Jacobin's article argues that health insurance premiums are a compulsory private tax on workers' wages — the author cites their own family's $33,000-a-year employer plan, an ER visit's out-of-pocket costs, and US spending at 18 percent of GDP — and that Medicare for All would save up to a trillion dollars a year. The author urges Democrats to use their midterm mandate to make Medicare for All their first priority in the new Congress and run a supporter for president in 2028.