Part 3/3 HealthCare Affordability with “One Nation Fully Covered”
This episode of the Raising Kellan Podcast concludes a three-part “Healthcare Affordability” series by featuring human rights advocate Kristen Grimm, founder and former executive director of Mothers for Medicare for All and newly appointed national director of One Nation Fully Covered under the Tim Carpenter Institute. [0:53] [1:17] [32:16] Drawing on her lived experience navigating her son’s 25 childhood and adolescent surgeries in children’s hospitals, Grimm describes how confronting medical debt, insurance denials, and complex Medicaid systems propelled her from hospital corridors to advocacy in the Tennessee legislature, Congress, and national healthcare reform movements. [3:17] [3:44][4:29] [5:33] [5:53] [6:21] [6:47] [7:40] [8:06][8:43] [9:10] [9:31] [10:05] [10:42]
Grimm argues that the current U.S. healthcare financing structure is economically flawed, violates human rights, and is driven by for‑profit insurance companies whose practices generate medical debt and obstruct access to needed care, including for children treated in children’s hospitals. [4:29] [10:59] [11:18] [18:55] [20:00] [22:22] [22:35] [23:14][23:29] [24:03] She emphasizes Medicaid’s central role in sustaining children’s hospitals and covering nearly half of children in Tennessee and nationwide, framing guaranteed healthcare and medical debt as policy choices rather than inevitabilities. [5:33] [5:53] [6:21] [10:42] [10:59] [23:29] [24:03] The conversation highlights the emotional and financial toll on families, including examples of parents losing Medicaid coverage for their children after marginal income increases and struggling for years to pay off surgical bills. [15:05] [15:42] [15:55] [16:21] [16:41] [17:12] [17:24]
As an incremental strategy toward universal healthcare, Grimm outlines the proposed Medicaid for All Children Act (“MACA”) in Tennessee, which would place all children on Medicaid, eliminate means testing and annual redeterminations, remove managed care organizations and private insurers from program administration, and raise provider reimbursement to Medicare rates to support pediatric participation. [12:03] [12:19] [12:32] [12:58][13:19][13:52] [14:28] [15:05] [17:12] She contends this approach would ensure seamless coverage, reduce administrative burdens on clinicians, eliminate medical debt for children, and serve as a model for broader reform that ultimately covers all children through Medicaid and all adults through Medicare. [17:12] [28:24] [29:04] [26:29] [26:44][27:03] [27:26] [28:09]
The episode situates One Nation Fully Covered within the legacy of Tim Carpenter’s long-standing advocacy for healthcare as a human right and incremental policy change, while inviting listeners to engage in the movement, including through public awareness efforts such as “I love Medicaid” billboards. [29:04] [29:24] [29:45] [30:17] [30:38] [30:47][31:18][31:49]
