The moment has finally come for a national health insurance system, so your healthcare is not tied to your job.
Establish a national health insurance system so health care is not tied to employment.
Occurrences
Guarantee access to affordable, reliable, and portable health care options for creators and digital workers, so that coverage is not dependent on a single employer or platform.
Representative Khanna's and Senator Markey’s reintroduction of the State-Based Universal Health Care Act of 2025 provides a golden opportunity for Congress to promote innovative state efforts to establish world-class healthcare programs.
Evidence
“I’m proud to introduce this legislation with Rep. Jayapal and stop Medicare Advantage from using prior authorization to delay and deny medically necessary care.” The release frames the bill as protecting affordable coverage and blocking care denials, but it does not establish a national health insurance system or detach coverage from employment.
The release says the bill provides states with federal funding streams and regulatory flexibility to support affordable, universal health care plans and describes it as a path toward Medicare for All. This is a serious legislative attempt toward universal coverage, but it is state-based rather than a national health insurance system, and it does not show enactment.
The resolution says: “Guarantee access to affordable, reliable, and portable health care options for creators and digital workers, so that coverage is not dependent on a single employer or platform.” This directly addresses employment-tied coverage in a targeted worker segment, but it is a resolution and does not establish a national health insurance system.
The release criticizes private health plans and says the sponsors are reintroducing the Save Medicare Act. It shows Khanna supporting stronger public coverage and opposing private-plan abuses, but it does not show a completed national health insurance program.
Assessments
Khanna has taken multiple concrete steps aligned with the promise’s goals, including introducing or backing legislation aimed at universal coverage, stronger Medicare-based public coverage, and portability of coverage beyond employer dependence. The strongest evidence is his reintroduction of the State-Based Universal Health Care Act, which is a serious legislative effort toward broader universal coverage. However, the promise was to establish a national health insurance system so health care is not tied to employment. The evidence shows no enactment of a national health insurance system, and the cited measures are either narrower reforms, resolutions, or state-based pathways rather than delivered national policy. Because there was substantial effort but the promised outcome was not achieved, this is best scored as never with an effort badge.