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Democratic Candidates for 2020: Klobuchar Policy Plan for Seniors Tackles Alzheimers, Healthcare, Drug Costs, Retirement Security

Senator Amy Klobuchar’s plan for Seniors tackles Alzheimer’s, enhances health care and retirement security and reduces prescription drug costs. © Karen Rubin/news-photos-features.com

The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. Senator Amy Klobuchar’s plan for Seniors tackles Alzheimer’s, enhances health care and retirement security and reduces prescription drug costs. This is a summary from the Klobuchar campaign:


MINNEAPOLIS, MN – Senator Amy Klobuchar released her policy priorities for seniors. Building on her leadership in the Senate when it comes to lowering the cost of prescription drugs and addressing the challenges our seniors face, Senator Klobuchar is proposing a bold plan to tackle Alzheimer’s disease and other forms of dementia, enhance health care and retirement security, reduce skyrocketing prescription drug costs and combat senior fraud and abuse. As President, Senator Klobuchar will continue to stand up for our seniors and the 10,000 Americans who turn 65 each day.

“Everywhere I go, I meet seniors who tell me about their struggles to afford everyday costs like prescription drugs or health care,” said Senator Amy Klobuchar. “I meet family members who face challenges caring for loved ones with Alzheimer’s and urgent action is needed to take on these problems. I believe we owe it to our seniors to make sure they have the care and support they need as they get older, and as President I will prioritize tackling Alzheimer’s, strengthening health care and retirement security, and reducing prescription drug costs.”

Highlights of Senator Klobuchar’s Plan:

Tackling Alzheimer’s and Other Chronic Conditions

Support caregivers for those living with Alzheimer’s and other chronic conditions. Senator Klobuchar has been a leader when it comes to supporting people affected by Alzheimer’s and their families. As President, she will support expanding resources for health care providers to expand training and support services for families and caregivers of people living with Alzheimer’s disease or other forms of dementia as well as other chronic conditions, improving caregiver well-being and health, as well as allowing patients to stay in their homes longer.

Make it easier for people with Alzheimer’s and their families to get the medical care they need. Medicare is an essential resource for people affected by Alzheimer’s, but many patients and their families are unaware of the resources and coverage available when it comes to Alzheimer’s. Senator Klobuchar will take action to expand Medicare covered services for Alzheimer’s and she will expand efforts to make patients and their families aware of the care-planning and services that are covered. She will also support an ongoing investment in public health infrastructure for Alzheimer’s that reduces risk, improves early detection and diagnosis, and focuses on tribal, rural, minority, and other underserved populations.  

Strengthen the National Institutes of Health and invest in research for chronic conditions. While the current administration has proposed draconian cuts to lifesaving research, Senator Klobuchar will bolster research at the National Institutes of Health and increase investments in research into cancer, including breast cancer, which the Senator has long supported, and other chronic conditions. And Senator Klobuchar will also invest in research into health disparities. Significant and persistent disparities exist in health outcomes for minority populations in the United States. When it comes to healthy aging, research has shown divides based on race, wealth, and education. Senator Klobuchar will invest in research across the federal government into the causes of these disparities and how they can be reduced. 

  • Invest in Alzheimer’s research. Senator Klobuchar will commit to preventing, treating and facilitating a cure for Alzheimer’s disease, with the goal of putting us on a path toward developing a cure and treatment by 2025. To support researchers, she will make sure that funding is reliable and consistent. Since African Americans and the Latino community will represent nearly 40 percent of the 8.4 million American families affected by Alzheimer’s disease by 2030, Senator Klobuchar will increase federal research into disparities in the incidents and outcomes of Alzheimer’s and other forms of dementia.

Improve mental health care for seniors. Senator Klobuchar is committed to making mental health a priority, including for our seniors. As part of her recently released mental health plan, she will expand access to mental health treatment for seniors and expand depression treatment and suicide prevention efforts that focus on seniors.

Implement and extend Kevin and Avonte’s law and expand dementia training. Senator Klobuchar introduced bipartisan legislation signed into law last year that helps families locate missing people with forms of dementia, such as Alzheimer’s, or developmental disabilities, such as autism. As President, Senator Klobuchar will make sure the program is fully implemented and she will also establish federal partnerships with state and local governments to provide dementia training for public sector workers who interact with seniors.

Ensure a Secure Retirement

Protect Social Security and make sure it is fair. Social Security has served as a stable and secure retirement guarantee for generations of Americans. Senator Klobuchar believes that this program must remain solvent for generations to come and she will fight against risky schemes to privatize it. As President, Senator Klobuchar will work to lift the Social Security payroll cap. Currently the payroll tax only applies to wages up to $133,000. Senator Klobuchar supports subjecting income above $250,000 to the payroll tax and extending the solvency of Social Security.  And Senator Klobuchar will make sure people are treated fairly by the current Social Security system. As President, she will work to strengthen and improve Social Security benefits for widows and people who took significant time out of the paid workforce to care for their children, aging parents, or sick family members.

Expand retirement savings. Senator Klobuchar believes all Americans deserve a secure retirement. As she has previously announced, Senator Klobuchar will work to create innovative, portable personal savings accounts called Up Accounts that can be used for retirement and emergencies by establishing a minimum employer contribution to a savings plan. [ This proposal is modeled after the Saving for the Future Act, which was introduced by Senators Coons and Klobuchar.] Under her plan, employers will set aside at least 50 cents per hour worked, helping a worker build more than $600,000 in wealth over the course of a career. And Senator Klobuchar will work to reduce disparities when it comes to retirement savings. According to a recent study, the median wealth for white families was more than $134,000, but for African American families it was just $11,000.

Defend pensions. Senator Klobuchar has been a leader in the Senate when it comes to keeping our pension promises. As President, she will support legislation to ensure retirees can keep the pensions they have earned and, in her first 100 days, she will recommend that Treasury heighten the scrutiny of any applications to reduce retiree benefits under the Kline-Miller Multiemployer Pension Reform Act of 2014.

Improve Health Care for Seniors and Lower Prescription Drug Costs

Unleash the power of 43 million seniors in Medicare Part D to negotiate better drug prices. Seniors should have access to their medicines at the lowest possible prices. As President, Senator Klobuchar will push to allow the government to directly negotiate lower drug prices for Medicare Part D, building on legislation she has led in the Senate.

Take immediate and aggressive action to lower prescription drug prices, including allowing personal importation from countries like Canada and crack down on “Pay-for-Delay” agreements. Senator Klobuchar has been a leading advocate for reducing the price of prescription drugs for seniors, including by helping close the Medicare Part D donut hole and introducing legislation to increase competition and require Medicare to negotiate lower drug prices. As President, during her first 100 days she will allow for the personal importation of prescription drugs from safe countries like Canada and crack down on “Pay-for-Delay” agreements that increase the cost of prescription drugs.

Strengthen Medicare and provide incentives for getting the best quality health care at the best price. Senator Klobuchar opposes cuts and risky schemes to privatize Medicare and will take action to strengthen Medicare and find solutions so it remains solvent. She will improve Medicare for current beneficiaries by reforming payment policies through measures like site neutral payments and providing incentives for getting the best quality health care at the best price, including bundled payments and telehealth.

Expand coverage for dental, vision and hearing under Medicare. Dental, vision, and hearing care should be covered as part of Medicare. Senator Klobuchar will support new Medicare coverage for these services that makes them affordable for all seniors.

Expand telehealth and rural health services and maintain rural hospitals. In the Senate, Senator Klobuchar has championed policies that ensure seniors who want to stay in their homes and communities can do so. As President, she will promote remote monitoring technology and telehealth services in Medicare and other programs that improve the quality of life and expand access to quality home care and emergency hospital services in rural areas. As President, she would work to create a new Rural Emergency Hospital classification under Medicare to help rural hospitals stay open and provide expanded support to our critical access hospitals.

Invest in Long-Term Care

Create a refundable tax credit to offset long-term care costs. Senator Klobuchar will work with Congress to establish a new refundable tax credit to help offset the costs of long-term care. The credit will be available for qualifying long-term care costs including both nursing facility care and home- and community-based services, and additional expenses like assistive technologies, respite care, and necessary home modifications. The credit will be targeted towards those who are most in need of support. Senator Klobuchar will also stand up to efforts to cap Medicaid spending, which would put services like mental health care, transportation costs, and long-term care at risk for millions of Americans.

Reduce the costs of long-term care insurance and increase access. Senator Klobuchar believes seniors and their adult children must have the resources they need to prepare for long-term care, including education about the types of services available. To reduce the costs of long-term care, Senator Klobuchar will propose a new targeted tax credit equal to 20 percent of the premium costs of qualified long-term care insurance. Senator Klobuchar will also establish incentives and make it easier for employers to offer their employees long-term care insurance on an opt-out basis. In addition, she will explore updating federal policies to combine long-term care policies with life insurance.

Provide financial relief to caregivers and ensure paid family leave for all Americans, including those who care for elderly or disabled relatives. Senator Klobuchar is proposing a tax credit of up to $6,000 a year to provide financial relief to those caring for an aging relative or a relative with a disability to help offset expenses, including the cost of medical care, counseling and training, lodging away from home, adult day care, assistive technologies, and necessary home modifications. As President, Senator Klobuchar will also support legislation to provide paid family leave to all Americans so no one has to sacrifice a paycheck to care for someone they love, including an elderly parent.

Support a world class long-term care workforce, increase long-term care options, and tackle disparities in long-term care. Senator Klobuchar believes we must invest in and address shortages in our long-term care workforce. She is committed to increasing wages, improving job conditions and promoting other recruitment and retention policies, especially in rural communities facing workforce challenges. She will also support training for long-term care workers and new loan forgiveness programs for in-demand occupations that includes our long-term care workers. In addition, she will expand long-term care facilities and beds as well as home care and telehealth services. Research also suggests that there are significant racial and ethnic disparities in the quality of long-term care as well as disparities in coverage for long-term care. Senator Klobuchar is committed to tackling disparities in care through expanding access to long-term care with a focus on reducing inequities as well as addressing the costs of long-term care services for people in the greatest need of assistance.

Reduce Costs and Prevent Fraud

Fight senior fraud and elder abuse. As a prosecutor, Senator Klobuchar created a senior protection unit at the Hennepin County Attorney’s Office. And she has always believed that we need strong safeguards to prevent and address fraud, abuse and exploitation of our seniors, and has led and passed multiple bills in the Senate that would strengthen these safeguards. Within her first 100 days as President, she will establish a new senior fraud prevention office to educate consumers, expedite the handling of complaints, and coordinate prevention efforts across the federal government. Senator Klobuchar will stregthen enforcement of age discrimination laws, and she will also take action to tackle elder abuse, strengthen oversight and accountability for court-appointed guardians, support training for employees at long-term care facilities, and increase tracking of incidents and investigations to help prevent and better respond to elder abuse.

Improve access to affordable housing, transit, and nutrition for seniors and expand workforce opportunities. In the first 100 days of her Administration, Senator Klobuchar will reverse the Trump Administration’s proposed changes to federal housing subsidies that could triple rent for some households and would be particularly harmful for seniors. In addition, she will update regulations for reverse mortgages to make sure seniors have access to safe products that make it easier to stay in their homes, as well as expand support for affordable senior housing. Senator Klobuchar is also committed to expanding transportation programs and services for older adults, particularly in rural and underserved populations. She also supports expanding resources for Meals on Wheels, helping the food bank system serve seniors in need, and launching a national effort to increase enrollment among seniors in the Supplemental Nutrition Assistance Program. Senator Klobuchar will also work to expand workforce and training opportunities for older Americans who are looking to remain in and return to the workforce.

Help seniors afford their energy costs: Senator Klobuchar strongly opposes efforts by the Trump Administration to eliminate funding for programs like the Low Income Home Energy Assistance Program (LIHEAP), which helps seniors afford heating and cooling. As President, Senator Klobuchar’s budget will preserve and expand resources for LIHEAP and the Weatherization Assistance Program, which helps households in need reduce energy spending, and she will support new efforts to help seniors with their energy costs.

To pay for these policies, Senator Klobuchar will close the trust fund loopholes that allow the wealthy to avoid paying taxes on inherited wealth.

Hillary Clinton Announces Aggressive New Plan to Address Unjustified Price Hikes in Life-Saving Drugs

Hillary Clinton announced a new plan to protect Americans from unjustified price hikes of long-available prescription drugs with limited competition, like EpiPens and pyrimethamine, the drug for a disease related to AIDS that Turing Pharmaceuticals raised the price of by more than 5,000% © 2016 Karen Rubin/news-photos-features.com
Hillary Clinton announced a new plan to protect Americans from unjustified price hikes of long-available prescription drugs with limited competition, like EpiPens and pyrimethamine, the drug for a disease related to AIDS that Turing Pharmaceuticals raised the price of by more than 5,000% © 2016 Karen Rubin/news-photos-features.com

Hillary Clinton has announced a new plan to protect Americans from unjustified price hikes of long-available prescription drugs with limited competition, like EpiPens and pyrimethamine, the drug for a disease related to AIDS that Turing Pharmaceuticals raised the price of by more than 5,000%.  After speaking out against excessive prices for prescription drugs throughout the campaign and, last week, calling for Mylan to lower its EpiPen price, Clinton believes that Mylan’s recent actions have not gone far enough to remedy their outrageous price increase. So today, Clinton is proposing a new set of strong tools – including a consumer protection group – that will let the government take effective action in such cases where public health is put at risk by an unjustified, outlier price increase for a treatment long available on the market with limited competition.

“Over the past year, we’ve seen far too many examples of drug companies raising prices excessively for long-standing, life-saving treatments with little or no new innovation or R&D,” Clinton said. “It’s time to move beyond talking about these price hikes and start acting to address them. All Americans deserve full access to the medications they need — without being burdened by excessive, unjustified costs. Our pharmaceutical and biotech industries are an incredible source of American innovation and revolutionary treatments for debilitating diseases. But I’m ready to hold drug companies accountable when they try to put profits ahead of patients, instead of back into research and innovation.”

Today, building off the comprehensive plan she offered earlier in the campaign last year, Clinton is calling for action to protect consumers from unjustified prescription drug price increases by companies that are marketing long-standing, life-saving treatments and face little or no competition. She’ll start by convening representatives of Federal agencies charged with ensuring health and safety, as well as fair competition, to create a dedicated group charged with protecting consumers from outlier price increases. They will determine an unjustified, outlier price increase based on specific criteria including: 1) the trajectory of the price increase; 2) the cost of production; and 3) the relative value to patients,among other factors that give rise to threatening public health.

Should an excessive, outlier price increase be determined for a long-standing treatment, Clinton’s plan would make new enforcement tools available including:

  • Making alternatives available and increasing competition: Directly intervening to make treatments available, and supporting alternative manufacturers that enter the market and increase competition, to bring down prices and spur innovation in new treatments.
  • Emergency importation of safe treatments: Broadening access to safe, high-quality alternatives through emergency importation from developed countries with strong safety standards.
  • Penalties for unjustified price increase to hold drug companies accountable and fund expanded access: Holding drug makers accountable for unjustified price increases with new penalties, such as fines – and using the funds or savings to expand access and competition.

Her plan will establish dedicated consumer oversight at our public health and competition agencies.  They will determine an unjustified, outlier price increase based on specific criteria including: 1) the trajectory of the price increase; 2) the cost of production; and 3) the relative value to patients, among other factors that give rise to threatening public health.

In combination with her broader plan – which addresses the costs facing consumers from both long-standing and patented drugs – these new tools to address price spikes for treatments available for many years will lower the burden of prescription drug costs for all Americans.

This plan would impact the many examples we’ve seen over the past year of drug companies raising prices excessively for drugs that have been available for years – from Turing raising the price of pyrimethamine for AIDS patients by over 5,500 percent, to Mylan raising the price of the EpiPen by more than 400 percent. This is not an isolated problem: Between 2008 and 2015, drug makers increased the prices of almost 400 generic drugs by over 1,000 percent. Many of these companies are an example of a troubling trend—manufacturers that do not even develop the drug themselves, but acquire it and raise the price.

The immediate protections she is offering today build on her broader plan to lower prescription drug costs for all Americans that she released last year.

The full fact sheet is available here.