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Photo: Bill Clark/CQ Roll Call via Getty Images

Even Sen. Bernie Sanders can get outflanked in the race to define Medicare for All as Rep. Pramila Jayapal (D-Wash.) is set to introduce a bill today that would go even further than Sanders' sweeping proposal.

Why it matters: Even as moderates and more conventional liberals are freaking out over the politics of such a dramatic upheaval, the left is still moving left, laying down ever-more-ambitious markers as they gain more and more influence over their party.

  • Many of the broad strokes are the same: Both bills would eliminate most private insurance and most existing federal health programs, moving everyone in the country into a new single-payer system. Neither would allow co-pays or deductibles.
  • Jayapal's version, though, would cover some things Sanders' bill wouldn't — most significantly, long-term care like nursing homes. It also calls for a 2-year phase-in period, compared to Sanders' 4 years.

What we don’t know: The cost.

  • Sanders' bill would cost about the same as the status quo; money we're currently spending on premiums and out-of-pocket costs would need to be turned into taxes.
  • Jayapal's bill is more expansive than Sanders' and therefore would likely be more expensive. But it doesn't have a price tag yet, nor does Jayapal have a plan to cover whatever that cost may be.

What we're watching: For my money, the most interesting policy component of this bill is the way it would control health care spending.

  • Jayapal would put hospitals and nursing facilities under a "global budget" — a firm cap on how much the program will spend each year, which would be divvied up in lump sums each quarter. (Maryland has a similar system.)
  • Individual doctors, meanwhile, would be paid for each service they provide — a return to the fee-for-service model the existing Medicare program is trying to abandon.

Go deeper: What "Medicare for All" could look like

Go deeper

Federal judge blocks Biden's vaccine mandate for federal workers

President Biden speaking from Eisenhower Executive Office Building on Jan. 21. Photo: Yuri Gripas/Abaca/Bloomberg via Getty Images

A federal judge in Texas blocked the Biden administration from enforcing its coronavirus vaccine mandate for federal workers on Friday, citing the outcome of last week's Supreme Court ruling that nullified the administration's vaccine-or-test requirement for large employers.

Why it matters: It's a blow to President Biden's efforts to increase the U.S.' vaccination rates, though much of the federal workforce has already been vaccinated against the virus.

Updated 6 hours ago - Politics & Policy

Omicron dashboard

Illustration: Brendan Lynch/Axios

  1. Health: Pfizer and Moderna boosters overwhelmingly prevent Omicron hospitalizations, CDC finds — Omicron pushes COVID deaths toward 2,000 per day — The pandemic-proof health care giant.
  2. Vaccines: The case for Operation Warp Speed 2.0 — Starbucks drops worker vaccine or test requirement after SCOTUS ruling — Kids' COVID vaccination rates are particularly low in rural America.
  3. Politics: Biden concedes U.S. should have done more testing — Arizona says it "will not be intimidated" by Biden on anti-mask school policies.
  4. World: American Airlines flight to London forced to turn around over mask dispute — WHO: COVID health emergency could end this year — Greece imposes vaccine mandate for people 60 and older — Austria approves COVID vaccine mandate for adults.
  5. Variant tracker
Updated 7 hours ago - Economy & Business

Janet Yellen co-opts Reaganomics phrase for new Davos speech

Treasury Secretary Janet Yellen at a speech this week. Photo: Alex Wong/Getty Images

The U.S. needs to focus on increasing its productive potential, Treasury Secretary Janet Yellen told world leaders Friday, calling for what she terms "modern supply side economics."

Why it matters: She co-opted a phrase traditionally used by political conservatives to describe low-tax and deregulatory policies — and framed the Biden administration's initiatives as the best path forward to achieve greater national prosperity.