In an interview here Wednesday, Sanders acknowledged that his plan wouldn’t pass “on Day One” of his presidency and said the lobbying strength in Congress of the insurance and pharmaceutical industries remains a big impediment.
“We’re going to have to rally the American people to accomplish it,” he said. “If we do what I hope to do politically, it is realistic. If you make a political revolution, if you change the dynamics of American politics, a lot happens. If you don’t, very little happens.”
Asked if he has a timetable and could outline a transition from the current system, Sanders said that all remains a work in progress.
“It’s a fair question,” he said. “I can’t give you the answer right now.”
In arguing that his vision is achievable, Sanders pointed to the 1948 creation of the British National Health Service, the largest and oldest single-payer health-care system in the world.
“This stuff is doable,” Sanders said.
Asked if he could get it done in a four-year term, Sanders said he could “if many millions of people demand it.”
Under the framework of Sanders’s $1.38 trillion-a-year plan, which he outlined last month, citizens would pay more in taxes but ultimately would save thousands of dollars a year on out-of-pocket health-care costs. For most families, the higher taxes would be more than offset by what they would save on private premiums and deductibles, Sanders says.
Clinton and her surrogates, including her daughter, Chelsea, have accused Sanders of seeking to dismantle the Affordable Care Act -- a charge at which Sanders bristles.
“The Clinton campaign suggested I would bring down government on Day One, and that’s all we would do,” he said. “That’s nonsense.”