and giving Georgia students a […]

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1 day ago

April 27, 2026

Oakland Post

By National Institute for Early Education Research

Georgia’s state-funded pre-k program for 4-year-olds was recognized as the largest state-funded preschool program in the nation to meet all 10 quality benchmarks, and the first universal program to do so. Georgia’s recognition is the top finding in the National Institute for Early Education Research’s new 2025 State of Preschool Yearbook. The yearbook provides an annual snapshot of state-funded preschool across the country. Forty-four states and the District of Columbia fund preschool programs.

“Georgia is proud to be a leader in quality early childhood education as we work to ensure all Georgians have the opportunity to succeed, including our youngest learners,” said Georgia Governor Brian P. Kemp. “Having strategically invested in our Pre-K classrooms, we are both meeting all 10 NIEER benchmarks of excellence and giving Georgia students a strong start on the path of lifelong learning.”

Only five additional states meet all 10 of NIEER’s research-based benchmarks for quality —Alabama, Hawaii, Michigan, Mississippi, and Rhode Island—in this year’s report. None of those programs has the reach of Georgia Pre-K. NIEER’s benchmarks measure essential preschool quality indicators, including teacher qualifications, class sizes, early learning standards, and program assessments.

“Other states should take note: Georgia proves that state-funded preschool with well-qualified teachers, pay parity with K-12, small classes, and strong continuous improvement systems can be scaled as a universal program,” said NIEER director Steve Barnett. “With new initiatives to support quality, Georgia can expect increased enrollment, but leaders should also actively promote increased enrollment.”

Nationally, state support for preschool education hit record highs in enrollment and funding in 2024-2025. The pace of growth slowed, however, compared to the prior year, and many states continue to lag behind pre-pandemic enrollment levels.

Preschool enrollment increased by 44,000 children nationally, reaching almost 1.8 million, including 37% of U.S. four-year-olds and 9% of three-year-olds. California, Colorado, Michigan, Minnesota, and Missouri contributed the most to increased enrollment, adding more than 52,000 new seats.

States spent nearly $14.4 billion on preschool in 2024-2025. Including federal and local dollars, total spending was almost $17.7 billion. Three states each spent more than $1 billion last year: California ($4.1 billion), New Jersey ($1.2 billion), and New York ($1 billion). Together, these three states account for45% of all state preschool spending. Texas adds almost another $1 billion.

Spending increased by $434 million, or 3%, adjusted for inflation. Twenty-eight states increased preschool funding, including Michigan and New Jersey, which each added more than $100 million.

“Not only does preschool access vary by which state a child happens to live in, but so does the quality of that preschool experience,” said Allison Friedman-Krauss, lead author of the report. “Only high-quality early care and education programs support children’s development enough to result in lasting academic and other gains that ultimately deliver savings for taxpayers.”

A record six states met all 10 of NIEER’s recommended quality standards, with Alabama doing so for the 20th consecutive year.

Georgia joined this list this year after improving its teacher-to-child ratio from 1:11 to 1:10 and lowering maximum class sizes to 20. Several states met 9 of 10 benchmarks, including New Mexico, which is working toward universal access for both three- and four-year-olds. Once New Mexico requires all lead teachers to have a bachelor’s degree in early childhood education, it will be on par with Georgia in terms of both quality and quantity.

Not all states moved forward. Twenty states enrolled fewer preschoolers in 2024-2025 than the prior year, with enrollment dropping by more than 1,000 children in Arizona, Florida, NewYork, Ohio, Oklahoma, and Wisconsin. Seventeen states spent less on preschool than the prior year, adjusted for inflation, with Arizona, North Carolina, Oregon, and Texas seeing the largest percentage declines.

Additional information about the State of Preschool Yearbook, including individual state profiles and maps, graphs, and state rankings, can be found at www.nieer.org.

The 2025 State of Preschool Yearbook was supported with funding from the Heising-Simons Foundation and the Gates Foundation.

The National Institute for Early Education Research at theRutgers Graduate School of Education, New Brunswick, NJ, supports early childhood education policy and practice through independent, objective research and the translation of research to policy and practice

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Which features on the 2026 Volkswagen Golf GTI Autobahn are actually worth having?

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