During a novel coronavirus
briefing, Governor Andrew M. Cuomo today announced the state will provide
alcohol-based hand sanitizer to New Yorkers free of charge. To help combat
price-gouging and ensure New Yorkers have access to this vital prevention
method, the state will produce up to 100,000 gallons of hand sanitizer each
week in 1.7 oz., 7 oz. and gallon bottles. The hand sanitizer will be made
available to residents free of charge, and distribution will be prioritized by
the most impacted and high risk communities, including the New Rochelle
community, and state agencies, including the MTA.
Governor Cuomo also
confirmed 37 additional cases of novel coronavirus in New York State since his
last update from Sunday, bringing the statewide total to 142 confirmed cases.
The Governor also
announced the New York State Department of Health will work with the New York
State Education Department to issue guidance for schools with students,
teachers or other staff who test positive for novel coronavirus. Under the
policy, schools will close for an initial 24-hour period if a student or a
teacher or any other staff at the school test positive for the novel
coronavirus. This will allow the school to undergo disinfection, and for the
State to perform an assessment of the situation and make a determination going
forward in that particular school district.
Additionally, the
Governor will send a program bill to the legislature today to provide paid sick
leave to working New Yorkers and specifically protect those who are required to
stay home from work because they are being isolated or quarantined as a result
of the novel coronavirus.
“As the number of
confirmed cases of the coronavirus continues to rise, unscrupulous retailers
are exploiting New Yorkers’ anxieties about the virus and charging exorbitant
prices for hand sanitizer and other similar products,” Governor
Cuomo said. “To solve this problem, the state is producing and
deploying hand sanitizer to high impact areas as well as schools, the MTA and
other government agencies because you can’t get it on the market and the
product that is available is very expensive. The biggest problem we have in
this situation is fear, not the virus itself, and I’m once again reminding
everyone to focus on the facts because the facts do not warrant the level of
anxiety we are seeing.”
Of the 142 total
individuals in New York State who tested positive for the virus, the geographic
breakdown is as follows:
Westchester: 98 (16 new
cases)
New York City: 19 (7 new
cases)
Nassau: 17 (12 new
cases)
Rockland: 4 (2 new
cases)
Saratoga: 2
Suffolk: 1
Ulster: 1
DOCCS, through its
correctional industries entity known as Corcraft, will produce an
alcohol-based formula recognized by the World Health Organization and has begun
production at Great Meadow Correctional Facility in Comstock, Washington
County, this week. Through this ongoing effort, the Department will be able to
produce up to 100,000 gallons of hand sanitizer per week. Corcraft, which
produces dozens of products, uses the manufacturing process to assist in the
department’s overall mission to prepare offenders for release through skill
development, work ethic, respect and responsibility.
Local governments
seeking to obtain additional stocks of hand sanitizer should work with their
County’s Emergency Manager and local Health Department to submit requests
directly into NY Responds, the state’s web-based system which enables both
local governments and state agencies to submit and share vital
emergency-related information and resource requests.
Reportedly, some
retailers are charging approximately 10 times what major retailers charge for
hand sanitizer. On eBay a pack of five 2.5-ounce Germ-X hand sanitizer bottles
were selling for $500 – by comparison, two 30-ounce bottles of Germ-X were
offered online by Walmart for less than $8.
The Department of
Corrections and Community Supervision also began a new screening protocol for
COVID-19 for visitors to each of the State’s 52 correctional facilities to help
avoid the introduction of COVID-19 into the Department’s facilities. Upon
arrival to the facility, visitors will be asked a series of questions regarding
any illness or symptoms they may be currently experiencing; travel outside of
the United States within the past four weeks, including that of family members;
and any direct exposure to an individual diagnosed with the novel coronavirus
in the past four weeks.
DOCCS Acting Commissioner Anthony J. Annucci said, “Between increased demand and the
price gouging currently taking place in the market, there is a very real need
for hand sanitizer for New York residents. DOCCS is proud to meet the
Governor’s call to action and do our part in stemming the spread of COVID-19
across the state.”
Last night, the Governor announced that Northwell Laboratories has been authorized to test under Wadsworth’s emergency use authorization. Manual testing of 75 to 80 samples per day has begun at Northwell, but automated testing still needs to be approved by the federal administration so the lab can perform thousands of tests per day. Additionally, NY Presbyterian Hospital is ready to start running 50 to 60 tests daily once it receives federal approval for testing. The Governor again today urged the federal administration to approve the use of the state’s coronavirus test by private labs, such as NY Presbyterian.
Update: After tour of Northwell Labs, Governor Cuomo announced FDA approval for Northwell to test novel coronavirus: “After days of advocating the FDA and the federal government to expand testing capacity for the novel coronavirus in New York State and working with Northwell and Wadsworth to expedite the process, we just received word that Northwell Laboratories has been authorized to test under Wadsworth’s emergency use authorization. Manual testing of 75 to 80 samples per day will begin at Northwell immediately, but we still need automated testing approved so we can perform thousands per day.
“While this approval is a good first step, the FDA must increase the testing capacity for the State and private labs, because the more tests we run, the more positive people we will find and the better we can control and contain the virus. It’s one thing for the federal government not to have the testing capacity in place themselves – that was bad enough – but there’s no excuse for them not to be authorizing existing labs to do the work.”
New York State Governor Andrew Cuomo took the Center for Disease Control and federal government to task for failing to authorize private laboratories to test for the coronavirus, and for failing to authorize automated testing which could increase exponentially the number of people tested.
Testing is critical to finding people infected with the coronavirus in order to contain the spread of the infection, he said during a tour of Northwell Health Laboratories on Long Island, where as many as 1000 tests could be done a day using state-of-the-art automated testing devices which can analyze as many as 120 samples at one time.
Northwell’s laboratory is the most sophisticated lab in New York State and one of the most advanced in the nation. But as yet, CDC has not authorized private labs to do the tests, and has not authorized the automated testing systems that Northwell has, Cuomo said.
“CDC has not authorized the use of this lab, which
is just outrageous and ludicrous,” the Governor scolded. “CDC, wake up, let the
state’s test. Let private labs test. Let’s increase as quickly as possible our
testing capacity so we identify the positive people so we can isolate them and
we’re successful in our containment.”
The state is “continuing to test people and are working with
hospitals and local governments to give them the resources they need to contain
the spread of this virus,” Governor
Cuomo said. “We mobilized quickly but the federal government
has been slow off the mark and they continue to be slow. That’s unacceptable
– we need them to approve these private labs today so we can stay ahead of this
evolving situation. Worse than the virus right now is the fear pandemic – and
getting these additional facilities online will ensure we have more facts that
will help keep people calm.”
The Northwell Lab on Long Island would be the first private lab in
the state to handle coronavirus testing.
“This is an extraordinary facility,” the Governor said, flanked by
his state Health Commissioner Howard A. Zucker, and Northwell Health CEO
Michael J. Dowling.
“We
are trying
to contain spread of virus and to do that, we are testing as many as possible,
to find the positives and isolate them.”
If the spread of infection is not contained, he warned, more disastrous
measures, such as China and Italy have been forced to undertake – massive quarantines
of millions of people – “would be very disruptive to society and the economy.”
Cuomo said that the level of fear surrounding coronavirus (the disease associated with the virus is COVID-19) is unwarranted. “There is more fear, anxiety than facts would justify. This isn’t Ebola, or SARS. This is a virus we have a lot of information on. Johns Hopkins has been tracking 100,000 cases and what happens.”
Most people who become infected will experience mild symptoms like a cold or flu and can recover at home. But for vulnerable populations – the elderly, people who have medical conditions – the disease is dangerous and can be deadly.
The best “weapon” against the disease is
to reduce situations that create density.
Cuomo said he is speaking with business leaders across the state to encourage them to offer liberal sick leave so that people who are sick, who feel symptoms, stay home but are still paid; he also is encouraging businesses as well as state and local government offices, to stagger workers in shifts if possible; and to allow work-at-home where feasible.
Individuals also have a role in keeping themselves safe, he said – wash hands frequently, don’t shake hands, just as in any flu season. He advises people who take mass transit to let a train pass if the cars are too packed, and to move to less crowded cars. “Reduce density, proximity.”
The single best thing government can do
is to test. “The more positives we identify, the more we can isolate to stop
the spread.”
The Governor confirmed 16 additional cases of novel coronavirus in New York State since his last update yesterday, bringing the statewide total to 105 confirmed cases on Sunday morning. Of the new cases, 12 are in Westchester County, one in New York City in the Bronx, one in Nassau, one in Suffolk, and one in Ulster.
Of the 105 total individuals in New York State who tested positive
for the virus, 82 are in Westchester; 12 are in New York City; five are in
Nassau; one in Suffolk; two in Rockland; one in Ulster and two in Saratoga
counties.
Cuomo criticized the CDC for being
unprepared, even as the outbreak became clear in China by December (“It is
delusional not to expect people to come from China”), and only recently
allowing states to do their own testing. New York has the Wadsworth lab, but
now is asking the CDC to authorize the state to utilize private labs, like
Northwell Laboratories.
“Not to be using this laboratory, not to be using the other private labs around the state makes no sense whatsoever. Not to be using automated testing, which means rather than a person manually handling a test tube and a test, the machines we saw that handle 120 samples at a time place them in a machine, the machine runs the test. Of course you should be using that technology. And it’s one thing for the CDC not to have the testing capacity in place themselves, but that was bad enough. For the CDC not to be authorizing existing labs to do the work, there’s no excuse for that.”
Cuomo also criticized the federal government for creating unnecessary confusion, which fuels fear. “The President of the United States says anyone who wants a test can have a test. Vice President of the United States says we don’t have the testing capacity. People say, how can you say both things? You can’t say both things. We don’t have the testing capacity that we need. Not everyone who wants a test can have a test.
“We have to prioritize the people who get the tests to fit our capacity, right. You can’t ask more people to come in and get tested until you know you have the capacity to test them. The number of people coming in for a test must equal the number of tests you can perform. That’s why in New York we have a standard protocol that’s in place all across the state, prioritizing who can get tested to fit our testing capacity.
“Once we increase our
testing capacity and we can perform more tests, then we can change the
prioritization of those people coming in for the tests. We have a statewide
protocol because we don’t want people shopping tests. I don’t want someone from
Nassau driving to Suffolk, driving to Manhattan, driving to Westchester because
you have different rules on who can get a test. Everyone, everywhere in this
state has the same rules, doesn’t matter where you go. Hopefully, the CDC acts
responsibly and acts quickly and we raise the capacity, we bring a great facility
like this online with the automated testing. We can then get testing per day to
about 1000 tests. And then we can calibrate the prioritization to the capacity.”
The
Governor also addressed price gouging, which is happening across the state and
the nation, “symptomatic of fear.”
“It’s unethical, exploitative of fear and illegal,” he said. “To make a few extra bucks on hand sanitizer, they would jeopardize their license to do business. There is an increased penalty for price gouging.” He said that consumers can call a hot line, that state police are investigating and the state Attorney General has the power to prosecute.
The state’s Division of Consumer Protection has created an online consumer complaint form, where New Yorkers can report suspected price gouging or concerns about improper delivery of quantity. (Consumers who wish to file a complaint can visit https://www.dos.ny.gov/consumerprotection/.)
Also, travel insurance companies and travel agents will offer New York residents and businesses the ability to purchase coverage when making travel plans that would allow them to cancel a trip for any reason, including for reasons related to COVID-19.
The Department of
Financial Services issued guidance allowing
travel agents and travel insurers to offer this type of coverage after DFS
received consumer complaints that such polices were not available in New York
State. This new action is designed to provide reassurance to New York
businesses and residents who are seeking to make plans that may involve travel
to locations that are not currently under travel advisories due to COVID-19.
Six global and national
insurance companies have agreed to offer “cancel for any reason”
coverage to travelers, including: Allianz, Nationwide, Starr Indemnity,
Berkshire, Crum & Forster, and Zurich.
DFS also directed New York State travel insurance issuers to proactively reach out to individuals and businesses who bought their policies to let them know what is covered. (Read a copy of the DFS Insurance Guidance Letter)
Yesterday, the Governor announced that he declared a state of emergency to help New York more quickly and effectively contain the spread of the virus. The state of emergency declaration allows, among other things:
Expedited procurement of cleaning supplies,
hand sanitizer and other essential resources
Allowing qualified professionals other
than doctors and nurses to conduct testing
Expedited procurement of testing
supplies and equipment
Expedited personnel onboarding
Expedited leasing of lab space
Allowing EMS personnel to transport
patients to quarantine locations other than just hospitals
Providing clear basis for price gouging
and enforcement investigation
“We do not want to have to do massive close
downs, massive quarantines, and we don’t want members of the vulnerable
population getting sick. That is why we are doing what we are doing,” Cuomo
said.
“So in sum, CDC let’s
move, authorize the State to authorize private labs, get this most sophisticated
lab in the State, one of the most sophisticated labs in the country, get this
lab to work. Why you wouldn’t makes absolutely no sense.
“And to New Yorkers, we
understand the facts. Keep this in perspective. We don’t want a lot of people
getting this virus. We don’t want to take more drastic measures. But, if you
get the virus, you will get sick, you will recover, you most likely won’t even
go to the hospital. And the only the people who we really have to worry about
are the vulnerable populations – senior citizens, people with compromised
immune systems.
“So keep it all in
perspective. I know there’s a whole frenzy about it, the facts do not justify
the frenzy, period. The biggest problem we have in this situation is fear, not
the virus. The virus we can handle. It’s the fear. And the fear is just
unwarranted.”
The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. In what can be described as an love letter to Senator Elizabeth Warren’s supporters, Senator Bernie Sanders has released his “Reproductive Health Care and Justice for All” plan. But you decide how many of these provisions would ever be enacted. This is from the Sanders campaign:
WASHINGTON – Senator Bernie Sanders
released a major tenet of his presidential platform: Reproductive Health Care and Justice for All. The latest
policy plan builds on the Senator’s wide-ranging agenda for quality and
affordable health care for all people. The plan centers on two primary prongs
— ensuring universal and affordable access to reproductive health care, and a
comprehensive action plan to address the crisis of maternal mortality in
communities of color across the country.
“There has been no time in the history of this country when women, especially
Black women, have had the reproductive freedom and justice that they deserve.
In my administration, that will finally change,” said Senator Bernie Sanders.
“We must once and for all put an end to the unacceptable crisis of Black
maternal mortality, and ensure every woman in this country — no matter where
they’re from — has the basic right to quality healthcare.”
Sen. Sanders continued, “When I am in the White House, we will fight back
against the Republican assault on abortion rights across this country and
defend a woman’s fundamental right to control her own body. As President, there
will be no doubt that in the United States of America, abortion is a
constitutional right. Period.”
The Reproductive Health Care and Justice for All plan reflects the fact that
issues of justice must be addressed holistically and intersectionally. The plan
will be implemented in tandem with a comprehensive, progressive agenda to end
racial disparities in our economic, criminal justice, environmental, education,
and health care systems.
The full and detailed plan can be found here. The following is a summary of key policies and action
items as part of Reproductive Health Care and Justice for All.
As President, Bernie Sanders will:
Use executive authority to reverse President Trump’s anti-choice actions.
Codify Roe v. Wade in legislative statute, require all judicial nominees to support Roe v. Wade as settled law, and require preclearance for state abortion laws to ensure that state laws do not impose undue restrictions and barriers for abortion services.
Protect and expand funding for Planned Parenthood, and repeal the Hyde and Helms Amendments.
Ban state Targeted Regulation of Abortion Providers (TRAP) laws that put undue and unnecessary burdens and regulations on doctors who provide abortion services with the goal of restricting access.
Ensure anti-choice crisis pregnancy centers do not receive federal funds.
Ensure that all communities have access to nearby abortion care.
Make birth control available over-the-counter, in addition to free under Medicare for All.
Ban ineffective abstinence-only sex education.
Increase access to and funding for reproductive services and facilities in communities of color, eliminate “contraceptive deserts,” and increase funding to hospitals where Black mothers and parents receive care.
Work with women of color-led community organizations to develop and coordinate policy.
Educate health care providers and medical school students on providing culturally competent care.
Ban discrimination by health care providers, and provide a right of action for patients discriminated against.
Establish standard protocols to rapidly address postpartum hemorrhage, a leading cause of maternal mortality in Black women.
Require hospitals that receive federal funding to hire culturally competent care liaisons to field complaints, and provide training to all labor and delivery staff, including nurses, doctors, and clerks.
Ensure there are sufficient OBGYN physicians, midwives, lactation consultants and doulas in medically underserved communities of color.
Create and expand programs for Black maternal mortality liaisons, patient advocates, care coordinators, and social workers at hospitals serving at-risk women of color.
Expand the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC) program for pregnant mothers,
infants, and children.
The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. Vice President Joe Biden has released his plan for ending the opioid crisis and ensuring access to effective treatment and recovery for substance use disorders. This is from the Biden Campaign:
Millions of families are impacted by the opioid crisis. It’s ravaging communities coast to coast, from New Hampshire to California. The challenge of substance use disorders is not limited to opioids. Millions of individuals are affected by misuse of other substances such as alcohol or methamphetamine. Latest estimates indicate that, in 2018, almost 68,000 Americans died from a drug overdose – almost 47,000 of which involved an opioid. And, the impacts of this crisis reverberate in our classrooms and neighborhoods, in small towns and big cities.
Biden will tackle this crisis by making sure people have access to high quality health care – including substance use disorder treatment and mental health services. That’s what Obamacare did by designating substance use disorder treatment and mental health services as essential benefits that insurers must cover, and by expanding Medicaid, the nation’s largest payer for mental health services which also plays an increasingly growing role as a payer for substance use disorder services.
But President Trump wants to repeal Obamacare, including its Medicaid expansion. Repeal would be disastrous for communities and families combating the opioid crisis. It is not realistic to think that grant money will fill the hole that eliminating Obamacare and its Medicaid expansion would create.
Step one of Biden’s plan to tackle the opioid epidemic and substance use disorders is to defeat Trump and then protect and build on Obamacare. And, Biden will pursue a comprehensive, public health approach to deal with opioid and other substance use disorders. His plan will:
Hold
accountable big pharmaceutical companies, executives, and others responsible
for their role in triggering the opioid crisis.
Make
effective prevention, treatment, and recovery services available to all,
including through a $125 billion federal investment.
Stop
overprescribing while improving access to effective and needed pain management.
Reform
the criminal justice system so that no one is incarcerated for drug use alone.
Stem
the flow of illicit drugs, like fentanyl and heroin, into the United States – especially from China and
Mexico.
HOLD ACCOUNTABLE BIG PHARMA COMPANIES, EXECUTIVES, AND OTHERS
RESPONSIBLE FOR THEIR ROLE IN TRIGGERING THE OPIOID CRISIS
Biden will demand accountability from pharmaceutical companies and others
responsible for the opioid crisis, including manufacturers, distributors, and
“pill mill operators.” Pharmaceutical executives should be held personally
responsible, including criminally liable where appropriate. Specifically, Biden
will:
Direct the U.S. Justice Department to make actions that spurred
this crisis a top investigative and, where appropriate, civil and criminal
enforcement priority. Biden
will make sure the Department has all the necessary resources to complete this
work. Building on the efforts of the Obama-Biden Administration, Biden will also ensure the
Food and Drug Administration takes action when new information reveals harms
from previously approved drugs (including the risk of diversion, or the use of
drugs by an individual other than the one to whom the drug was prescribed),
ensures compliance with risk mitigation strategies, and punishes drug companies
for deceptive practices. And, he will appoint an Opioid Crisis Accountability
Coordinator to coordinate efforts across federal agencies and support the
enforcement efforts of state and local partners.
Direct the Drug Enforcement Administration (DEA) to step up
its efforts to identify suspicious shipments and protect communities. Opioids distributors
knowingly shipped millions of pills to towns with hundreds
of residents, helping trigger the opioid epidemic. Biden will empower the DEA
to stop drug shipments from pharmaceutical companies and their distributors
that create risks of diversion and misuse. Biden will work with Congress to
allow the DEA to act expeditiously when a pharmaceutical distributor fails to
adequately monitor shipments that could pose an “imminent danger” to vulnerable
communities and increase penalties for companies that fail to take action to
stop suspicious shipments. In addition, Biden will direct the DEA to improve
data collection on wholesalers and pharmacies, including prescribing patterns
and suspicious order reports, and to disseminate its analysis to distributors
to prevent problems before they become disasters.
Ban drug manufacturers from providing payments or incentives
to physicians and other prescribers. Pharmaceutical companies work hard to persuade doctors and
other medical personnel to prescribe their products. These companies essentially pay providers to prescribe
opioids and other drugs by, for example, paying providers to speak at or attend
conferences, or consult for their companies. By banning these practices, Biden
will ensure that patients’ lives do not take a backseat to doctors’ bottom lines.
MAKE EFFECTIVE PREVENTION, TREATMENT, AND RECOVERY SERVICES AVAILABLE TO
ALL WHO NEED THEM
Biden has long recognized and led on
efforts to make clear that substance use disorders are diseases, not a
lifestyle choice, and that we need to change how we talk about and treat
substance use disorders to align with this fact.
He knows that the most important step we can take to address substance use
disorders is to ensure that Americans have access to affordable, high-quality
health care, including treatment for mental illnesses and substance use
disorder. That’s why Biden has a plan to
build on the Affordable Care Act and achieve universal coverage. In addition,
Biden will redouble efforts to ensure insurance companies stop discriminating
against people with behavioral health conditions and instead provide the
coverage for treatment of mental illness and substance use disorders that
patients and families need. Congress passed a bipartisan parity law 12 years ago requiring
that this discrimination stop, but the enforcement of parity has been
insufficient. As Vice President, Biden championed efforts
to implement the Paul Wellstone and Pete Domenici
Mental Health Parity and Addiction Equity Act. As President, he will finish the
job by appointing officials who will hold insurers accountable, enforcing our
parity laws to the fullest extent. He will also direct federal agencies to
issue guidance making clear how state officials and the public can file a
complaint when their insurers – or Medicaid – are not
living up to their parity obligations.
In addition, Biden will work to make sure that people experiencing substance
use disorders have access to quality facilities and providers. As President, he
will ensure that the new public option, Medicare, Medicaid, the Indian Health
Service, the Military Health System, and the Veterans Health Administration
accelerate integration of substance use disorder care into standard health care
practice. Biden will double funding for community health centers and expand the
supply of health care providers, for example by growing the National Health Service Corps. And, he
will protect rural hospitals from
payment cuts, give them the flexibility they need to remain open, and invest in
telehealth so people in remote areas can still have access to mental health and
substance use disorder specialists.
Finally, Biden will make sure federal funds are specifically targeted at
improving access to treatment and recovery for opioid and other substance use
disorders, and at preventing these disorders in the first place. As Vice
President, Biden championed passage of the 21st Century Cures Act, which
included $1 billion in funding for states to address the opioid epidemic. That
was a down payment. To deal with the immense scope of the opioid and substance
use disorder crisis, Biden will dramatically scale up the resources available,
with an unprecedented investment of $125 billion over ten years. Funds will be
used to:
Pursue comprehensive strategies to expand access to
treatment, particularly in rural and urban communities with high rates of
substance use disorders and a lack of access to substance use disorder
treatment services. Biden will invest $75 billion in flexible grants to states and localities
for prevention, treatment, and recovery efforts. State and local agencies will
also be able to use funds to enhance data systems allowing them to better
target resources to individuals and communities most in need of support. As a
condition for receiving funding, grant recipients will have to provide
long-term, comprehensive strategic plans that address the multifaceted nature
of the substance use disorder crisis. Funds may be used to:
Invest in evidence-based, cost-effective prevention programs
in schools and communities to reduce the development of substance use
disorders.
Mitigate harms from opioid and other drug use, including
overdoses. Local
communities will be able to use the funds to implement evidence-based programs
designed to stop the spread of diseases like hepatitis C and HIV, including
syringe service programs, or to scale up innovative programs like the safe station initiative started in Manchester,
New Hampshire, which allows those seeking help to go to fire stations in order
to be connected to treatment and recovery services.
Expand access to ongoing treatment and recovery services. Communities will be
able to use funds to increase access to substance use disorder and mental
health treatment and other services to support long-term recovery, including
peer support networks and recovery coaches, and better integrate primary care
and behavioral health. Recognizing the strong evidence that social supports,
including family support, may have a positive impact on the treatment of HIV, Biden will support the
development of family-centered models for substance use disorder treatment and
recovery.
Make Medication Assisted Treatment (MAT) available to all
who need it, reaching universal access no later than 2025. MAT (also referred to as
MOUD or Medications for Opioid Use Disorder) is regarded as the gold standard of care for
individuals with opioid use disorder. Yet, less than 50% of substance use disorder
facilities around
the country offer even one of the FDA-approved medications. The 21st Century
Cures Act, legislation Biden championed as Vice President, provided resources to states designed to expand
access to MAT. Biden will build on this in order to ensure universal
access to MAT for all who need it, including by:
Providing $20 billion for grants to dramatically expand
capacity to administer MAT across the country, especially in underserved
areas, including
establishing new facilities and developing training programs to increase the
number of professionals able to administer MAT.
Stopping insurance companies from erecting barriers to
coverage of MAT. For
example, insurers have imposed “fail first” protocols which require
prescribers to certify that other therapies were tried before covering MAT.
Insurers also may require that physicians obtain “prior authorization” for MAT
before prescribing it.
Removing undue restrictions on prescribing medications for
substance use disorder. For example, drugs containing buprenorphine were approved by the FDA in
2002 but a relatively small number of doctors or medical
personnel are certified to prescribe them. Biden will ensure that any undue restrictions on prescribing are
lifted and review methadone treatment regulations.
Help first responders and community health providers respond
to overdoses. Biden
will invest $10 billion to provide local communities with the tools needed to
prevent overdoses and respond to emergencies emanating from this crisis.
Ensure local communities have a sufficient supply of
overdose prevention drugs. Naloxone (also known as Narcan)
is a medication that can reverse an opioid overdose, making it a critical tool
in the fight to save lives. Biden will expand grants to states for the purchase
of Naloxone to be distributed to local community actors called upon to respond
to overdoses, including first responders, public health providers, and the
staff at homeless shelters and public libraries.
Demand that drug companies charge a fair price for overdose
drugs, including Naloxone. The Biden Administration will aggressively negotiate a reduction in the
drug’s price, on behalf of the federal government, and state and local
communities.
Support first responders. Police officers and firefighters are often the first
on the scene of an overdose. Biden will ensure they are equipped not just with
naloxone, but also with the mental health and resilience support anyone would
need after being exposed again and again to such trauma.
Invest in community-based prevention programs and a major
public education effort to eliminate the stigma surrounding substance use
disorder treatment. Biden
will invest $5 billion in community-based prevention efforts and public
education initiatives including training educators to recognize the signs of
mental health problems and substance use disorders and refer them to
appropriate services. Funds will also support evidence-based education programs
for young people on mental health and substance use disorders.
Expand the pipeline of medical personnel to treat substance
use disorders. Building
on legislation like the Opioid Workforce Act of 2019, Biden will work with
Congress to invest $5 billion to expand medical residencies and access to
education and training for medical personnel in substance use disorder
diagnosis and treatment. Funding will support training for primary care
providers, as well as other members of the health care team, to build an
integrated system of care.
Invest in research by doubling funding for the NIH HEAL (Helping to
End Addiction Long-Term) Initiative. This $10 billion investment will support efforts to improve
treatments for chronic pain.
Provide targeted interventions for particular
populations. Biden
will invest $10 billion in efforts specifically designed to support populations
with unique situations or needs. Biden will ensure a portion of this funding
for state and local governments is set aside for Tribal governments. In addition
to expanding veterans’ access to
substance use disorder and mental health treatment, Biden will direct his
Secretary of Veterans Affairs to ensure VA medical personnel are sufficiently
trained in safe prescribing practices and pain treatment. Bidenwill call upon the public health and
criminal justice systems to provide evidence-based substance use disorder
treatment, including MAT, for people during their incarceration and after their
release. Finally, Biden will expand investments to help children suffering from
Neonatal Abstinence Syndrome or Neonatal Opioid Withdrawal Syndrome, and to
ensure their mothers have access to effective treatment and care.
STOP OVERPRESCRIBING WHILE IMPROVING ACCESS TO EFFECTIVE AND NEEDED
PAIN MANAGEMENT
An essential part of our national strategy to address the opioid epidemic must
be stopping pharmaceutical companies’ practices that lead to overprescribing.
Yet at the same time, physicians still must effectively treat pain. Chronic
pain is a growing public health challenge with wide-ranging impacts: keeping
individuals out of the workforce, negatively affecting their mental and physical
health, contributing to suicidal ideation, and otherwise limiting their quality
of life. Biden believes we need to pursue two joint goals: eliminate
overprescribing of prescription opioids for pain, and improve the effectiveness
of and access to alternative treatment for pain. Biden will:
Support development of less addictive pain medications and
alternative pain treatments, and improve standards of quality for treatment. We need pain medications
that are less addictive and more effective. Biden will invest in NIH research
to develop these new medications. By doubling funding for NIH’s HEAL program,
Biden will accelerate research regarding alternative treatments and therapies
and help providers and patients better understand the options and access alternatives.
And, he will direct the FDA to give priority to new pain medications with a
documented reduced risk of addiction.
Expand coverage for alternative pain treatments. As documented in a recent study related to back pain,
some non-pharmacological pain interventions (e.g., psychological counseling,
acupuncture, physical therapy, or occupational therapy) are not consistently
covered or have administrative barriers to coverage (e.g., pre-authorization,
visit limits). In accordance with evidence-based medicine, Biden will call for
a requirement that Medicare, Medicaid, his proposed new public option, and
private insurance companies consistently and transparently cover alternatives
to opioids for chronic pain, without barriers such as prior authorization or
high levels of cost-sharing.
Provide training to medical personnel in pain management and
substance use disorder treatment. Building on the Obama-Biden Administration’s prior
efforts,
Biden will direct the U.S. Department of Health and Human Services to work with
the medical community to support research and the development of curricula and
training regarding pain management. He will ensure that the systematic study of
pain management and substance use disorder is a mandatory part of the curricula
and material on which doctors and other medical personnel are tested. Those
seeking a federal DEA license to prescribe controlled substances will be required to receive training on
proper prescribing guidelines and pain management.
Expand the effectiveness of monitoring programs designed to
prevent inappropriate overprescribing of opioids. Prescription Drug Monitoring
Programs (PDMPs) are electronic databases designed to prevent drug abuse. For
example, a provider can check the database before prescribing in order to
determine whether his or her patient has been getting the same prescription
from multiple providers. In order to receive any of the $125 billion in new
grants under the Biden Administration, states will have to institute a
requirement that every prescriber checks the database every time they write a
new opioid prescription. Biden will also set aside some of these grant dollars
to ensure states improve Prescription Drug Monitoring Programs data-sharing
across state lines.
Ensure regular updating of the Centers for Disease the
Control and Prevention (CDC) prescriber guideline based on the best available
evidence. The CDC
has issued a guideline to help prescribers
make evidence-based decisions regarding when and how to prescribe opioids in
order to minimize the risk of abuse while also effectively treating pain. Biden
will ask the CDC to commit to regularly updating these guidelines as new
evidence emerges regarding opioid abuse risk factors and alternative pain
treatments. And, he will partner with health care providers and states to
maximize providers’ awareness and use of the guideline.
REFORM THE CRIMINAL JUSTICE SYSTEM SO THAT NO ONE IS INCARCERATED FOR
DRUG USE ALONE
Biden has released a criminal justice plan
that will strengthen America’s commitment to justice and reform our criminal
justice system by building a system focused on redemption and rehabilitation.
Biden believes that no one should be incarcerated for drug use alone, and as
President he will treat drug use as a disease rather than a crime.
Specifically, Biden will:
End all incarceration for drug use alone and instead divert
individuals to drug courts and treatment. Biden will require federal courts to divert these
individuals to drug courts so they receive appropriate treatment and services.
He’ll incentivize states to put the same requirements in place. And, he’ll
expand funding for federal, state, and local drug courts and other programs
that divert individuals who commit crimes as a result of or in furtherance of
substance use disorders to treatment rather than incarceration.
Get people who should be supported with social services –
instead of in our prisons – connected to the help they need. Too often, those in need of
mental health care or treatment for a substance use disorder do not get the
care that they need. Instead, they end up having interactions with law
enforcement that lead to incarceration. To change the nature of these
interactions, the Biden Administration will fund initiatives to partner mental
health and substance use disorder experts, social workers, and disability
advocates with police departments. These service providers will respond to
calls with police officers so individuals who should not be in the criminal
justice system are diverted to treatment for substance use disorder or mental
illness, when appropriate, or are provided with the housing or other social
services they may need.
STEM THE FLOW OF ILLICIT DRUGS LIKE FENTANYL, ESPECIALLY FROM CHINA AND
MEXICO
As part of a comprehensive agenda that prioritizes prevention, treatment,
recovery, and harm reduction, Biden believes that part of the solution to the
opioid crisis involves preventing bad actors from smuggling opioids and other
illicit drugs into our country. Specifically, Biden will:
Make fentanyl a top priority in our dealings with
China. The
Treasury Department has already sanctioned a small number of Chinese nationals in connection with
fentanyl – it’s a good start, but going after individuals will not alter Beijing’s
thinking long-term. Biden will pressure Beijing to crack down on illicit
fentanyl production in China and stem the flow of the drug into the United
States. Biden will also develop regional strategies in the Asia-Pacific and the
Americas to deal with shifts in the routes and sources of fentanyl in response
to a Chinese crackdown.
Enhance cooperation with Mexican authorities to disrupt the
movement of heroin and fentanyl across the U.S.-Mexico border. Chinese fentanyl is
frequently transshipped through Mexico, and then smuggled across the
border in pure form or combined with
heroin. As
China takes steps to police fentanyl and its precursors, production and
distribution will increasingly shift to Mexico. Biden will pursue strong,
sustained cooperation with Mexican authorities to disrupt suppliers and supply
routes, including the importation of precursor chemicals from China. The Biden
Administration will also provide technical assistance to enhance the Mexican
Post Service’s (SEPOMEX) ability to detect and electronically track shipments
of fentanyl and precursors that come through Mexico. As President, Biden will
repair the damage to U.S.-Mexico ties inflicted by Donald Trump and develop a
common agenda with Mexico that looks beyond our shared border to promote our
shared prosperity and protect U.S. national security interests.
Enforce sanctions on international actors engaged in the
trafficking of illicit drugs like heroin and fentanyl. Biden’s Treasury Department sanctions team will
map the financial institutions and networks that facilitate the distribution of
fentanyl and key precursors and develop sanctions packages based on that
evidence and task the Office of the Director of National Intelligence to
support these efforts with a focus on illicit finance.
Increase cooperation among global law enforcement
agencies. Biden
will direct U.S. law enforcement agencies to work closely with foreign
counterparts, share threat information, and use technology to assist in
tracking and seizing illicit shipments.
Ensure federal agencies have the tools and resources they
need to stop the flow of fentanyl from abroad. Fentanyl producers have exploited gaps in monitoring through
the U.S. Postal Service (USPS) to flood the U.S. with the deadly product. Biden
will give the USPS the tools and resources it needs to carry out that mandate
and disrupt the large supplies of fentanyl that are sent through the mail
system, working with U.S. Customs and Border Protection. In addition, the vast majority of opioids and
fentanyl are shipped through legal ports of entry—not in between them. Rather
than waste resources building a wall or tearing families apart, Biden will
direct resources to the ports of entry to interdict opioid shipments there.
Combating the Opioid Epidemic and Substance Use
Disorders, Paid for By Making Sure Pharma Pays Its Fair Share
Biden’s $125 billion investment in a comprehensive response to the opioid
epidemic and substance use disorders is paid for by raising taxes on the profits
of pharmaceutical corporations.
In contrast with the disjointed, chaotic,
ineffective, politicized handling to stem the coronavirus pandemic offered by
the Trump Administration still more concerned about the stock market than lives
(Trump suggested a new benchmark, that since as many as 65,000 people die each
year from seasonal flu – “Who knew? I find that amazing” – that anything less
would be considered victory), every Democratic candidate to replace Trump has
demonstrated more effective leadership. Trump has honed in on pushing the
Federal Reserve to lower interest rates, and for further tax cuts which will do
nothing to address the actual global economic impacts of a pandemic – curtailed
production and consumer demand as well as general business uncertainty – Senator Elizabeth Warren released her plan to
take decisive action to both keep American families healthy and stabilize the
economy. This is from the Warren campaign:
Charlestown, MA – Today, Elizabeth Warren
released her plan to take decisive action to keep American families healthy and
stabilize our economy as the virus spreads.
Elizabeth Warren’s plan will:
Ensure that every American — including the millions of
Americans who are uninsured — can get all recommended evaluation and care for
coronavirus for free, including any recommended coronavirus vaccine once it is
developed.
Create an emergency paid leave program so that anyone who
meets the CDC’s description of relevant symptoms of coronavirus or is exposed
and placed under quarantine can get fully paid time off of work to consult a
doctor and recover—or provide care to a family member or other dependent who
requires it.
Enact at least a $400 billion fiscal stimulus package to
head off the potential economic impact of coronavirus.
Elizabeth discussed these
concrete solutions to the coming economic shocks of coronavirus at a town hall
in Houston over the weekend. The plan released today builds on her
comprehensive plan to prevent, contain, and treat infectious diseases outbreaks
like coronavirus she released more than four weeks
ago — before any of the other candidates, or the incumbent in
the White House.
Protecting our People and our Economy from Coronavirus
Coronavirus is a public health emergency and a serious threat to the American
economy. While it’s important that our leaders communicate calmly and clearly
about the situation to avoid unnecessary panic, it’s just as important that we
take decisive action to keep American families healthy and stabilize our
economy as the virus spreads.
I rang the warning bells for years
before the 2008 crisis. Quicker action during the Bush
Administration could have reduced the severity of the crisis — or averted it
entirely. While we still don’t know the full scope of the public health and
economic impact of coronavirus, and even further actions may be necessary in
upcoming months, we should take the following steps right now to limit the
spread of the virus and get ahead of its economic impact:
Ensure that every American — including the millions of
Americans who are uninsured — can get all recommended evaluation and care for
coronavirus for free, including any recommended coronavirus vaccine once it is
developed.
Create an emergency paid leave program so that anyone
presenting with the symptoms of coronavirus, or who has a family member or
other dependent presenting with the symptoms of coronavirus, can get fully paid
time off of work to see a doctor, get treatment, or provide care.
Enact at least a $400 billion fiscal stimulus package to
head off the potential economic impact of coronavirus.
Ensuring Every American Can Get Free Care for Coronavirus
Medicare for All will prevent this kind of problem in the future. But in the short term, facing a potential outbreak, we must ensure that every person in this country can talk to a doctor if they think they might have coronavirus—and get the recommended testing and care they need if they do.
Our response must ensure that every person in this country can get recommended evaluation, diagnosis, and treatment for coronavirus for free. Congress should dedicate sufficient funding to reimburse health care providers and hospitals for uncompensated care relating to coronavirus. This fund should also be large enough to cover the costs of government mandated quarantines or isolation for patients who cannot afford any bills that it may generate. Congress should also require that insurers fully cover all recommended care for coronavirus, including appropriate evaluation, diagnostic testing, and treatment.
What does my plan mean for you? It means that you could get all recommended medical advice and care for coronavirus for free—regardless of whether you have hit your deductible, whether you’re on Medicare or Medicaid, or have no insurance at all.
Ensuring Hospital and Health System Capacity. Because of the way coronavirus spreads, many more people will be exposed to it than we saw with Zika or Ebola. That means our health system will see a surge in demand for basic primary care and diagnostic screenings in the midst of an already brutal flu season that has stretched hospitals’ capacity. To address the likely increase in people seeking medical evaluation and treatment for coronavirus, Congress should provide a temporary surge in funding for Federally Qualified Health Centers, Community Health Centers, Rural Health Clinics, and safety-net hospitals to increase their capacity.
Ensuring Access to Vaccines and Other Medical Countermeasures. We must increase federal investment in developing a coronavirus vaccine and ensure that every person who needs the vaccine can get it at no personal cost. As we did during the outbreak of H1N1 (the “swine flu”), the government should guarantee that it will purchase a bulk quantity of the eventual vaccine for coronavirus. This will create an incentive for the private sector to develop it quickly and ensure manufacturers of sufficient demand.
We must also ensure — either under existing laws or through new congressional action — that health insurance companies and federal health programs cover any recommended coronavirus vaccine with no cost sharing, similar to the H1N1 vaccines from 2009. The government can also distribute the vaccines to vulnerable populations and provide them for free to the uninsured. In the event that a private sector manufacturer wants to charge an outrageous price for the vaccine once it is developed, the government should contract for its manufacture or invoke compulsory licensing as I have called for in other drug pricing contexts, and as the government threatened to do during the 2001 anthrax scare.
Together, these actions will ensure that every American can get the vital medical advice and care they need for coronavirus for free. That is not only the moral thing to do, it limits the spread of the disease and keeps us all safer.
Guaranteeing Every American Fully Paid Emergency Leave for Coronavirus Testing and Recovery
America’s shameful lack of national paid leave and sick days will worsen the spread of coronavirus. People who feel sick will go into work anyway, afraid of losing their jobs or the pay they badly need. Parents may feel compelled to work even as their kids or their elderly relatives might need medical attention. Research shows that mandated paid leave and sick days dramatically reduce the spread of diseases.
Congress must act to pass Senator Gillibrand’s FAMILY Act, which would provide up to twelve weeks per year of paid leave to all workers to care for themselves and their loved ones in case of serious medical issues or the welcoming of a new child. As President, I will fight to make this policy the law. But in the face of a public health crisis, we can’t wait — and should immediately make cash assistance available to people who need time off because of coronavirus through an “emergency paid leave” program.
Here’s how it would work:
Anyone who meets the CDC’s description of relevant symptoms
or is exposed and placed under quarantine — or has a family member or other
dependent who meets that description — will be eligible for emergency paid
leave to take time off to follow CDC’s recommended course of action, which may
include self-isolation, evaluation and testing, or treatment.
Emergency paid leave will be available pursuant to CDC’s
guidelines about the appropriate length of recovery and quarantine or isolation
time for those who contract or are exposed to coronavirus. If a family
caretaker is also required during this period, that person will also be
eligible for emergency paid leave.
Anyone eligible for the program will receive emergency paid
leave that fully replaces their actual wage income — up to a cap set at the
99th wage percentile.
My emergency paid leave program will accomplish two critical
goals. First, it will give people the financial peace of mind to take time off
to stay home and recover or care for a loved one who has the symptoms of
coronavirus or has been exposed to it. That will help limit the spread of the
disease. Second, providing access to paid leave benefits funded by the
government rather than by employers during this health crisis will help
stabilize businesses, who will be relieved of the burden of potentially paying
large shares of their workforce for long absences.
Enacting At Least a $400 Billion Stimulus to Head Off the Projected Economic
Effects of Coronavirus, and Announcing a Federal Reserve Emergency Lending
Program
Based on those factors and the range of projections for the economic impact
of coronavirus, we should immediately enact a stimulus package that represents
an authorization of at least 2% of GDP, or roughly $400 billion.
The stimulus should focus on the following categories of spending:
Low or no-interest loans to companies of all sizes that are
negatively affected by supply chain disruptions, reductions in tourism, or
other temporary coronavirus-related impacts, and that will use the funds to
avoid layoffs and hours reductions, not for additional executive compensation,
dividends, or share buybacks.
Unemployment insurance and other direct payments to
households — with exact amounts tied to unemployment levels and wage growth.
Other aid to state and local governments that may be losing
revenue because of coronavirus, in order to minimize reductions in services for
residents.
Jump starting our ability to make our own active
pharmaceutical ingredients and their base components by establishing a strategy
to support domestic manufacturers—with the ultimate goal of requiring all
federal agencies that procure or reimburse for drugs (like the DOD, VA, and
Medicare) to preference drugs with American-made ingredients. My legislation to
allow the government to manufacture drugs would provide a strong foundation for
this effort.
Green infrastructure investments, like domestically produced
clean energy, that can be accomplished even with the supply chain disruptions
that are likely to exist with a widespread coronavirus outbreak.
In addition, whether the Federal Reserve Board chooses to cut interest rates or not, itshould announce as soon as possible — and no later than the markets opening on Monday — that it stands ready to use its emergency lending authority to create a broad-based emergency lending facility program to help real economy companies whose supply chains have been disrupted because of the coronavirus and who will use the money to do right by their workforce.
Companies across America are already struggling with supply chain disruptions, and we don’t want these temporary struggles to lead to widespread layoffs or for otherwise solid companies to go under. While Congress should deliver the stimulus package I described above to help these types of companies, an immediate announcement from the Fed of this type of program will give companies — and markets — confidence that the Fed is available as a lender of last resort if Congress fails to deliver, and could help avert a more severe downturn.
COLUMBIA, S.C. – Sen. Bernie Sanders on Thursday issued the following statement on the Trump administration’s response to coronavirus:
“Concern about the coronavirus continues to grow, yet the Trump administration’s response has been inadequate, misleading, and dangerous. By picking Vice President Mike Pence to lead the administration’s response to the pandemic, Trump has not only chosen someone completely unqualified, but the president has made clear that he’s more concerned about his own politics than the health and safety of the country.
“In my view, the Trump administration must take immediate action. First, they must replace Mike Pence with an expert on pandemics and disaster response. Second, the Trump administration must stop releasing misleading, unscientific, and false information about whether the coronavirus is controlled or when it will be controlled. Third, they must immediately staff their response team with experts and scientists to help us address a pandemic based on facts – Steve Mnuchin and Larry Kudlow are political cronies, not scientists. In addition, Trump must sign the full $8.5 billion in coronavirus response funding proposed by Sen. Chuck Schumer.
“We need a president who does not play politics with our health and national security. Besides passing Medicare for All so everyone can see a doctor or get a vaccine for free, my administration will greatly expand funding for the Center for Disease Control and National Institute of Health, work with the international community, including with the World Health Organization, and invest in research and technology to make vaccines available quickly,” Sanders stated.
A new study that shows Medicare for All would save Americans $450 billion and 68,000 premature deaths a year could bolster the 2020 presidential campaigns of progressives Senator Elizabeth Warren and Bernie Sanders.
Medicare for All is
ironically, considering that Americans and especially Democrats have indicated
that access to affordable healthcare is their number one priority, is the issue
that could sink the 2020 presidential candidacy of progressives Bernie Sanders and
Elizabeth Warren. Now Sanders is heralding a new study by epidemiologists in
the medical journal The Lancet which found that Medicare for All would save
Americans $450 billion and prevent 68,000 premature deaths a year. Here is
Sanders’ statement:
Sen. Bernie Sanders on Saturday applauded a new study published
today by a team of epidemiologists in the peer-reviewed medical journal The
Lancet, which found that Medicare for All will save Americans $450 billion
and prevent 68,000 unnecessary deaths each and every year.
“This study confirms that Medicare for All will save the American people
$450 billion on health care costs and will prevent 68,000 unnecessary deaths –
each and every year,” Sanders said. “In other words, guaranteeing health care
as a human right by creating a Medicare for All system will cost substantially
less than our current dysfunctional health care system. It will save working
class families thousands of dollars and it will prevent tens of thousands of
Americans from dying each year. While the CEOs in the pharmaceutical and health
insurance industry may not like it, we will end their greed and enact Medicare
for All when I am president.”
According to the study, by replacing premiums, deductibles, co-payments
and out-of-pocket costs with a progressive tax system, Medicare for All will
save the average family thousands of dollars each year and will provide
lower-income households the greatest relief.
Struggling hospitals serving low-income communities would be
particularly helped by Medicare for All by eliminating uncompensated care,
increasing Medicaid reimbursement rates to Medicare levels, and reducing
administrative overhead, according to the study.
The study also debunks several attacks on Medicare for All from the
private health care industry that made well over $100 billion in profits last
year. Doctors and hospitals would see large savings in cost and time from
streamlining our bloated and inefficient administrative and billing system,
allowing doctors to spend more time with patients, the study found.
The study is the latest in a series of studies conducted over the past
three decades that have found that guaranteeing universal health care through a
single-payer health care system would not only dramatically improve the health
and well-being of the American people, it would cost less than our current
dysfunctional health care system that puts profits over people.
Last month, another medical journal found
that 19 out of 22 studies done over the past 30 years concluded that moving to
a Medicare for All, single-payer health care system would cost less than our current
health care system in the first year, and all of the studies showed that it
would cost less within a decade of implementation.
Several of the Democratic candidates for president have demonstrated how they contrast with the current occupant of the Oval Office in terms of how they would lead the country through disasters. Senator Amy Klobuchar released her plan for Global Pandemic Prevention, Detection and Response Policy. This is from Senator Klobuchar’s campaign:
MINNEAPOLIS, MN – The recent outbreak of a new strain of coronavirus is a stark reminder of the persistent threats posed by infectious diseases. Senator Klobuchar believes the United States must continue to lead the global fight to prevent, detect and respond to pandemics. In the Senate, she has championed efforts to address outbreaks at home and abroad. She successfully secured critical funding to combat Ebola in West Africa, helping strengthen health care infrastructure. And as Chair of the Senate Steering and Outreach Committee, she spearheaded efforts to rapidly address the spread of the Zika virus and support local prevention measures and research. As President, she will prioritize taking on global pandemics and protecting U.S. national security. She will:
Renew U.S. leadership and recommit to the Global
Health Security Agenda, an initiative launched under the Obama administration
to respond to the threat that infectious diseases pose to the global community.
Work with our allies and through multilateral organizations
like the World Health Organization to improve local health infrastructure in
at-risk countries and regions.
Fully fund U.S. departments, agencies, and programs
that are on the front lines in preventing and responding to outbreaks, both at
home and overseas, including the Centers for Disease Control and Prevention,
Department of Health and Human Services, National Institutes of Health, State
Department, United States Agency for International Development, Biomedical
Advanced Research and Development Authority, and the President’s Emergency Plan
for AIDS Relief.
Strengthen early-warning systems to detect and
respond to outbreaks on the ground before they spread into full-fledged
pandemics.
Develop the global rapid-response system for
deploying international medical teams to respond to outbreaks at the
source.
Increase stockpiles of existing vaccines and
treatments and streamline delivery systems for rapid deployment during
outbreaks.
Invest in capabilities for accelerating the
production of new vaccines and treatments when new pathogens emerge.
Leverage public-private partnerships that can unlock
new investments and innovations.
The Democratic candidates for president offer stark contrasts to the present occupant of the Oval Office. With a potential coronavirus pandemic creating global anxiety, Senator Elizabeth Warren has just released a detailed plan how she would prevent, contain and treat infectious disease outbreaks at home and abroad.
Charlestown, MA – Senator Elizabeth Warren released her plan to prevent, contain and treat infectious disease outbreaks at home and abroad. Diseases like Ebola virus, Zika virus and most recently, coronavirus demonstrate the real threat that outbreaks pose to our health and security. The United States can be a leader in combating these problems. But to do so, we must invest at home to ensure our public health agencies, hospitals, and health care providers are ready to jump into action when outbreaks strike. And we must invest and partner with other countries to help build strong public health systems abroad.
By properly preparing, we will save lives, strengthen our relationships with allies, protect our interests, and help build resilience to outbreaks and pandemics around the world.
Warren’s Plan to prevent, contain, and treat infectious disease outbreaks will:
Restore White House leadership on health security by designating a senior official to focus solely on this issue and fully funding domestic public health and preparedness at key HHS agencies, in contrast to President Trump’s decision to eliminate this White House role and massive proposed budget cuts to public health;
Restore American leadership in the international community, reversing President Trump’s assault on the State Department and USAID;
Invest in global health security and rejoin global efforts on climate change by changing how diseases emerge and spread, reverse President Trump’s proposed global health cuts and retreat from international climate efforts.
Ensure evidence-based decisions and equity in response to outbreaks, relying on science to contain them and ensuring that all communities get the help they need to stay healthy.
Preventing, Containing, and Treating Infectious Disease Outbreaks at Home and Abroad
In 2014, the world watched as Ebola spread throughout six countries in West Africa and eventually jumped oceans to reach the United States, Spain, Italy, and the U.K. As the outbreak spread, over 50 countries stepped up to help respond. The experience revealed a new global reality: to effectively beat infectious diseases, we need all hands on deck.
In 2015 the state of Indiana experienced an outbreak of HIV stemming from the ongoing opioid epidemic. In a county with a population of less than 25,000, over 200 people contracted the virus. Simultaneously, Zika virus was spreading throughout the U.S. and causing birth defects in children born to some infected pregnant women.
Experts believe the world is due for another bout of pandemic influenza. The latest threat comes from coronavirus, a respiratory condition in the same family of viruses as SARS that is spreading throughout China and just last week reached the United States. With well over 2,000 people infected and a rising death toll, China has restricted the movement of 56 million people. Theworld is watching closely to determine if this will be designated as our next global Public Health Emergency.
Instead of building capacity to combat these problems, Donald Trump has deprioritized global health security and risked putting us on heels in a crisis.
Trump has repeatedly tried to nickel and dime federal programs essential to health security, proposing billions of dollars in cuts so drastic that even leading a House Republican thought they would leave Americans vulnerable. Trump eliminated the key position that coordinates global health security across the many federal agencies that work to keep us safe. And his response to natural disasters that could lead to serious outbreaks, like hurricanes in Puerto Rico, has been basically non-existent.
Like so much else, Trump’s approach to keeping us safe from disease outbreaks is a mess. But when he’s gone, we can fix it.
We can invest at home to ensure our public health agencies, hospitals, and health care providers are ready to jump into action when outbreaks strike. And we can help build strong public health systems abroad. By taking these steps, we will save lives, strengthen our relationships with allies, protect our interests, and help build resilience to outbreaks and pandemics.
That’s why I have a plan to prevent, contain, and treat infectious diseases — one that will help keep America safe and healthy. And as President, I will work across all levels of government here at home and with our many partners abroad to turn that plan into action.
Preventing Transmission and Preparing for Outbreaks The best way to beat a pandemic is to prevent it from starting in the first place. As President, I will work to build the foundations that help us catch infectious diseases before they spread.
Build strong public health systems at home and abroad. Combating infectious diseases requires building health infrastructure that enables us to handle epidemics whenever and wherever they strike. Diseases do not recognize borders — we need a global approach to a global problem. To build strong systems we must:
Fund agencies that prevent and manage outbreaks. President Trump has repeatedly proposed billions in cuts to the agencies responsible for fighting and preventing pandemics, a devastating blow that would put lives at risk. Some of the deepest proposed cuts were to the Centers for Disease Control and Prevention (CDC), which runs essential pandemic prevention and response programs. As President, I will fully fund this work, ensuring that key agencies like the Department of Health and Human Services (HHS), the State Department, and the U.S. Agency for International Development (USAID) have the support they need to do their jobs.
Prepare health departments, health care providers and
hospitals, and other facilities and frontline staff. We must increase
funding for the Public Health Emergency Preparedness (PHEP) cooperative
agreement that supports the critical work of health departments across the
country to prepare for outbreaks, natural disasters, and more. Similarly, we
must continue to support the Hospital Preparedness Program (HPP), which ensures
we equip facilities and train staff on the front lines.
Fully fund the Global Health Security Agenda (GHSA). Designed to build capacity in nearly 50 countries, the GHSA funds work in partnership with other countries to strengthen their public health infrastructure and combat outbreaks before they start. And in a few short years, it is clear that investment has paid off. Under President Trump some of this work has ramped down, but we know that the ability to stop an outbreak requires consistent investment and support. As President, I’ll provide it.
Reduce transmission of infectious diseases at home. By
reducing the transmission of communicable diseases like HIV and Hepatitis C, we
keep families healthy and safe and strengthen our health system’s ability to
respond to global pandemics. That’s why I have a plan to invest $100 billion to
end the opioid epidemic, and why I’ve committed to end the domestic HIV epidemic by
2025 and ensure that patients can afford drugs like PrEP and
Hepatitis C treatments by acting on Day One of my presidency to
lower drug prices.
Move to Medicare for All. When people can’t
access basic health care, infectious diseases are more likely to spread and
cause severe, lasting health effects — as we saw in the recent Indiana HIV outbreak.
This is especially true in underserved communities, who can experience
the effects of outbreaks more
severely. Under Medicare for All, everyone will have high quality health care
they can afford, removing financial barriers for patients who may be contagious
and need to seek care. We all benefit when we stop the spread of infectious
disease faster.
Fully fund critical existing global health work. U.S. investments in global health, including programs that combat HIV and AIDS, tuberculosis, and malaria help build capacity in countries around the world that enables them to better handle epidemics when they strike. As President, I will push to expand funding for the President’s Emergency Plan for AIDS Relief, which funds vital services for individuals living with HIV or AIDS overseas and is a pillar of U.S. global health programs. I’ll also repeal the Trump administration’s heartless Global Gag Rule, which makes organizations that conduct or refer patients for abortion ineligible for global health funds — harming patients and reducing the capacity of other nations’ health systems.
Fight climate change. A changing climate means infectious diseases will spread to new places, and it’s already happening. In 2016, the Zika virus threatened more of the U.S. because changing climates mean the mosquitos that carry it now thrive further and further north. And Lyme disease is expected to increase by 20% in the next decade due to climate change. West Nile is projected to more than double by 2050 due to warming, costing upwards of $1 billion annually. Our health depends on fighting climate change. And I have a lot of plans for that.
Recommit to the Paris Agreement and invest in the Green
Climate Fund. On Day One of my administration, I’ll commit the United
States to rejoin the Paris Agreement, including meeting Obama era commitments
to the Green Climate Fund — a critical funding stream to prevent the spread of
climate fueled pandemics — and backfilling the contribution that the Trump
administration neglected to deliver.
Recognize interconnectedness of human, animal, and environmental health. When it comes to pandemics, we must think about how animal, human, and environmental factors interact. Last year the Trump administration shut down the Predict program to test animals for dangerous pathogens that could cross over to humans. As President, I would restore this essential work. And I will support new scientific research to help understand and predict the impact of warmer temperatures on disease emergence and transmission.
Invest in CDC’s Climate and Health Program. This essential program invests in adaptation for the effects of climate change on our nation’s health, but it’s budget only allows for programs that cover roughly half our population. Rather than follow President Trump’s attempts to kill this program, I will expand it to cover every American so no community is left behind.
Prioritize effective federal management. As President, I’ll take key steps to ensure that the agencies who handle outbreaks have clear leadership, responsibility, and support.
Restore White House leadership position for health
security. President Obama created this position in response to the
Ebola epidemic. In 2018, the Trump administration eliminated it –
and I demanded answers. As
President, I will bring it back, with a formal senior lead in my White House
who focuses solely on global health security and oversees this work across the
entire federal government.
Rebuild the State Department and USAID. American security and health depend on robust diplomacy and development assistance, but the Trump administration has declared war on the State Department and USAID. We must reverse the trend of declining American diplomacy and development aid by creating a 21st century foreign service and corps of development specialists. My plan to rebuild the State Department ensures that we have the diplomats we need leading our engagement with the world to help effectively manage outbreaks.
Build on CDC’s legacy as the world and domestic leader in
public health. The Strategic National Stockpile (SNS) holds our nation’s largest supply of
medical countermeasures and medical supplies. Historically, CDC has managed the
SNS because it has the public health expertise to stock the right medical
countermeasures and ensure they get to communities who need them during an
emergency. In 2018, the Trump administration removed the
SNS from CDC management in an ill-advised attempt to
streamline response activities that could make it easier for drug companies to
lobby for their products to be included. As President, I will move it back to
optimize public health while ensuring coordination with other agencies.
Strengthen the Public Health Emergency Medical
Countermeasures Enterprise (PHEMCE). PHEMCE coordinates the federal
government’s efforts to prepare for potential chemical, biological,
radiological and nuclear threats, as well as from emerging infectious diseases.
We must ensure the PHEMCE fully utilizes expertise from across agencies and
reinvigorate its ability to prepare for and respond to emergencies.
Develop vaccines for infectious diseases. The United States should join it’s peer countries and invest in the Coalition for Epidemic Preparedness Innovations (CEPI), a public/private global alliance focused on vaccine development, and actively participate in global coalitions working toward vaccine development. I have pushed CDC to prepare for pandemic influenza, which must include the development of a universal flu vaccine — a necessity if we want to effectively fight the next strain of pandemic influenza.
Containing Outbreaks and Ensuring Equity Effectively containing infectious diseases requires effective coordination, flexible resources, clear data and communication, and the ability to move fast while not leaving anyone behind.
Ensure surge funding to handle the outbreak. Responding to pandemics costs money. And when it’s needed, it’s needed yesterday. In 2014, Congress did not provide funding to combat Ebola when it was out of control in West Africa, and waited until nearly 3 months after the first case occurred in the U.S. to appropriate additional funding. But epidemics don’t wait for Congress. To have a shot at getting ahead of the next big outbreak, we must appropriate and replenish funding for the Public Health Emergency Fund at HHS. This fund enables HHS to quickly respond to public health crises without waiting for supplemental appropriations from Congress.
Establish the Global Health Security Corps. Sometimes outbreaks occur in places experiencing intense conflict. And when health experts cannot enter those regions, outbreaks can grow exponentially. A bipartisan commission recently proposed creating a global health team that can handle these challenges — doctors, scientists, and aid workers with extensive security training who can go into conflict zones to do contact tracing, build trust in communities experiencing conflict, and work effectively with foreign governments at the local, regional, and national level. As president, I’ll launch this Global Health Security Corps to ensure that we can get the right expertise to the center of an outbreak before it becomes an epidemic.
Mitigate impact on underserved populations. Underserved and disadvantaged populations are hit harder by outbreaks. Adding insult to injury, vulnerable populations are often scapegoated for spreading disease. Outbreak responses must ensure that everyone can get the help they need. This requires constant effort on the front lines – but system-level solutions can help, too.
Practice ethical and evidence-based infection
control. My administration will work with state and local governments
to ensure that disease surveillance and response is based on facts and science,
not fear. We will also reject ill-informed, unscientific, and often
counterproductive travel bans in favor of science-based efforts at isolation
and quarantine. These efforts will be undertaken only when necessary, and we
will provide strict protection of civil liberties for those involved, including
the rejection of any unlawful detentions.
Leverage federal health care programs to respond to disasters.Studies have shown the clear connection between extreme weather events and outbreaks. After Hurricanes Irma and Maria hit the US Virgin Islands and Puerto Rico, for example, fatalities from bacterial Leptospirosis spiked, eventually leading to 26 deaths. In addition, despite the extensive damage to the islands infrastructure, the Trump administration waited months before delivering aid or assistance. I have committed to leveragefederal programs to quickly tailor health care responses to specific environmental disasters or outbreaks in affected communities when they occur.
Build equity protections into preparedness grant funding and government seeded innovations. I will instruct my administration to incorporate equity requirements into health preparedness and response programs to ensure all communities get the resources they need to stay healthy. I have also committed to improve environmental equity mapping via “a rigorous interagency effort to identify cumulative environmental health disparities and climate vulnerabilities and cross-reference that data with other indicators of socioeconomic health.” When the government helps fund development and clinical trials of medical countermeasures, we should be sure to negotiate a fair market price so that everyone can afford it.
Provideaggressive dissemination of reliable information. Communication is an essential element of effectively beating an outbreak. My administration will work with the private sector to promote the distribution of important factual information, to counter misinformation, and to ensure that critical facts are appropriately translated so communities can take the steps needed to stay healthy. The Trump administration banned CDC from using “evidence-based” or “policy-based,” as well as other terms, in official documents–unacceptable for an agency whose mission must be informed by science. In a Warren administration, science will once again be in charge at the CDC.
Uphold principles of open science and transparency. Sharing information about what is happening during an outbreak facilitates problem-solving. We must encourage sharing of specimens and data between researchers and public health officials, urge transparency from foreign governments, and increase support for data sharing platforms. During a public health emergency, publishers should not use paywalls to hide important data or force authors to keep data embargoed until publication. My administration will conduct a full-scale reassessment of the public health informatics supported by the federal government and modernize these systems, building on recent congressional investment. And I have already committed to improve interoperability of electronic health records, which will help providers all across this country see their patients’ medical histories and ensure that more patient data can be securely shared with critical public health databases, while ensuring that patient privacy is maintained.
Effectively partner with foreign governments and multilateral organizations. The U.S. cannot beat outbreaks alone. We must use all our tools, including diplomacy and international collaboration, to work through tough issues and partner with other countries. I’ll lead the world in promoting effective multilateral action, including through Joint United Nations Programme on HIV/AIDS and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. And I’ll bolster our work with the World Health Organization (WHO) to continue reforms started after the 2014 Ebola outbreaks and improve the world’s ability to respond collectively to these crises.
Treating Emerging Infectious Diseases It’s essential that we continue pushing for medical advances — both to treat those who contract diseases and vaccinate against those we can prevent.
Invest in basic science. I have committed to invest $100 billion in the NIH — and $60 billion of that will fund basic science research. And when drug companies break the law, I’ll create a “swear jar” where companies will pay a portion of their profits from publicly-funded research back to the NIH. This funding will expand the research we need to develop vaccines and treatments for infectious diseases we know and novel diseases that have not yet emerged.
Invest and incentivize development of new medical countermeasures. To ensure we are able to effectively surge development during a pandemic, we must build and maintain strong infrastructure for medical countermeasure development. As President, I will ensure that small biotechnology innovators get ongoing support from Biomedical Advanced Research and Development Authority (BARDA), and we will leverage the Food and Drug Administration (FDA’s) expertise in manufacturing and clinical trials to help larger drug manufacturers bring these countermeasures to market at scale.
Bring new treatments to patients. The $40 billion I’ve committed to invest in the NIH will fund the creation of the National Institute for Drug Development — a new institute that will work to bring that basic research of the rest of the NIH into reality for patients. And under Medicare for All, we will be able to better incentivize the private sector development of drugs for which the market is currently broken, like vaccines and antibiotics. Vaccines prevent outbreaks from starting, while antibiotics provide critical protection against infections, and we are in desperate need of new antibiotics to combat resistant infections.
Enable surge support during outbreaks, especially for
diagnostics. BARDA and FDA must be ready to surge at times of
outbreak, when the need to quickly diagnose new cases is essential to
containing an outbreak and properly treating patients. My Administration will
work to provide this support and, when appropriate, use Emergency Use
Authorizations to get new diagnostics into the hands of health care providers
as soon as possible.
Prioritize therapies that work for all populations, especially kids. Therapies are often approved after being tested on populations that are not representative of the patient population. As a result, many therapies in the Strategic National Stockpile are not approved for kids, and some therapies do not work as effectively for racial minorities or women. As President, I will direct the FDA and BARDA to work with drug companies to develop pediatric medical countermeasures and increase the enrollment of underrepresented populations in clinical trials, ensuring that the treatments we develop work well for all of us.
Ensure treatments can reach patients quickly. Time is critical when you’re combating infectious diseases. We must make sure that our system is ready to “turn on” at a moment’s notice. That means we must constantly evaluate our medical countermeasure stockpiles and prepare annual updated biological threat assessments. And during an outbreak, we must quickly distribute medical countermeasures, with proper protections for equitable distribution across communities.
Ensure safety of high security labs. My administration will not allow labs to generate novel viruses with epidemic or pandemic potential, or to perform field testing of such viruses and will closely monitor dual-use research on biological threats and update policies as needed. This knowledge is incredibly important to protect our health, but could be harmful if used as a weapon. And we must be vigilant about lab safety standards and avoid accidentally mailing anthrax or forgetting about smallpox specimens for 50 years.
Diseases like coronavirus remind us why we need robust international institutions, strong investments in public health, and a government that is prepared to jump into action at a moment’s notice. When we prepare and effectively collaborate to address common threats that don’t stop at borders, the international community can stop these diseases in their tracks.
Vice President Joe Biden issued his own criticism of the Trump’s administration’s handling of a potential pandemic, in an op-ed in USA Today: Joe Biden: Trump is worst possible leader to deal with coronavirus outbreak citing the need for the President of the United States to cooperate with international partners to address this pandemic and prevent future ones. Biden writes that this is a moment that requires leadership — leadership that Trump is incapable of delivering — and lays out how his policies will be informed by science and reassert U.S. leadership on global health security.
The Women’s Marches that took place across the country – some 250 of them including Washington DC and New York City – are the opening salvo to the 2020 Election. Make no mistake, this was about voting, realizing that all the issues that they care about hinge on the coming election and not on changing the minds of lawmakers who currently control the levers of power: reproductive freedom and a woman’s right to self-determination; access to the ballot and access to health care; climate action and environmental justice; gun safety and domestic violence; gender equity, sexism and misogyny; discrimination and sexual harassment; immigration reform and human rights. They are all on the ballot this November.
And the Supreme Court and all the courts now
dominated by radical right-wing judges that seek to roll back women’s rights,
civil rights, voting rights, health-care-is-a-human-right. “Ruth Bader
Ginsburg, hold on,” Manhattan Borough President Gale Brewer declared as the
march set off down Columbus Avenue, passed the Trump International Hotel, where
the most animated expressions of outrage against Trump and his administration
were manifest.
A singular, unifying message emerged: Dump Trump and
his henchmen and his enablers.
And a theme for the New York City march organized by Women’s March Alliance (womensmarchalliance.org): Rise & Roar.
