Category Archives: Election 2020

The Biden Emergency Action Plan to Save the Economy From Coronavirus Pandemic

Vice President Joe Biden offers his own plan to address the coronavirus pandemic that contrasts with Trump’s: “It would be catastrophic to reopen everything without a plan, and then have a spike in cases and shut it all back down. That would just mean more loss of life and economic pain.” © Karen Rubin/news-photos-features.com

So far, Donald Trump has failed to lead – he has begrudgingly followed when shamed into acting by Governors like Cuomo, Newsome yet still manages to take credit for the “boldest” “greatest” “historic” “unprecedented” actions for which he had no input. Trump is taking credit for a $2 trillion aid package that contradicts his own plans to bail out the Oil & Gas industry and give Treasury Secretary Mnuchin unlimited power to steer billions of dollars to friends, while his EPA and Interior Department race to institute rules that overturn Obama-era rules to reduce carbon emissions that contribute to Climate Change; there is even a provision in the bail-out specifically barring funds to go to Trump’s own businesses because of his record of using his office for self-enrichment, in violation of the Emoluments Clause. Trump’s daily briefings have been turned into substitutes for his campaign rallies, where he gets to attack “enemies” (The Press) and spout lies designed to boost his approval and chances for election. Democratic challengers Joe Biden and Bernie Sanders don’t have the same bully pulpit, but have nonetheless attempted to draw stark contrasts in how they would lead the nation out of this coronavirus pandemic, which, in fact, could be continuing into the next president’s administration. This is from the Biden campaign: — Karen Rubin, News & Photo Features, editor@news-photos-features.com

Tonight, Joe Biden is releasing an emergency action plan to save the economy, laying out three key steps he would take as president to tackle the ongoing pandemic and safeguard our country’s economic prosperity. In a new video speaking directly to Americans, Vice President Biden outlined his emergency action plan and highlighted the immediate, impactful steps that can be taken to defeat the virus and protect the livelihood of working families.

FACT SHEET:
The Biden Emergency Action Plan to Save the Economy

Congress is close to passing a massive relief bill. When it passes, it’s all about execution — and filling in the gaps.
 
If Joe Biden were President right now, here are the three things he would do now to save our economy and help our families weather the storm.  And to get them done, he would appoint a task force reporting twice-daily to him on progress.
 
FIRST, use all available authorities, including the Defense Production Act to turn the tide on this epidemic. Joe Biden knows that no economic strategy will work if we don’t stop the virus. In recent days, there’s been talk that we have to choose between public health and our economy. That’s not just a false choice. It’s a dangerous one.
 
It would be catastrophic to reopen everything without a plan, and then have a spike in cases and shut it all back down. That would just mean more loss of life and economic pain.
 
To reopen, public health experts say we need real testing capacity, the ability to trace contacts if someone tests positive, and the ability to surge equipment and supplies to any new hotspots. We should listen to them. It’s the quickest, surest way to getting our economy back on track. And we also need to address the shortage of items like ventilators and personal protective equipment for health care workers, and make sure our workforce on the frontlines everyday has the protections to provide the essential services we will continue to need.  Joe Biden would use the full powers of the presidency and this government to make that happen. 
 
Joe Biden would end this epidemic and get our economy back on track through bold action — not by picking an arbitrary date on the calendar and asserting it’s over.
 
SECOND, launch a task force reporting directly to me to make sure every dollar going out the door gets to the people who need it — fast.
 
Joe Biden led the implementation of the Recovery Act in the last crisis.  He knows it’s all about priorities. Here would be his:

  • Keep as many people on the payroll as possible and make Americans whole for lost hours and wages. Joe Biden would expedite aid to businesses who commit to helping workers stay employed through the crisis, so they can get back to work when conditions allow.  He would maximize work-sharing, a form of “employment insurance” we championed in the Obama-Biden administration to keep more workers on the job. And for those who do get laid off and who’s industries are out of work, the congressional bill boosts unemployment benefits — Biden would cut through the red tape to deliver them without delay, and extend them as long as public health and economic conditions call for it.
  • Act decisively to keep small businesses in business. Included in the legislation before Congress is $377 billion for small businesses. This money will guarantee immediate loans that banks provide to small businesses to make payroll, pay rent and other costs, and keep their doors open. But there is a real risk it won’t get out fast enough to make a difference.  So Joe Biden would take unprecedented measures to get it done  Where the government is guaranteeing loans, banks have no commercial excuse for not making them. So he would call in bank CEOs and tell them that in this time of crisis, it is a matter of the utmost national interest to get these loans out the door quickly and efficiently. And if they don’t, he would seek authority similar to the Defense Production Act to make sure their lending platforms are giving priority to small business. He would also make clear that $377 billion is not a cap — we will spend whatever it takes. 
  • Enforce real conditions and oversight on big corporations.  Joe Biden would tell large companies seeking taxpayer assistance that they need to make hard commitments that the assistance will go toward their workers, not toward enriching their CEOs or shareholders. He would hold the strictest line on bans on buybacks and raises for executives. He would impose the highest scrutiny on payroll plans. And he would impose strict oversight and enforcement of these conditions by appointing strong regulators focused on corporate accountability and worker protections in the event of bankruptcy. Joe Biden will not let companies off the hook, the way the White House and Senate originally proposed.

THIRD, bring the leaders of Congress together to build the next deal. This was a good start. But more must be done. Congress approved direct cash relief — $1,200 per person to help working families through this crisis.  But it’s a one-off.  And Congress didn’t include direct student loan forgiveness, or Social Security boosts for seniors, or cost-free treatment for COVID-19, full paid sick leave for our workers, or sufficient fiscal relief to states.  Joe Biden would:

  • Provide for additional checks to families should conditions require.
  • Forgive a minimum of $10,000 per person of federal student loans, as proposed by Senator Warren and colleagues. Young people and other student debt holders bore the brunt of the last crisis. It shouldn’t happen again.
  • Increase monthly Social Security checks by $200/month, as proposed by Senator Wyden and colleagues. Seniors and people with disabilities are uniquely at risk right now.
  • Provide emergency paid sick leave to everyone who needs it, with no one left out. This should include workers in all industries and all sectors, regardless of company size, and including gig workers, domestic workers, contractors, and the self-employed.
  • Ensure that no one has to pay a dollar out of pocket for COVID-19 testing, treatment, or an eventual vaccine.
  • Provide all necessary fiscal relief to states so their workers and communities get the help they need, especially those on the front lines like New York.

The bottom line is that Congress will have to keep acting. This is not the last bill.  There will be more. And Joe Biden would do whatever it takes, spend whatever it takes, move heaven and earth to help all the people harmed by this crisis.

Joe Biden: 5 Questions for Donald Trump at Coronavirus Pandemic Briefing

Vice President Joe Biden offers stark difference to Donald Trump in focus and approach to addressing coronavirus pandemic poses five questions to Trump that should be asked at the daily briefing (c) Karen Rubin/news-photos-features.com

The coronavirus pandemic has completely derailed the 2020 presidential campaigns. While Trump has a bully pulpit and turns daily briefings into political rallies, challengers including Vice President Joe Biden cannot compete for visibility or reach. We will do our part, as much as possible, to broadcast their messages so that voters may discern for themselves who should be elected to lead this country. This is from the Joe Biden campaign, which came before Trump, switching focus from the 10 minutes he spent concerned about the spread of the disease and having an adequate health care system, turned again to prioritize the economy, saying he would look to end measures in a matter of weeks (not months) designed to slow the spread of COVID-19 in order to goose the economy. Trump said that the economic impact could become worse than COVID-19 itself. “We cannot let cure be worse than the problem,” causing the medical community to scratch heads.  The desire to prioritize economic health over people is echoed by other Republicans and rightwingers. Texas Lt. Gov. Dan Patrick said lots of grandparents would be willing to die in order to save the economy for their grandchildren. This is from the Biden campaign, in advance of Trump’s March 23 briefing–Karen Rubin, News & Photo Features.

Five Questions for Donald Trump at Today’s Briefing

As Trump Attempts to Spin Away His Historic Failure to Combat the Coronavirus, Here Are Five Questions He Needs to Answer at Today’s Press Conference

1.  Why do you continue to support efforts to roll back the Affordable Care Act and kick tens of millions of Americans off their insurance in the middle of a global pandemic?
 
Ten years ago today, President Obama signed the Affordable Care Act into law, expanding access to quality, affordable health care for millions of Americans. But, even in the midst of a global pandemic, Donald Trump continues to lead fellow Republicans in efforts to do away with the law and the critical protections it put in place.
 
Over 20 million Americans have received health insurance through the ACA, and it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a letter today to President Trump and Republican leaders demanding that they drop their efforts to jeopardize Americans’ health care.
 
 
2.  Why did you put the profits of big corporations ahead of desperately needed medical supplies for health care workers, first responders, and coronavirus victims?
 
New reporting today from CNN shows that Trump abruptly reversed himself on using the Defense Production Act to speed up the manufacture of critical medical equipment because big businesses aggressively lobbied the White House out of fear of “profit loss.”
 
Trump is continuing to put the bottom lines of his corporate cronies ahead of the safety of first responders and coronavirus victims — even as a bipartisan group of governors and mayors has demanded that he finally use the DPA to help secure life-saving gear.
 
 
3.  Why did you ignore the repeated warnings of your own intelligence officials in January and February about the impending risk of the coronavirus and decide to downplay the threat instead of preparing a response?
 
The Washington Post reported that Trump ignored repeated warnings from top intelligence officials in January and February that the coronavirus was spreading globally and that it posed a dire threat to the safety of the United States, with one official telling the Post that “the system was blinking red.”
 
Instead of preparing for the imminent spread of coronavirus in America, Trump repeatedly ignored experts and downplayed its significance, claiming, “it’s going to disappear. One day — it’s like a miracle — it will disappear.” The result: a “chaotic” response as basic needs for tests and life-saving equipment go unmet, and as Administration officials scramble to cover up for Trump’s lies about the response.
 
While Trump was ignoring the experts and downplayed the threat of the coronavirus, Vice President Biden laid out a clear-eyed vision in January for how we could come together as a country to stop the emerging pandemic and has built on that with a comprehensive plan to combat the coronavirus.
 
 
4.  Why did you take China’s word and praise Xi’s response for weeks as the coronavirus continued to spread, ignoring Vice President Biden’s warning about their misleading statements?
 
Trump wasted critical weeks praising President Xi and China’s response to the coronavirus epidemic — even as Trump’s own intelligence officials warned that the Chinese were providing faulty information. Vice President Biden, on the other hand, clearly warned Trump against trusting information from Xi at face value, insisting instead that America push to get experts on the ground in China.
 
Now Trump has laughably pivoted to criticizing China, attempting to rewrite history and brush aside countless examples of him heaping praise on Xi and the Chinese government. Moreover, is Trump saying that he wasn’t supposed to take steps to protect the American people simply because this virus emerged in another country?
 
 
5.  Why are you supporting a $500 billion slush fund for corporations with no strings attached and no protections for workers?
 
With America’s economy teetering, and with countless families facing financial ruin, Trump continues to back a massive corporate bailout package with almost no conditions, and no restraints on corporations using taxpayer dollars for executive bonuses and stock buybacks.
 
That’s why Vice President Biden has called for workers and families to be put first in any stimulus package — with no blank checks for big corporations — so Americans will have the financial support they need to weather this storm.

Sanders: Coronavirus Crisis Points to Urgent Need for Fundamental Changes to Economy, Healthcare System

Senator Bernie Sanders on the coronavirus pandemic: “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.” © Karen Rubin/news-photos-features.com

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.

Biden Delivers His Prescription for Fighting the Health, Economic Impacts of Coronavirus Pandemic

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 leadership that 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. 
 
Volunteers raise their hands to help.
 
Neighbors look out for neighbors.
 
Businesses take care of their workers.
 
So we will meet this challenge — together.
 
Thank you all.

Biden Marks International Women’s Day Reviewing Record for Promoting Gender Equality

On International Women’s Day, Vice President Joe Biden 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”. © Karen Rubin/news-photos-features.com

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 cuttingearly 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 decreasing4 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.” 

Democratic Race for 2020: Sanders Issues ‘Reproductive Health Care and Justice for All’ Plan

Senator Bernie Sanders has released his “Reproductive Health Care and Justice for All” plan. © Karen Rubin/news-photos-features.com © Karen Rubin/news-photos-features.com

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.  

Democratic Race for 2020: Biden Issues Plan to End Opioid Crisis, Ensure Access to Treatment and Recovery

Vice President Joe Biden, running for the 2020 Democratic nomination for president, has released his plan for ending the opioid crisis and ensuring access to effective treatment and recovery for substance use disorders. © Karen Rubin/news-photos-features.com

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.

Terminating pharmaceutical corporations’ tax break for advertisement spending. Drug corporations spent an estimated $6 billion in 2016 alone on prescription drug advertisements to increase their sales, a more than four-fold increase from just $1.3 billion in 1997. The American Medical Association has even expressed “concerns among physicians about the negative impact of commercially driven promotions, and the role that marketing costs play in fueling escalating drug prices.” Currently, drug corporations may count spending on these ads as a deduction to reduce the amount of taxes they owe. But taxpayers should not have to foot the bill for these ads. As President, Biden will end this tax deduction for all prescription drug ads, as proposed by Senator Jeanne Shaheen.

 
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 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. Biden will 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.

Crack down on misleading advertising regarding substance use disorder treatment facilities with no basis in evidence. Biden will ensure that the Federal Trade Commission and the FDA act when companies try to mislead. He will appoint leaders of both agencies who will make this a key priority.

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.

Read more about Biden’s plan to reform the criminal justice system at https://joebiden.com/justice/.
 
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.

Coronavirus Pandemic: Warren Outlines Decisive Plan to Keep American Families Healthy & Stabilize Economy

Senator Elizabeth Warren released her plan to take decisive action on the coronavirus pandemic to both keep American families healthy and stabilize the economy. © Karen Rubin/news-photos-features.com

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.
 
Read her plan here and below.
 
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.
 
Coronavirus is already hitting other countries hard. Major cities in China have been effectively shut down for weeksJapan just announced that it was closing schools for about a monthThe number of confirmed coronavirus cases in Italy, Iran, and South Korea continues to grow.
 
And now coronavirus is here. This weekend, the U.S. experienced its first death from the virus and there are at least two coronavirus cases of apparent local origin in California, two in Washington, and one in Oregon. Firms like Amazon have suspended non-essential employee travel in the United States and US film and TV productions have cancelled or suspended shoots. 
 
Weeks ago, I was the first presidential candidate to put out a plan to address the public health effects of coronavirus. And with Republicans insisting that we cut spending elsewhere to cover the cost of coronavirus response, I introduced a bill in the Senate to immediately move the billions of dollars taxpayers are spending on Donald Trump’s useless border wall to coronavirus preparedness instead.
 
But it’s clear that we must do even more to contain the spread of the virus and to address the economic damage it is creating. The Dow Jones dropped nearly 12% last week — its worst week since the 2008 financial crisis — but the plummeting stock market is just the tip of the iceberg. Small businesses that rely on overseas production are suffering. American exporters in agriculture and forestry are losing access to valuable overseas marketsTourism is down sharply.
 
Supply chain disruptions due to halted production in China and elsewhere will ripple through the economy for months, especially in critical industries like automobiles and electronics. And coronavirus has exposed a critical weakness in our drug supply chain. Active pharmaceutical ingredients are the chemical components of drugs that make them work—and a significant portion of them are manufactured in China, which means supply chain disruption may eventually cause drug shortages in the U.S.
 
Analysts now project that American companies will generate zero earnings growth in 2020 because of coronavirus. And if the coronavirus reaches global pandemic levels, experts predict that it could lead to a recession in the US and across the globe.
 
The Trump Administration response has been a mess. The President has put Vice President Mike Pence in charge of coordinating the response — the same man who ignored scientific experts and presided over a public health emergency as Governor of Indiana. Instead of buckling down and working on our response after being put in charge, Pence promptly spoke at a right-wing conference and jetted off to Florida for a Republican fundraiser. Meanwhile, the Trump Administration appears to have no ideas for dealing with the widespread economic effects of coronavirus except more tax cuts.
 
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
 

The request for emergency supplemental funding put forward by Senate Democrats is a good proposal. I strongly support it. But I believe we must also do more.
 
Paying for CareDonald Trump has spent years ripping health coverage away from millions. As deductibles soar, many Americans must pay full price for care until months into a new plan year, as they wait for their insurance to kick in. People without coverage often do not seek the care they need and those with high deductibles delay important care. And for those who are put under federally mandated quarantines, thousands of dollars in medical bills may plunge them into a serious financial crisis. Millions of Americans choosing not to seek care because of cost concerns will worsen the public health and economic effects of 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.
 
If other countries’ experiences are an indication, most people who contract the virus will need simple, supportive primary care and to stay isolated to prevent further spread. But it’s important that those who become acutely ill can seek the more advanced care they need.
 
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 2009The 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
 
Experts have a variety of estimates of the potential impact of coronavirus on the American economy. They project that coronavirus will reduce US economic growth in 2020 by at least 0.2 percentage points. But they recognize that if coronavirus turns into a global pandemic — which they give a 40% likelihood — it could produce a US and global recessionAn older Congressional Budget Office analysis of the potential US economic impact of various pandemic scenarios estimated that a pandemic could reduce US economic growth by between 1% and 4.25% of GDP.
 
There is evidently much uncertainty at this time about the potential economic impact of coronavirus, but several factors weigh in favor of enacting a stimulus to counteract a more severe impact. First, the US does not have particularly strong automatic economic stabilizers compared to other industrialized countries. Second, given the extremely low cost of government borrowing now, the US has the capacity to borrow and invest at a higher return. Third, history shows that it’s often hard to pass multiple stimulus packages in succession — and it’s better that the initial package is too big rather than too small.
 
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. 

Given the positive multiplier effect that these types of government spending have on the economy, a stimulus of this type would likely counteract a roughly 3% dip in GDP.
 
In addition, whether the Federal Reserve Board chooses to cut interest rates or not, it should 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.

Read her plan here

Democratic Race for 2020: Warren Plan to Stop Wall Street from Financing the Climate Crisis

Senator Elizabeth Warren, running for president, has just released a plan to stop Wall Street from financing the climate crisis © Karen Rubin/news-photos-features.com
 

Capitalists are actually much more responsive to the public will than lawmakers – which may not be saying much. But as the United Nations Climate Summit demonstrated, corporations and the financial institutions that fund them are becoming more conscious of climate change. Even former Treasury Secretary Henry Paulson has become an advocate for climate action. More investors are factoring in the cost of climate disasters as well as the change to agriculture, human productivity and health, availability of resources including potable water. Still, corporations that are wedded to the status quo and an economy and society oriented around fossil fuels and intense carbon emissions, that don’t respect air and water quality, need a nudge. Senator Elizabeth Warren, running for president, has just released a plan to stop Wall Street from financing the climate crisis.

Climate change poses a systemic risk to the health and stability of our financial system,” Senator Warren stated. “And yet, Wall Street is refusing to listen, let alone take real action. My plan to Stop Wall Street From Financing the Climate Crisis is just the first step to ensuring our financial system is ensured against the worst effects of climate change and Wall Street stops financing the climate crisis.

This is from the Warren campaign:

Charlestown, MA – Senator Elizabeth Warren released her plan to stop Wall Street from financing the climate crisis. Elizabeth’s plan will limit and manage the risk that climate change poses to our economy by reining in Wall Street and ensuring our banks, asset managers, and insurers pay the true cost of climate change, instead of passing it on to millions of Americans. 
 
Elizabeth rang the alarm in the lead up to the 2008 financial crisis. She is sounding the alarm on Wall Street once again as we face the existential threat of our time: climate change.  It’s clear that our entire financial system is in major danger from the climate crisis. And yet, neither the largest U.S. financial institutions, nor the public watchdogs that are supposed to hold them accountable, have taken adequate steps to address Wall Street’s role in exacerbating the crisis. 

As President, Elizabeth Warren will:

Direct the Federal Reserve to invoke its authority under Section 165 of Dodd-Frank to impose “enhanced prudential standards” –– things like higher capital standards, or tougher stress testing –– on large financial institutions based on their exposure to climate-related risks.
 

Treat climate change as the systemic risk to our financial system that it is and use existing financial regulations to push the Financial Stability Oversight Council (FSOC) to carefully examine the risks posed by climate change and use its authority to designate financial institutions as “systemically important” if appropriate.
 

Go beyond her Climate Risk Disclosure Plan by strengthening SEC rules that govern the climate change expertise in the composition of boards of directors, as well as in shareholder representation and disclosure in proxy voting. 
 

Elizabeth will also require U.S. banks to report annually how much fossil fuel equity and debt is created, and/or held as assets, with respect to all fossil fuel extraction and infrastructure.
 

Fight for pensions by pushing the Securities and Exchange Commission and Department of Labor –– the two government bodies charged with regulating pensions –– to declare carbon-intensive investments not consistent with a fund manager’s fiduciary duty to its clients.
 

Hold insurance companies accountable for the risk they’re spreading through the financial system — and through vulnerable communities — by working with Congress to make large insurance companies doing business in the U.S. disclose the size of the premiums they’re deriving from coal, oil and gas projects, associated infrastructure, and companies. 
 

Elizabeth will also investigate insurers who talk out of both sides of their mouth when they deny coverage to policyholders under the guise of too much climate risk, while simultaneously insuring fossil fuel projects.
 

Transition us away from Donald Trump’s climate-denying administration at a speed unmatched by any transition in modern history. As part of that transition, she will announce her choices for Cabinet, including a Treasury Secretary who understands the financial risks of the climate crisis, by December 1, 2020. And she will staff all senior and mid-level White House positions, like financial regulators, by Inauguration Day.
 

Work with international allies by:
 

Advocating for the Federal Reserve to join the global coalition of central banks known as the Network on Greening the Financial System
 

Requiring implementation of the Paris Climate accord and the elimination of fossil fuel subsidies as preconditions for any trade agreement. 
 

Dedicating $100 billion to helping other countries purchase and deploy American-made clean energy technology that is manufactured right here at home under the Green Marshall Plan.
 

Ending all American support for international oil and gas projects through the Export-Import Bank and the Overseas Private Investment Corporation. 
 

Committing to using America’s voting power in the World Bank and other global financial institutions to cut off investment in fossil fuel projects and to direct that investment into clean energy projects instead.

Read the plan here and below: 
 
Stop Wall Street from Financing the Climate Crisis 
 
I’ve spent most of my career getting to the bottom of what’s happening to working families in America. And when I saw the seeds of the 2008 financial crisis growing, I rang the alarm as loud as I could. But the people with the power to stop the crisis didn’t listen — not enough of them anyway. Not the banks, not Alan Greenspan or other federal regulators, not Congress. And when the financial crisis hit in 2008, working families lost it all while the big banks that broke the economy got a fat taxpayer bailout. 
 
And once again, as we face the existential threat of our time –– climate change –– Wall Street is refusing to listen, let alone take real action. 
 
Climate change threatens our financial system in two ways. First, it poses a physical risk to property as climate-fueled extreme weather events — floods, hurricanes, wildfires — become more and more frequent. Second, it poses transition risks to our economy: investments in the fossil fuel industry may abruptly lose value as we transition to a clean economy, posing risks of financial crisis and destabilization. If we remain on a pathway to 2°C of warming (right now we’re on track for roughly 3°C of warming), the costs to the financial system could reach as much as $69 trillion by 2100. Other estimates put the global economic losses caused by climate change at $23 trillion –– still roughly three or four times the scale of the 2008 crisis.
 
It’s clear that our entire financial system is in major danger from the climate crisis. And yet, neither the largest U.S. financial institutions, nor the public watchdogs that are supposed to hold them accountable, have taken adequate steps to address Wall Street’s role in exacerbating the crisis. In fact, many of the largest banks and asset managers have actually increased their holdings of fossil fuel assets since the Paris Agreement was signed. And in the two years immediately after the Paris Agreement was adopted, the six largest U.S. bank investors in fossil fuels companies loaned, underwrote, or otherwise financed over $700 billion for fossil fuel companies. Wall Street banks are making a quick buck accelerating climate change, all while communities across the country are suffering from the lasting impacts of industrial pollution and the increasingly devastating effects of climate change. 
 
There has been some movement by big financial firms. A recently leaked report from J.P. Morgan — the world’s largest financial backer of fossil fuel companies — stated that the climate crisis could lead to “catastrophic outcomes where human life as we know it is threatened.” Late last year, Goldman Sachs announced that it will spend $750 billion over ten years on sustainable finance projects, restrict financing to all new oil production and exploration in the Arctic, and impose stricter lending requirements for coal companies. And in a letter to investors earlier this year, Blackrock –– the world’s largest asset manager –– announced that it will exit investments with high environmental risk, like thermal coal, and launch new investment products that screen for fossil fuels. While these actions are a small step in the right direction, they are long overdue given the relative impact the financial industry has had on the climate crisis — and they’re not enough to protect us from a climate-fueled financial collapse, either. 
 
We will not defeat the climate crisis if we have to wait for the financial industry to self-regulate or come forward with piecemeal voluntary commitments. Winning a Green New Deal and achieving 100% clean energy for our global economy –– or enacting any of my 13 plans to defeat the climate crisis –– will be near impossible so long as large financial institutions are allowed to freely underwrite investments in dirty fossil fuels. 
 
This ends when I am president. A Warren administration will act decisively and swiftly to manage the risk that climate change poses to our economy by reining in Wall Street and ensuring our banks, asset managers, and insurers pay the true cost of climate change instead of passing it on to millions of Americans. We can make the financial system work for good as we transition to 100% clean energy, but first, we have to change the way Wall Street is currently doing business. 
 
Use existing financial regulations to tackle climate change because it is a systemic risk to our financial system
 
Foreign financial regulators understand that the climate crisis poses serious risks to the financial system. European regulators are warning of a “green swan” event that could trigger a climate change-driven financial crisis. The Governor of the Bank of England, Mark Carney, and the Governor of the Banque de France, François Villeroy warned that climate change poses a “catastrophic effect” to the global economy that could lead to “a sudden collapse in asset prices” similar to the to the 2008 financial crisis, and has urged central banks, such as the Federal Reserve Board, to play a much larger role in tackling the crisis. 
 
I am sounding the alarm on Wall Street once again –– just as I did in the lead up to the 2008 financial crash. 
 
The Dodd–Frank Wall Street Reform and Consumer Protection Act was our country’s response to the 2008 crisis. It included tools that our federal regulators could use to protect the safety and soundness of our financial system. Regulators should use those tools now to address the systemic risk that climate change poses.
 
Specifically, the Financial Stability Oversight Council (FSOC) –– a body created by Dodd-Frank to bring together heads of financial regulatory agencies to assess threats across jurisdictions and markets –– should carefully examine the risks posed by climate change and use its authority to designate financial institutions as “systemically important” if appropriate. And the Federal Reserve should invoke its authority under Section 165 of Dodd-Frank to impose “enhanced prudential standards” –– things like higher capital standards and margin requirement, or tougher stress testing –– on large financial institutions based on their climate-related risks.
 
By using the authorities Congress has already given them, federal regulators can mitigate the climate-related risk in our financial system and help accelerate the transition towards a clean energy economy.
 
Increase corporate accountability through the Securities & Exchange Commission
 
Publicly traded companies, including big banks, have an obligation to share important information about their business. But right now, these companies don’t share much about how climate change might affect their business, their customers, and their investors. 
 
That’s a problem in two ways. First, there are a lot of companies that could be badly hurt by the likely environmental effects of climate change, and their financial implications such as stranded assets, and supply-chain risk. We’ve already seen how record storms, flooding, and wildfires can cause billions of dollars in damage. Second, global efforts to combat climate change will have an enormous impact on certain types of companies, particularly those in the energy sector. The Task Force on Climate-related Financial Disclosures found that reductions in greenhouse gas emissions and increasingly affordable deployment of clean energy technology could have “significant, near-term financial implications” for Big Oil and fossil fuel companies.
 
My Climate Risk Disclosure plan addresses these problems by requiring companies to publicly disclose both of these types of climate-related risks. It directs the Securities and Exchange Commission (SEC) to issue rules that make every public company disclose detailed information, including the likely effect on the company if climate change continues at its current pace and the likely effect on the company if the world successfully restricts greenhouse gas emissions to meet the targets of the Paris Agreement. My plan also requires the SEC to tailor these disclosure requirements for specific industries so that, for instance, fossil fuel companies will have to make even more detailed disclosures.
 
But disclosure is just the first step. There is more the SEC can do to ensure companies are more accurately accounting for climate risk, which is why a Warren administration will go further by strengthening SEC rules that govern the climate change expertise in the composition of boards of directors, as well as in shareholder representation and disclosure in proxy voting. My administration will also require U.S. banks to report annually how much fossil fuel equity and debt is created, and/or held as assets, with respect to all fossil fuel extraction and infrastructure. And a Warren administration will work with the SEC Office of Credit Ratings to direct credit rating agencies to impose process standards — like climate due diligences — that incorporate the physical and financial risks that climate change presents to securities and other financial assets, as well as to the companies that issue them.
 
Protect Pensions 
 
For the millions of public school teachers, firefighters, police officers, and other state and federal public employees who spend their careers in service to our government, pension funds provide a shot at a decent retirement. Most simply, pensions are deferred wages for our public employees. And yet today, our pension systems are failing our public employees. That’s in part because they are invested in fossil fuels –– leaving all the risk of fossil fuel investments in hard working Americans’ retirement accounts. 
 
One recent analysis found that pension funds would be significantly more successful without risky fossil investments. California’s $238 billion state teachers retirement fund CalSTRS –– which serves nearly a million public school teachers –– would have earned an additional $5.5 billion over ten years without its fossil fuel investments. And Colorado’s state pension fund PERA –– which serves 600,000 current and former teachers, state troopers, corrections officers, and other public employees –– would have earned almost $2 billion more in value. This matters for hard-working pension-holders: investments in fossil fuels over the last 10 years have lost many of California’s public school teachers $5,572 each, and cost many of Colorado’s public employees $2,900 each. And yet, despite calls from environmentalists to divest from fossil fuels, in January of this year CalSTRS rejected divestment, claiming it would have a “lasting negative impact on the health of the fund.” 
 
As president, I will fight for every person’s pension, because every American deserves the right to retire with dignity after spending their career in service of our local, state and federal government. A Warren administration would explicitly state policy preferences for limiting climate risk, beginning with divestment from fossil fuels and prioritizing investments in environmental, social and governance (ESG) options. And I would go further by pushing the Securities and Exchange Commission and Department of Labor –– the two government bodies charged with regulating pensions –– to declare carbon-intensive investments not consistent with a fund manager’s fiduciary duty to its clients.
 
And, as a matter of justice, we should tighten bankruptcy laws to prevent coal and other fossil fuel companies from evading their responsibility to their workers and to the communities that they have helped to pollute. In the Senate, I have fought to improve the standing of coal worker pensions and benefits in bankruptcy –– and as president, I will work with Congress to pass legislation to make these changes a reality. 
 
Ensure insurers accurately price climate risk 
 
Insurers are the financial intermediaries most directly exposed to climate change’s risks because their core business requires them to underwrite damages on physical property. As the climate crisis accelerates the size and scale of disasters, the models that insurers have long relied on are increasingly unpredictable, generating unprecedented losses. In 2017 and 2018 alone, insurance companies paid out an estimated $219 billion in natural disaster-related claims –– the highest for any two-year period in history. One California-based insurer filed for bankruptcy after it couldn’t pay out the millions it owed policyholders whose homes had been destroyed in California’s Camp Fire.
 
But despite insurance companies knowing the size of the climate risk — they literally write it into their risk models — still they fan the flames of the climate crisis by underwriting the fossil fuel companies behind the crisis. Large insurers had over $500 billion in fossil fuel-related investments as of 2016. And of the combined $15 trillion in assets managed by the world’s 80 largest insurers, an average of only one percent is allocated to low-carbon investments. If insurers stopped providing insurance for coal-fired power plants it would be nearly impossible to secure financing for new power plants.
 
Instead of halting the effects of climate change, insurers are passing on the high prices to consumers — or foregoing offering protection to vulnerable Americans altogether. In some places, insurance companies are pulling out of areas entirely, leaving consumers exposed. For example, the number of new and renewed homeowners’ insurance policies fell by 8,700 in California counties at greatest risk for wildfires. But some insurance providers will still write policies in vulnerable areas, ratcheting up the monthly prices consumers pay to counterbalance their increased risk. Premiums rose in every single state in the nation over the past decade, with states in tornado alley experiencing the highest jumps by an average of over $500. And private companies are taking advantage of the price increases: the number of private flood insurers has more than doubled since 2016, and they’ve taken in an additional half a billion in premiums since the prior year.
 
It’s time to hold insurance companies accountable for the risk they’re spreading through the financial system — and through vulnerable communities. I’ll work with Congress to make large insurance companies doing business in the U.S. disclose the size of the premiums they’re deriving from coal, oil and gas projects, associated infrastructure, and companies. I’ll investigate insurers who talk out of both sides of their mouth when they deny coverage to policyholders under the guise of too much climate risk, while simultaneously insuring fossil fuel projects. I’ll push the SEC to require insurance companies to show that they have evaluated climate-related risks in their underwriting processes and in their reserves. I will reform the National Flood Insurance Program by making it easier for existing residents to move out of flood-prone properties – both inland and coastal – including a program to buy back those properties from low-income homeowners at market value. And within my first term I will ensure the Federal Emergency Management Agency’s flood maps are fully updated, so that we can raise the standard for new construction through the Federal Flood Risk Management Standard.
 
Personnel is Policy
 
At the World Economic Forum in Davos last month, economic leaders from across the world highlighted the vital need to include climate risks in economic analysis. But Treasury Secretary Steve Mnuchin found himself in a minority of one, arguing that costs were being overestimated when considering the impacts of climate change. Either he’s uninformed or he’s lying: study after study shows that we are drastically underestimating the cost of the climate crisis. 
 
I have often said that personnel is policy. The regulators in charge of protecting the American people need to understand the risk that the climate crisis poses to our entire financial system — and the millions whose livelihoods depend on it. That’s why I will appoint at every level of the system financial regulators committed to holding financial institutions accountable for climate risk. Here’s what that means:  

I will appoint a Treasury Secretary who — unlike Steven Mnuchin — believes in the power of markets to help defeat the climate crisis: because right now, research in both of those fields shows how vital it is that we expose the climate risk. 
 

I’ll appoint financial regulators — including Federal Reserve governors, Commodity Futures Trading Commission commissioners, and leadership of every other agency represented on the Financial Stability Oversight Council — who understand the clear threat climate change poses to our financial system and who implement policy that addresses financial institutions’ exposure to climate risks and hold them accountable to addressing.
 

I’ve already pledged to appoint an SEC chair who will use all existing tools to require robust disclosure of climate-related risks. I’ll also appoint SEC commissioners who will manage the threat climate change poses to the economy by pushing for corporate disclosure of climate risk and a shift of finances away from fossil fuels. 

The size and the scope of the risk that climate poses to our financial system requires immediate action. I’ve committed to transitioning us away from Donald Trump’s climate-denying administration at a speed unmatched by any transition in modern history, so that we can begin tackling the urgent challenges ahead on Day One. As part of that transition, I will announce my choices for Cabinet, including a Treasury Secretary who understands the financial risks of the climate crisis, by December 1, 2020. And I’ll staff all senior and mid-level White House positions, like financial regulators, by Inauguration Day — so that we can begin de-risking our financial system from the moment I’m in office. 
 
Work with international allies
 
One of the next catastrophic global financial crises may well be caused by the growing climate crisis. The 2008 recession proved how financial crises are no longer isolated: their impact echoes across countries. That’s why addressing the financial risks of the climate crisis is an international issue. But the United States isn’t just lagging behind other countries on addressing the climate risk: right now, we’re not even in the same league. 
 
Leaders across the globe recognize the risk that the climate crisis poses to their financial systems: environmental concerns make up the top five long-term global economic risks for leaders surveyed in the World Economic Forum’s Global Risk Report 2020. Manymany other countries have not only recognized the risk but are already taking steps to address it. The President of the European Central Bank has called for climate change to be an “essential part of monetary policymaking,” and the Bank of England has introduced stress tests to assess the UK financial system’s exposure to climate-linked financial risks. Meanwhile, Donald Trump and his fossil fuel cronies are letting the U.S. fall behind, putting the financial well-being of millions of Americans at risk. 
 
A Warren Administration will work with international allies to build a more resilient financial and environmental future for our planet. And I’ll use every tool in the box to build that world. As President I’ll advocate for the Federal Reserve to join the global coalition of central banks known as the Network on Greening the Financial System. As we transition to a 100% clean energy economy, the United States should be a leader on the global stage, and having a seat at the table is the first step. As part of my New Approach to Trade, I will require implementation of the Paris Climate accord and the elimination of fossil fuel subsidies as preconditions for any trade agreement. My Green Marshall Plan will dedicate $100 billion to helping other countries purchase and deploy American-made clean energy technology that is manufactured right here at home. And we should end all American support for international oil and gas projects through the Export-Import Bank and the Overseas Private Investment Corporation. We should also commit to using America’s voting power in the World Bank and other global financial institutions to cut off investment in fossil fuel projects and to direct that investment into clean energy projects instead. Our efforts should be dedicated to accelerating the global transition to clean energy.

Democratic Race for 2020: Warren Offers Plan for Justice for Border Communities

Senator Elizabeth Warren, at a rally in Brooklyn with Julian Castro, released her plan for Justice for Border Communities © Karen Rubin/news-photos-features.com

The vigorous contest of Democrats running for president has produced excellent policy proposals to address major issues. Senator Elizabeth Warren released her plan for Justice for Border Communities – a stark contrast to what Trump has done to punish asylum seekers, separating children from their parents, and most recently, using the coronavirus pandemic to raise the prospect of shutting the border to Mexico entirely.

“Our border region is made up of multinational, multicultural, economically vibrant communities that reflect the best of what our country can be. From affordable housing to investing in small businesses to stopping Trump’s monument to hate, we can make big, structural change to promote accountability, opportunity, and prosperity at the border,” Senator Warren stated.

This is from the Warren campaign:

Charlestown, MA – Senator Elizabeth Warren, running for president, released her plan to ensure accountability in our border communities by rolling back the Trump administration’s incessant militarization, immediately stopping the construction of Trump’s wall on the border between Mexico and the United States, creating a fair and welcoming immigration system, and respecting the rights of people and our fragile border ecosystem.
 
She will also work to build a 21st century border economy by boosting small businesses, growing access to financial services, closing the digital divide, uplifting labor and environmental protections through trade, and developing the green workforce of the future.
 
Some new proposals in her plan include:

In her first 100 days, she will convene a borderlands summit, bringing together federal, state, and local representatives, Tribal Nations, members of the business community, community organizations and stakeholders to undo the harm of the Trump administration and create more prosperity in the region.

She will create a new position in the White House that serves as an advisor to the president on border communities. This person will direct an Interagency Task Force on Border Community Prosperity and coordinate the entire federal government’s investment in our border communities.

She will end Trump’s deployment of military forces to the border.

She will immediately stop the construction of Trump’s wall on the border between Mexico and the United States. She will also work to repeal the sections of law that allow the federal government to waive federal procurement rules or environmental impact reviews.

Despite the immediate public health threat, the Trump administration is demanding that we cut spending elsewhere to pay for emergency funding we need to prepare for and respond to coronavirus — so she is introducing a bill in the Senate to redirect funding diverted to the wall toward coronavirus instead.

She will end Constitution-Free Zones: She will  hold immigration enforcement to the same due process and standards as other law enforcement agencies — no more warrantless property searches, no more arbitrary stops, no more violations of basic Constitutional rights. 

She will reverse the Trump administration’s policy giving Border Patrol agents the power to make “credible fear” determinations for asylum-seekers rather than asylum officers.

She will invest resources in more culturally competent asylum officers and immigration judges and better coordinate a full federal government response to the humanitarian crisis at the border, just like we would with FEMA under a natural disaster.

She will pardon those convicted of providing food and water to migrants — because no one should go to jail simply for providing humanitarian aid to another person in need.

She supports requiring Custom and Border Patrol (CBP) agents to wear body cameras, a best practice in local law enforcement that reduces use-of-force incidents and increases transparency.

She will crack down on dangerous anti-immigrant vigilante militias at the border, which often include members of hate groups or individuals with a history of violence, including against U.S. citizens.

She will create a Border Health Initiative within the Federal Office of Rural Health Policy to focus on strengthening these health institutions in ways that serve the unique needs of this region and its people.

She will build a 21st century border economy by investing in our ports of entry.
 

The campaign recently did a Texas Latino Engagement tour — and listened and learned from hundreds of Latino, Latina, and Latinx people in San Antonio, Laredo, McAllen, Corpus Christi, and Houston.
 
Elizabeth will be in San Antonio with former Secretary of HUD Julián Castro today.
 
Read her plan here and below
 
Justice for Border Communities
 
Communities along the U.S.-Mexico border represent a confluence of cultures, a place where people of different walks of life all pursue the American Dream. The true heart and soul of the border is found in the teenagers using their quinceñeras to register their neighbors to vote, in the Good Samaritans leaving water for desperate migrants in the desert, in the citizens of El Paso-Juarez healing in the wake of a white nationalist terrorist attack against Latinos, in community members and leaders protesting wall construction in Tucson, and in Native Americans fighting to protect their homeland and sacred sites.
 
Today the construction of Trump’s border wall is harming local communities along our borders. The Trump administration has begun blasting at Organ Pipe Cactus Monument without the permission of and meaningful consultation with the Tohono O’odham Nation. Long-time residents are seeing their property carved up. Wall construction puts border communities at risk of severe flooding. The Trump administration has ignored critical federal environmental protections, damaging wildlife refuges. And there have been far too many stories like that of Óscar Alberto Martínez Ramírez and his 2 year old daughter Valeria, who drowned in the Rio Grande, or of Gurupreet Kaur, who died in the Arizona desert just one month shy of turning 7-years-old.
 
But the challenges at the border did not start with Donald Trump’s ignorance and bigotry. For decades, decisions made in Washington have divided and disrupted communities, cities, Tribal Nations, and families — many of whom have lived along what is now the border for longer than the United States has even existed.
 
The 15 million residents living in our Southern borderlands — from Brownsville, Texas to San Diego, California — deserve a champion and a partner in the White House. Building an America that reflects our values means elevating the voices of those who have traditionally been overlooked and underserved. We’ve got to make sure everyone has a seat at the table, and that includes border communities and immigrant advocacy groups. In my first 100 days, I will convene a borderlands summit, bringing together federal, state, and local representatives, Tribal Nations, members of the business community, community organizations, and stakeholders to undo the harm of the Trump administration and create more prosperity in the region. I will also create a new position in the White House that serves as an advisor to the president on border communities. This person will direct an Interagency Task Force on Border Community Prosperity and coordinate the entire federal government’s investment in our border communities.
 
A Warren administration will ensure accountability in our border communities by rolling back the Trump administration’s incessant militarization of the border, creating a fair and welcoming immigration system, and respecting the rights of people and our fragile border ecosystem. I’ll fight for healthy and safe border communities with affordable housing, high-quality education, health care, and economic opportunities. And together, we’ll build a 21st century border economy by boosting small businesses, growing access to financial services, closing the digital divide, uplifting labor and environmental protections through trade, and developing the green workforce of the future.
 
Accountability in Border Communities
 
We need a federal government that’s accountable to our border communities. That means an immigration system that keeps families together, preserves our security, grows our economy, honors our Constitution, and reflects our values. That also means an approach to national security that respects the rights of people and our fragile border ecosystems. As president, my administration will:
 
Welcome those in need and protect rights and due process. My immigration plan commits to decriminalizing migration, significantly reducing detention and ending private detention facilities, providing rights and due process for all immigrants, reaffirming asylum protections for those fleeing violence, and ending policies like metering and the “Remain in Mexico” policy. As president, I’ll also reverse the Trump administration’s policy giving Border Patrol agents the power to make “credible fear” determinations for asylum-seekers rather than asylum officers. A Warren administration will invest resources in more culturally competent asylum officers and immigration judges and better coordinate a full federal government response to the humanitarian crisis at the border, just like we would with FEMA during a natural disaster. And I’ll pardon those convicted of providing food and water to migrants — because no one should go to jail simply for providing humanitarian aid to another person in need.
 
Remake CBP and ICE in a way that reflects our values. We spend billions of dollars each year on a massive and cruel immigration detention and enforcement system that breaks up families and keeps thousands locked up — with little evidence that it makes our nation safer. A Warren administration will reshape CBP and ICE from top to bottom, reducing funding for detention and instead focusing their efforts on ports of entry and homeland security efforts like screening cargo, identifying counterfeit goods, and preventing smuggling and trafficking. And to change the culture, I’ll insist on transparency and strengthen the authorities of independent internal watchdogs to prevent future abuses. I’ll designate a Justice Department task force to investigate accusations of serious violations, and give it independent authority to pursue any substantiated criminal allegations.
 
The Supreme Court ruling that a family can’t seek damages after their son was killed by a border patrol agent because he was on the Mexican side of the border when the agent shot him shows us that our system of accountability is broken. In spite of the Supreme Court’s decision, a few steps to one side of the border or another should not serve to forfeit basic rights. As president, I’ll work to reverse the decision legislatively in order to ensure accountability for victims of border patrol violence — regardless of the side of the border. Furthermore, I support requiring Customs and Border Patrol (CBP) agents to wear body cameras, a best practice in local law enforcement that reduces use-of-force incidents and increases transparency. And as new technology is deployed, a Warren administration will monitor violations of privacy and limit the use of facial-recognition software. Let there be no ambiguity on this: if you are violating the basic rights of immigrants, now or in the future, a Warren administration will hold you accountable.
 
Stop Trump’s Militarization of the Border. Despite Trump’s rhetoric, the people seeking asylum at the southern border are not a threat to our national security. And Trump’s wall is a monument to hate — and only the latest attempt to treat the southern border as a war zone rather than as a vibrant community. Many of the apprehensions at the border are families and children who commonly turn themselves in to Border Patrol to apply for asylumThis is a humanitarian crisis in need of medical doctors, immigration lawyers, and social workers — not military troops. As president, I will end Trump’s deployment of military forces to the border. I’ve listened to communities at the border when they say we do not need Trump’s failed wall, and I will immediately stop the construction of Trump’s wall on the border between Mexico and the United States. I will also work to repeal the sections of law that allow the federal government to waive federal procurement rules or environmental impact reviews. Despite the immediate public health threat, the Trump administration is demanding that we cut spending elsewhere to pay for emergency funding we need to prepare for and respond to coronavirus — so I am introducing a bill in the Senate to redirect funding diverted to the wall toward coronavirus instead. We need to get our priorities straight and focus on keeping the American people safe, rather than funding some useless vanity project. Let’s be clear: our border communities are not a war zone.
 
End Constitution-Free Zones. CBP has the authority to operate within 100 miles of any “external boundary” — an area deep into the interior of the country that covers about 200 million people, including 9 of the 10 largest U.S. cities. The Border Patrol operates numerous immigration checkpoints and regularly stops people to check their immigration status, raising concerns about racial profiling and violations of the Constitution’s Fourth Amendment protections. During natural disasters and daily life, immigrant families are afraid to travel freely in their own communities. Citizens of Tribal Nations such as the Tohono O’odham Nation who have tribal ID cards face unnecessary hurdles with border patrol checkpoints. Agents also have the authority to enter private property (except dwellings) 25 miles from the border, which includes almost all of El Paso. There is no reason Border Patrol agents should have special access to private property without receiving a warrant from a judge just like the rest of law enforcement. As president, I will hold immigration enforcement to the same due process and standards as other law enforcement agencies — no more warrantless property searches, no more arbitrary stops, no more violations of basic Constitutional rights. It’s time to rein in CBP, and ensure everyone’s rights are respected.
 
Root Out White NationalismWe need to call out white nationalism for what it is—domestic terrorism. It is a threat to American safety and security. In a Warren administration, we will use every tool we have to defeat it, and that includes from within our military, our law enforcement, and our immigration enforcement agencies. To start, I will instruct these federal agencies to tighten their background check processes and to better track incidents of bias crimes and reports of affiliation with white nationalist or neo-Nazi groups in their ranks. Extremist ideology is a threat to our values, and it has no place inside our government. As part of my plan to reshape ICE and CBP, I’ve said that I will strengthen the authorities of independent internal watchdogs to prevent future abuses. This includes tasking the Inspectors General at both agencies to focus explicitly on reports of bias crimes or racism on the job. A Warren administration will have zero tolerance for these types of infractions.
 
From the 1918 Porvenir massacre through today, we must also recognize the long history of racist violence along the U.S.-Mexico border. Tragically, we have seen how this horrific history repeated itself just last August, when a white nationalist, directly echoing the rhetoric of President Trump, drove hundreds of miles to commit an act of terror against the people of El Paso. As I laid out in my plan to combat white nationalism, combatting white nationalist crime will be a top priority for the Departments of Justice and Homeland Security in a Warren administration. My administration will also work with federal and local law enforcement to crack down on dangerous anti-immigrant vigilante militias at the border, which often include members of hate groups or individuals with a history of violence, including against U.S. citizens.

Respect Tribal Sovereignty. My plan for public lands includes aggressive steps to stop private interests from pillaging sacred lands. I will use all legal authorities, including the Native American Graves Protection and Repatriation Act, to protect sacred sites like Organ Pipe. And absent extraordinary circumstances, respect for tribal sovereignty means that no project, development or federal decision that will have a significant impact on a tribal community, their lands, resources, members or religious practices, should proceed without the free, prior, and informed consent of the Tribal Nation concerned. I have also called for a new Sacred Lands Religious Freedom Restoration Act to dramatically improve the ability of Tribal Nations to block the imposition of development, extraction, and land use decisions with respect to tribal lands.
 
Fighting for Safe, Healthy, High-Quality Living on the Border
 
A generation of barely budging wages and rising costs for basics like housing, health care, child care, and education have squeezed family budgets. Many families living in communities at our borders are hanging on by their fingernails.
 
A lack of affordable housing and decades of systemic discrimination has driven hundreds of thousands of people, predominantly U.S. citizens of Mexican-descent, in Texas, Arizona, New Mexico, and California to live in neighborhoods, called colonias, without basic necessities like potable water, electricity, and safe housing. Border communities have uninsured rates that are much higher than the national average and have some of the highest rates of chronic diseases like diabetes in the country. In the colonias in Texas, over 50% of adults do not have a high school diploma.
 
A Warren administration will:
 
Invest in safe and affordable housing for all. My Housing Plan for America invests $500 billion over the next ten years to build, preserve, and rehab more than three million units that will be affordable to lower-income families — including $523 million to create 380,000 affordable rental homes in rural communities and $2.5 billion to build or rehabilitate 200,000 homes on tribal lands, where overcrowding, homelessness, and substandard housing have reached crisis levels. My plan will lower rents by 10%, reform land-use rules that restrict affordable housing construction and further racial segregation, and take a critical first step towards closing the racial wealth gap. My plan to protect and empower renters tackles the growing cost of rent, strengthens fair housing law and enforcement, fights for a nationwide right to counsel for low-income tenants in eviction proceedings, and creates a national small dollar grant program to help make sure families aren’t evicted because of financial emergencies.
 

My administration will also take on “land contracts” agreements, predatory loans that are frequently targeted at communities of color and are prevalent in border communitiesIn these contracts, tenant-buyers can be subject to unjust eviction proceedings, homes can be in such bad condition they’re basically uninhabitable, interest rates exorbitantly high, and in the case of some colonias, developers have failed to provide basic infrastructure like a sewer system or paved roads. And because of the “forfeiture clause” embedded in these kinds of agreements, if tenants fall behind on these high-interest payments, lenders can seize the property — and keep the payments that have been made as “liquidated damages.” Texas is one state that has moved toward increasing protections after a certain amount has been paid, but there’s more we can do. I’ll choose a CFPB Director committed to reining in land contracts, work with states to require that these contracts be recorded to collect better data and formalize land titling, and strengthen protections and rights of these residents to ensure their property isn’t lost to exploitative practices and can be passed onto future generations.
 

Protect Clean Water. Clean water is vital to our health and welfare and to our economy. But decades of environmental racism have allowed corporate polluters to pump dangerous amounts of pollution into our border communities and unaccountable developers to leave these communities without the resources and infrastructure to take it on. 30% of people living in colonias don’t have safe drinking water. Meanwhile, border communities have been battling toxic waste dumping in their neighborhoods. And yet, Trump’s 2021 budget proposal eliminates much of the federal money allocated for water and wastewater projects that could have been used to work towards clean drinking water in border regions.
 
A Warren administration will invest in our nation’s water systems. I have committed to fully capitalize the Drinking Water State Revolving Fund and the Clean Water State Revolving Fund to refurbish old water infrastructure and support ongoing water treatment operations and maintenance, prioritizing the communities most heavily impacted by inadequate water infrastructure. I will also fully enforce Safe Drinking Water Act standards for all public water systems and aggressively regulate chemicals that make their way into our water supply, including from agricultural runoff. I’ll restore all funding to water and wastewater projects the Trump administration has proposed to eliminate. And, for the thousands of people who rely on private sources for drinking water, a Warren administration will fight for adequate funding so that everyone can have access to safe water. I’ll also make giant agribusinesses pay the full costs of the environmental damage they wreak on the border communities that surround them by closing the loopholes that they use to get away with polluting and by beefing up enforcement of the Clean Air and Clean Water Acts against them.
 
Guarantee High-Quality Health Care. Border communities face unique health care challenges. Poor coverage means that people cross from Imperial County, California or Southwest Arizona to Los Algodones, Mexico for affordable dental care. The majority of counties along the Southern border have limited access to maternity care. People in need of reproductive care in the Rio Grande Valley are facing barriers to care due to clinic closures, traveling hundreds of miles, and facing long waiting periods.
 

Health care is a human right and that’s why we need Medicare for All. Under Medicare for All, every single person in this country will be able to see the doctor they need and get their recommended treatments. As president, I will immediately act to lower the cost of prescription drugs, using every available tool to bring pressure on the big drug companies and bring down the high costs of many common prescription drugs, including Insulin. And within 100 days, I’ll work with Congress to expand coverage to every American by expanding Medicare and creating a Medicare for All option that is free for all kids and families at or below 200 percent of poverty.
 

While we work to deliver Medicare for All, a Warren administration will roll back the Trump administration’s efforts to rip health coverage away from people. The Trump administration’s reinterpretation of Section 1557 would undermine critical nondiscrimination protections, weakening requirements to make health information language-accessible. As president, I will direct HHS to reinstate the Obama administration’s 2016 guidance that fully upholds civil rights and nondiscrimination protections. I’ll roll back the Trump administration’s Public Charge rule change, which is harming immigrants with disabilities and forcing immigrant families to choose between staying together and ensuring their children can get critical services. And I’ll reverse the Trump administration’s harmful Medicaid policies, like work requirements and block grants, that take coverage away from low-income individuals and families.
 
Strengthen the Health System. While coverage is critical, it’s only part of ensuring access to high-quality care. We also have a responsibility to make sure that places that have experienced a loss in services or are otherwise medically underserved get support to improve their health systems and meet the needs of their communities.
 
That’s why I’ve committed to protecting health care in rural communities by creating a new designation under Medicare for rural hospitals, ending the harmful effects of consolidation, and dramatically increasing funding for Community Health Centers. I will also establish a $25 billion dollar capital fund to support a menu of options for improving care in health professional shortage areasincluding: constructing a new facility like a Community Health Center, Rural Health Clinic, School-Based Health Center, or birthing center; expanding capacity or services at an existing clinic; establishing pharmacy services or a telemedicine program; supporting a diabetes self-management education program; improving transportation to the nearest hospital; or piloting models like mobile clinics and community paramedicine programs. A Warren administration will also expand our health care workforce by investing more resources in building the pipeline of culturally-competent and language-inclusive medical professionals in rural areas and other areas with shortages, from physicians to promotoras.
 
But we also need to support robust public health efforts to keep these communities healthy and prepared to handle potential outbreaks — and to work in partnership with the international community, including Mexico, in our global health response. That’s why I’ve committed to fully fund the critical agencies that support our public health infrastructure. To double down on this commitment in the border region, I will also create a Border Health Initiative within the Federal Office of Rural Health Policy to focus on strengthening these institutions in ways that serve the unique needs of this region and its people.
 
Fight for high-quality education from the earliest years through college. 33 of the 44 counties along the Southern border are non-metropolitan counties. Today, a majority of rural communities lack sufficient access to child care. My plan for Universal Child Care will provide high-quality child care free for millions and affordable for everyone. My administration will also work closely with local providers and tribal governments to make sure there are high-quality child care options available in every community — including home-based child care services. And as part of a comprehensive early childhood education system, I will ensure all children can attend free high-quality universal pre-K.
 
As president, I will make a historic $800 billion investment in our nation’s public schools, supporting students in the classroom and preparing them for college and career readiness. I’ll invest at least an additional $50 billion in school infrastructure across the country – targeted at the schools that need it most. My Environmental Justice plan establishes a lead abatement grant program focused on schools. And I will fully fund the Bureau of Indian Education schools to support major construction and repair backlogs.
 
I’m also committed to protecting English Language Learners by enforcing their rights to meaningful access to rigorous coursework, teachers, special education services, and integration with the rest of the student body, while fostering their home language. And I will protect the rights of immigrant students, ensuring that all immigrant children have access to a quality education, no matter their native language, national origin, or immigration status.
 
Border states are facing an acute teacher shortage. My administration will treat teachers and staff like the professionals they are by strengthening the ability of educators to organize and bargain for just compensation and ensure that educators aren’t drowning in debt. I’ll also build a more diverse teacher and school leadership pipeline by investing in Grow Your Own and teacher residency programs. And I will push to fully fund the Teacher Quality Partnership program to support teacher residency programs in high-need areas, like rural communities, and in areas of expertise like Special Education and Bilingual Education.
 
My student debt cancellation and universal public college plan will cancel up to $50,000 in student loan debt for more than 95% of Americans who carry it and make two-year or four-year public college or technical school free. My plan also makes a minimum $50 billion investment in HBCUs, Hispanic Serving Institutions, Tribal Colleges and Universities, and other Minority-Serving Institutions.
 
Prevent Gun Violence in Border Communities and in Mexico. After Trump, we’ll have work to do to restore our relationship with our Mexican neighbors. One area where we can begin to make improvements immediately is in stopping the flow of American guns to Mexico. As Mexico struggles with record violence, Americans must face the fact that our weak gun laws have not only fed an epidemic of gun violence at home, but are also a leading driver of instability among our neighbors. This instability in turn is displacing people across Mexico and elsewhere in Latin America, feeding the humanitarian crisis that border communities in both the U.S. and Mexico are facing today. I will fight to end gun violence, recognizing that this is part of addressing the root causes of migration and improving our relationship with Mexico. And as president, I will pass a new federal anti-trafficking law making clear “straw purchases” are a federal crime and prosecute gun traffickers by instructing my Attorney General to go after the transnational gun trade with all the resources of the federal government.

Building a 21st Century Border Economy
 
A thriving border economy is crucial to the economic wellbeing of the rest of our country. And when Trump has threatened to shut it down, the ramifications have been felt quickly and acutely. In 2018, a 5 hour border crossing closure at San Ysidro in California — the busiest land border crossing in the world — cost local businesses $5.3 millionWe need a strong border economy that works for everyone. That means investments in local small businesses, growing access to financial services, closing the digital divide, trade that uplifts labor and environmental protections, and developing the green workforce of the future.
 
Boosting Small Businesses. Small businesses are essential to the prosperity of border communities, but these businesses have been harmed by increased border militarization and Trump’s reckless tariff by tweet approach to trade. People along the U.S.-Mexico border also confront barriers to accessing the capital and financial services necessary to start and grow their businesses — barriers that disproportionately affect Latino, Native American, and Black entrepreneurs. My comprehensive agenda to boost America’s small businesses will level the playing field for small business owners on the border by providing access to credit, helping small businesses deal with regulatory requirements, and unleashing the full purchasing power of the federal government to support small businesses.
 
Protecting and Expanding Financial Services. The number of rural counties without a locally owned community bank has doubled since 1994, and border communities are increasingly becoming banking deserts. I’ve proposed allowing the U.S. Postal Service to partner with local community banks and credit unions to provide access to low-cost, basic banking services online and at post offices. A Warren Administration will also strengthen lending to small businesses in underserved areas by expanding support for Community Development Financial Institutions, which provide an important source of funding for women, people of color, and rural communities. As president, my administration will also protect immigrant families sending remittances by enacting stronger rules at the Consumer Financial Protection Bureau around remittances to ensure fees are transparent, and I will oppose President Trump’s proposed tax on remittances that targets wire transfers to Mexico, Latin America, and the Caribbean to pay for his wall.
 
Extend Broadband to Border Communities. The communities along the U.S.-Mexico border have some of the lowest levels of internet connectivity in the nation. This digital divide is a major barrier for people to find jobs, students to complete homework, small business to connect to new markets, and it holds back the entire community. That’s why as president, I will make it clear in federal statute that municipalities have the right to build their own broadband networks and establish a new $85 billion federal grant program to massively expand broadband access across the country. I will also require all telecommunications services to contribute fairly into the Universal Service Fund to shore up essential universal service programs that provide subsidies to low-income individuals, schools, and libraries to increase broadband adoption – because every home in America deserves a fiber broadband connection at a price families can afford.
 
Decreasing Wait Times. Under the Trump Administration, wait times at ports of entry are dramatically increasing, reducing trade and commerce and even impacting air quality for surrounding communities. Every day almost $2 billion worth of products crosses the U.S.-Mexico border, but delays in Texas can exceed 10 hours — this is unacceptable. In places like Deming, New Mexico, students pushed across the border because of unaffordable housing or to be with deported family members get up at dawn to wait hours through highly-militarized security checks to make it to school on the U.S.-side on time. An estimated 40,000 children cross the U.S.-Mexico border for school every day.  First, we will invest in dedicated pedestrian lanes for both U.S. citizens and students, and the “All Lanes Open Initiative” so that there is better traffic flow during the morning rush and expand the program to include evenings. We also need to completely repeal the “hardening measures,” such as concrete barriers topped with razor wire, and limit “tactical exercises” that create choke points and slow down traffic. With the passage of the USMCA, we will increase the number of custom officials and invest in modern technology to more efficiently and effectively inspect and verify goods.
 
Leveling the Playing Field with Trade. As a Senator, I voted for the USMCA — the revised NAFTA agreement. I supported the agreement because it made some improvements for American workers, farmers, and consumers, and Mexican workers too. It guarantees the right to organize for Mexican workers, provides for new investments in combating pollution such as $300 million to stop cross-border sewage flows, and strengthens diplomatic ties with our neighbors at a time that President Trump seeks to divide us.

But we will do much better for border communities in a Warren administration. We need a new approach to trade that works for Americans who have been left behind, including the communities on the U.S.-Mexico border. Instead of pursuing a race to the bottom when it comes to worker’s rights and environmental protection, it is time to use our leverage of the American market to encourage other countries, including Mexico, to elevate their policies. When we raise labor and environmental standards worldwide, we help millions of people living abroad and let American workers compete on a more level playing field.
 
Building the Green Workforce of the Future. Border states are emerging as leaders of the new green economy. Texas is the leading producer of wind energy in the country, California is the leading producer of solar energy, and clean energy investments in New Mexico and Arizona are on the rise. To really bend the curve on climate, we’ll need sustained big, structural change across a range of industries and sectors. My administration will commit to investments in retraining, joint labor management apprenticeships, and creating strong career pipelines to ensure a continuous supply of skilled, available workers. And, we will look for every opportunity to partner with high schools and vocational schools to build pathways to the middle class for kids who opt not to go to college. Outside experts that have looked at my ideas for a Green New Deal to analyze how they will drive job creation have estimated that they will create 10.6 million new green jobs. That means millions of new clean energy jobs in border states and honoring our commitments and a just transition for fossil fuel workers, so that no one is left behind.
 
Honoring our Border Servicemembers and Veterans. Military bases and military families are key drivers of local border economies, from the Marine Corps Air Station in Yuma to Laughlin Air Force Base in Del Rio. Rather than defunding military projects — like military base child care facilities — to build Trump’s “wall”, we should be investing in military readiness, infrastructure, and veterans and their families. From military housing and child care to a 21st century VA system, I will keep our promise to care for our nation’s veterans, service members, and military families.

Read the plan here