“If you talk to union negotiators, they will tell you they spend half of their time arguing against cutbacks for the healthcare that they have.”

Responding to the powerful Nevada Culinary Workers Union’s criticism of Medicare for All in new fliers—a critique that was readily seized upon by some 2020 Democrats—Sen. Bernie Sanders on Wednesday night made the case for why achieving single-payer is so vital for union workers and everyone else in the United States.

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“Many, many unions throughout this country—including some in Unite Here, and the Culinary Union is part of Unite Here—absolutely understand that we’ve got to move to Medicare for All,” Sanders, a 2020 Democratic presidential candidate, said in an appearance on MSNBC. “And the reason is, if you talk to union negotiators, they will tell you they spend half of their time arguing against cutbacks for the healthcare that they have.”

“They’re losing wage increases because the cost of healthcare is soaring,” Sanders continued. “When everybody in America has comprehensive healthcare, and when we join the rest of the industrialized world by guaranteeing healthcare to all people, unions can then negotiate for higher wages, better working conditions, better pensions. So I think the future for unions is through Medicare for All.”

Asked by MSNBC host Chris Hayes to respond to 2020 rival Pete Buttigieg’s tweet Wednesday “piggybacking” on the Culinary Workers Union’s criticism of Medicare for All, Sanders said, “My response is that I have a lot more union support than Pete Buttigieg has or I think ever will have.”

Watch:

Bernie also responded to this Pete tweet on @chrislhayes re: the culinary union vs. M4A.

“My response is that I have a lot more union support than Pete Buttigieg has or I think ever will have” https://t.co/lFuc9za5Pq pic.twitter.com/74xIMuKn3u — Alex Thompson (@AlxThomp) February 13, 2020

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The Culinary Union—a powerful political force in Nevada, which holds its Democratic presidential caucus on Feb. 22—echoed the common criticism that Medicare for All would “end” union healthcare in its new flyers. The union doubled down on the criticism in the face of backlash, claiming Medicare for All would “take away the system of care we have built over eight decades.”

Union leaders and members supporting Medicare for All have repeatedly pushed back against that line of attack. “I really resent the 16 million workers who joined together and bargained for better health plans being pitted against millions of Americans struggling to get healthcare coverage,” Service Employees International Union (SEIU) president Mary Kay Henry said last August.

According to Labor for Single Payer, 19 unions representing nearly 10 million workers across the U.S. have endorsed Rep. Pramila Jayapal’s (D-Wash.) Medicare for All Act of 2019.

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In response to Buttigieg’s tweet Wednesday touting his own “Medicare for All Who Want It” public option plan, Sara Nelson, president of the Association of Flight Attendants, accused the former South Bend, Indiana mayor of “perpetuating” a “gross myth.”

“Not every union member has union healthcare plans that protect them,” Nelson tweeted. “Those that do have it, have to fight like hell to keep it. If you believe in labor then you’d understand an injury to one is an injury to all.”

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This is offensive and dangerous. Stop perpetuating this gross myth. Not every union member has union healthcare plans that protect them. Those that do have it, have to fight like hell to keep it. If you believe in Labor then you’d understand an injury to one is an injury to all. https://t.co/vOSOT037zF — Sara Nelson (@FlyingWithSara) February 12, 2020

As HuffPost‘s Dave Jamieson reported Wednesday, “the Culinary membership itself is almost certainly divided on the issue” of Medicare for All, which would virtually eliminate private insurance and provide comprehensive care to everyone in the United States for free at the point of service.

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Sanders’ proposal would require that company savings from Medicare for All be used to increase workers’ wages and pension benefits.

“Sanders faced some tough questions on Medicare for All and some heckling when he spoke before union members in Las Vegas in December,” Jamieson noted. “But the Las Vegas Review Journal reported that he otherwise enjoyed an ‘enthusiastic reception,’ with the crowd ‘firmly behind Sanders’ and chanting ‘Bernie! Bernie!’ at times.”

The Culinary Union has not yet endorsed a 2020 presidential candidate.

Sal Rosselli, president of the National Union of Healthcare Workers, which endorsed Sanders and Sen. Elizabeth Warren (D-Mass.), told HuffPost that “over the years members sacrificed wage and other economic increases to achieve employer paid healthcare for them and their families—now every contract cycle is a fight to maintain it.”

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“Medicare for All would take healthcare off the bargaining table so improvements could be made to pensions, wages, training, child/elder care, and other economic issues,” said Rosselli.