This is some of what we must do to reform our dysfunctional healthcare system | Bernie Sanders

Over the past year, I’ve had the privilege of serving as chair of the US Senate committee on health, education, labor and pensions (Help). As I leave that position, let me reflect upon where I think our country should be going in healthcare, and the obstacles we face.

We are the wealthiest nation on Earth. There is no rational reason as to why we are not the healthiest nation on Earth. We should be leading the world in terms of life expectancy, disease prevention, low infant and maternal mortality, quality of life and human happiness. Sadly, study after study shows just the opposite. Despite spending almost twice as much per capita on healthcare, we trail most wealthy nations in all these areas.

If we’re going to reform our broken and dysfunctional healthcare system and “Make America healthy again”, this is some of what we must do.

Medicare for All

Healthcare is a human right. The function of a rational healthcare system is to guarantee quality healthcare to all, not huge profits for the insurance industry. The United States cannot continue to be the only wealthy nation that does not provide universal healthcare. It is not acceptable that, while spending almost 18% of our GDP on healthcare, millions of Americans delay going to the doctor and 60,000 Americans die each year because they can’t afford the care they need.

Lower the cost of prescription drugs

As Americans, we should not be paying, by far, the highest prices in the world for life-saving medications. It is absurd that while the pharmaceutical industry enjoys huge profits and benefits from US taxpayer research, one out of four Americans cannot afford to purchase the prescription drugs their doctors prescribe. We must cut prescription drug prices in half by making sure that we pay no more for medicine than the Europeans or Canadians.

Paid family and medical leave

Workers should not have to go to work when they are sick. Mothers and fathers should have ample time to stay home with their newborn babies. A parent should not get fired when they stay home with a sick child. We must guarantee at least 12 weeks of paid family and medical leave to every worker in America.

Reform the food industry

Large food corporations should not make record-breaking profits making children addicted to processed foods, which make them overweight and prone to diabetes and other diseases. As a start, we must ban junk-food ads targeted to kids and put strong warning labels on products high in sugar, salt and saturated fat. Longer term, we can rebuild rural America with family farms that are producing healthy, nutritious food.

Raise the minimum wage to a living wage

Millions of workers should not have to worry about how they’ll pay the rent or buy food for their kids. Working-class Americans live far shorter lives than the rich because of the stress of trying to survive on a paycheck-to-paycheck existence. Stress kills. Stress makes us sick. We must raise the minimum wage to at least $17 an hour.

Lower the work week to 32 hours with no loss of pay

People will live longer and healthier lives if they can spend more time with family and friends and have the opportunity to enjoy their leisure time. Advancements in technology, automation and artificial intelligence must benefit workers, not just billionaires on Wall Street or in Silicon Valley.

Combat the epidemic of loneliness, isolation and mental illness

Too many Americans are struggling with intense anxiety and “diseases of despair” – alcoholism, drug addiction and even suicide. Not only do we need to greatly increase access to mental healthcare, we must rebuild our sense of community and create a culture in which we better enjoy and appreciate each other as human beings. We must also take a very hard look at the impact smartphones and social media are having on our mental and physical health.

Address the climate and environmental crisis

Every American is affected when the Earth’s temperature rises and the air we breathe is polluted. Climate crisis and extreme weather disturbances will cause more widespread suffering and disease, economic disruptions and population dislocation. Air pollution is a major risk factor for respiratory and heart disease, cancer and other health problems. The fossil-fuel industry cannot be allowed to continue making us sick, shortening our lives and destroying the planet.

Create a high-quality public education system

Life-long education is a human right and should be obtainable for all in a wealthy nation like ours. Health, life expectancy and economic wellbeing are often tied to educational attainment. Instead of spending $1tn a year on the military we should make certain that all Americans, from childcare to graduate school, are able to enjoy free, high-quality education and job training.

Let’s be clear. The way forward to creating a healthy society is not radical or complicated. Many of the components that I’ve outlined already exist, in one form or another, in numerous countries throughout the world.

Our real problem is not so much a healthcare crisis as it is a political and economic one. We need to end the unprecedented level of corporate greed we are experiencing. We need to create a government and economy that works for all and not just the wealthy and powerful few.

• Bernie Sanders is a US senator, and chair of the health education labor and pensions committee. He represents the state of Vermont, and is the longest-serving independent in the history of Congress