Today, on the 10th anniversary of President Obama signing the Affordable Care Act into law and expanding access to quality, affordable health care for millions of Americans, Vice President Joe Biden sent a letter to President Trump, State Attorneys General, and Mississippi Governor Tate Reeves calling on them the drop the lawsuit against the landmark legislation, which would strip millions of their health insurance and gut protections for those with pre-existing conditions—during a global pandemic. Below is the text of Vice President Biden’s letter:
March 23, 2020
Dear President Trump, State Attorneys General, and Governor
Reeves,
All across this nation, Americans are anxious and afraid about the impact the
deadly COVID-19 pandemic is already having on their lives, their families, and
their ability to pay their bills. Individuals and families are stepping up to
do their part––staying home, taking individual precautions and implementing
social distancing, and making donations to support food banks and other vital
service providers, all to protect those most at-risk from the virus in our
communities. Their level of dedication should be matched by their elected
leaders.
At a time of national emergency, which is laying bare the existing
vulnerabilities in our public health infrastructure, it is unconscionable that
you are continuing to pursue a lawsuit designed to strip millions of Americans
of their health insurance and protections under the Affordable Care Act (ACA),
including the ban on insurers denying coverage or raising premiums due to
pre-existing conditions. No American should have the added worry right now that
you are in court trying to take away their health care. You are letting partisan rancor and politics
threaten the lives of your constituents, and that is a dereliction of
your sworn duty. I am therefore
calling on each of you to drop your support of litigation to repeal the ACA.
This Monday, March 23, marks 10 years since President Obama signed into law the
ACA. It was—and still is—a big deal for our country, because having
health insurance isn’t just about being able to access health care when you
need it, it’s about the peace of mind that comes from knowing that if your kid
gets sick, you will be able to get them the care they need, or that if you have
an accident, you won’t have to also worry about how to pay your medical bills.
During a public health crisis, it’s part of the assurance that you can seek the
treatment you and your loved ones need. I was proud to stand with President
Obama every day of our Administration, but no day more so than when he signed
the ACA, because of the real security it delivered for every day American
families.
Since 2010, 20 million Americans have gained access to health insurance
coverage. But the ACA also helps tens of millions more Americans across the
country. It is the reason 100 million people with pre-existing
conditions—including conditions like asthma and diabetes that make them at
higher-risk for adverse health impacts from the—don’t have to worry about being
charged more or denied coverage. It is the reason insurance companies can’t
tell patients that they’ve hit an annual or lifetime cap on care.
The litigation you are supporting—Texas
v. U.S.—jeopardizes every single one of those protections and
threatens the peace of mind and access to care for hundreds of millions of
Americans. There is no underlying constitutional flaw with the Affordable Care
Act. In fact, the Supreme Court twice upheld the constitutionality of the law.
The only reason this new case gained traction was because Congressional
Republicans decided to amend the law and zero-out the penalty for not being
insured, and legal experts from across the ideological spectrum have concluded
that this new argument—that this change invalidates the entire law—is legally
unsupportable.
The purpose of your suit is to destroy the ACA. Make no mistake: If the ACA did
not exist right now, in this public health crisis, tens of millions of people
would not have health insurance. 100 million would not have protections for the
kind of underlying conditions that make them even more vulnerable to the impact
of COVID-19. Insurance companies would be allowed to place caps on care
provided to individuals. And if you succeed in killing it next year, you’ll put
countless Americans at risk in the next pandemic.
If there was ever a moment to set aside politics, it is now. I have called for
making all testing, treatment, and any eventual vaccine free of charge,
regardless of whether an individual is insured. That is what is needed to
defeat this virus. The last thing we need right now is people avoiding seeking
care because they can’t afford it. But people will still have medical needs not
directly related to COVID-19, which is why every American needs access to
high-quality, affordable health insurance and the pre-existing condition
protections that the law guarantees.
You have in your power the ability to make life safer, healthier, and a little
bit easier for your constituents. All you have to do is drop your support for
this ill-conceived lawsuit, which is even more dangerous and cruel in this
moment of national crisis. History will judge all of us by how we respond to
this pandemic. The public health imperative we now face is bigger than
politics, and it requires all of us to summon the courage to lead and to do
what is right for the American people.
Joseph R.
Biden, Jr.
47th Vice President of the United States
Vice
President Joe Biden, in the race for the Democratic nomination for President,
has staked out a position on improving on the Affordable Care Act (Obamacare)
as his solution to providing universal healthcare – essentially, enabling people keep their
private insurance but creating a new public option. That is more moderate than
the Democrats like Bernie Sanders and Elizabeth Warren who want a more extreme
Medicare for All that replaces private insurance (though it is unlikely that
there will not still be a market for supplemental private insurance, just as
there is now for Medicare). Here, is the Biden campaign’s description and
rationale for Biden’s plan to protect and build upon the Affordable Care Act: – Karen Rubin, News&
Photo Features
On March 23, 2010, President Obama signed the
Affordable Care Act into law, with Vice President Biden standing by his side,
and made history. It was a victory 100 years in the making. It was the
conclusion of a tough fight that required taking on Republicans, special
interests, and the status quo to do what’s right. But the Obama-Biden
Administration got it done.
But, every day over the past nine years, the Affordable Care Act has been under
relentless attack.
Immediately after its passage, Congressional Republicans began trying again and
again to repeal it. Following the lead of President
Trump, Republicans in Congress have only doubled down on this
approach since January 2017. And, since repeal through Congress has not been
working, President Trump has been unilaterally doing everything he can to
sabotage the Affordable Care Act. Now, the Trump Administration is trying to
get the entire law – including protections for people with pre-existing
conditions – struck down in court.
As president, Biden will protect the Affordable Care Act from
these continued attacks. He opposes every effort to get rid of this historic
law – including efforts by Republicans, and efforts by Democrats. Instead of
starting from scratch and getting rid of private insurance, he has a plan
to build on the Affordable Care Act by giving Americans more choice, reducing
health care costs, and making our health care system less complex
to navigate.
For Biden, this is personal. He believes that every American has a right to the
peace of mind that comes with knowing they have access to affordable, quality
health care. He knows that no one in this country should have to lay in bed at
night staring at the ceiling wondering, “what will I do if she gets breast cancer?”
or “if he has a heart attack?” “Will I go bankrupt?” He knows there is no peace
of mind if you cannot afford to care for a sick child or a family member
because of a pre-existing condition, because you’ve reached a point where your
health insurer says “no more,” or because you have to make a decision between
putting food on the table and going to the doctor or filling a prescription.
In the coming months, Joe Biden will build on today’s plan by rolling out his
proposals to tackle some of our greatest public health challenges – from
reducing gun violence to curing devastating diseases as we know them like
cancer, Alzheimer’s, diabetes, and addiction.
I. GIVE EVERY AMERICAN ACCESS TO AFFORDABLE HEALTH INSURANCE
From the time right before the Affordable Care Act’s key coverage-related
policies went into effect to the last full year of the Obama-Biden
Administration, 2016, the number of Americans lacking health insurance fell
from 44 million to 27 million –
an almost 40% drop. But President Trump’s persistent efforts to sabotage
Obamacare through executive action, after failing in his efforts to repeal it
through Congress, have started to reverse this progress. Since 2016, the number
of uninsured Americans has increased by
roughly 1.4 million.
As president, Biden will stop this reversal of the progress made by Obamacare.
And he won’t stop there. He’ll also build on the Affordable Care Act with a
plan to insure more than an estimated 97% of Americans. Here’s how:
Giving Americans a new choice, a public
health insurance option like Medicare. If your insurance
company isn’t doing right by you, you should have another, better choice.
Whether you’re covered through your employer, buying your insurance on your
own, or going without coverage altogether, the Biden Plan will give you the
choice to purchase a public health insurance option like Medicare. As in
Medicare, the Biden public option will reduce costs for patients by negotiating
lower prices from hospitals and other health care providers. It also will better coordinate among
all of a patient’s doctors to improve the efficacy and quality of their care,
and cover primary care without any co-payments. And it will bring relief to
small businesses struggling to afford coverage for their employees.
Increasing the value of tax credits to
lower premiums and extend coverage to more working Americans. Today,
families that make between 100% and 400% of the
federal poverty level may receive a tax credit to reduce how
much they have to pay for health insurance on the individual marketplace. The
dollar amount of the financial assistance is calculated to ensure each family
does not have to pay more than a certain percentage of their
income on a silver (medium generosity) plan. But, these shares of
income are too high and silver plans’ deductibles are too high. Additionally,
many families making more than 400% of the federal poverty level (about $50,000 for a single person
and $100,000 for a family of four), and thus not qualifying for
financial assistance, still struggle to afford health insurance. The Biden Plan
will help middle class families by eliminating the 400% income cap on tax
credit eligibility and lowering the limit on the cost of coverage from 9.86% of
income to 8.5%. This means that no family buying insurance on the individual
marketplace, regardless of income, will have to spend more than 8.5% of their
income on health insurance. Additionally, the Biden Plan will increase the size
of tax credits by calculating them based on the
cost of a more generous gold plan, rather than a silver plan. This
will give more families the ability to afford more generous coverage, with
lower deductibles and out-of-pocket costs.
Expanding coverage to low-income
Americans. Access to affordable health insurance
shouldn’t depend on your state’s politics. But today, state politics is getting
in the way of coverage for millions of low-income Americans. Governors and
state legislatures in 14 states have
refused to take up the Affordable Care Act’s expansion of Medicaid eligibility,
denying access to Medicaid for an estimated 4.9 million adults.
Biden’s plan will ensure these individuals get covered by offering premium-free
access to the public option for those 4.9 million individuals who would be
eligible for Medicaid but for their state’s inaction, and making sure their
public option covers the full scope of Medicaid benefits. States that have
already expanded Medicaid will have the choice of moving the expansion
population to the premium-free public option as long as the states continue to
pay their current share of the cost of covering those individuals.
Additionally, Biden will ensure people making below 138% of the federal poverty
level get covered. He’ll do this by automatically enrolling these individuals
when they interact with certain institutions (such as public schools) or other
programs for low-income populations (such as SNAP).
II. PROVIDE THE PEACE OF MIND OF
AFFORDABLE, QUALITY HEALTH CARE AND A LESS COMPLEX HEALTH CARE SYSTEM
Today, even for people with health insurance, our health care system is too
expensive and too hard to navigate. The Biden Plan will not only provide
coverage for uninsured Americans, it will also make health care more affordable
and less complex for all.
The plan’s elements described above will help reduce the cost of health
insurance and health care for those already insured in the following ways:
All Americans will have a new, more
affordable option. The public option, like Medicare,
will negotiate prices with providers, providing a more affordable option for
many Americans who today find their health insurance too expensive.
Middle class families will get a premium
tax credit to help them pay for coverage. For
example, take a family of four with an income of $110,000 per year. If they
currently get insurance on the individual marketplace, because their premium
will now be capped at 8.5% of their income, under the Biden Plan they will
save an estimated $750 per month on
insurance alone. That’s cutting their premiums almost in half. If a family is
covered by their employer but can get a better deal with the 8.5% premium cap,
they can switch to a plan on the individual marketplace, too.
Premium tax credits will be calculated
to help more families afford better coverage with lower deductibles. Because
the premium tax credits will now be calculated based on the price of a more
generous gold plan, families will be able to purchase a plan with a lower
deductible and lower out-of-pocket spending. That means many families will see
their overall annual health care spending go down.
The Biden Plan has several additional proposals
aimed directly at cutting the cost of health care and making the health care
system less complex to navigate. The Biden Plan will:
Stop “surprise billing.” Consumers
trying to lower their health care spending often try to choose an in-network
provider. But sometimes patients are unaware they are receiving care from an
out-of-network provider and a big, surprise bill. “Surprise medical billing”
could occur, for example, if you go to an in-network hospital but don’t realize
a specialist at that hospital is not part of your health plan. The Biden Plan
will bar health care providers from charging patients out-of-network rates when
the patient doesn’t have control over which provider the patient sees (for
example, during a hospitalization).
Tackle market concentration across our
health care system. The concentration of market power
in the hands of a few corporations is occurring throughout our health care system,
and this lack of competition is driving up prices for consumers.
The Biden Administration will aggressively use its existing antitrust authority
to address this problem.
Lower costs and improve health outcomes
by partnering with the health care workforce. The Biden
Administration will partner with health care workers and accelerate the testing
and deployment of innovative solutions that improve quality of care and
increase wages for low-wage health care workers, like home care workers.
III. STAND UP TO ABUSE OF POWER BY
PRESCRIPTION DRUG CORPORATIONS
Too many Americans cannot afford their prescription drugs, and prescription
drug corporations are profiteering off of the pocketbooks of sick individuals.
The Biden Plan will put a stop to runaway drug prices and the profiteering of
the drug industry by:
Repealing the outrageous exception
allowing drug corporations to avoid negotiating with Medicare over drug prices. Because
Medicare covers so many Americans, it has significant leverage to negotiate
lower prices for its beneficiaries. And it does so for hospitals and other
providers participating in the program, but not drug manufacturers. Drug
manufacturers not facing any competition, therefore, can charge whatever price
they choose to set. There’s no justification for this except the power of
prescription drug lobbying. The Biden Plan will repeal the existing law
explicitly barring Medicare from negotiating lower prices with drug
corporations.
Limiting launch prices for drugs that
face no competition and are being abusively priced by manufacturers. Through
his work on the Cancer Moonshot, Biden understands that the future of
pharmacological interventions is not traditional chemical drugs but specialized
biotech drugs that will have little to no competition to keep prices in check.
Without competition, we need a new approach for keeping the prices of these
drugs down. For these cases where new specialty drugs without competition are
being launched, under the Biden Plan the Secretary of Health and Human Services
will establish an independent review board to assess their value. The board
will recommend a reasonable price, based on the average price in other countries
(a process called external reference pricing)
or, if the drug is entering the U.S. market first, based on an evaluation by
the independent board members. This reasonable price will be the rate Medicare
and the public option will pay. In addition, the Biden Plan will allow private
plans participating in the individual marketplace to access a similar rate.
Limiting price increases for all brand,
biotech, and abusively priced generic drugs to inflation. As
a condition of participation in the Medicare program and public option, all
brand, biotech, and abusively priced generic drugs will be prohibited from
increasing their prices more than the general inflation rate. The Biden Plan
will also impose a tax penalty on drug manufacturers that increase the costs of
their brand, biotech, or abusively priced generic over the general inflation
rate.
Allowing consumers to buy prescription
drugs from other countries. To create more competition
for U.S. drug corporations, the Biden Plan will allow consumers to import
prescription drugs from other countries, as long as the U.S. Department of
Health and Human Services has certified that those drugs are safe.
Improving the supply of quality
generics. Generics help reduce health care spending, but
brand drug corporations have succeeded in preserving a number of strategies to
help them delay the entrance of a generic into the market even after the patent
has expired. The Biden Plan supports numerous proposals to accelerate the
development of safe generics, such as Senator Patrick Leahy’s proposal to
make sure generic manufacturers have access to a sample.
IV. ENSURE HEALTH CARE IS A RIGHT FOR
ALL, NOT A PRIVILEGE FOR JUST A FEW
Joe Biden believes that every American – regardless of gender, race, income,
sexual orientation, or zip code – should have access to affordable and quality
health care. Yet racism, sexism, homophobia, transphobia, and other forms of
discrimination permeate our health care system just as in every other part of
society. As president, Biden will be a champion for improving access to health
care and the health of all by:
Expanding access to contraception and
protect the constitutional right to an abortion. The
Affordable Care Act made historic progress by ensuring access to free preventive care, including
contraception. The Biden Plan will build on that progress. Vice
President Biden supports repealing the Hyde Amendment because health care is a
right that should not be dependent on one’s zip code or income. And, the public
option will cover contraception and a woman’s constitutional right to choose.
In addition, the Biden Plan will:
1) Reverse the Trump Administration and states’
all-out assault on women’s right to choose. As president, Biden will work to
codify Roe v. Wade, and
his Justice Department will do everything in its power to stop the rash of
state laws that so blatantly violate the constitutional right to an abortion,
such as so-called TRAP laws, parental
notification requirements, mandatory waiting periods, and ultrasound
requirements.
2) Restore federal funding for Planned Parenthood.
The Obama-Biden administration fought Republican attacks on funding for Planned
Parenthood again and again. As president, Biden will reissue guidance specifying
that states cannot refuse Medicaid funding for Planned Parenthood and other
providers that refer for abortions or provide related information and reverse
the Trump Administration’s rule preventing
Planned Parenthood and certain other family planning programs from obtaining
Title X funds.
3) Just as the Obama-Biden Administration did, President Biden
will rescind the Mexico City Policy (also referred to as the global gag rule) that
President Trump reinstated and
expanded. This rule currently bars the U.S. federal government from supporting
important global health efforts – including for malaria and HIV/AIDS – in
developing countries simply because the organizations providing that aid also
offer information on abortion services.
Reducing our unacceptably high maternal
mortality rate, which especially impacts people of color. Compared
to other developed nations, the U.S. has the highest rate of
deaths related to pregnancy and childbirth, and we are the only country
experiencing an increase in this death rate. This problem is especially
prevalent among black women, who experience a death rate from complications
related to pregnancy that is more than three times higher than
the rate for non-Hispanic white women. California came up with a strategy
that halved the state’s
maternal death rate. As president, Biden will take this strategy nationwide.
Defending health care protections for
all, regardless of gender, gender identity, or sexual orientation. Before
the Affordable Care Act, insurance companies could increase premiums merely due
to someone’s gender, sexual orientation, or gender identity. Further, insurance
companies could increase premiums or deny coverage altogether due to someone’s HIV status. Yet,
President Trump is trying to walk back this progress. For example, he has proposed to once
again allow health care providers and insurance companies to discriminate based
on a patient’s gender identity or abortion history. President Biden will defend
the rights of all people – regardless of gender, sexual orientation, gender
identity – to have access to quality, affordable health care free from
discrimination.
Doubling America’s investment in
community health centers. Community health centers
provide primary, prenatal, and other important care to underserved populations.
The Biden Plan will double the federal investment in these centers, expanding
access to high quality health care for the populations that need it most.
In the months ahead, Biden will put forward
additional plans to tackle health challenges affecting specific communities,
including access to health care in rural communities, gun violence, and opioid
addiction.
SUPPORTING HEALTH, NOT REWARDING
WEALTH
Joe Biden believes in rewarding work, not just wealth – and investing in
hard-working Americans’ health, not protecting the most privileged Americans’
wealth. Warren Buffett said it best when he stated that he should not pay a
lower tax rate than his secretary.
The Biden Plan will make health care a right by getting rid of capital gains
tax loopholes for the super wealthy. Today, the very wealthy pay a tax rate of
just 20% on long-term capital gains. According to the Joint Committee on
Taxation, the capital gains and dividends exclusion is the second largest tax
expenditure in the entire tax code: $127 billion in fiscal year 2019
alone. As President, Biden will roll back the Trump rate cut for the
very wealthy and restore the 39.6% top rate he helped restore when he negotiated an end to the Bush
tax cuts for the wealthy in 2012.
Biden’s capital gains reform will close the loopholes that allow the super
wealthy to avoid taxes on capital gains altogether. The Biden plan will assure
those making over $1 million will pay the top rate on capital gains, doubling
the capital gains tax rate on the super wealthy.
WATCH: Joe Biden
talks more about the need to build on and protect ACA in THIS new video.
How much more Theater of the Absurd can it get than Trump proclaiming National Women’s Health Week starting on Mother’s Day, the guy who is doing everything possible to shut down Planned Parenthood, to sabotage access to affordable health care, who would make being a woman a “pre-existing condition”, who would take away food stamps, access to Medicaid, who touts a tax cut of $1.5 trillion to the richest companies and Americans in order food stamps by $20 billion, to cut Medicare by $800 million, cut out access to contraceptives, do nothing to address the spiraling cost of life saving drugs or research advancements in Alzheimer’s.
“For some time, we have been facing a maternal health crisis in this country that will have damaging effects on generations to come. If we truly appreciate and admire mothers, we must do better,” writes Adrienne Kimmell, Vice President of Communications and Strategic Research, NARAL Pro-Choice America.
Between 700 to 900 women die from pregnancy or childbirth complications each year in the U.S. and of that, Black women are 3 to 4 times more likely to die than white women from those complications
The U.S. is one of the most industrialized, medically-advanced nations in the world, yet has a rising maternal mortality rate. The horrifying mistreatment many mothers receive, Black mothers particularly, doesn’t align with our progress in this country, but still exists.
The stories are real. Women and mothers who didn’t have health insurance for prenatal care; who’ve suffered a postpartum hemorrhage with a devastating effect on future pregnancies; and even all-star tennis player, Serena Williams’ frightening near-death postpartum experience after a nurse refused to listen to her.
There are countless other stories and these troubling examples show the racial and economic disparities in maternal health that cost lives and hurt women.”
Trump’s “Presidential Message on National Women’s Health Week” is one lie compounded on another – Karen Rubin, News & Photo Features
Presidential Message on National Women’s Health Week
This is an opportunity to honor the importance of women across America and renew our pledge to support their health and well being.”
Women are integral members of our families and communities who can face unique healthcare challenges. Whether breast cancer, heart disease, or Alzheimer’s, my Administration is committed to continue addressing women’s health through advancements in medical research, rapid reviews and approvals of new safe and effective therapies, and affordable treatments and care options.
The ongoing opioid crisis is of particular concern for women. On average, 115 Americans die each day from opioid-related overdoses—a factor that has contributed to the decrease in life expectancy over the past two years. The crisis has hit women particularly hard in part because they are more likely to suffer from chronic pain conditions for which opioids are often prescribed. Since 1999, the rate of deaths among women from prescription opioid overdoses have increased 461 percent. Remarkably, more American women aged 15-35 lost their lives to accidental opioid overdose in 2016 than to all cancers combined.
These harrowing statistics underscore the urgent need to save American lives and why my Administration declared the opioid crisis a nation-wide public health emergency. The Department of Health and Human Services (HHS) has developed a comprehensive strategy to combat the opioid epidemic and enhance non-addictive pain treatments by working with medical experts, policymakers, community groups, and families who have experienced the tragedy of opioid addiction. Through these partnerships, the HHS Office of Women’s Health has awarded 20 grants to public and private organizations that are on the frontlines of the opioid crisis.
The Substance Abuse and Mental Health Services Administration has also published guidance for treating pregnant women and new mothers with opioid use disorder, a critical resource for the Nation’s hardworking medical professionals. It is vital for the wellbeing of our Nation that we support those who are suffering from drug addiction as well as all expecting and postpartum mothers. Similarly, the National Institutes of Health is engaging in research regarding interventions to help both the mothers and infants born to women with opioid use disorder.
My Administration is also committed to supporting our working families. Through robust tax reform, we championed a doubled Child Tax Credit to ensure parents can adequately support their children. We are also focused on expanding access to paid family leave benefits for new mothers and fathers. The new reality is that in more than 60% of the homes of American married couples with children, both parents work. Additionally, women are now the primary earners in more than 40% of all families. Today, however, only 12% of private-sector workers have access to formal paid leave through their employers. Recent research suggests that women’s labor force participation in the U.S. has stalled due to the lack of family-friendly policies, including paid leave. There is a critical need to ensure that working mothers and fathers have access to paid family leave, which can support women’s participation in the labor force and promote greater financial stability for American families. Additionally, and in part to have a long-term effect on women’s health, I recently signed an Executive Order to expand access to sports, fitness, and nutrition, with a specific focus on helping girls from economically challenged communities live active and healthy lifestyles.
During this week, we reaffirm our Nation’s commitment to women and girls across America, and we continue to encourage them to put their health first. When women prosper, so do our families, our communities, and our entire Nation.
(MINEOLA, NY) –Nassau County Democrats are raising alarms about what repealing the Affordable Care Act would mean for county residents and appealed to County Executive Ed Mangano to compile a comprehensive report that would quantify the impact on residents and the county’s budget.
Minority Democratic Leader Kevan Abrahams and Legislator Laura Curran stood with their democratic legislative colleagues, along with local healthcare advocates including Long Island Progressive Coalition and Nassau County Planned Parenthood calling upon the Nassau County Executive, commissioners, and administrators to compile a comprehensive report that measures the impact of what looks like the inevitable repeal of the Affordable Care Act (ACA).
According to a report issued by New York State’s Office of the Governor on January 4, 2017, Nassau County stands to lose $17,866,829 in direct funding which “goes directly to counties and helps to lower property taxes”.
Under the ACA, Nassau County saw a 33% decrease in the number of uninsured according to the most recent U.S. Census. The number of uninsured people on Long Island has declined rapidly over the last decade, while the proposed GOP healthcare bill will undo that work by putting 24 million at risk of losing coverage, according to the nonpartisan Congressional Budget Office. The American Health Care Act proposed by the Republican Party may affect more than 1 in 4 Nassau residents. Those at risk of coverage changes include, but are not limited to, the 204,681 Nassau seniors enrolled in Medicare and 133,324 residents who enrolled on the Affordable Care Act’s open marketplace.
“After making inroads for more affordable healthcare access, the proposed law could force counties to choose between supporting low-income residents who rely on Medicaid for health services,” said Minority Legislative Leader, Kevan Abrahams (D-Freeport).
“President Trump is leading us down a very dangerous path and County Government is going to be left holding the bag while taxpayers’ costs could skyrocket. Trumpcare is no longer a campaign talking point but an imminent threat to the financial and physical health of our community, and we must be prepared,” said Legislator Laura Curran (D-Baldwin). “Repealing the Affordable Care Act and replacing it with Trump’s alternative is going to drive a massive hole in the County budget while leaving more residents uninsured and without the benefits of preventative care. So that the County is prepared for these massive changes, County Executive Mangano, County Commissioners, and Department Administrators must immediately start preparing a report that outlines the real impact of losing the Affordable Care Act and what it will mean for Nassau taxpayers.”
Today, Nassau Democratic Legislators called upon the Nassau County Executive, county commissioners and department administrators to prepare an impact study that outlines the real impact losing the affordable care will have on Nassau County residents and the services they receive.
Such a study was just announced by Suffolk County Executive Steve Bellone and is being undertaken by county governments all over the country, Lisa Tyson, Executive Director of the Long Island Progressive Coalition, said.
“The repeal of the Affordable Care Act will deprive Long Islanders’ access to affordable healthcare that can be a matter of life-and-death. Nassau County residents deserve to know how losing the Affordable Care Act might affect their family both financially and physically,” she said.
The repeal of the Affordable Care Act. could be detrimental to citizens of Nassau most in need: low-income families, young adults, seniors and those in need of mental health care and substance abuse treatment. All these programs are at risk of being affected as the legislation currently stands.
“Repealing the Affordable Care Act will have real consequences for our community and we need to know how many of our neighbors will be affected and what costs will fall to the County. Obvious questions are whether our Medicaid costs will rise, and by how much; how increased emergency room visits will affect Nassau University Medical Center; whether the workload and costs of the County’s Department of Health will skyrocket; whether the County’s drug abuse rates are likely to soar due to diminished treatment options; the projected costs that will result; and many more. Governor Cuomo estimates that 133,000 Nassau residents (one out of ten residents) would lose coverage, and that should serve as a chilling wake-up call to every stakeholder in government and healthcare. Our taxpayers deserve to know exactly how much they will be affected by Washington’s costly decisions, and the County’s planning must start now,” said Legislator Curran.
Older residents will see a rise in healthcare premiums, with a projected 20-25% increase for those in their early 60s, given the current proposed GOP tax credit structure, which does not take income into account. For Nassau’s poor and working families, the halting of Medicaid expansion coupled with rising premiums will disintegrate any chance of affordable healthcare.
“Repealing the Affordable Care Act and defunding Planned Parenthood will mean that many women – across the country and right here in Nassau County –who receive their care at Planned Parenthood health centers won’t receive care at all. We are calling on congress to stop these political attacks, but, until they do, Planned Parenthood will leave no stone unturned in fighting back for our patients and ensuring that our doors stay open,” said PPNC President & CEO JoAnn Smith.
For Long Islander Rachel Siehs, not having healthcare at a most crucial time in her life could have been a matter of life-and-death. After Rachel was laid off from her job in October 2015 she battled the very same conflict so many do when they lose their health insurance – in this case, she gotten it from her previous employer. “I was on the fence if I should buy health insurance? I couldn’t afford Cobra. Plus, I am young and healthy and thought I could wait to start a new job and acquire insurance that way,” said Rachel Siehs. “After discussing the issue with my parents, they encouraged me to find coverage on the Affordable Care Act marketplace and thankfully I did – I was diagnosed with Hodgkin’s lymphoma only two months later and would fight cancer for most of 2016.”
Since then, Rachel, 28 years old, has successfully fought Hodgkin’s lymphoma. She was able to see doctor because she had health coverage through the Affordable Health Act. Like many Americans, she risks losing health insurance again after the repeal.
“I don’t know if I would be here today if I didn’t seek coverage on the ACA marketplace. I would start a new job in January 2016 but my health insurance would not have kicked in until April. But also, who knows if I would have scheduled the doctor appointments if I would have had to pay completely out of pocket for them. The impact is real here in Nassau. Health care is important. It needs to be well thought out and studied and shouldn’t be a rushed vote. This is people’s lives,” said Rachel Siehs of Melville.
While County Executive Mangano has already indicated his disinterest in undertaking such a study, which he decried as purely political, Governor Andrew M. Cuomo did provide some indication of the impact on New Yorkers of the American Health Care Act – 2.7 million New Yorkers would face substantial loss in their health care coverage from what they have now, while quality and availability of health services across the state would be jeopardized. Also, an amendment just introduced by Chris Collins, an upstate Congressman (and Trump spokesman) and John Fasio, which would apply solely to New York State, would ban federal reimbursement for state Medicaid funds for local governments outside of New York City, cutting Medicaid for these local governments by $2.3 billion. When added to the $4.5 billion cost of the ACHA over the next four years, the total cost to the State would rise to $6.9 billion.
During the Presidents Week recess when Congressmembers are supposed to meet with constituents, I attended two jam-packed rallies focused on saving Obamacare (this followed the rallies held coast-to-coast in the days before the inauguration). In each of these, desperate people (dismissed by Republicans as “paid professional agitators”) stood up to preserve the Affordable Care Act.
While not perfect (after all, how could it be when Obama had to thread a ridiculously tiny needle to get anything passed the Republican wall of opposition), Obamacare has brought coverage to 20 million previously uninsured people, reducing the percentage of uninsured Americans to a historic low of 8.6%, allowed children up to age 26 stay on their parents’ plan, mandated coverage for preexisting conditions, ended lifetime caps, capped the amount of premium that for-profit insurance pocketed for non-patient purposes at 20% (versus 97% that Medicare spends on patient care ), instituted basic standards of coverage that included, for the first time, wellness visits, coverage for certain regular tests (mammograms, colonoscopy).
The secret sauce? Mandating coverage or else pay a penalty, but if you didn’t earn enough to pay, you would be able to get subsidies from the government Why? Because the whole thing revolved around the idea that young and healthy people would pay into the system, bringing down the insurance premium for everyone. And every policy would cover certain basics, like child birth and prostate cancer, mammogram and colonscopy (ending the higher premiums for a woman).
And it was working: in the first place because if people can go to their doctors earlier, get diagnostic tests and catch illnesses earlier, they are less expensive to treat, let alone reduce the amount of suffering while increasing a person’s productivity during their prime years.
Let’s review: before Obamacare, nearly 50 million people were without health insurance and tens of thousands of families were losing health insurance as they were losing their jobs (and homes) to the Bush/Cheney Great Recession. 20,000 people a year were dying needlessly simply for lack of access to affordable health care.
And, for years, for-profit insurance companies, with a 33% margin, were raising premiums at three to five times the CPI each year; routinely dropping doctors, denying coverage, throwing people off for “preexisting conditions.” Companies were dropping health benefits for employees.
“Preexisting condition? Life is a preexisting condition, resulting from sexual contact and will invariable end in death,” Dr Martha Livingstone, vice chair of Physicians for a National Health Program, told an overflow audience at the Universalist Unitarian Church in Huntington. “We all have a preexisting condition. We all need health care because we are human beings. How we will get it?”
Congressman Tom Suozzi, who stood in front of SRO town hall at the JCC in Plainview, and again at the Huntington health care rally, and back in January, with Kathleen Rice, at a massive health care rally, said about Obamacare, “Mend it. Don’t End it.”
The key problems with Obamacare, people complained, are high deductibles (for the cheapest plans), that premiums rose significantly (after rising at the slowest rate of increase in 50 years and mainly because of the Republican sabotage that prevented the full implementation), and that doctors, and even insurers would change (which happened before, as well).
What Republicans are proposing now, though, doesn’t “fix” any of these problems. In essence, the Republican plan favors the healthy and the wealthy, shifting the burden of payment while providing fewer benefits onto working people, low-income people and the elderly, while – and here is the added bonus – exploding the budget deficit. Millions will lose insurance; costs will skyrocket, and Republicans are ramming it through without “scoring” its impact on the budget or people.
They concocted the bill in secret, are ramming it through without proper analysis, scrutiny or debate, or even “scoring” by the Congressional Budget Office, and here’s the added subterfuge: they are repealing the elements in stages: by 2018 for the first parts (to minimize impact on midterm elections) and by 2020 for the complete repeal (to ease the way for Trump’s reelection).
The Republican plan begins with ending that “freedom killing” mandate, which is the hinge upon which access to affordable health care rests, because by requiring everyone – young, healthy people who might otherwise defray health insurance costs – to purchase, the pool is large enough to keep premiums down for everyone, while covering everything from child birth to mental health to pre-existing conditions.
Instead of a mandate, enforced with a modest tax penalty, to insure that enough healthy, young people are in the pool to lower everyone’s premium while expanding care and access even if there is a pre-existing condition, the Republican plan provides for a 30% “surcharge” if you have let insurance lapse more than 60 days. So if you have lost your job, and therefore your health insurance, and can’t pay, you will only get further and further behind.
Instead of subsidies for people who don’t earn enough to purchase health insurance, Republicans want to give tax credits, which only are beneficial if you earn enough to pay. What is more, they want tax credits not to be based on income at all, but on age, so a 60 year old would get $4000 in tax credits while a 30-year old minimum-wage worker would get $2000 –still only a fraction of the cost of a minimally basic health plan – up to $14,000 in credits for a family.
The other big idea to “afford” health care is the Health Savings Account, which Republicans have wanted forever – another scheme to bolster Wall Street donors, and provide yet another device for the wealthiest to shield income from tax. The flaw is that you need to have enough money to stash away in HSA to begin with. But suppose you get a cancer diagnosis or are hit by a car before you have accumulated sufficient funds? Or you contract some illness that blows through your HSA? Tough luck.
The GOP plan would end the Medicaid expansion – when the federal government paid 90% instead of 50% of the state’s Medicaid cost — which will result in 10 million people in 31 states losing health insurance.
Another keystone of the GOP health care con is to give states block grants – a fixed amount that has no correlation to actual need. The interesting thing is that Governors tend not to use the money for its purpose (health care for the poorest residents), but for pet priorities like lowering taxes for businesses.
The Republicans say they want to shift “power” back to the states. But states always had the ability, before, to devise their own health care plan, as long as it met basic standards of the Affordable Care Act. What states want is the ability –and the excuse – not to provide universal coverage.
Republicans will claim that their plan will continue to cover pre-existing conditions. But their idea is to stick people with pre-existing conditions into high-risk pools, which could put the cost out of reach.
Indeed, no one has bothered to mention that Obamacare capped the amount that the for-profit insurance companies could charge for non-patient services – it was at 33% (versus a 3% administrative budget for Medicare) before the ACA, which required 80% of the premium to go to patient services. That is out the window.
An added zinger, just for good, is that the plan ends federal funding for Planned Parenthood. Gotcha!
Trump proposes to cure the cost problem making it possible to buy insurance across state lines, without saying how that would actually reduce the cost of the premium, under the pretext that “competition” will lower the cost. Except that the same few companies dominate the market in most states, and like airlines, can just raise premiums as they like. Also, this would negate New York’s ability to set standards on insurance companies. And wouldn’t it also mean that New Yorkers would pay the higher premium for Southern obesity?
Most of the changes are phased in – they don’t get implemented until after the 2018 midterm elections, and Obamacare is not completely repealed until after the 2020 elections.
But what Republicans claim is the “unsustainability” of Obamacare is the result of Republicans efforts to sabotage it from day 1. And the first thing that Trump did? Ended enforcement of the mandate and issue a proposal to cut next year’s enrollment period in half allow insurance companies to easily raise deductibles, limit patients’ choice of doctors, and restrict others from getting covered mid-year — even if they have a child or lose their employer-based insurance. Insurance companies are pulling out because the Republicans are intentionally making it impossible for them to do business.
By immediately repealing the mandate as well as the taxes that support Obamacare, it is truly unsustainable and more insurance companies that are planning premium rates and participation now, will either pull out or hike up premiums to ridiculous levels because essentially, they are only insuring sick, older people.
The taxes that pay for the Obamacare health care benefits are also being immediately repealed which will explode the budget deficit, which somehow, Republicans only care about when a Democrat is in the Oval office.
And here is the stunner: the Republicans, who have worked this up in secret, without any debate or public commentary (they dismiss the millions who have come out to town halls, rallies and protests as “paid professional agitators” instead of people with real concerns), plan to shove the legislation through without even scoring by the Congressional Budget Office. They can’t say how much health insurance will cost in TrumpWorld, or how many people will wind up losing health insurance or who wind up being woefully uninsured because they can only afford a minimal policy that doesn’t actually cover anything. They can’t say how many more employers (only about half were offering health insurance benefits before ACA) will simply stop providing any health care benefit at all. That’s Freedom! That’s Choice!
“Do we want people to have socialized medicine or individual accountability, personal choice, where businesses decide?” Congressman Chris Collins (R-NY) asked hypothetically.
Obamacare did not just benefit the 30 million people who were able to afford health insurance, 20 million of them for the first time. It benefited every American who also has insurance, and every American who has Medicare, as well. And remember the complaints with Obamacare? That deductibles were too high; premiums went up significantly from the first year (except they had traditionally gone up at 3 to 5 times the CPI, without any limits). That doctors left the plan or insurance companies changed the plan to exited the exchanges? The Republican plan does not improve any of this. Instead, it returns health care to the total control of for-profit companies, who can raise premiums at will, drop doctors at will, set lifetime caps or refuse to cover certain procedures.
Health care should be a right, not a privilege reserved with the means to pay for it. But the Republican mold would create a system of unequal protection throughout the land. If you happen to live in New York State, you are likely to have better access to life saving, life-affirming care for your family than if you live in Texas.
The Republican plan is a prescription for sicker people who don’t get the checkups, early diagnosis and wellness care to prevent more serious (and costly) and deadly maladies. But they don’t care. Indeed, the rightwingers like Freedom Caucus who are howling mad at the American Health Care Act are upset that it is not draconian enough, that it is “Obamacare Light”.
In TrumpWorld, people are back at the mercy of the for-profit health insurance and health care industry, back under the thumb of employers and abusive spouses. Now that’s freedom-killing, as much as it is a death penalty.
It is as Alan Grayson said early in the Obamacare debate: “The Republican health care plan: don’t get sick. The Republicans have a back-up plan in case you do get sick … Die quickly!”
Rightwingers, conservatives don’t hate Obamacare because it smacks of “socialized medicine.” They hate it because they believe when everyone is entitled to health care, there will be a shortage of doctors, of hospital beds. They will have to wait for appointments. They fear “rationing,” not caring that to avoid that feared scenario, it means that 50 million people will be excluded from health care system altogether.
The solution to having truly universal health care is to reform the health care system – more physicians assistants, nurse practitioners, online diagnosis and triage, more early diagnosis and wellness care.
Contrary to the rightwing hysteria (death panels!) Obamacare is not socialized medicine because it bent health care into a pretzel in order to retain for-profit health insurance entities as the gatekeeper between patients and health care. But the epic failure of the Republican plan, which more than restores ultimate control over people’s lives and quality of life to for-profit companies and employers and abusive spouses, will likely result in a true universal, Medicare-for-All, single-payer system.
Trouble is, that won’t happen for decades more, and not until after hundreds of thousands of people have suffered miserably, died needlessly, prematurely, for lack of access to timely, affordable, quality health care.
With the chaos and uncertainty at the federal level, New York Progressives see an opportunity to push for single-payer health care in the state – a plan that has been approved by the Democratic-controlled Assembly, but has been defeated by the Republican-controlled Senate (with the help of the so-called Independent Democratic coalition of state senators who were elected as Democrats but caucus with Republicans).
Irrespective of what Republicans do in Congress, Ron Widelec, a member of the steering committee of Long Island Activists (LongIslandActivists.org) said, “There is a lot we can do in New York – people forget we can act locally, not everything happens in Congress. Single payer is a real possibility in New York.”
Widelec exposed the lies that are used to beat back universal health care, despite the fact that every other industrialized nation has such a system:
That universal health care is too expensive, will add trillions of dollars to the national debt – but that is belied by the fact that the US spends twice as much on health care as any other industrialized nation, health care amounts to 1/6 of the entire economy, and the outcomes are poor, with the US ranked 32nd among nations, contradicting the claim that the US offers “the best health care in the world.”
Another lie is that universal health care will result in rationing, ”as if 20 million people with no insurance isn’t rationing, or people who have insurance but can’t afford deductibles or copays isn’t rationing, or insurance companies denying care isn’t rationing,” he said.
Janet Green, a nurse who lived in Canada for two years and now lives on Long Island, spoke of the difference: “We lived it, loved it – you could choose any doctor you like, be rid of billing, deductibles, copays; to be covered regardless of age, job status, preexisting conditions, personal wealth. No wonder the Canadians love their single payer universal health insurance system with private provision..
“When we moved to Long Island, the unfairness and inefficiency of an increasingly corporatized health care system was increasingly hard to take because I knew another system. I had coverage through husband’s job – but I was angry, not lucky, to be part of such an unfair system.” That included problems with doctors in/out network; merger/replacement of insurance plans, with changing rules, preferred provider lists not once but twice in 4 years. “There is none of that on single payer, no deductibles or copays or networks.
“I saw the misinformation spread by those most affected, the insurance industry –myths about Canadian system.
“North of the border and throughout the rest of the world, it is understood that to be a compassionate, enlightened society, there must be universal health coverage.
Dr. Martha Livingstone, vice chair of Physicians for a National Health Program, also spoke from experience about Canada’s health program, because she lived in Canada while getting one of her degrees.
“There are only two reasons we don’t have national health insurance Medicare for All – it is 1/6 of the economy and very powerful people are arrayed against us who will do everything in their power to persuade us we can’t have it. And our failure of imagination.
Indeed, it may well be that Republicans have overplayed their hand and the pendulum will swing back much more forcefully. If they succeed in repealing Obamacare and replacing it with Trumpcare, it can cost Republicans to lose Congress in 2018 and the White House in 2020, just as Obamacare cost Democrats control in 2010. Instead of Obamacare, which was Obama’s attempt to appease conservatives who demand a for-profit health care system, there will be universal health care, single-payer Medicare for All, a socialized health care system.
She told of a Victoria BC woman whose son had to go to five specialists before a rare brain tumor was diagnosed, treated, so he could survive. “In the states, he would have been one of 45,000 Americans dead of treatable medical conditions because he didn’t have access to timely medical care.
“Preexisting condition? Life is a preexisting condition, resulting from sexual contact and will invariable end in death. We all have a preexisting condition. We all need health care because we are human beings. How we will get it?
“We are the 99%. We don’t mind paying taxes when they provide for things we need. Who doesn’t want to pay taxes? it’s the billionaires – they want us to be uneducated, unhoused, unfed and if sick, they like us to die [and not be a burden on society]. It is a life/death fight.
“We have to protect the Affordable Care Act, but frankly my dears, ACA was written by the Heritage Foundation, a right wing think tank. It is a Republican plan first put into place by then Governor Mitt Romney in Massachusetts. You have piece a that‘s public, that funds the majority, and the piece that’s private.
“What Romneycare did, then ACA, was to build on the wildly expensive private for-profit sector of the system. We want to build in the wildly successful, inexpensively administered Medicare program…
“There are only two things wrong with Medicare: it doesn’t cover everything, doesn’t cover everybody. So improve it, Medicare for all.”
But regardless of what happens at the federal level, the state can create its own single-payer plan.
“Let New York be the first to have single-payer. What it will do for us in New York State is save us $50 billion, and save everybody but the very wealthiest New Yorkers money over what paying now for lousy access to care, where we have narrow networks, where some insurance genius can tell us at any moment, ‘Well, if you looked at p 793.’ The bill gets rid of all that – no copays, deductibles for a human right. We have to reinforce that. We know we won’t get it through the New York Senate this year, but 2018 if we hold their feet to the fire.”
“This event left me hopeful,” Widelec said before sending everyone off to their breakout sessions to come up with local actions. “The election of Trump wasn’t a hopeful time, but I am hopeful. I believe this is not a matter of left versus right, this is a matter of right versus wrong. One good thing about the 1%: we outnumber them 99 to 1.
Hundreds rallied at the Unitarian Universalist Fellowship of Huntington (UUFH), under the aegis of Long Island Activists, to strategize how to save Obamacare from Republicans who are moving swiftly to repeal it and replace it with something that is far more costly, would knock tens of millions off health insurance, would raise taxes for middle class and working Americans, and essentially be more costly for less care. But the Long Islanders went an extra step: to demand single-payer – that is, Medicare for All – beginning with New York State.
The rally was one of 150 across the country last weekend with some coordination of Bernie Sanders’ Our Revolution group.
The activists jammed a main room, overflowed the overflow room, and were lined up outside, producing a kind of echo-effect to cheers and boos inside the hall.
Long Island Activists rally for universal health care, Huntington, Long Island, Feb. 25, 2017.
“Something feels wrong. Public policy in no way reflects public opinion,” said Ron Widelec, a member of the steering committee of Long Island Activists (LongIslandActivists.org).
“We live in the richest country in history, yet 20 million go without health insurance, tens of millions have insurance but can’t afford to use because the deductibles so high – choosing between feeding children or going to a doctor when not feeling well. These are unacceptable choices in a country this wealthy…
“These are life-or-death situations. That’s why people are out here. It turns out, if you try to take away people’s health care, get angry and show up. Tens of thousands die without access to health care, or can’t afford access so that is the same as not having access. People die if they can’t afford an Epipen.
The Affordable Care Act (Obamacare) was not perfect because it was designed to appease conservatives. Indeed, the framework came out of the right-wing think tank, The Heritage Foundation, and was first implemented by Republican Governor Mitt Romney in Massachusetts. Elements such as a public option or a Medicare buy-in were omitted in order to satisfy so-called moderate Republicans like Susan Collins of Maine, who nonetheless voted against the ACA.
“Many members of Congress are dedicated to the idea they can make the situation even worse . Our position is clear: health care is a human right,” he declared to boisterous cheers.
“While no one thinks ACA perfect, it did things we need to fight for,” Widelec said. “ACA didn’t go far enough – a human right doesn’t have co-pays or deductibles.
“On the federal level, there is very little we can do with Congress. We know Republicans want to overthrow ACA… We have to fight to protect Obamacare and put pressure even on those too cowardly to hold town halls [like Long Island Congressmen Peter King and Lee Zeldin].
But while progressives all along wanted universal health care – that is, single-payer or what is termed Medicare for All – the most immediate goal is to preserve the key elements of Obamacare: covering young people on their parents’ plan until age 26; pre-existing conditions; no lifetime caps; a cap of no more than 20% of the premium going for non-patient spending , and minimal standards for what insurance policies cover – which turns out can only be offered if there is a mandate so that healthy people purchase insurance; otherwise, deductibles or copays or premiums are so high, they are unaffordable.
“It’s not true that the Republicans don’t have a plan,” warned Doreen DiLeonardo, who hosts a progressive radio show. Indeed, the plan that was exposed by Politico is essentially the 2015 bill introduced by then Congressman Tom Price, now the Secretary of Health & Human Services.
According to Politico, the Republican plan would rescind the unpopular individual mandate, subsidies based on people’s income, and all of the law’s taxes. It would significantly roll back Medicaid spending and give states money to create high risk pools for some people with pre-existing conditions. Instead of subsidies to help people with low incomes afford health insurance, it would give tax credits based on age rather than income. That means that multi-millionaire Rex Tillerson, former CEO of Exxon-Mobil and now Trump’s Secretary of State would get a bigger tax credit than the 30-year old who works at Starbucks. In any case, tax credits mainly benefit wealthier people. Meanwhile, the other big Republican idea is for Health Savings Accounts, which once again, benefit wealthier people, while those who are barely affording food and rent will be unable to stash away money in untaxed accounts. (See: Exclusive: Leaked GOP Obamacare replacement shrinks subsidies, Medicaid expansion)
What Democrats point to, though, are provisions that would wind up taxing middle class and working class families for the health insurance benefits they get from their employers, while at the same time ending taxes on the wealthiest Americans that funded the Obamacare subsidies.
“If it were such a good plan, they wouldn’t be hiding it,” DiLeonardo said.
The Republicans’ “destructive, nihilistic policy will ruin the ACA,” Assemblyman Charles Lavine, who has sponsored universal health care in the State Assembly, said. “They attempted to ruin it from beginning, based on lies. Each and every one here today, superheroesque, survivors of the ‘massacre at Bowling Green’, we know 20-30 million Americans would lose insurance, we know the tragedy that will flow from that – we will return to days preexisting conditions rob people of access to health care. You’re on your own. Lifetime caps – if someone had serious condition, cut off, no more insurance., – when that happens we all pay one way or another for their treatment. Women will pay more for identical coverage, young adults up to 26 no longer on parents’ coverage, you’re on your own.
“We know the lies being told. Trump said ACA robbed people of their insurance. We know that is just another lie. More than 20 million were able to get insured because of ACA, we now have a record low percentage of uninsured people, 10.9%.
“Trump said some plans were canceled [using this to accuse Obama of lying about ACA]. But that’s because they were deficient, illusory plans. What Trump and his confederates want to do, is to allow New Yorkers to go into market and buy insurance from other states. NYS is not going to allow that to happen. We will demand (because NY controls insurance product) that any insurance product sold here has to provide minimum requirements, or else people will get ripped off. Those are the kind of policies people lost because of ACA.”
Senator Chuck Grassley of Iowa lied when he said Obamacare would create death panels that would pull the plug on grandma. But a century ago, the worldwide flu epidemic killed off 50 to 100 million people, and bodies were piled up on street corners in Chicago waiting for the city to pick them up, people were on their own, too.
“That’s not that long ago – a blink in time of human history. We stand together you rebellious Americans to demand the human right of health care, and we stand together (big applause). This is a fight for our families, our communities. We are 36 years since the first days of Reagan Administration into a philosophy that says government isn’t the solution, it’s the problem, your enemy. You and I will fight for our families, communities, and damn well we stand up and fight for our government.”
Recalling that President Theodore Roosevelt, a progressive who busted up trusts and created the first national parks, whose home at Sagamore Hill is just a few miles from where this rally is taking place, Ron Widelec said, “Once republicans were progressives, put in policies that helped people, now they are wedded to the invisible hand of the American market, not noticing, it is a hand around throats of American people. We will fight back.”
Newly elected Congressman Tom Suozzi, who has pledged to support universal health care once Democrats take back Congress (and held a packed town hall this past week in which support for ACA was a key issue), said “I believe in health care as a human right. This is a matter of life-and-death for many families now. We have to do a couple of things: protect ACA is the first thing. There is great energy behind that. But we need to improve upon ACA because there are problems – insurance companies, drug companies had too much say in writing ACA and we’re paying the price. Mend it don’t end it. Fix the problems.”
Next: New Yorkers Mobilize for Single Payer Health Care
If Republicans succeed in repealing the Patient Protection and Affordable Care Act (Obamacare), an estimated 2.7 million New Yorkers would lose health coverage, New Yorkers would lose $250 million in Health Care Savings Tax Credits, and New York State would experience a direct state budget impact of $3.7 billion and a loss of nearly $600 million of federal funding that goes directly to counties, which they use to help lower property taxes.
“The cost of a repeal of the Affordable Care Act, to state and local budgets and to the New Yorkers who depend on its health care coverage, is simply too high to justify,” Governor Andrew M. Cuomo said. “Since its implementation, the Affordable Care Act has become a powerful tool to lower the cost of health insurance for local governments and New Yorkers, and it is essential that the federal government does not jeopardize the health and livelihoods of millions of working families.”
The NY State of Health exchange has successfully cut the percentage of uninsured New Yorkers in half, from 10 percent to 5 percent. It has also significantly expanded eligibility and access to health coverage, allowing hundreds of thousands of previously uninsured New Yorkers to achieve economic and healthcare security.
Based on current enrollment levels, the repeal of the Affordable Care Act would result in over 2.7 million New Yorkers losing health coverage. The estimated number of individuals at risk of losing coverage, based on current enrollment levels, is broken down by counties below:
County
Individuals at Risk of Losing Coverage
Albany
25,552
Allegany
4,608
Bronx
300,012
Broome
20,231
Cattaraugus
8,310
Cayuga
7,665
Chautauqua
15,270
Chemung
9,160
Chenango
5,184
Clinton
7,787
Columbia
6,827
Cortland
4,606
Delaware
4,461
Dutchess
25,074
Erie
93,403
Essex
3,660
Franklin
5,110
Fulton
6,038
Genesee
5,074
Greene
4,971
Hamilton
522
Herkimer
6,932
Jefferson
10,955
Kings
540,320
Lewis
2,932
Livingston
4,972
Madison
5,861
Monroe
75,512
Montgomery
5,473
Nassau
133,324
New York
218,937
Niagara
21,287
Oneida
24,781
Onondaga
45,682
Ontario
9,355
Orange
37,851
Orleans
4,522
Oswego
12,568
Otsego
5,785
Putnam
7,006
Queens
493,058
Rensselaer
12,540
Richmond
56,882
Rockland
38,526
Saratoga
16,340
Schenectady
16,056
Schoharie
3,079
Schuyler
2,065
Seneca
3,145
St. Lawrence
11,063
Steuben
10,039
Suffolk
152,631
Sullivan
9,668
Tioga
4,560
Tompkins
7,827
Ulster
19,850
Warren
6,796
Washington
6,689
Wayne
9,354
Westchester
91,844
Wyoming
3,700
Yates
2,515
Total
2,715,807
The estimated direct state budget impact of the repeal is $3.7 billion. New York’s counties have been able to use the additional federal Medicaid funding through the Affordable Care Act, which goes to directly to counties and helps to lower property taxes. A repeal of the Affordable Care Act would result in a total loss of $595 million in funding. A county by county breakdown of the allocated annual funding that each county would lose is available below, based on the most recent year:
County
2016-17 Funding
Albany
$4,738,862
Allegany
$786,300
Broome
$3,049,122
Cattaraugus
$1,211,333
Cayuga
$1,098,606
Chautauqua
$2,443,709
Chemung
$1,491,573
Chenango
$686,373
Clinton
$1,292,531
Columbia
$833,957
Cortland
$786,023
Delaware
$666,830
Dutchess
$2,974,044
Erie
$17,149,148
Essex
$400,176
Franklin
$681,442
Fulton
$879,897
Genesee
$691,774
Greene
$832,298
Hamilton
$68,800
Herkimer
$956,261
Jefferson
$1,601,068
Lewis
$294,378
Livingston
$686,242
Madison
$842,891
Monroe
$13,023,431
Montgomery
$797,695
Nassau
$17,866,829
Niagara
$3,849,704
Oneida
$4,169,425
Onondaga
$7,871,592
Ontario
$1,042,122
Orange
$5,021,173
Orleans
$667,917
Oswego
$2,281,144
Otsego
$729,112
Putnam
$561,094
Rensselaer
$2,307,076
Rockland
$3,867,080
St. Lawrence
$1,564,073
Saratoga
$1,864,638
Schenectady
$2,462,377
Schoharie
$475,760
Schuyler
$312,126
Seneca
$369,493
Steuben
$1,514,370
Suffolk
$18,310,813
Sullivan
$1,439,822
Tioga
$589,433
Tompkins
$1,015,126
Ulster
$2,935,566
Warren
$787,632
Washington
$746,252
Wayne
$910,595
Westchester
$15,243,258
Wyoming
$382,781
Yates
$282,426
Upstate Total
$162,405,572
New York City Total
$433,294,428
New York State Total
$595,700,000
“New York’s healthcare workers see the positive impact of the Affordable Care Act every day,” George Gresham, President, 1199SEIU United Healthcare Workers East, said. “Our patients are able to access preventative care instead of coming to emergency rooms in states of advanced illness. Our employers have reduced losses from uncompensated care. Our friends and relatives are relieved of the fear that getting sick equals financial ruin. Repealing the Affordable Care Act without an adequate replacement would have immediate and devastating consequences for millions of our fellow New Yorkers and for state and local budgets. We applaud Governor Cuomo’s leadership in educating New Yorkers about costs and are proud to stand with him to advocate for the health all New Yorkers,”
Greater New York Hospital Association President Kenneth E. Raske said,“These deeply troubling numbers are only the tip of the iceberg if the Affordable Care Act is repealed. It will also severely harm the hospital community. 27 hospitals across New York State are on a ‘watch list’ for financial stress and many more both public and private face similar fiscal challenges. Repealing the Affordable Care Act without an immediate and adequate replacement plan will make things dramatically worse for safety net hospitals and the vulnerable communities they serve. I applaud Governor Cuomo for his leadership and look forward to working with the bipartisan members of the New York Congressional delegation to ensure that the health care of all New Yorkers is protected.”
“In addition to providing care to those in need, hospitals are major employers in communities all across the state,” stated Bea Grause, President of the Healthcare Association of New York. “Repeal of the ACA could have tremendous consequences for the delivery of healthcare and also in terms of jobs and economic activity. It’s imperative that Congress be mindful of this reality. I’m pleased to join the Governor in this important effort to protect New Yorkers.”
“For too long, Americans paid for health insurance that did not recognize that treatment for mental health and substance use disorders is as essential as other medical treatment,” the White House stated in a Fact Sheet describing steps the Federal Parity Task Force is taking to strengthen indusrance coverage for mental health and substance use disorders. “Untreated mental health and substance use disorders can be debilitating and life-threatening. These consequences are apparent in the prescription opioid and heroin epidemic, as well as the troubling rates of suicide and severe mental illness in this country.
“One of the many important provisions of the Affordable Care Act and the Mental Health Parity and Addiction Equity Act is to ensure that health insurance plans treat mental health and substance use disorders the same way that they treat other health conditions. In March of this year, President Obamaestablishedthe Mental Health and Substance Use Disorder Parity Task Force and charged Federal Departments and Agencies to work together to ensure that Americans are benefiting from the mental health and substance use disorder parity protections under the law. Parity aims to eliminate restrictions on mental health and substance use coverage – like annual visit limits, higher copayments, or different rules on how care is managed such as frequent pre-authorization requirements or medical necessity reviews – if comparable restrictions are not placed on medical and surgical benefits.”
In itsfinal report, the Task Force announced a series of actions and recommendations to help ensure better implementation of parity; to help consumers, providers, and plans understand how parity works; and to ensure appropriate oversight and enforcement of parity protections.
These steps are based on input the Task Force received through a series of listening sessions between March and October held with consumers, providers, employers, health plans, and State regulators, and through the more than 1,100 public comments the Task Force received from individuals with mental health and substance use disorders, families, their providers, advocates, and other stakeholders.
“These recommendations are subject to future budget and policy deliberation,” The White House noted. “Together, today’s steps build on the ongoing work of the Administration to make the treatment of mental health and substance use disorders a priority. The Affordable Care Act ended insurance discrimination based on pre-existing conditions, including mental health and substance use disorders; required coverage of mental health and substance use disorder services in non-grandfathered plans in the individual and small group insurance markets; ensured that recommended preventive screenings, including for depression and alcohol misuse, are available with no co-pays; and expanded Medicaid to millions of additional Americans, significantly improving coverage for mental health care and substance use disorder treatment. In addition, the Administration has issued final regulations providing parity protections to individuals covered through the employer and individual insurance markets, people covered through Medicaid managed care organizations and the Children’s Health Insurance Program, and service members and their families covered through TRICARE.
“Through these steps, the country has made significant progress in expanding mental health and substance use disorder coverage and parity protections for millions of Americans. The Task Force report focuses on parity-related actions and recommendations and does not include the provisions in the President’s Budget that would further expand access to care, including new investments in treatment capacity. The actions and recommendations announced today will continue to advance the Administration’s progress on parity implementation.”
·The Centers for Medicare & Medicaid Services (CMS) is awarding $9.3 million to States to help enforce parity protections. CMS funding will help State insurance regulators work to ensure issuer compliance with the mental health and substance use disorder parity protections.
·The Department of Health and Human Services (HHS), in partnership with the Department of Labor (DOL) and other Task Force agencies, is releasing the beta version of a new parity website to help consumers find the appropriate Federal or State agency to assist with their parity complaints, appeals, and other actions. The Task Force received many comments about the challenges consumers face in identifying the appropriate agency that regulates their insurance coverage. The beta site is being released today for public comment. In the future, the Task Force Departments intend to work together to build out additional functionality on the website related to complaint and data tracking.
·The Substance Abuse and Mental Health Services Administration (SAMHSA) and DOL are releasing aConsumer Guide to Disclosure Rights: Making the Most of Your Mental Health and Substance Use Disorder Benefitsto help consumers, their representatives, and providers understand what type of information to ask for when inquiring about a plan’s compliance with parity and to explain the various Federal disclosure laws that also require disclosure of information related to parity. The Guide includes 11 scenarios, each with specific suggestions for information consumers have a right to that can help, as well as timing requirements for plans and issuers providing these documents.
·DOL is announcing that it will releaseannual data on closed Federal parity investigations and will report on the findings, including the violations citedto ensure parity compliance and inform future policymaking efforts. This effort builds on the 1,515 investigations related to the Mental Health Parity and Addiction Equity Act and 171 violations cited by DOL since October of 2010.
·Toensure parity compliance in plans required to offer essential health benefits, CMS has added Mental Health Parity and Addiction Equity Act compliance to its review of plans subject to the essential health benefits requirement under the Affordable Care Act, and it expects State regulators to do so as well.
·DOL, HHS, and the Department of Treasury (Treasury) are issuingguidance on parity and opioid use disorder treatmentto address specific questions the Departments have received related to issues such as the application of parity to opioid treatment access and coverage of court-ordered treatment.
·HHS, DOL and Treasury aresoliciting feedback on how the disclosure document request process can be improved(input is being sought through the FAQ process), while continuing to ensure consumers’ rights to access all appropriate information and documentation. The request solicits input on the option of developing model forms for parity-related disclosure requests.
·SAMHSA is announcing that it will hosttwo State Policy Academies on Parity Implementation for State Officialsin Fiscal Year 2017, including one focused on the commercial market and one on parity in Medicaid and the Children’s Health Insurance Program. These policy academies will bring together national experts to provide technical assistance to teams of State officials on strategies to advance parity compliance and lessons learned from other States’ implementation efforts.
·CMS will undertake areview of mental health and substance use disorder benefits in Medicare Advantage plansand identify any necessary improvements to advance parity protections.
·DOL, HHS, and Treasury are issuing aParity Compliance Assistance Materials Index. The Departments have issued a total of 44 Frequently Asked Questions (FAQs) over the past six years related to parity, generally as part of larger guidance documents, as well as other parity materials. Several commenters suggested to the Task Force that putting all the parity-related FAQs and guidance together in one place would make the information easier to find and use for States, plans consumers, and other stakeholders.
In addition, the Task Force made the following recommendations:
•Create a one-stop consumer web portal to help consumers navigate parity,which will build out the functionality of the beta parity website released today. The Task Force recommends that the website should help consumers solve coverage issues, file a complaint, or submit an appeal, and also be used to better inform parity oversight and enforcement efforts.
•Increase Federal agencies’ capacity to audit health plans for parity compliance. The Task Force recommends that agencies’ future budgets include funding to expand audit capacity. Given current resources, Federal parity enforcement efforts to date have generally focused on investigating consumer, provider and other parity complaints. Agencies’ capacity to expand enforcement activities, including conducting random audits, is limited by their staffing resources.
•Undertakea detailed review of the non-quantitative treatment limits applicable to substance use disorder benefits in the Federal Employees Health Benefits (FEHB) Program. The Task Force received comments suggesting that non-quantitative treatment limits in FEHB plans may need examination and modification to ensure full compliance, as well as comments suggesting that consistent definitions of terms relating to residential treatment would provide greater transparency for consumers. The U.S. Office of Personnel Management has agreed to conduct this review over the coming year, and take corrective action as indicated by the findings.
•Allow the Department of Labor to assess civil monetary penalties for parity violations. Civil monetary penalty authority would lead to more meaningful penalties for non-compliance with parity. The Task Force recommends that Congress provide the Department of Labor with this authority.
•Develop examples of parity compliance best practices and of potential warning signs of non-compliance. Building on the 2016 DOL/HHS “Warning Signs” document identifying non-quantitative treatment limitations that require additional analysis to determine if they are in compliance with parity, the Task Force recommends a Warning Signs 2.0 document and encourages the inclusion of network adequacy issues in the document. The Task Force also recommends developing further examples of parity compliance best practices to illustrate appropriate application of non-quantitative treatment limitations that are comparable between mental health/substance use disorder benefits and medical/surgical benefits.
•Provide Federal support for State efforts to enforce parity through trainings, resources, and new implementation tools, including model compliance templates. The Task Force recommends continued Federal efforts to provide training and other resources to States to support compliance efforts including partnerships between State mental health/substance use, Medicaid, and State insurance agencies. Further, the Task Force recommends that Federal regulators work with the National Association of Insurance Commissioners and the States to develop a standardized template that States might use to help assess parity compliance. The Task Force also encourages Federal regulators, the National Association of Insurance Commissioners, and other stakeholders to consider a joint effort to develop a model prior authorization form and other model forms.
•Provide simplified disclosure tools to provide consistent information for consumers, plans and issuers. To facilitate disclosure, the Task Force recommends that, in coordination with the National Association of Insurance Commissioners, templates and other sample standardized tools be developed to improve consumer access to plan information.
•Expand consumer education about parity protections. The Task Force recommends continuing and expanding the work to educate consumers about parity and partnering with consumer groups to increase consumer awareness and understanding of parity protections.
•Clarify that health plan disclosure requirements include medical and surgical benefits. The Task Force heard from commenters that it can be challenging to ensure parity compliance when information on medical and surgical benefits is not readily available to allow for comparison to mental health and substance use disorder benefits. Disclosure of the relevant information used to apply coverage limitations to medical and surgical services is currently required for plans covered under the Employee Retirement Income Security Act (ERISA). The Task Force recommends that Congress extend this requirement to non-ERISA plans.
•Implement the Medicaid and Children’s Health Insurance Program (CHIP) parity final rule in a robust manner. The Task Force recommends that implementation include the development of a parity analysis toolkit to help States assess compliance with the final rules on parity for Medicaid managed care organizations and CHIP programs. The toolkit will review key considerations for defining and classifying mental health and substance use disorder benefits (including intermediate and long term supports and services), conducting claims-based analyses for quantitative treatment limits, identifying and analyzing non-quantitative treatment limits, and considerations for Alternative Benefit Plans and CHIP.
•Expand access to mental health and substance use disorder services in TRICARE.The Task Force recommends the Department of Defense’s continued implementation of the TRICARE final rule on mental health and substance use disorders and parity through contract modifications and DOD’s monitoring of access to mental health and substance use disorder care to ensure parity with medical/surgical care.
•Eliminate the lifetime day limit on Medicare Part A treatment in psychiatric hospitals. In Medicare Part A (hospital coverage), there is a 190-day lifetime limit on inpatient treatment in psychiatric hospitals while there is no such limit on inpatient medical/surgical hospital treatment. The Task Force recommends that Congress eliminate the psychiatric hospital lifetime day limit, consistent with the President’s 2017 budget request.
•Update guidance to address the applicability of parity to opioid use disorder services. The Task Force recommends issuing guidance clarifying the application of parity to opioid use disorder treatment benefits in response to specific scenarios associated with these benefits raised by consumers and other stakeholders and updating this guidance regularly, as warranted.
•Eliminate the parity opt-out process for self-funded non-Federal governmental plans. Currently, self-funded non-Federal governmental plans have the ability to elect to not comply with certain Federal provisions including the Mental Health Parity and Addiction Equity Act, which deprives thousands of employees of State and local governments of the mental health and substance use disorder parity protections. The Task Force recommends that Congress eliminate the ability of these plans to opt out of these protections.
Before the Affordable Care Act (ACA, better known as Obamacare), more than 50 million Americans were without any health insurance and 20,000 people were losing their health insurance each month as the Bush Great Recession hemorrhaged 850,000 jobs a month. Though employers for more than a decade have been cutting back on health benefits (making it a Hobson’s choice to leave a terrible job or an abusive marriage), 170 million people get their insurance through their employment, and insurance companies were raising premiums annually at rates five times the rate of inflation, refusing to provide insurance based on pre-existing conditions, charging women higher rates (because they have babies, don’t you know), arbitrarily denying services, capping lifetime claims, throwing people off insurance, and pocketing 25-30% of the premium, with only 70-75% going to patient care.
The Affordable Care Act, designed to make health insurance accessible to everyone, made improvements that have benefited everyone (as Hillary said), but meant the difference between life and death for the 50 million who could not afford health care at all. But to get it passed Obama had to make compromises, including giving up a public option. Then, chiefly Republican-dominated states rejected ACA, casting millions of their residents into a limbo where they could not qualify for the federally-provided exchange and didn’t have access through an employer.
Significantly, ACA (Obamacare) was a Hail Mary to get universal access to health care, with some benefits in terms of containing health care costs. But the next round of health care reform would need to address costs. Here, in the words of their own campaigns, are the candidates’ health plans – in essence, Donald Trump pledges to repeal Obamacare and replace it by returning to “market” (that is, for-profit insurance companies) control, while Hillary Clinton is vowing to make necessary improvements to Obamacare to continue the goal of universal health care, correcting the inequities between states which refused Obamacare and possibly with a public option – Karen Rubin, News & Photo Features.
Trump: Obamacare is a Disaster and Needs to be Repealed
“Obamacare Is A Disaster. You Know It We All Know It.”
During the second presidential debate, the question was asked, “What will you do to bring down the cost of health care? This is the rambling, nonsensical reply to the question, and the Trump campaign is so proud of it, they emailed it out:
TRUMP: “It is such a great question, and it’s maybe the question I get almost more than anything else. Outside of defense. Obamacare is a disaster. You know it we all know it. It is going up at numbers that nobody has ever seen worldwide. No One has ever seen numbers like this for healthcare. It is only getting worse. In seventeen, implodes by itself. Their methods of fixing it is to go and ask Congress for more money. More and more money. We right now have almost twenty trillion dollars in debt. Obama care with mother work. It is very bad, very bad health insurance. Far too expensive, and not only expensive for the person that has it, unbelievably expensive for our country. It’s got to be one of the biggest line items very shortly. We have to repeal it, and replace it with something absolutely much less expensive. And something that works. Where your plan can actually be tailored. We have to get rid of the lines around the state, and official lines. Where we stop insurance companies from coming in and competing because they wanted President Obama and whoever is working on it. They want to leave those lines because that gives the insurance companies, essentially, monopolies. We want competition. You will have the finest healthcare plan there is, she wants to go to a single-payer pan. Which would be a disaster. Somewhat similar to Canada. And if you haven’t noticed the Kitty Indians, when they need a big operations they come into the United States in many cases. Because they are system is so slow, it is catastrophic in certain ways. But she wants to go to single-payer. Which means the government basically rules everything. Hillary Clinton has been after this for years. Obamacare was the first step. Obamacare is a total disaster. And not only are your rates going up by numbers that no one has ever believed, but your deductibles are going up. So that unless you get hit by a truck, you are never going to be able to use it. It is a disastrous plan and it has to be repealed.” (Click To Watch)
Clinton’s Plan To Improve Our Health Care And Build On The Affordable Care Act
“Hillary Clinton will defend and expand on the progress made under Obama Administration toward universal coverage through the Affordable Care Act. The fact is, Hillary has never given up on the fight for universal coverage—and she won’t stop now. As First Lady, she refused to give up when the insurance industry and special interests attacked her and defeated healthcare reform. Instead, she worked with Republicans and Democrats to help create and implement the Children’s Health Insurance Program, which now provides health coverage to more than 8 million children,” Hillary for America campaign stated.
As president, Hillary will build on the Affordable Care Act to expand coverage for millions of Americans.
She will lower-out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges. Hillary believes that in order to expand coverage for families, we need to reduce the cost of purchasing health insurance on the Affordable Care Act exchanges. Her plan will provide enhanced relief for people on the exchanges, and provide a tax credit of up to $5,000 per family to offset a portion of excessive out-of-pocket and premium costs above 5% of their income. She will enhance the premium tax credits now available through the exchanges so that those now eligible will pay less of a percentage of their income than under current law and ensure that all families purchasing on the exchange will not spend more than 8.5 percent of their income for premiums. Finally, she will fix the “family glitch” so that families can access coverage when their employer’s family plan premium is too expensive.
She will support new incentives to encourage all states to expand Medicaid. Hillary will fight for health insurance for our lowest income residents living in every state across the nation. Hillary will follow President Obama’s proposal to allow any state that signs up for the Medicaid expansion to receive a 100 percent match for the first three years, and she will continue to look for other ways to incentivize states to expand Medicaid to meet the health needs of their most vulnerable residents.
She will invest in navigators, advertising and other outreach activities to make enrollment easier. Today, as many as 16 million people or half of all those uninsured are eligible but not enrolled in virtually free Medicaid coverage or exchange coverage for as little as $100 a month or less. Hillary will ensure anyone who wants to enroll can understand their options and do so easily, by dedicating more funding for outreach and enrollment efforts. She will invest $500 million per year in an aggressive enrollment campaign to ensure more people enroll in these extremely affordable options.
She will expand access to affordable health care to families regardless of immigration status. Hillary sponsored the Immigrant Children’s Health Improvement Act in the Senate, which later became law and allows immigrant children and pregnant women to obtain Medicaid and CHIP. She believes we should let families—regardless of immigration status—buy into the Affordable Care Act exchanges. Families who want to purchase health insurance should be able to do so.
She will continue to support a “public option”—and work to build on the Affordable Care Act to make it possible. As she did in her 2008 campaign health plan, and consistently since then, Hillary supports a “public option” to reduce costs and broaden the choices of insurance coverage for every American. To make immediate progress toward that goal, Hillary will work with interested governors, using current flexibility under the Affordable Care Act, to empower states to establish a public option choice.
Going forward, Hillary will build on these efforts and fight to ensure that the savings from these reforms benefits families—not just insurance companies, drug companies, and large corporations. She will expand coverage for Americans living in rural areas and continue a lifelong commitment to protecting women’s reproductive rights.
Hillary’s plan will reduce the cost of prescription drugs. Prescription drug spending accelerated from 2.5 percent in 2013 to 12.6 percent in 2014. It’s no wonder that almost three-quarters of Americans believe prescription drug costs are unreasonable. Hillary believes we need to demand lower drug costs for hardworking families and seniors and she will hold drug companies accountable for unjustified price hikes with new penalties.
Her plan will transform our healthcare system to reward value and quality. Hillary is committed to building on delivery system reforms in the Affordable Care Act that improve value and quality care for Americans.
Hillary will also work to expand access to rural Americans, who often have difficulty finding quality, affordable health care. She will explore cost-effective ways to broaden the scope of health care providers eligible for telehealth reimbursement under Medicare and other programs, including federally qualified health centers and rural health clinics. She will also call for states to support efforts to streamline licensing for telemedicine and examine ways to expand the types of services that qualify for reimbursement.
Hillary is continuing a lifelong fight to ensure women have access to reproductive health care. As senator, she championed access to emergency contraception and voted in favor of strengthening a woman’s right to make her own health decisions. As president, she will continue defending Planned Parenthood, which provides critical health services including breast exams and cancer screenings to 2.7 million patients a year. And she will work to ensure that all women have access to preventive care, affordable contraception, and safe, legal abortion—not just in principle, but in practice, by ending restrictions like the Hyde Amendment.
Hillary for America also challenged Trump’s proposals:
Trump Would Rip Away Health Coverage From 20 Million People And Let Insurers Write The Rules
Donald Trump would immediately work to repeal Obamacare–taking health insurance away from at least 20 million people and letting the insurance companies write the rules all over again. Trump even supported shutting down the government in order to defund Obamacare.
New York Times: “Millions of low-income people have gained coverage under the Affordable Care Act and could lost it if Congress repealed the law.”
Trump saidhe supported Republicans’ efforts to shut down the government over Obamacare and that they should have stuck together.
Trump’s “plan” would cost hundreds of billions more, and does not address people with pre-existing conditions.
CNBC: More $$$, More Uninsured: Donald Trump’s Health-Care Plan
VOX: Trump’s Plan Would Take Health Insurance Away From 21 Million People. Sad!
Bloomberg: “Trump’s proposal is silent on the subject of preventing insurers from dropping coverage for those with preexisting conditions, a feature of Obamacare that Trump has said he supports.”
Meanwhile, the Trump campaign is making hay, taking a statement that President Bill Clinton made out of context:
FACT CHECK: President Clinton And The Affordable Care Act
“Don’t believe Donald Trump when he distorts what President Clinton said about the Affordable Care Act. Bill Clinton, Hillary Clinton, Tim Kaine and President Obama all agree that we have made tremendous progress because of the Affordable Care Act, delivering coverage to 20 million people who were previously uninsured — but they agree there’s more we can do.”
Politifact: “In context, it’s also worth noting that Clinton’s actual comments never mentioned the Affordable Care Act or Obamacare. In fact, as we reviewed the transcript, we noticed that much of what Clinton said addressed issues that pre-dated the 2010 health care law, including concerns about high costs and a lack of guaranteed coverage.”
The bottom line is Hillary will defend and expand on the progress made under Obama Administration toward universal coverage through the Affordable Care Act, while Donald Trump would immediately work to repeal Obamacare, taking health insurance away from 20 million people – and letting the insurance companies write the rules all over again. Trump’s suggested healthcare plan would cost hundreds of billions more, and does not address people with pre-existing conditions.
