BURLINGTON, Vt. – Sen. Bernie Sanders gave remarks regarding the lessons we can learn from the growing coronavirus outbreak.This is a rushed transcript provided by the Sanders campaign:
Good afternoon everyone, thank you for being here. In the midst of a major healthcare and economic crisis currently facing our country, I’d like to take a few minutes to talk about the lessons we can learn long-term about what we are experiencing today.
As I discussed yesterday, our country is facing, as everybody knows, a medical and economic crisis, the likes of which we have not seen for generations. And we must prepare for this response in an unprecedented way, making certain that our government responds effectively, and protects the interests of all our people regardless of their income, or where they live. In other words, this is not just about giving tax breaks to large corporations, but about remembering the people today who don’t have much money, who are nervous about their economic futures and healthcare prospects.
Needless
to say we must massively increase the availability of test kits for the coronavirus and the speed at which the tests are
processed. We need to anticipate significant increases in hospital admissions, which means that we will need more
ICU units and ventilators, we will need more
doctors, nurses, and medical personnel of all kinds – and we must make sure
that these frontline personnel are well
protected from the diseases they are treating. I have talked to nurses
recently who worry very much about whether they are getting the kind of
knowledge and equipment they need so that they do not get sick.
We need to significantly improve
our communications and collaboration with other countries to ensure that we
are learning everything that we can about the successes and failures of other
countries as they deal with this crisis. And furthermore, we must be honest with the American people and
communicate as effectively and directly as we can with all of the scientific
information that we can provide.
Further, and most importantly, our
response to this entire crisis must be guided by the decisions of doctors,
scientists, and researchers, not politicians.
But as we struggle with this crisis, it is also important that we learn
the lessons of how we got to where we are today, and what we must do in the
future so that we are better prepared for similar crises that may come.
Poll after poll already shows us that the American people understand
that we must do what every other major country on earth does, and that is to guarantee healthcare to all of our people
as a human right, not a privilege. As we begin to see the failures and
vulnerabilities of the current healthcare system, my guess is that those
numbers and the demand for universal healthcare will only go up.
The American people are asking: how is it possible that we spend twice as much per capita as
the people of Canada and other major countries, while 87 million of us are uninsured or underinsured.
And obviously, in this crisis, and unbelievably, it means that people
who are sick today, people who woke up this morning with symptoms of the
coronavirus, are saying, “you know I feel sick but I cannot afford to go to a doctor.” And when somebody is
not treated for the virus – somebody who is unable to afford to go to that
doctor – that means that that infection can spread to many others, putting us
at risk.
So it’s not just
a question that in normal times – tragically, unbelievably – that we lose 30,000 people a year because they
don’t get to doctor on time, but now the lack of healthcare threatens other
people as well.
How could it be, that when we spend so much more than what other countries are spending, we have millions of people who may be dealing with the virus but they cannot go to the doctor because they can’t afford it? That is a question that must resonate in every American’s mind.
If this isn’t a red flag for the current
dysfunctional and wasteful healthcare system, frankly I don’t know what is.
For the benefit of all of us, we must make sure that every person in
this country who needs to seek medical treatment can go to a doctor free of
charge regardless of their income. That is obviously what we must do now in the
middle of a crisis, but it is what we must do as a nation in the near future.
Here are just a few instances about how absurd and dysfunctional our
current healthcare system is.
It has been estimated that a full battery of tests for the coronavirus costs over $1,300. First of all,
take a look at that – $1,300 to get the test people need to have to know if
they have the virus or not.
In America today, 40% of our
people don’t have $400 in the bank to pay for an emergency expense. We
have half of our people living paycheck to paycheck.
If their car breaks down they can’t afford to get it fixed, and if
somebody tells them it costs $1,300 for the test to determine whether you have
the coronavirus if they’re sick, what are they supposed to do? What happens to
them?
How can someone without insurance afford to pay $1,331 to get tested when they don’t even have $400 in the bank? What are they supposed to do? What happens to them? Do they go to a payday lender where the average interest rate is over 390%? Do they borrow money from their family? Or do they go without the test? Which every doctor in the world will tell them is a test they should have.
And while the Trump administration says it may cover co-pays to cover
the cost of testing for those who have insurance, they will not cover the cost of treatment – which could cost tens of
thousands of dollars.
How cruel is that? How absurd is that? To say to people, “we’re sorry
you have coronavirus, we covered the cost of the test, but now you’re on your
own and it’s going to cost tens of thousands of dollars to get treated.” That
is totally absurd.
Clearly what we need to do is to make sure that if someone has the
coronavirus that person gets the treatment that they need.
In other
words, our current system leaves people uninsured, but even if you have
insurance you may not even have the ability to travel to a doctor near you.
Because now we’re talking about a system in which many rural hospitals have closed down and
they cannot find a doctor in their communities.
The reality today, and this is an issue we must to deal with, is that we don’t have enough doctors, we don’t have
enough hospitals, and we don’t have enough clinics in rural communities and
inner cities.
Further, we are in a situation when we desperately need affordable prescription drugs, yet we have a
pharmaceutical industry that continues to make billions in profits by charging
outrageous prices for prescription drugs, sometimes 10x more in this country than in other countries.
In my view,
the most cost effective way to reform our dysfunctional and cruel system is to
move to a Medicare for All, single-payer healthcare system.
And I think in the midst of this crisis, more and more Americans
understand the truth of that.
It is nearly impossible to
believe that anyone can still think it’s acceptable to continue with a
healthcare system that leaves tens of millions of people uninsured. The cruelty
and absurdity of that view is more obvious in the midst of this crisis than it
has ever been.
And let’s be clear. Lack of
healthcare and affordable medicine does not only threaten the healthcare and
well-being of the uninsured. It threatens everyone who comes in contact with
them.
In fact, what this crisis is beginning to teach us is that we are only as safe as the least insured
person in America.
Further, we are the only major
country on earth that does not mandate paid family and medical leave. And
we’re seeing how that crisis is impacting where we are today.
As we speak, there are millions of workers — right now — who are
being told to go to work, yet they may be ill and should be staying home.
But these very same families
will face financial ruin if they don’t go to work. These are workers in the
restaurant industry, transportation industry, tourism, retail — in other words
the people who interact with the public every single day.
Right now, at a time when half of our people live paycheck to paycheck,
and at a time of massive wealth and income inequality, we must directly address the economic desperation facing a
huge number of Americans.
So we must finally pass a paid
family leave program in the United States to keep this virus from spreading
and to keep Americans healthy.
We must do it right now.
People should not be going to work when they are sick, it is unfair to
them, it is unfair to the people they are in contact with. And yet, that
reality exists, because we are the only major country on earth not to guarantee
paid family leave and sick time.
Finally, from a national
security perspective, it is
incomprehensible that we are dependent on China and other countries for masks,
for prescription drugs, for rubber gloves, and for key parts needed to make
advanced medical equipment like ventilators.
As a result of
globalization and our disastrous trade policies, we have been outsourcing
millions of jobs and factories overseas that have gutted our economy. Now we
are seeing another tragic and devastating result of those policies, as we find
ourselves dependent on other countries to provide the most essential things we
need to combat a pandemic and protect the lives of the people in our country.
Now trade is
a good thing, but it has to be based on common sense principles. It has to
be based on protecting American workers
and protecting our national security, making sure we are producing what we need
in this country in the event of a national crisis.
Now is the time to begin
bringing back production and manufacturing to the United States and enact fair
trade policies so that we are never in this position again.
Now here is the bottom line. As we are dealing with this crisis, we
need to listen to the scientists, to the
researchers, and to the medical professionals, not politicians.
We need to move quickly to prepare for the exponential increase of
cases we will be seeing here in our country.
But as we do that, we must begin thinking about how, as a society, we
can create a healthcare and economic system that is humane, that is compassionate,
and that works for all people, not just the wealthiest.
Now that is an issue that people have had to think about for a long
time, but I think in this moment of
crisis more and more people understand that we need fundamental changes to our
economy, and we need fundamental changes to our healthcare system.
Vice President Joe Biden gave his prescription for addressing the health and economic impacts of the coronavirus pandemic – a strong contrast to the speech Trump delivered from the Oval Office (c) Karen Rubin/news-photos-features.com
This is the speech on protecting against the health and economic impacts of the coronavirus pandemic that Americans should have heard from the Oval Office:
Remarks by Vice President Joe Biden on Combating Coronavirus (COVID-19)
My fellow Americans:
Today, across the nation, many of us are feeling anxious about the rapid spread of COVID-19, known as the coronavirus, and the threat it poses to our health, our loved ones, and our livelihoods.
I know people are worried, and my thoughts are with all those who are directly fighting this virus — those infected, families that have suffered a loss, our first responders and health care providers who are putting themselves on the line for others. And I’d like to thank those who are already making sacrifices to protect us— whether that’s self-quarantining or cancelling events or closing campuses. Because whether or not you are infected, or know someone who is infected, or have been in contact with an infected person — this will require a national response. Not just from our elected leaders or our public health officials — from all of us.
We all must follow the guidance of health officials and take appropriate precautions — to protect ourselves, and critically, to protect others, especially those who are most at-risk from this disease.
It will mean making some radical changes to our personal behaviors: more frequent and more through handwashing and staying home from work if you are ill, but also altering some deeply-ingrained habits, like handshakes and hugs, and avoiding large public gatherings.
That is why earlier this week, on the recommendation of officials, my campaign cancelled the election night rally we had planned to hold in Cleveland, Ohio. We will also be re-imagining the format for the large-crowd events we had planned in Chicago and Miami in the coming days. And we will continue to assess and adjust how we conduct our campaign as we move forward, and find new ways to share our message with the public, while putting the health and safety of the American people first.
Yesterday, we announced a Public Health Advisory Committee of experts who will counsel our campaign and help guide our decisions on steps to minimize the risk. We will be led by the science.
The World Health Organization has now officially declared COVID-19 a pandemic. Downplaying it, being overly dismissive, or spreading misinformation will only hurt us and further advantage the spread of the disease. But neither should we panic or fall back on xenophobia. Labeling COVID-19 a “foreign virus” does not displace accountability for the mismanagement that we have seen from the Trump Administration.
Let me be crystal clear: the coronavirus does not have a political affiliation. It will infect Republicans and Democrats alike. It will not discriminate based on national origin, race, gender, or zip code. It will touch people in positions of power and the most vulnerable in our society.
A wall will not stop it. Banning all travel from Europe, or any other part of the world, may slow it — but as we have seen — it will not stop it. And travel restrictions based on favoritism and politics — rather than risk — will be counterproductive. This disease could impact every nation and any person on the planet. And we need a plan about how we are going to aggressively manage it here at home.
The American people have the capacity to meet this moment. We will face this with the same spirit that has guided us through previous crises. We will come together as a nation. We will look out for one another and do our part as citizens. We have to harness the ingenuity of our scientists and the resourcefulness of our people. And we have to lead the world to drive a coordinated global strategy, not shut ourselves off from it.
Protecting the health and safety of the American people is the most important job of any president — and unfortunately, this virus has laid bare the severe shortcomings of the current Administration. Public fears are being compounded by a pervasive lack of trust in this president, fueled by his adversarial relationship with the truth.
Our government’s ability to respond effectively has been undermined by the hollowing-out of our agencies and the disparagement of science. And our ability to drive a global response is dramatically undercut by the damage Trump has done to our credibility and our relationships around the world.
We have to get to work immediately to dig ourselves out of this hole. That is why, today, I am releasing a plan to combat and overcome the coronavirus. The full details are on JoeBiden.com laying out the immediate steps we must take to deliver: A decisive public health response to curb the spread of this disease and provide treatment to those in need; and a decisive economic response that delivers real relief to American workers, families, and small businesses — and protects the economy as a whole.
I offer it as a roadmap, not for what I will do as president 10 months from now, but for the leadership I believe is required right now, in this moment. President Trump is welcome to adopt it today.
The core principle is simple: public health professionals must be the ones making our public health decisions and communicating with the American people. It would be a step toward reclaiming public trust and confidence in the United States government and toward stopping the fear and chaos that can overtake communities faster than this pandemic. And it’s critical to mounting an effective national response that will save lives, protect our front-line health workers, and slow the spread of this virus.
First, anyone who needs to be tested based on medical guidelines, should be tested—at no charge. The Administration’s failure on testing is colossal. It is a failure of planning, leadership, and execution. The White House should measure and report each day how many tests were ordered, how many tests have been completed, and how many have tested positive. By next week, the number of tests should be in the millions, not the thousands. We should make sure every person in a nursing home, a senior center, or a vulnerable population has easy access to a test.
We should establish hundreds of mobile testing sites — at least 10 per state — and drive-thru testing centers to speed testing and protect health care workers.
The CDC, private labs, universities, and manufacturers should be working in lock-step to get this done, and get it done right. No effort should be spared. No excuses should be made. Tests should be available to all who need them and the government should stop at nothing to make that happen.
We must know the true extent of this outbreak so we can map it, trace it, and contain it. Nor should we hide the true number of infections in hopes of protecting political interests or the stock market. The markets will respond to strong, steady, capable leadershipthat addresses the root of the problem, not efforts to cover it up.
Second, we need to surge our capability to both prevent and treat the coronavirus, and prepare our hospitals to deal with an influx of those needing care. This means not just getting out the testing kits and processing them quickly, but making sure communities have the hospital beds, the staff, the medical supplies, and the personal protective equipment necessary to treat patients.
The president should order FEMA to prepare the capacity with local authorities to establish temporary hospitals with hundreds of beds on short notice. The Department of Defense should prepare for the potential deployment of its resources to provide medical facility capacity and logistical support. A week from now, a month from now, we could need an instant, 500-bed hospital to isolate and treat patients in any city in the country. We can do that — but we aren’t ready yet, and the clock is ticking.
As we take these steps, state, federal, and local authorities need to ensure that there is accurate, up-to-date information easily available to every American so everyone can make an informed decision about when to get tested, when to self-quarantine, and when to seek medical treatment. And the federal government should provide states and municipalities with clear guidance about when to trigger more aggressive mitigation policies, such as closing schools.
Third, we need to accelerate the development of treatments and a vaccine. Science takes time. It will still be many months before we have a vaccine that can be proven safe for public use and produced in sufficient quantity to make a difference. Therapeutics can and should come sooner. That will save lives. We passed the Cures Act in 2016 to accelerate work at the National Institutes of Health, but now it must have every available resource to speed the process along.
We must fast-track clinical trials within the NIH, while closely coordinating with the Food and Drug Administration on trial approvals, so that the science is not hindered by the bureaucracy. And, when we do have a vaccine ready to go, it should also be made widely available, free of charge.
We should also immediately restore the White House National Security Council Directorate for Global Health Security and Biodefense –with a full-time, dedicated coordinator to oversee the response.
Our Administration created that office to better respond to future global health threats after the Ebola crisis in 2014.
It was designed for exactly this scenario.
President Trump eliminated the office two years ago.
Here’s the bottom line: we have to do what is necessary to beat this challenge sooner rather than later.
I assure you, if we wait for it to worsen then scramble to catch up, the human and economic toll will be far greater and last far longer.
Congress gave the Administration $8 billion last week to fight the virus. We need to know exactly where that money is going, how quickly it is going out the door, and how it is being spent.
This brings me to the second half of this challenge — the economic dislocation the coronavirus will cause in our country.
We must do whatever it takes, spend whatever it takes, to deliver relief for our families and ensure the stability of our economy.
Taking immediate, bold measures to help Americans who are hurting economically right now.
It means we will need bigger and broader measures to shore up economic demand, protect jobs, keep credit flowing to our job creators, and make sure we have the economic fire power we need to weather this storm and get our people and this economy back to full strength as soon as possible.
This crisis will hit everyone, but it will hit folks who live paycheck-to-paycheck the hardest, including working people and seniors.
Another tax cut to Google or Goldman or millionaires won’t get the job done.
Indiscriminate corporate tax subsidies won’t effectively target those who really need help.
We need to place our focus on those who will struggle just to get by.
People are already losing jobs — we need to replace their wages.
That includes workers in the gig economy who lack unemployment insurance.
Parents who are already struggling with childcare costs — we need to give them relief.
Children who rely on school lunches will need food.
And schools will need help ensuring children who do not have easy access to computers can still learn if their schools close.
People who have difficulty paying their rent or mortgage because they’ve been laid off or had their hours cut back — we need to help them stay in their homes.
Small businesses that will be devastated as customers stay home and events are canceled — we need to make sure they have access to interest-free loans.
It is a national disgrace that millions of our fellow citizens do not have a single day of paid sick leave.
We need — both — a permanent plan for paid sick leave and an emergency plan for everyone who needs it due to the outbreak.
Beyond these national measures, my plan also calls for the creation of a State and Local Emergency Fund to make sure governors, mayors, and local leaders who are battling coronavirus on the ground have the resources necessary to meet this crisis head on.
These funds could be used at the discretion of local leaders for whatever they most need: expanding critical health infrastructure, hiring additional health care and emergency service personnel, or cushioning the wider economic blow this virus will cause our communities.
We need smart, bold, and compassionate leadership that will help contain the crisis, reduce hardship to our people, and help our economy rebound.
But let me be clear: this is just a start.
We must prepare now to take further decisive action, including direct relief, that will be large in scale and focused on the broader health and stability of our economy.
But we can only protect the health of our economy, if we do everything in our power to protect the health of our people.
The last point I want to make today is this — we will never fully solve this problem if we are unwilling to look beyond our own borders and engage fully with the world.
A disease that starts any place on the planet can be on a plane to any city on earth a few hours later.
So we have to confront coronavirus everywhere.
We should be leading a coordinated, global response, just as we did for Ebola, that draws on the incredible capability of the U.S. Agency for International Development and our State Department to assist vulnerable nations in detecting and treating coronavirus wherever it is spreading.
We should be investing in rebuilding and strengthening the Global Health Security Agenda, which we launched during our Administration, specifically to mobilize the world against the threat of new infectious diseases.
It can be hard to see the concrete value of this work when everything seems well with the world.
But by cutting our investments in global health, this Administration has left us woefully ill-prepared for the exact crisis we now face.
No President can promise to prevent future outbreaks.
But I can promise you that when I’m president, we will prepare better, respond better, and recover better.
We will lead with science.
We will listen to experts and heed their advice.
We will rebuild American leadership and rally the world to meet global threats.
And I will always, always tell you the truth.
That is the responsibility of a president.
That is what is owed to the American people.
Now, and in the difficult days that still lie ahead, I know that this country will summon our spirit of empathy, decency, and unity.
Because, in times of crisis, Americans stand as one.
With the Trump Administration’s response to the
coronavirus pandemic in severe disarray, it is falling to states and localities
to protect their residents. This is the latest from New York State Governor
Andrew Cuomo:
During a novel
coronavirus briefing, Governor Andrew M. Cuomo today announced the state will
institute limits on mass gatherings, directing events with 500 or more
individuals in attendance to be cancelled or postponed. Public health experts
agree mass gatherings with people making sustained close contact are a place
where the novel coronavirus can easily infect many people quickly and continue
its spread. As such, events, gatherings, or places of business with less than
500 individuals in attendance will be required to cut capacity by 50 percent,
with exceptions being made for spaces where individuals do not make sustained
close contact, such as schools, hospitals, public buildings, mass transit,
grocery stores and retail stores. These new regulations will go into effect
Friday, March 13th at 5pm, with the exception of Broadway Theaters where the
limits will go into effect this evening at 5pm.
In an effort to protect some of the most vulnerable New Yorkers,
Governor Cuomo also announced only medically necessary visits will be allowed
at nursing homes. This policy will be effective Friday at 5pm. The state is
also asking nursing homes to set up skyping and other online communication
capacity so families can tele-visit their loved ones. Additionally, the state
will require health screenings for all nursing home workers each day when they
enter a facility and require them to wear surgical masks to guard against any
potential asymptomatic spread.
In order to increase testing capacity, the State is contracting
with BioReference Laboratories to run an additional 5,000 tests per day on top
of what the state is already doing. These additional 5,000 tests per day will
come online next week. This additional testing capacity is on top of that of
the 28 private labs the Governor announced are partnering with the state in the
coming days and weeks. Additionally, the Governor announced the first public
drive-through testing facility on the east coast will start testing people
tomorrow in New Rochelle. Testing will be done by appointment only. New
Rochelle residents who have been quarantined will be tested first.
Finally, the Governor
confirmed 109 additional cases of novel coronavirus, bringing the statewide
total to 325 confirmed cases in New York State. Of the 325 total individuals
who tested positive for the virus, the geographic breakdown is as follows:
Albany County: 1 (1 new)
Broome County: 1 (1 new)
Delaware County: 1 (1
new)
Dutchess County: 1 (1
new)
Herkimer County: 1 (1
new)
Monroe County: 1 (1 new)
Nassau County: 41 (13
new)
New York City: 95 (43
new)
Orange County: 1 (1 new)
Rockland County: 7 (1
new)
Saratoga County: 3 (1
new)
Suffolk County: 20 (14
new)
Ulster County: 4 (3 new)
Westchester County: 148
(27 new)
“The spread of this coronavirus is not going to stop on its
own, and we know that mass gatherings have been hotspots for the virus to infect
large numbers of people quickly,” Governor Cuomo said.”To help contain it, we are
instituting limits on large events as well as new measures to protect our most
vulnerable populations — including people in nursing homes — and preparing our
healthcare system to be able to deal with any future capacity issues. While the
context is key and the anxiety is outpacing the facts of this situation, we
will continue taking aggressive action to protect public health and prepare for
any future spread of this virus.”
“Our number one priority is protecting the public health and
every action the Governor and the State of New York have taken thus far have
been in furtherance of that goal,” State Health Department Commissioner Dr. Howard Zucker said. “Public
health experts have been clear that limiting large public gatherings where
there is potential for close contact is a critical way to slow the spread of
this virus. This regulation will help keep people healthy and safe.”
The Governor also announced that the State is taking measures to
create a reserve workforce of health care professionals in the event of a
staffing shortage and identify state facilities that can be used as temporary
hospitals. The State is asking former doctors, nurses and other health care professionals
to reconnect with their former employers and offer to work on an on-call basis
in the cases of a staffing shortage. The State is also identifying National
Guard medics for reserved staffing and contacting medical schools to identify
possible reserve health care professionals. Additionally, the Department of
Health is accelerating regulations to get more health care personnel trained so
they can work in other areas.
For all schools in communities with the highest rates of positive
cases, the state will be taking proactive steps to implement protocols that
limit mass contact. Today the Governor announced SUNY Albany will cancel in
person classes for the rest of the semester effective tomorrow after a positive
case was confirmed today.
Additionally, any
business that cannot accommodate rigorous cleaning standards should contact
Empire State Development at (212) 803-3100 for a close order.
Trump offers his “historic actions” to address the coronavirus pandemic: payroll tax cut, tax deferral, travel ban from Europe (c) Karen Rubin/news-photos-features.com.
Trump, in an address to the nation from the Oval Office, tried to calm fears and most importantly (for him) calm the financial markets after the World Health Organization declared the coronavirus a pandemic and chided nations for underplaying the crisis. Trump spent most of the time self-congratulating himself, calling the crisis “unprecedented” (it’s not), and his actions “historic” (hardly). Trump said nothing about making the health care infrastructure work to save Americans from suffering and needless dying, or for bolstering finances for people who have lost their means of earning money, paying bills, caring for children. His solution, to unilaterally ban travel from Europe (not UK) is absurd. Still no idea how many Americans harbor the infection. He used words like “unprecedented” when this is hardly unprecedented (Spanish flu, Swine flu, Ebola, and months of seeing what happened in China, South Korea, Italy). He kept saying that America will get by because we are the strongest, smartest, best nation that ever existed. Trump’s solution is medieval: pull up the drawbridge, build a wall against foreign invasion. Balderdash. And by the way, YOU DIDN’T BUILD THAT: the strong economy was bequeathed by Obama and other predecessors that Trump is frittering away with $1 trillion budget deficits despite (as Trump constantly claims) a historic, strong economy. And what does strong military have to do with coronavirus pandemic? The amount of back-slapping Trump does to himself (“unprecedented steps” which are hardly unprecedented or even dramatic or adequate or on target for the health crisis at hand), and his sychophants, even the “experts” have had to lather praise is disgusting. As for abandoning the partisanship, he means “adore me, go along with whatever I say.” Immediately after, he attacked Nancy Pelosi and Democrats. Here s the speech annotated – Karen Rubin/news-photos-features.com.
REMARKS BY PRESIDENT TRUMP IN ADDRESS TO THE NATION
Oval Office
9:02 P.M. EDT
THE PRESIDENT: My fellow Americans: Tonight, I want to speak with you about our nation’s unprecedented response to the coronavirus outbreak that started in China and is now spreading throughout the world.
Today, the World Health Organization officially announced that this is a global pandemic.
We have been in frequent contact with our allies, and we are marshalling the full power of the federal government and the private sector to protect the American people.
[And yet the European Union was blindsided by Trump’s sudden ban on travel from Europe but not the UK].
This is the most aggressive and comprehensive effort to confronta foreign virusin modern history. I am confident that by counting and continuing to take these tough measures, we will significantly reduce the threat to our citizens, and we will ultimately and expeditiously defeat this virus.
From the beginning of time, nations and people have faced unforeseen challenges, including large-scale and very dangerous health threats. This is the way it always was and always will be. It only matters how you respond, and we are responding with great speed and professionalism.
[Hardly ‘unforeseen’ when the outbreak began in December in China and his first response came in March after pooh-poohing.]
Our team is the best anywhere in the world. At the very start of the outbreak, we instituted sweeping travel restrictions on China and put in place the first federally mandated quarantine in over 50 years. We declared a public health emergency and issued the highest level of travel warning on other countries as the virus spread its horrible infection.
And taking early intense action,we have seen dramatically fewer cases of the virus in the United States than are now present in Europe. [Except you really don’t know how many Americans are harboring the coronavirus because there hasn’t been adequate testing. And back in January, when Seattle doctor suspected coronavirus, federal agencies refused allowing testing, continued to reject the test kits from W.H.O. and relied on faulty, inadequate tests of its own.]
The European Union failed to take the same precautions and restrict travel from China and other hotspots. As a result, a large number of new clusters in the United States were seeded by travelers from Europe.
[That is one of Trump’s ‘blame others’ ‘blame them’ ‘blame Europe’ out of his ass comments. He doesn’t know how the infection came here or where it came from. Those cruise goers didn’t come from Europe.]
After consulting with our top government health professionals, I have decided to takeseveral strong but necessary actions to protect the health and wellbeing of all Americans.
To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days. The new rules will go into effect Friday at midnight. These restrictions will be adjusted subject to conditions on the ground.
There will be exemptions for Americans who have undergone appropriate screenings, and these prohibitions will not only apply to the tremendous amount of trade and cargo, but various other things as we get approval. Anything coming from Europe to the United States is what we are discussing. These restrictions will also not apply to the United Kingdom.
At the same time, we are monitoring the situation in China and in South Korea. And, as their situation improves, we will reevaluate the restrictions and warnings that are currently in place for a possible early opening. [There is no travel ban on South Korea.]
Earlier this week, I met with the leaders of health insurance industry who have agreed to waive all copayments for coronavirus treatments, extend insurance coverage to these treatments, and to prevent surprise medical billing.
We are cutting massive amounts of red tape to make antiviral therapies available in record time. These treatments will significantly reduce the impact and reach of the virus.
[Treatment still not likely to be available for a year.]
Additionally, last week, I signed into law an $8.3 billion funding bill to help CDC and other government agencies fight the virus and support vaccines, treatments, and distribution of medical supplies. Testing and testing capabilities are expanding rapidly, day by day. We are moving very quickly.
[Who will get that money and supplies? Will Trump steer to “loyal” states and communities like Texas and Florida, and away from places like New York, California, Massachusetts, just as he did with Ukraine’s military aid, George w. Bush did with anti-terror funding after 9/11 and Chris Christie did by shutting down the George Washington bridge to punish Democratic mayors who refused to endorse him?]
The vast majority of Americans: The risk is very, very low.Young and healthy people can expect to recover fully and quickly if they should get the virus. The highest risk is for elderly population with underlying health conditions. The elderly population must be very, very careful.
[The problem here is that the ‘young, healthy’ people can transmit the infection to others who are vulnerable.]
In particular, we are strongly advising that nursing homes for the elderly suspend all medically unnecessary visits. In general, older Americans should also avoid nonessential travel in crowded areas.
My administration is coordinating directly with communities with the largest outbreaks, and we have issued guidance on school closures, social distancing, and reducing large gatherings.
Smart action today will prevent the spread of the virus tomorrow.
Every community faces different risks and it is critical for you to follow the guidelines of your local officials who are working closely with our federal health experts — and they are the best.
[Here is the key piece: the federal government is failing and useless and has no clue what to do, so Trump needs to rely – and probably blame – state and local officials who are doing their best to keep up with the needs. But key policies need to be made at the federal level. See Nicholas Kristof, “12 Steps to Tackle the Coronavirus” in New York Times of what Trump should have said and done.]
For all Americans, it is essential that everyone take extra precautions and practice good hygiene. Each of us has a role to play in defeating this virus. Wash your hands, clean often-used surfaces, cover your face and mouth if you sneeze or cough, and most of all, if you are sick or not feeling well, stay home.
To ensure that working Americans impacted by the virus can stay home without fear of financial hardship, I will soon be taking emergency action, which is unprecedented, to provide financial relief. This will be targeted for workers who are ill, quarantined, or caring for others due to coronavirus.
I will be asking Congress to take legislative action to extend this relief.
Because of the economic policies that we have put into place over the last three years, we have the greatest economy anywhere in the world, by far. [To the extent the US has in fact has greatest economy in the world, it is largely because of his abuse of tariff wars, sanctions, ending aid to undermine other economies.]
Our banks and financial institutions are fully capitalized and incredibly strong.
[Thanks Obama! And Dodd Frank.]
Our unemployment is at a historic low. This vast economic prosperity gives us flexibility, reserves, and resources to handle any threat that comes our way.
[He neglects to mention the $1 trillion budget deficits he has run despite his ‘historic’ strong economy, low unemployment. The fact that 40% of all Americans don’t have $400 available to cover an emergency.]
This is not a financial crisis, this is just a temporary moment of time that we will overcome together as a nation and as a world.
[The next morning, the Dow plummeted another 2000 points, more than 7%, down to 21,400 from a high of 29,000 just a couple of weeks earlier. Trump was reported to have leveled a tirade at Federal Reserve Chair Powell for failing to cut interest rates even further than the half-point “emergency” cut a week ago.]
However, to provide extra support for American workers, families, and businesses, tonight I am announcing the following additional actions: I am instructing the Small Business Administration to exercise available authority to provide capital and liquidity to firms affected by the coronavirus.
Effective immediately, the SBA will begin providing economic loans in affected states and territories. These low-interest loans will help small businesses overcome temporary economic disruptions caused by the virus. To this end, I am asking Congress to increase funding for this program by an additional $50 billion.
Using emergency authority, I will be instructing the Treasury Department to defer tax payments, without interest or penalties, for certain individuals and businesses negatively impacted. This action will provide more than $200 billion of additional liquidity to the economy.
[How are the individuals and businesses chosen? What will this do to the Treasury’s ability to pay bills? How does starving the federal government of resources help the situation]
Finally, I am calling on Congress to provide Americans with immediate payroll tax relief. Hopefully they will consider this very strongly.
[Payroll tax only helps people who are earning wages, not the people who are laid off or lose their jobs. The amount of money is so miniscule, people don’t even realize. And how does starving Medicare and Social Security of funding help? Instead, should be requiring paid sick leave, unemployment benefits expanded to people with fewer hours and contract workers. See Nicholas Kristof.]
We are at a critical time in the fight against the virus. We made a life-saving move with early action on China. Now we must take the same action with Europe. We will not delay. I will never hesitate to take any necessary steps to protect the lives, health, and safety of the American people. I will always put the wellbeing of America first.
[Yet another undeserved pat on the back, and misguided focus on putting up walls instead of gearing up for the spreading epidemic in the country. Some 100 million are projected to get the illness; more than 1 million expected to die. Millions will jam emergency rooms and ICUs. There are only 1 million hospital beds and 700,000 of these are already occupied. People will die of heart attacks and other ailments because they cannot be accommodated. Doctors and nurses and health care workers will get sick or become so overworked they can’t function. Who is available to replace? What is Trump doing about that? Is he setting up mobile clinics, like MASH units? Sending out mobile testing vehicles. Doing drive-by testing as in South Korea which is handling 20,000 tests a day?]
If we are vigilant — and we can reduce the chance of infection, which we will — we will significantly impede the transmission of the virus. The virus will not have a chance against us.
No nation is more prepared or more resilient than the United States. We have the best economy, the most advanced healthcare, and the most talented doctors, scientists, and researchers anywhere in the world.
[More jingoism, American Exceptionalism. America First. Balderdash. Basically his argument is, ‘We will defeat this epidemic because we are The Greatest.’ And by the way, YOU DIDN’T BUILD THAT! Obama and predecessors handed Trump a strong economy, rescued from the depths of the Great Recession. Obama created the Affordable Care Act which covered 30 million more people than before, controlled health care costs, enabled more people to become doctors, nurses, health care workers.]
We are all in this together. We must put politics aside, stop the partisanship, and unify together as one nation and one family. [Biggest joke-on-America ever, since Trump, who wears a MAGA hat on CDC tour, and tells Pence not to praise Washington Governor Jay Inslee (“a snake”, and accuses Democrats and Nancy Pelosi of perpetrating a hoax in raising alarm about coronavirus in order to undermine him. As for abandoning the partisanship, what he really means, as Moscow Mitch always means when he uses the term “compromise” is “Do what we say, don’t criticize or point out why we are inept, corrupt, and out only for ourselves.”]
[Trump assailed Democrats hours after he implored lawmakers to “stop the partisanship.” Then the markets cratered, unassuaged by his economic proposals, New York Times reported.]
As history has proven time and time again, Americans always rise to the challenge and overcome adversity.
Our future remains brighter than anyone can imagine.Acting with compassion and love, we will heal the sick, care for those in need, help our fellow citizens, and emerge from this challenge stronger and more unified than ever before.
[Such pablum. Trump reads the teleprompter in a monotone, the sentences running one into another. He has no idea what he just said.]
During a novel coronavirus
briefing, Governor Andrew M. Cuomo today announced the state will provide
alcohol-based hand sanitizer to New Yorkers free of charge. To help combat
price-gouging and ensure New Yorkers have access to this vital prevention
method, the state will produce up to 100,000 gallons of hand sanitizer each
week in 1.7 oz., 7 oz. and gallon bottles. The hand sanitizer will be made
available to residents free of charge, and distribution will be prioritized by
the most impacted and high risk communities, including the New Rochelle
community, and state agencies, including the MTA.
Governor Cuomo also
confirmed 37 additional cases of novel coronavirus in New York State since his
last update from Sunday, bringing the statewide total to 142 confirmed cases.
The Governor also
announced the New York State Department of Health will work with the New York
State Education Department to issue guidance for schools with students,
teachers or other staff who test positive for novel coronavirus. Under the
policy, schools will close for an initial 24-hour period if a student or a
teacher or any other staff at the school test positive for the novel
coronavirus. This will allow the school to undergo disinfection, and for the
State to perform an assessment of the situation and make a determination going
forward in that particular school district.
Additionally, the
Governor will send a program bill to the legislature today to provide paid sick
leave to working New Yorkers and specifically protect those who are required to
stay home from work because they are being isolated or quarantined as a result
of the novel coronavirus.
“As the number of
confirmed cases of the coronavirus continues to rise, unscrupulous retailers
are exploiting New Yorkers’ anxieties about the virus and charging exorbitant
prices for hand sanitizer and other similar products,” Governor
Cuomo said. “To solve this problem, the state is producing and
deploying hand sanitizer to high impact areas as well as schools, the MTA and
other government agencies because you can’t get it on the market and the
product that is available is very expensive. The biggest problem we have in
this situation is fear, not the virus itself, and I’m once again reminding
everyone to focus on the facts because the facts do not warrant the level of
anxiety we are seeing.”
Of the 142 total
individuals in New York State who tested positive for the virus, the geographic
breakdown is as follows:
Westchester: 98 (16 new
cases)
New York City: 19 (7 new
cases)
Nassau: 17 (12 new
cases)
Rockland: 4 (2 new
cases)
Saratoga: 2
Suffolk: 1
Ulster: 1
DOCCS, through its
correctional industries entity known as Corcraft, will produce an
alcohol-based formula recognized by the World Health Organization and has begun
production at Great Meadow Correctional Facility in Comstock, Washington
County, this week. Through this ongoing effort, the Department will be able to
produce up to 100,000 gallons of hand sanitizer per week. Corcraft, which
produces dozens of products, uses the manufacturing process to assist in the
department’s overall mission to prepare offenders for release through skill
development, work ethic, respect and responsibility.
Local governments
seeking to obtain additional stocks of hand sanitizer should work with their
County’s Emergency Manager and local Health Department to submit requests
directly into NY Responds, the state’s web-based system which enables both
local governments and state agencies to submit and share vital
emergency-related information and resource requests.
Reportedly, some
retailers are charging approximately 10 times what major retailers charge for
hand sanitizer. On eBay a pack of five 2.5-ounce Germ-X hand sanitizer bottles
were selling for $500 – by comparison, two 30-ounce bottles of Germ-X were
offered online by Walmart for less than $8.
The Department of
Corrections and Community Supervision also began a new screening protocol for
COVID-19 for visitors to each of the State’s 52 correctional facilities to help
avoid the introduction of COVID-19 into the Department’s facilities. Upon
arrival to the facility, visitors will be asked a series of questions regarding
any illness or symptoms they may be currently experiencing; travel outside of
the United States within the past four weeks, including that of family members;
and any direct exposure to an individual diagnosed with the novel coronavirus
in the past four weeks.
DOCCS Acting Commissioner Anthony J. Annucci said, “Between increased demand and the
price gouging currently taking place in the market, there is a very real need
for hand sanitizer for New York residents. DOCCS is proud to meet the
Governor’s call to action and do our part in stemming the spread of COVID-19
across the state.”
Last night, the Governor announced that Northwell Laboratories has been authorized to test under Wadsworth’s emergency use authorization. Manual testing of 75 to 80 samples per day has begun at Northwell, but automated testing still needs to be approved by the federal administration so the lab can perform thousands of tests per day. Additionally, NY Presbyterian Hospital is ready to start running 50 to 60 tests daily once it receives federal approval for testing. The Governor again today urged the federal administration to approve the use of the state’s coronavirus test by private labs, such as NY Presbyterian.
Update: After tour of Northwell Labs, Governor Cuomo announced FDA approval for Northwell to test novel coronavirus: “After days of advocating the FDA and the federal government to expand testing capacity for the novel coronavirus in New York State and working with Northwell and Wadsworth to expedite the process, we just received word that Northwell Laboratories has been authorized to test under Wadsworth’s emergency use authorization. Manual testing of 75 to 80 samples per day will begin at Northwell immediately, but we still need automated testing approved so we can perform thousands per day.
“While this approval is a good first step, the FDA must increase the testing capacity for the State and private labs, because the more tests we run, the more positive people we will find and the better we can control and contain the virus. It’s one thing for the federal government not to have the testing capacity in place themselves – that was bad enough – but there’s no excuse for them not to be authorizing existing labs to do the work.”
New York State Governor Andrew Cuomo took the Center for Disease Control and federal government to task for failing to authorize private laboratories to test for the coronavirus, and for failing to authorize automated testing which could increase exponentially the number of people tested.
Testing is critical to finding people infected with the coronavirus in order to contain the spread of the infection, he said during a tour of Northwell Health Laboratories on Long Island, where as many as 1000 tests could be done a day using state-of-the-art automated testing devices which can analyze as many as 120 samples at one time.
Northwell’s laboratory is the most sophisticated lab in New York State and one of the most advanced in the nation. But as yet, CDC has not authorized private labs to do the tests, and has not authorized the automated testing systems that Northwell has, Cuomo said.
“CDC has not authorized the use of this lab, which
is just outrageous and ludicrous,” the Governor scolded. “CDC, wake up, let the
state’s test. Let private labs test. Let’s increase as quickly as possible our
testing capacity so we identify the positive people so we can isolate them and
we’re successful in our containment.”
The state is “continuing to test people and are working with
hospitals and local governments to give them the resources they need to contain
the spread of this virus,” Governor
Cuomo said. “We mobilized quickly but the federal government
has been slow off the mark and they continue to be slow. That’s unacceptable
– we need them to approve these private labs today so we can stay ahead of this
evolving situation. Worse than the virus right now is the fear pandemic – and
getting these additional facilities online will ensure we have more facts that
will help keep people calm.”
The Northwell Lab on Long Island would be the first private lab in
the state to handle coronavirus testing.
“This is an extraordinary facility,” the Governor said, flanked by
his state Health Commissioner Howard A. Zucker, and Northwell Health CEO
Michael J. Dowling.
“We
are trying
to contain spread of virus and to do that, we are testing as many as possible,
to find the positives and isolate them.”
If the spread of infection is not contained, he warned, more disastrous
measures, such as China and Italy have been forced to undertake – massive quarantines
of millions of people – “would be very disruptive to society and the economy.”
Cuomo said that the level of fear surrounding coronavirus (the disease associated with the virus is COVID-19) is unwarranted. “There is more fear, anxiety than facts would justify. This isn’t Ebola, or SARS. This is a virus we have a lot of information on. Johns Hopkins has been tracking 100,000 cases and what happens.”
Most people who become infected will experience mild symptoms like a cold or flu and can recover at home. But for vulnerable populations – the elderly, people who have medical conditions – the disease is dangerous and can be deadly.
The best “weapon” against the disease is
to reduce situations that create density.
Cuomo said he is speaking with business leaders across the state to encourage them to offer liberal sick leave so that people who are sick, who feel symptoms, stay home but are still paid; he also is encouraging businesses as well as state and local government offices, to stagger workers in shifts if possible; and to allow work-at-home where feasible.
Individuals also have a role in keeping themselves safe, he said – wash hands frequently, don’t shake hands, just as in any flu season. He advises people who take mass transit to let a train pass if the cars are too packed, and to move to less crowded cars. “Reduce density, proximity.”
The single best thing government can do
is to test. “The more positives we identify, the more we can isolate to stop
the spread.”
The Governor confirmed 16 additional cases of novel coronavirus in New York State since his last update yesterday, bringing the statewide total to 105 confirmed cases on Sunday morning. Of the new cases, 12 are in Westchester County, one in New York City in the Bronx, one in Nassau, one in Suffolk, and one in Ulster.
Of the 105 total individuals in New York State who tested positive
for the virus, 82 are in Westchester; 12 are in New York City; five are in
Nassau; one in Suffolk; two in Rockland; one in Ulster and two in Saratoga
counties.
Cuomo criticized the CDC for being
unprepared, even as the outbreak became clear in China by December (“It is
delusional not to expect people to come from China”), and only recently
allowing states to do their own testing. New York has the Wadsworth lab, but
now is asking the CDC to authorize the state to utilize private labs, like
Northwell Laboratories.
“Not to be using this laboratory, not to be using the other private labs around the state makes no sense whatsoever. Not to be using automated testing, which means rather than a person manually handling a test tube and a test, the machines we saw that handle 120 samples at a time place them in a machine, the machine runs the test. Of course you should be using that technology. And it’s one thing for the CDC not to have the testing capacity in place themselves, but that was bad enough. For the CDC not to be authorizing existing labs to do the work, there’s no excuse for that.”
Cuomo also criticized the federal government for creating unnecessary confusion, which fuels fear. “The President of the United States says anyone who wants a test can have a test. Vice President of the United States says we don’t have the testing capacity. People say, how can you say both things? You can’t say both things. We don’t have the testing capacity that we need. Not everyone who wants a test can have a test.
“We have to prioritize the people who get the tests to fit our capacity, right. You can’t ask more people to come in and get tested until you know you have the capacity to test them. The number of people coming in for a test must equal the number of tests you can perform. That’s why in New York we have a standard protocol that’s in place all across the state, prioritizing who can get tested to fit our testing capacity.
“Once we increase our
testing capacity and we can perform more tests, then we can change the
prioritization of those people coming in for the tests. We have a statewide
protocol because we don’t want people shopping tests. I don’t want someone from
Nassau driving to Suffolk, driving to Manhattan, driving to Westchester because
you have different rules on who can get a test. Everyone, everywhere in this
state has the same rules, doesn’t matter where you go. Hopefully, the CDC acts
responsibly and acts quickly and we raise the capacity, we bring a great facility
like this online with the automated testing. We can then get testing per day to
about 1000 tests. And then we can calibrate the prioritization to the capacity.”
The
Governor also addressed price gouging, which is happening across the state and
the nation, “symptomatic of fear.”
“It’s unethical, exploitative of fear and illegal,” he said. “To make a few extra bucks on hand sanitizer, they would jeopardize their license to do business. There is an increased penalty for price gouging.” He said that consumers can call a hot line, that state police are investigating and the state Attorney General has the power to prosecute.
The state’s Division of Consumer Protection has created an online consumer complaint form, where New Yorkers can report suspected price gouging or concerns about improper delivery of quantity. (Consumers who wish to file a complaint can visit https://www.dos.ny.gov/consumerprotection/.)
Also, travel insurance companies and travel agents will offer New York residents and businesses the ability to purchase coverage when making travel plans that would allow them to cancel a trip for any reason, including for reasons related to COVID-19.
The Department of
Financial Services issued guidance allowing
travel agents and travel insurers to offer this type of coverage after DFS
received consumer complaints that such polices were not available in New York
State. This new action is designed to provide reassurance to New York
businesses and residents who are seeking to make plans that may involve travel
to locations that are not currently under travel advisories due to COVID-19.
Six global and national
insurance companies have agreed to offer “cancel for any reason”
coverage to travelers, including: Allianz, Nationwide, Starr Indemnity,
Berkshire, Crum & Forster, and Zurich.
DFS also directed New York State travel insurance issuers to proactively reach out to individuals and businesses who bought their policies to let them know what is covered. (Read a copy of the DFS Insurance Guidance Letter)
Yesterday, the Governor announced that he declared a state of emergency to help New York more quickly and effectively contain the spread of the virus. The state of emergency declaration allows, among other things:
Expedited procurement of cleaning supplies,
hand sanitizer and other essential resources
Allowing qualified professionals other
than doctors and nurses to conduct testing
Expedited procurement of testing
supplies and equipment
Expedited personnel onboarding
Expedited leasing of lab space
Allowing EMS personnel to transport
patients to quarantine locations other than just hospitals
Providing clear basis for price gouging
and enforcement investigation
“We do not want to have to do massive close
downs, massive quarantines, and we don’t want members of the vulnerable
population getting sick. That is why we are doing what we are doing,” Cuomo
said.
“So in sum, CDC let’s
move, authorize the State to authorize private labs, get this most sophisticated
lab in the State, one of the most sophisticated labs in the country, get this
lab to work. Why you wouldn’t makes absolutely no sense.
“And to New Yorkers, we
understand the facts. Keep this in perspective. We don’t want a lot of people
getting this virus. We don’t want to take more drastic measures. But, if you
get the virus, you will get sick, you will recover, you most likely won’t even
go to the hospital. And the only the people who we really have to worry about
are the vulnerable populations – senior citizens, people with compromised
immune systems.
“So keep it all in
perspective. I know there’s a whole frenzy about it, the facts do not justify
the frenzy, period. The biggest problem we have in this situation is fear, not
the virus. The virus we can handle. It’s the fear. And the fear is just
unwarranted.”
On International Women’s Day, Vice President Joe Biden, running for president, released a fact sheet detailing his record of working to advance gender equality at home and around the world, both as a Senator, notably championing the Violence Against Women Act (which Republicans have refused to renew) and as part of the Obama Administration which, as Obama’s first act, signed the Lilly Ledbetter Fair Pay Act and promoted Obamacare which ended the hardship of being a woman counting as a “pre-existing condition”. This is from the Biden campaign:
Joe Biden has a long track record of working to advance
gender equality at home and around the world. As a Senator, Biden
introduced the International Violence Against Women Act (IVAWA), which provided
a framework for the United States to address gender-based violence globally.
Though IVAWA never became law, the Obama-Biden administration used executive
action to implement much of the bill and its comprehensive approach to
gender-based violence.
The Obama-Biden Administration promoted the health, safety, and empowerment of
women and girls around the world because it was both the right thing to do and
the smart thing to do. Women’s full participation in all spheres of
society is fundamental to achieving global peace, development, and
prosperity. Twenty-five years ago this principle was agreed to by 189
countries in the Beijing Declaration,
which set forth a platform for action to advance women’s rights
globally. Unfortunately, today, as a result of the disastrous policies of
the Trump Administration, women’s rights and their opportunities for full
economic and political participation are under assault.
Trump’s decision to reinstate and expand the
global gag rule has had devastating effects on the health and well-being of
women around the world, with fewer organizations providing critical healthcare;
and his implementation of this rule here in the United States has cut funds
to over 900 women’s health clinics that
primarily serve women of color. Trump Administration policies have sought to
cut funds for global efforts to improve child and maternal health and
to halt the spread of HIV/AIDS. His
Administration’s cruel immigration policies have rejected asylum claims for
women fleeing horrific gender-based violence and made it much more difficult for
foreign women and girls who were trafficked into the United States to obtain
visas and receive the medical and social services they need to recover. He
has watered down and threatened to veto UN
Security Council resolutions that address sexual violence in conflict, making
it far more difficult for the international community to hold the perpetrators
of such violence accountable and ensure survivors have access to the health and
support services they need.
As President, Joe Biden will restore America’s leading role as a champion for
women and girls around the world and return to a government-wide focus of
uplifting the rights of women and girls at home and around the world. He
will do so by:
Confronting Gender-Based Violence Globally. The scourge of violence
against women affects global communities: An estimated 1 in 3 women are
subject to physical violence, rape, or stalking by a partner at some point in
their lives, with closer to 70% of women affected in
some countries. Gender-based violence has profound economic costs
for societies. It is a barrier to girls’ education,
and inhibits women’s full participation in politics and
the economy, holding back
entire communities and countries.
As president, Joe Biden will expand his Violence Against Women Act of 1994 to
the global landscape and restore U.S. leadership internationally by championing
the fundamental human right that all women should live free from violence—a
future the Violence Against Women Act helped make possible in the United
States. President Biden will rescind the Mexico City Policy that President
Trump reinstated and
restore U.S. funding to the United Nations Population Fund, which advances child
and maternal health, and works to end female genital mutilation and
cutting, early and forced marriage,
and other practices detrimental to the well-being of women and girls. The
Biden Administration will launch multi-sectoral efforts to confront
gender-based violence globally, beginning in Central America, where women face
some of the highest rates of
femicide (the murder of women because of their gender) in the world. Biden
will spearhead a comprehensive effort that places diplomatic pressure on
governments to train law enforcement to root out the corruption that enables
gender-based violence and teaches authorities to effectively investigate and
prosecute these crimes. Moreover, he will ensure that women and girls fleeing
gender-based violence are given the opportunity they deserve to seek asylum in
the United States.
Elevating Women Economically. The Biden Administration will invest
in women as economic catalysts for growth and development around the world,
because we know that when we grow incomes and opportunity for women, entire
communities, economies, and countries benefit.We forgo trillions of dollars in
wealth globally because women aren’t fully empowered and employed, and that has
negative consequences for the well-being of families and entire communities,
because women invest a particularly large share of their income in the
education and health of their families. Alarmingly, women’s global
economic participation and opportunity actually declined in the last year. Given
the trends, it will take 257 years to
achieve gender parity. Leaving one-half of the world’s population behind
inhibits peace, prosperity, and security at home and abroad, and we must tackle
the multifaceted barriers hindering the economic advancement of women and
girls. We cannot help half the world’s population advance meaningfully
without also addressing gender-limiting laws, policies, and norms, and we can’t
do it alone, without working with other countries.
Joe Biden will invest in critical areas to advance the status of women, and
close gaps between the economic well-being of men and women, and boys and girls
around the world. Specifically, the Biden Administration will increase access
to education as a driver of empowerment and accumulation of wealth.
Additionally, President Biden will focus on enhancing financially inclusive
banking and increasing women’s access to capital, so that women have the
resources they need to start and expand businesses. And President Biden will
work with partners in countries and multilateral organizations to
systematically tackle and eliminate legal and attitudinal barriers to equity and
inclusion. . More broadly, Biden Administration efforts to advance development
globally will pay particular attention to the often unique challenges faced by
underrepresented communities around the world, including indigenous women,
Afro-Latina women, and women in the LGBTQ community. The goal will be equality.
Promoting Women’s Contributions to Peace and Security. For 20
years, the international community has recognized the critical contributions
women make to advancing peace and security,
whether it’s recognizing the first signs of violent conflict in their
communities, or helping to forge more durable peace agreements in the wake of
conflicts. Yet women continue to be excluded from conflict resolution and
peacebuilding.
President Biden will ensure that efforts to build a more peaceful and secure
world include the talents of everyone, including women. In countries affected
by war, terrorism, and insecurity, a Biden Administration will protect and
advance women’s inclusion in decision-making roles, from negotiators to
parliamentarians, from security actors to peaceful protestors. He will ensure
full implementation of the United States’ 2017 law — based
on the groundbreaking Obama-Biden Administration National Action Plan on
Women, Peace, and Security — recognizing the security benefits of women’s
participation. As president, Biden will revive the United States’ commitment to
refugees and displaced persons, raising our refugee target to admit 125,000
annually to start, and he will require that programs supporting refugees
recognize and address the specific challenges women and girls face, from targeted violence and
trafficking to unequal access to basic services. He will champion multilateral
efforts to end sexual violence in conflict in the UN Security Council and to
hold perpetrators of such violence accountable, starting with ISIS. The
Biden Administration will provide financial assistance and training for local
and international efforts to document cases of ISIS-perpetrated sexual violence,
urge the Iraqi government to prosecute ISIS prisoners for gender-based violence
crimes, and support peacebuilding efforts in Iraq and elsewhere that promote
women’s inclusion.To ensure all civilians are better protected in times of
crisis, President Biden will work with the United Nations to improve
peacekeeper performance and accountability, including by supporting the UN’s
efforts to ensure peacekeepers are trained to prevent conflict-related sexual
violence and are held accountable if they perpetrate sexual exploitation and
abuse.
Supporting Women’s Leadership Globally. Women’s political and civic
leadership promotes equality and stability. When women
are represented in parliaments, their participation is associated with a
decreased risk of civil war and
fewer human rights abuses.
Around the world, women are more likely to advocate for policies on issues
like education and health,
which promote the well-being of everyone. Yet, only 4 out of 193 countries have
at least 50 percent women in the national legislature. A Biden Administration
will amplify and elevate the voices of authentic, local women leaders globally,
creating an initiative to strengthen the influence of women-led civil society
organizations in advancing women’s and girls’ well-being; combating
gender-based violence; and promoting peace, security, and prosperity.
Furthermore, recognizing the benefits to equality and stability when women are
represented in political office, the Biden administration will break down
barriers to women’s political empowerment, supporting civic education and
leadership development for women and girls around the world.
Pursue Ratification for the U.N. Convention on the Elimination of all forms
of Discrimination Against Women (CEDAW). For nearly 40 years, CEDAW
has been the most important international vehicle for advancing gender
equality. It is simply embarrassing that the United States has not ratified the
convention. We are in the company of some of the most oppressive countries in
the world, including Iran, Sudan, and Somalia. From the very beginning, the
Obama-Biden Administration made ratifying this U.N. convention a priority. As
president, Biden will continue to push the Senate to ratify this important
treaty, so that we can better advance the rights of women and girls here at
home and around the world.
Ensuring Gender Parity and Diversity in National Security
Appointments. To keep our nation safe and effectively advance our
national security interests, our government needs the best possible team of
national security professionals. That means developing senior leadership teams
that are diverse, by elevating more women into senior national security
positions and ensuring that women of color are well represented in senior
ranks. Women are underrepresented in our national security establishment, and
throughout the federal government their levels of representation are decreasing. 4 of the 23 positions in
Trump’s Cabinet are currently held by women. Joe Biden has pledged that, as
president, he will “strive for gender parity in senior national security and
foreign policy appointments.”
The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. In what can be described as an love letter to Senator Elizabeth Warren’s supporters, Senator Bernie Sanders has released his “Reproductive Health Care and Justice for All” plan. But you decide how many of these provisions would ever be enacted. This is from the Sanders campaign:
WASHINGTON – Senator Bernie Sanders
released a major tenet of his presidential platform: Reproductive Health Care and Justice for All. The latest
policy plan builds on the Senator’s wide-ranging agenda for quality and
affordable health care for all people. The plan centers on two primary prongs
— ensuring universal and affordable access to reproductive health care, and a
comprehensive action plan to address the crisis of maternal mortality in
communities of color across the country.
“There has been no time in the history of this country when women, especially
Black women, have had the reproductive freedom and justice that they deserve.
In my administration, that will finally change,” said Senator Bernie Sanders.
“We must once and for all put an end to the unacceptable crisis of Black
maternal mortality, and ensure every woman in this country — no matter where
they’re from — has the basic right to quality healthcare.”
Sen. Sanders continued, “When I am in the White House, we will fight back
against the Republican assault on abortion rights across this country and
defend a woman’s fundamental right to control her own body. As President, there
will be no doubt that in the United States of America, abortion is a
constitutional right. Period.”
The Reproductive Health Care and Justice for All plan reflects the fact that
issues of justice must be addressed holistically and intersectionally. The plan
will be implemented in tandem with a comprehensive, progressive agenda to end
racial disparities in our economic, criminal justice, environmental, education,
and health care systems.
The full and detailed plan can be found here. The following is a summary of key policies and action
items as part of Reproductive Health Care and Justice for All.
As President, Bernie Sanders will:
Use executive authority to reverse President Trump’s anti-choice actions.
Codify Roe v. Wade in legislative statute, require all judicial nominees to support Roe v. Wade as settled law, and require preclearance for state abortion laws to ensure that state laws do not impose undue restrictions and barriers for abortion services.
Protect and expand funding for Planned Parenthood, and repeal the Hyde and Helms Amendments.
Ban state Targeted Regulation of Abortion Providers (TRAP) laws that put undue and unnecessary burdens and regulations on doctors who provide abortion services with the goal of restricting access.
Ensure anti-choice crisis pregnancy centers do not receive federal funds.
Ensure that all communities have access to nearby abortion care.
Make birth control available over-the-counter, in addition to free under Medicare for All.
Ban ineffective abstinence-only sex education.
Increase access to and funding for reproductive services and facilities in communities of color, eliminate “contraceptive deserts,” and increase funding to hospitals where Black mothers and parents receive care.
Work with women of color-led community organizations to develop and coordinate policy.
Educate health care providers and medical school students on providing culturally competent care.
Ban discrimination by health care providers, and provide a right of action for patients discriminated against.
Establish standard protocols to rapidly address postpartum hemorrhage, a leading cause of maternal mortality in Black women.
Require hospitals that receive federal funding to hire culturally competent care liaisons to field complaints, and provide training to all labor and delivery staff, including nurses, doctors, and clerks.
Ensure there are sufficient OBGYN physicians, midwives, lactation consultants and doulas in medically underserved communities of color.
Create and expand programs for Black maternal mortality liaisons, patient advocates, care coordinators, and social workers at hospitals serving at-risk women of color.
Expand the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC) program for pregnant mothers,
infants, and children.
The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. Vice President Joe Biden has released his plan for ending the opioid crisis and ensuring access to effective treatment and recovery for substance use disorders. This is from the Biden Campaign:
Millions of families are impacted by the opioid crisis. It’s ravaging communities coast to coast, from New Hampshire to California. The challenge of substance use disorders is not limited to opioids. Millions of individuals are affected by misuse of other substances such as alcohol or methamphetamine. Latest estimates indicate that, in 2018, almost 68,000 Americans died from a drug overdose – almost 47,000 of which involved an opioid. And, the impacts of this crisis reverberate in our classrooms and neighborhoods, in small towns and big cities.
Biden will tackle this crisis by making sure people have access to high quality health care – including substance use disorder treatment and mental health services. That’s what Obamacare did by designating substance use disorder treatment and mental health services as essential benefits that insurers must cover, and by expanding Medicaid, the nation’s largest payer for mental health services which also plays an increasingly growing role as a payer for substance use disorder services.
But President Trump wants to repeal Obamacare, including its Medicaid expansion. Repeal would be disastrous for communities and families combating the opioid crisis. It is not realistic to think that grant money will fill the hole that eliminating Obamacare and its Medicaid expansion would create.
Step one of Biden’s plan to tackle the opioid epidemic and substance use disorders is to defeat Trump and then protect and build on Obamacare. And, Biden will pursue a comprehensive, public health approach to deal with opioid and other substance use disorders. His plan will:
Hold
accountable big pharmaceutical companies, executives, and others responsible
for their role in triggering the opioid crisis.
Make
effective prevention, treatment, and recovery services available to all,
including through a $125 billion federal investment.
Stop
overprescribing while improving access to effective and needed pain management.
Reform
the criminal justice system so that no one is incarcerated for drug use alone.
Stem
the flow of illicit drugs, like fentanyl and heroin, into the United States – especially from China and
Mexico.
HOLD ACCOUNTABLE BIG PHARMA COMPANIES, EXECUTIVES, AND OTHERS
RESPONSIBLE FOR THEIR ROLE IN TRIGGERING THE OPIOID CRISIS
Biden will demand accountability from pharmaceutical companies and others
responsible for the opioid crisis, including manufacturers, distributors, and
“pill mill operators.” Pharmaceutical executives should be held personally
responsible, including criminally liable where appropriate. Specifically, Biden
will:
Direct the U.S. Justice Department to make actions that spurred
this crisis a top investigative and, where appropriate, civil and criminal
enforcement priority. Biden
will make sure the Department has all the necessary resources to complete this
work. Building on the efforts of the Obama-Biden Administration, Biden will also ensure the
Food and Drug Administration takes action when new information reveals harms
from previously approved drugs (including the risk of diversion, or the use of
drugs by an individual other than the one to whom the drug was prescribed),
ensures compliance with risk mitigation strategies, and punishes drug companies
for deceptive practices. And, he will appoint an Opioid Crisis Accountability
Coordinator to coordinate efforts across federal agencies and support the
enforcement efforts of state and local partners.
Direct the Drug Enforcement Administration (DEA) to step up
its efforts to identify suspicious shipments and protect communities. Opioids distributors
knowingly shipped millions of pills to towns with hundreds
of residents, helping trigger the opioid epidemic. Biden will empower the DEA
to stop drug shipments from pharmaceutical companies and their distributors
that create risks of diversion and misuse. Biden will work with Congress to
allow the DEA to act expeditiously when a pharmaceutical distributor fails to
adequately monitor shipments that could pose an “imminent danger” to vulnerable
communities and increase penalties for companies that fail to take action to
stop suspicious shipments. In addition, Biden will direct the DEA to improve
data collection on wholesalers and pharmacies, including prescribing patterns
and suspicious order reports, and to disseminate its analysis to distributors
to prevent problems before they become disasters.
Ban drug manufacturers from providing payments or incentives
to physicians and other prescribers. Pharmaceutical companies work hard to persuade doctors and
other medical personnel to prescribe their products. These companies essentially pay providers to prescribe
opioids and other drugs by, for example, paying providers to speak at or attend
conferences, or consult for their companies. By banning these practices, Biden
will ensure that patients’ lives do not take a backseat to doctors’ bottom lines.
MAKE EFFECTIVE PREVENTION, TREATMENT, AND RECOVERY SERVICES AVAILABLE TO
ALL WHO NEED THEM
Biden has long recognized and led on
efforts to make clear that substance use disorders are diseases, not a
lifestyle choice, and that we need to change how we talk about and treat
substance use disorders to align with this fact.
He knows that the most important step we can take to address substance use
disorders is to ensure that Americans have access to affordable, high-quality
health care, including treatment for mental illnesses and substance use
disorder. That’s why Biden has a plan to
build on the Affordable Care Act and achieve universal coverage. In addition,
Biden will redouble efforts to ensure insurance companies stop discriminating
against people with behavioral health conditions and instead provide the
coverage for treatment of mental illness and substance use disorders that
patients and families need. Congress passed a bipartisan parity law 12 years ago requiring
that this discrimination stop, but the enforcement of parity has been
insufficient. As Vice President, Biden championed efforts
to implement the Paul Wellstone and Pete Domenici
Mental Health Parity and Addiction Equity Act. As President, he will finish the
job by appointing officials who will hold insurers accountable, enforcing our
parity laws to the fullest extent. He will also direct federal agencies to
issue guidance making clear how state officials and the public can file a
complaint when their insurers – or Medicaid – are not
living up to their parity obligations.
In addition, Biden will work to make sure that people experiencing substance
use disorders have access to quality facilities and providers. As President, he
will ensure that the new public option, Medicare, Medicaid, the Indian Health
Service, the Military Health System, and the Veterans Health Administration
accelerate integration of substance use disorder care into standard health care
practice. Biden will double funding for community health centers and expand the
supply of health care providers, for example by growing the National Health Service Corps. And, he
will protect rural hospitals from
payment cuts, give them the flexibility they need to remain open, and invest in
telehealth so people in remote areas can still have access to mental health and
substance use disorder specialists.
Finally, Biden will make sure federal funds are specifically targeted at
improving access to treatment and recovery for opioid and other substance use
disorders, and at preventing these disorders in the first place. As Vice
President, Biden championed passage of the 21st Century Cures Act, which
included $1 billion in funding for states to address the opioid epidemic. That
was a down payment. To deal with the immense scope of the opioid and substance
use disorder crisis, Biden will dramatically scale up the resources available,
with an unprecedented investment of $125 billion over ten years. Funds will be
used to:
Pursue comprehensive strategies to expand access to
treatment, particularly in rural and urban communities with high rates of
substance use disorders and a lack of access to substance use disorder
treatment services. Biden will invest $75 billion in flexible grants to states and localities
for prevention, treatment, and recovery efforts. State and local agencies will
also be able to use funds to enhance data systems allowing them to better
target resources to individuals and communities most in need of support. As a
condition for receiving funding, grant recipients will have to provide
long-term, comprehensive strategic plans that address the multifaceted nature
of the substance use disorder crisis. Funds may be used to:
Invest in evidence-based, cost-effective prevention programs
in schools and communities to reduce the development of substance use
disorders.
Mitigate harms from opioid and other drug use, including
overdoses. Local
communities will be able to use the funds to implement evidence-based programs
designed to stop the spread of diseases like hepatitis C and HIV, including
syringe service programs, or to scale up innovative programs like the safe station initiative started in Manchester,
New Hampshire, which allows those seeking help to go to fire stations in order
to be connected to treatment and recovery services.
Expand access to ongoing treatment and recovery services. Communities will be
able to use funds to increase access to substance use disorder and mental
health treatment and other services to support long-term recovery, including
peer support networks and recovery coaches, and better integrate primary care
and behavioral health. Recognizing the strong evidence that social supports,
including family support, may have a positive impact on the treatment of HIV, Biden will support the
development of family-centered models for substance use disorder treatment and
recovery.
Make Medication Assisted Treatment (MAT) available to all
who need it, reaching universal access no later than 2025. MAT (also referred to as
MOUD or Medications for Opioid Use Disorder) is regarded as the gold standard of care for
individuals with opioid use disorder. Yet, less than 50% of substance use disorder
facilities around
the country offer even one of the FDA-approved medications. The 21st Century
Cures Act, legislation Biden championed as Vice President, provided resources to states designed to expand
access to MAT. Biden will build on this in order to ensure universal
access to MAT for all who need it, including by:
Providing $20 billion for grants to dramatically expand
capacity to administer MAT across the country, especially in underserved
areas, including
establishing new facilities and developing training programs to increase the
number of professionals able to administer MAT.
Stopping insurance companies from erecting barriers to
coverage of MAT. For
example, insurers have imposed “fail first” protocols which require
prescribers to certify that other therapies were tried before covering MAT.
Insurers also may require that physicians obtain “prior authorization” for MAT
before prescribing it.
Removing undue restrictions on prescribing medications for
substance use disorder. For example, drugs containing buprenorphine were approved by the FDA in
2002 but a relatively small number of doctors or medical
personnel are certified to prescribe them. Biden will ensure that any undue restrictions on prescribing are
lifted and review methadone treatment regulations.
Help first responders and community health providers respond
to overdoses. Biden
will invest $10 billion to provide local communities with the tools needed to
prevent overdoses and respond to emergencies emanating from this crisis.
Ensure local communities have a sufficient supply of
overdose prevention drugs. Naloxone (also known as Narcan)
is a medication that can reverse an opioid overdose, making it a critical tool
in the fight to save lives. Biden will expand grants to states for the purchase
of Naloxone to be distributed to local community actors called upon to respond
to overdoses, including first responders, public health providers, and the
staff at homeless shelters and public libraries.
Demand that drug companies charge a fair price for overdose
drugs, including Naloxone. The Biden Administration will aggressively negotiate a reduction in the
drug’s price, on behalf of the federal government, and state and local
communities.
Support first responders. Police officers and firefighters are often the first
on the scene of an overdose. Biden will ensure they are equipped not just with
naloxone, but also with the mental health and resilience support anyone would
need after being exposed again and again to such trauma.
Invest in community-based prevention programs and a major
public education effort to eliminate the stigma surrounding substance use
disorder treatment. Biden
will invest $5 billion in community-based prevention efforts and public
education initiatives including training educators to recognize the signs of
mental health problems and substance use disorders and refer them to
appropriate services. Funds will also support evidence-based education programs
for young people on mental health and substance use disorders.
Expand the pipeline of medical personnel to treat substance
use disorders. Building
on legislation like the Opioid Workforce Act of 2019, Biden will work with
Congress to invest $5 billion to expand medical residencies and access to
education and training for medical personnel in substance use disorder
diagnosis and treatment. Funding will support training for primary care
providers, as well as other members of the health care team, to build an
integrated system of care.
Invest in research by doubling funding for the NIH HEAL (Helping to
End Addiction Long-Term) Initiative. This $10 billion investment will support efforts to improve
treatments for chronic pain.
Provide targeted interventions for particular
populations. Biden
will invest $10 billion in efforts specifically designed to support populations
with unique situations or needs. Biden will ensure a portion of this funding
for state and local governments is set aside for Tribal governments. In addition
to expanding veterans’ access to
substance use disorder and mental health treatment, Biden will direct his
Secretary of Veterans Affairs to ensure VA medical personnel are sufficiently
trained in safe prescribing practices and pain treatment. Bidenwill call upon the public health and
criminal justice systems to provide evidence-based substance use disorder
treatment, including MAT, for people during their incarceration and after their
release. Finally, Biden will expand investments to help children suffering from
Neonatal Abstinence Syndrome or Neonatal Opioid Withdrawal Syndrome, and to
ensure their mothers have access to effective treatment and care.
STOP OVERPRESCRIBING WHILE IMPROVING ACCESS TO EFFECTIVE AND NEEDED
PAIN MANAGEMENT
An essential part of our national strategy to address the opioid epidemic must
be stopping pharmaceutical companies’ practices that lead to overprescribing.
Yet at the same time, physicians still must effectively treat pain. Chronic
pain is a growing public health challenge with wide-ranging impacts: keeping
individuals out of the workforce, negatively affecting their mental and physical
health, contributing to suicidal ideation, and otherwise limiting their quality
of life. Biden believes we need to pursue two joint goals: eliminate
overprescribing of prescription opioids for pain, and improve the effectiveness
of and access to alternative treatment for pain. Biden will:
Support development of less addictive pain medications and
alternative pain treatments, and improve standards of quality for treatment. We need pain medications
that are less addictive and more effective. Biden will invest in NIH research
to develop these new medications. By doubling funding for NIH’s HEAL program,
Biden will accelerate research regarding alternative treatments and therapies
and help providers and patients better understand the options and access alternatives.
And, he will direct the FDA to give priority to new pain medications with a
documented reduced risk of addiction.
Expand coverage for alternative pain treatments. As documented in a recent study related to back pain,
some non-pharmacological pain interventions (e.g., psychological counseling,
acupuncture, physical therapy, or occupational therapy) are not consistently
covered or have administrative barriers to coverage (e.g., pre-authorization,
visit limits). In accordance with evidence-based medicine, Biden will call for
a requirement that Medicare, Medicaid, his proposed new public option, and
private insurance companies consistently and transparently cover alternatives
to opioids for chronic pain, without barriers such as prior authorization or
high levels of cost-sharing.
Provide training to medical personnel in pain management and
substance use disorder treatment. Building on the Obama-Biden Administration’s prior
efforts,
Biden will direct the U.S. Department of Health and Human Services to work with
the medical community to support research and the development of curricula and
training regarding pain management. He will ensure that the systematic study of
pain management and substance use disorder is a mandatory part of the curricula
and material on which doctors and other medical personnel are tested. Those
seeking a federal DEA license to prescribe controlled substances will be required to receive training on
proper prescribing guidelines and pain management.
Expand the effectiveness of monitoring programs designed to
prevent inappropriate overprescribing of opioids. Prescription Drug Monitoring
Programs (PDMPs) are electronic databases designed to prevent drug abuse. For
example, a provider can check the database before prescribing in order to
determine whether his or her patient has been getting the same prescription
from multiple providers. In order to receive any of the $125 billion in new
grants under the Biden Administration, states will have to institute a
requirement that every prescriber checks the database every time they write a
new opioid prescription. Biden will also set aside some of these grant dollars
to ensure states improve Prescription Drug Monitoring Programs data-sharing
across state lines.
Ensure regular updating of the Centers for Disease the
Control and Prevention (CDC) prescriber guideline based on the best available
evidence. The CDC
has issued a guideline to help prescribers
make evidence-based decisions regarding when and how to prescribe opioids in
order to minimize the risk of abuse while also effectively treating pain. Biden
will ask the CDC to commit to regularly updating these guidelines as new
evidence emerges regarding opioid abuse risk factors and alternative pain
treatments. And, he will partner with health care providers and states to
maximize providers’ awareness and use of the guideline.
REFORM THE CRIMINAL JUSTICE SYSTEM SO THAT NO ONE IS INCARCERATED FOR
DRUG USE ALONE
Biden has released a criminal justice plan
that will strengthen America’s commitment to justice and reform our criminal
justice system by building a system focused on redemption and rehabilitation.
Biden believes that no one should be incarcerated for drug use alone, and as
President he will treat drug use as a disease rather than a crime.
Specifically, Biden will:
End all incarceration for drug use alone and instead divert
individuals to drug courts and treatment. Biden will require federal courts to divert these
individuals to drug courts so they receive appropriate treatment and services.
He’ll incentivize states to put the same requirements in place. And, he’ll
expand funding for federal, state, and local drug courts and other programs
that divert individuals who commit crimes as a result of or in furtherance of
substance use disorders to treatment rather than incarceration.
Get people who should be supported with social services –
instead of in our prisons – connected to the help they need. Too often, those in need of
mental health care or treatment for a substance use disorder do not get the
care that they need. Instead, they end up having interactions with law
enforcement that lead to incarceration. To change the nature of these
interactions, the Biden Administration will fund initiatives to partner mental
health and substance use disorder experts, social workers, and disability
advocates with police departments. These service providers will respond to
calls with police officers so individuals who should not be in the criminal
justice system are diverted to treatment for substance use disorder or mental
illness, when appropriate, or are provided with the housing or other social
services they may need.
STEM THE FLOW OF ILLICIT DRUGS LIKE FENTANYL, ESPECIALLY FROM CHINA AND
MEXICO
As part of a comprehensive agenda that prioritizes prevention, treatment,
recovery, and harm reduction, Biden believes that part of the solution to the
opioid crisis involves preventing bad actors from smuggling opioids and other
illicit drugs into our country. Specifically, Biden will:
Make fentanyl a top priority in our dealings with
China. The
Treasury Department has already sanctioned a small number of Chinese nationals in connection with
fentanyl – it’s a good start, but going after individuals will not alter Beijing’s
thinking long-term. Biden will pressure Beijing to crack down on illicit
fentanyl production in China and stem the flow of the drug into the United
States. Biden will also develop regional strategies in the Asia-Pacific and the
Americas to deal with shifts in the routes and sources of fentanyl in response
to a Chinese crackdown.
Enhance cooperation with Mexican authorities to disrupt the
movement of heroin and fentanyl across the U.S.-Mexico border. Chinese fentanyl is
frequently transshipped through Mexico, and then smuggled across the
border in pure form or combined with
heroin. As
China takes steps to police fentanyl and its precursors, production and
distribution will increasingly shift to Mexico. Biden will pursue strong,
sustained cooperation with Mexican authorities to disrupt suppliers and supply
routes, including the importation of precursor chemicals from China. The Biden
Administration will also provide technical assistance to enhance the Mexican
Post Service’s (SEPOMEX) ability to detect and electronically track shipments
of fentanyl and precursors that come through Mexico. As President, Biden will
repair the damage to U.S.-Mexico ties inflicted by Donald Trump and develop a
common agenda with Mexico that looks beyond our shared border to promote our
shared prosperity and protect U.S. national security interests.
Enforce sanctions on international actors engaged in the
trafficking of illicit drugs like heroin and fentanyl. Biden’s Treasury Department sanctions team will
map the financial institutions and networks that facilitate the distribution of
fentanyl and key precursors and develop sanctions packages based on that
evidence and task the Office of the Director of National Intelligence to
support these efforts with a focus on illicit finance.
Increase cooperation among global law enforcement
agencies. Biden
will direct U.S. law enforcement agencies to work closely with foreign
counterparts, share threat information, and use technology to assist in
tracking and seizing illicit shipments.
Ensure federal agencies have the tools and resources they
need to stop the flow of fentanyl from abroad. Fentanyl producers have exploited gaps in monitoring through
the U.S. Postal Service (USPS) to flood the U.S. with the deadly product. Biden
will give the USPS the tools and resources it needs to carry out that mandate
and disrupt the large supplies of fentanyl that are sent through the mail
system, working with U.S. Customs and Border Protection. In addition, the vast majority of opioids and
fentanyl are shipped through legal ports of entry—not in between them. Rather
than waste resources building a wall or tearing families apart, Biden will
direct resources to the ports of entry to interdict opioid shipments there.
Combating the Opioid Epidemic and Substance Use
Disorders, Paid for By Making Sure Pharma Pays Its Fair Share
Biden’s $125 billion investment in a comprehensive response to the opioid
epidemic and substance use disorders is paid for by raising taxes on the profits
of pharmaceutical corporations.
In contrast with the disjointed, chaotic,
ineffective, politicized handling to stem the coronavirus pandemic offered by
the Trump Administration still more concerned about the stock market than lives
(Trump suggested a new benchmark, that since as many as 65,000 people die each
year from seasonal flu – “Who knew? I find that amazing” – that anything less
would be considered victory), every Democratic candidate to replace Trump has
demonstrated more effective leadership. Trump has honed in on pushing the
Federal Reserve to lower interest rates, and for further tax cuts which will do
nothing to address the actual global economic impacts of a pandemic – curtailed
production and consumer demand as well as general business uncertainty – Senator Elizabeth Warren released her plan to
take decisive action to both keep American families healthy and stabilize the
economy. This is from the Warren campaign:
Charlestown, MA – Today, Elizabeth Warren
released her plan to take decisive action to keep American families healthy and
stabilize our economy as the virus spreads.
Elizabeth Warren’s plan will:
Ensure that every American — including the millions of
Americans who are uninsured — can get all recommended evaluation and care for
coronavirus for free, including any recommended coronavirus vaccine once it is
developed.
Create an emergency paid leave program so that anyone who
meets the CDC’s description of relevant symptoms of coronavirus or is exposed
and placed under quarantine can get fully paid time off of work to consult a
doctor and recover—or provide care to a family member or other dependent who
requires it.
Enact at least a $400 billion fiscal stimulus package to
head off the potential economic impact of coronavirus.
Elizabeth discussed these
concrete solutions to the coming economic shocks of coronavirus at a town hall
in Houston over the weekend. The plan released today builds on her
comprehensive plan to prevent, contain, and treat infectious diseases outbreaks
like coronavirus she released more than four weeks
ago — before any of the other candidates, or the incumbent in
the White House.
Protecting our People and our Economy from Coronavirus
Coronavirus is a public health emergency and a serious threat to the American
economy. While it’s important that our leaders communicate calmly and clearly
about the situation to avoid unnecessary panic, it’s just as important that we
take decisive action to keep American families healthy and stabilize our
economy as the virus spreads.
I rang the warning bells for years
before the 2008 crisis. Quicker action during the Bush
Administration could have reduced the severity of the crisis — or averted it
entirely. While we still don’t know the full scope of the public health and
economic impact of coronavirus, and even further actions may be necessary in
upcoming months, we should take the following steps right now to limit the
spread of the virus and get ahead of its economic impact:
Ensure that every American — including the millions of
Americans who are uninsured — can get all recommended evaluation and care for
coronavirus for free, including any recommended coronavirus vaccine once it is
developed.
Create an emergency paid leave program so that anyone
presenting with the symptoms of coronavirus, or who has a family member or
other dependent presenting with the symptoms of coronavirus, can get fully paid
time off of work to see a doctor, get treatment, or provide care.
Enact at least a $400 billion fiscal stimulus package to
head off the potential economic impact of coronavirus.
Ensuring Every American Can Get Free Care for Coronavirus
Medicare for All will prevent this kind of problem in the future. But in the short term, facing a potential outbreak, we must ensure that every person in this country can talk to a doctor if they think they might have coronavirus—and get the recommended testing and care they need if they do.
Our response must ensure that every person in this country can get recommended evaluation, diagnosis, and treatment for coronavirus for free. Congress should dedicate sufficient funding to reimburse health care providers and hospitals for uncompensated care relating to coronavirus. This fund should also be large enough to cover the costs of government mandated quarantines or isolation for patients who cannot afford any bills that it may generate. Congress should also require that insurers fully cover all recommended care for coronavirus, including appropriate evaluation, diagnostic testing, and treatment.
What does my plan mean for you? It means that you could get all recommended medical advice and care for coronavirus for free—regardless of whether you have hit your deductible, whether you’re on Medicare or Medicaid, or have no insurance at all.
Ensuring Hospital and Health System Capacity. Because of the way coronavirus spreads, many more people will be exposed to it than we saw with Zika or Ebola. That means our health system will see a surge in demand for basic primary care and diagnostic screenings in the midst of an already brutal flu season that has stretched hospitals’ capacity. To address the likely increase in people seeking medical evaluation and treatment for coronavirus, Congress should provide a temporary surge in funding for Federally Qualified Health Centers, Community Health Centers, Rural Health Clinics, and safety-net hospitals to increase their capacity.
Ensuring Access to Vaccines and Other Medical Countermeasures. We must increase federal investment in developing a coronavirus vaccine and ensure that every person who needs the vaccine can get it at no personal cost. As we did during the outbreak of H1N1 (the “swine flu”), the government should guarantee that it will purchase a bulk quantity of the eventual vaccine for coronavirus. This will create an incentive for the private sector to develop it quickly and ensure manufacturers of sufficient demand.
We must also ensure — either under existing laws or through new congressional action — that health insurance companies and federal health programs cover any recommended coronavirus vaccine with no cost sharing, similar to the H1N1 vaccines from 2009. The government can also distribute the vaccines to vulnerable populations and provide them for free to the uninsured. In the event that a private sector manufacturer wants to charge an outrageous price for the vaccine once it is developed, the government should contract for its manufacture or invoke compulsory licensing as I have called for in other drug pricing contexts, and as the government threatened to do during the 2001 anthrax scare.
Together, these actions will ensure that every American can get the vital medical advice and care they need for coronavirus for free. That is not only the moral thing to do, it limits the spread of the disease and keeps us all safer.
Guaranteeing Every American Fully Paid Emergency Leave for Coronavirus Testing and Recovery
America’s shameful lack of national paid leave and sick days will worsen the spread of coronavirus. People who feel sick will go into work anyway, afraid of losing their jobs or the pay they badly need. Parents may feel compelled to work even as their kids or their elderly relatives might need medical attention. Research shows that mandated paid leave and sick days dramatically reduce the spread of diseases.
Congress must act to pass Senator Gillibrand’s FAMILY Act, which would provide up to twelve weeks per year of paid leave to all workers to care for themselves and their loved ones in case of serious medical issues or the welcoming of a new child. As President, I will fight to make this policy the law. But in the face of a public health crisis, we can’t wait — and should immediately make cash assistance available to people who need time off because of coronavirus through an “emergency paid leave” program.
Here’s how it would work:
Anyone who meets the CDC’s description of relevant symptoms
or is exposed and placed under quarantine — or has a family member or other
dependent who meets that description — will be eligible for emergency paid
leave to take time off to follow CDC’s recommended course of action, which may
include self-isolation, evaluation and testing, or treatment.
Emergency paid leave will be available pursuant to CDC’s
guidelines about the appropriate length of recovery and quarantine or isolation
time for those who contract or are exposed to coronavirus. If a family
caretaker is also required during this period, that person will also be
eligible for emergency paid leave.
Anyone eligible for the program will receive emergency paid
leave that fully replaces their actual wage income — up to a cap set at the
99th wage percentile.
My emergency paid leave program will accomplish two critical
goals. First, it will give people the financial peace of mind to take time off
to stay home and recover or care for a loved one who has the symptoms of
coronavirus or has been exposed to it. That will help limit the spread of the
disease. Second, providing access to paid leave benefits funded by the
government rather than by employers during this health crisis will help
stabilize businesses, who will be relieved of the burden of potentially paying
large shares of their workforce for long absences.
Enacting At Least a $400 Billion Stimulus to Head Off the Projected Economic
Effects of Coronavirus, and Announcing a Federal Reserve Emergency Lending
Program
Based on those factors and the range of projections for the economic impact
of coronavirus, we should immediately enact a stimulus package that represents
an authorization of at least 2% of GDP, or roughly $400 billion.
The stimulus should focus on the following categories of spending:
Low or no-interest loans to companies of all sizes that are
negatively affected by supply chain disruptions, reductions in tourism, or
other temporary coronavirus-related impacts, and that will use the funds to
avoid layoffs and hours reductions, not for additional executive compensation,
dividends, or share buybacks.
Unemployment insurance and other direct payments to
households — with exact amounts tied to unemployment levels and wage growth.
Other aid to state and local governments that may be losing
revenue because of coronavirus, in order to minimize reductions in services for
residents.
Jump starting our ability to make our own active
pharmaceutical ingredients and their base components by establishing a strategy
to support domestic manufacturers—with the ultimate goal of requiring all
federal agencies that procure or reimburse for drugs (like the DOD, VA, and
Medicare) to preference drugs with American-made ingredients. My legislation to
allow the government to manufacture drugs would provide a strong foundation for
this effort.
Green infrastructure investments, like domestically produced
clean energy, that can be accomplished even with the supply chain disruptions
that are likely to exist with a widespread coronavirus outbreak.
In addition, whether the Federal Reserve Board chooses to cut interest rates or not, itshould announce as soon as possible — and no later than the markets opening on Monday — that it stands ready to use its emergency lending authority to create a broad-based emergency lending facility program to help real economy companies whose supply chains have been disrupted because of the coronavirus and who will use the money to do right by their workforce.
Companies across America are already struggling with supply chain disruptions, and we don’t want these temporary struggles to lead to widespread layoffs or for otherwise solid companies to go under. While Congress should deliver the stimulus package I described above to help these types of companies, an immediate announcement from the Fed of this type of program will give companies — and markets — confidence that the Fed is available as a lender of last resort if Congress fails to deliver, and could help avert a more severe downturn.
