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Biden Administration, Climate Action, Economic Development, Economic Policies, Economy, Health Care, News & Photo Features

FACT SHEET: Two Years In, the Inflation Reduction Act is Lowering Costs for Millions of Americans, Tackling the Climate Crisis, and Creating Jobs

Vice President Kamala Harris and President Joe Biden in Largo, Maryland on the two-year anniversary of the Inflation Reduction Act celebrate historic reductions in drug prices negotiated by Medicare for the first time.  The Inflation Reduction Act is transforming American lives by finally beating Big Pharma to negotiate lower prescription drug prices, making the largest investment in clean energy and climate action in history, creating hundreds of thousands good-paying jobs, lowering health care and energy costs, and making the tax code fairer. © Karen Rubin/news-photos-features.com via MSNBC.

Two years ago, President Biden signed the Inflation Reduction Act, with Vice President Harris casting the tie-breaking vote in Congress. Not a single Republican voted for it and Trump/Vance and the Republicans vow to repeal it and replace it with Project 2025 laundry list of policies which will harm working and middle-class families. and undermine progress toward an equitable, sustainable economy. –Karen Rubin/news-photos-features.com

The Inflation Reduction Act is a key part of the Biden-Harris Administration’s Investing in America agenda, which has driven the fastest and most equitable recovery on record – creating good-paying jobs, expanding opportunity, and lowering costs in every corner of the country.

Already, the Inflation Reduction Act is transforming American lives by finally beating Big Pharma to negotiate lower prescription drug prices, making the largest investment in clean energy and climate action in history, creating hundreds of thousands good-paying jobs, lowering health care and energy costs, and making the tax code fairer.

Visit the White House Savings Explorer to see how Americans are saving money on their annual expenses because of the Inflation Reduction Act and other Biden-Harris Administration actions.

Statement from President Joe Biden on Inflation Reduction Act Anniversary 

Two years ago, I signed the Inflation Reduction Act—the largest climate investment in history that is lowering energy costs and creating good-paying union jobs, while taking on Big Pharma to lower prescription drug costs—with Vice President Harris casting the tie-breaking vote. Already, this law is lowering health care costs for millions of families, strengthening energy security, and creating more than 330,000 clean energy jobs according to outside groups.  It has also unleashed $265 billion in clean energy and manufacturing investments from the private sector in the last two years—part of the nearly $900 billion invested in America since we took office.

This historic legislation is fiscally responsible. It lowers the deficit over the long run by cutting wasteful spending on special interests and making big corporations and the wealthy pay more of their fair share. And just yesterday, my Administration announced lower prescription drug prices for the first ten drugs that have been negotiated by Medicare, which will cut the prices of drugs used to treat blood clots, heart disease, cancer, and more by nearly 40% to 80%, and save taxpayers $6 billion in the first year alone.

While Republicans in Congress try to repeal this law—which would increase prescription drug costs and take good-paying jobs away from their constituents, all to give massive tax cuts to big corporations—Vice President Harris and I will keep fighting to move our country forward by investing in America and giving families more breathing room.

Statement from President Joe Biden on Inflation Reduction Act Anniversary 

Two years ago, I signed the Inflation Reduction Act—the largest climate investment in history that is lowering energy costs and creating good-paying union jobs, while taking on Big Pharma to lower prescription drug costs—with Vice President Harris casting the tie-breaking vote. Already, this law is lowering health care costs for millions of families, strengthening energy security, and creating more than 330,000 clean energy jobs according to outside groups.  It has also unleashed $265 billion in clean energy and manufacturing investments from the private sector in the last two years—part of the nearly $900 billion invested in America since we took office.

This historic legislation is fiscally responsible. It lowers the deficit over the long run by cutting wasteful spending on special interests and making big corporations and the wealthy pay more of their fair share. And just yesterday, my Administration announced lower prescription drug prices for the first ten drugs that have been negotiated by Medicare, which will cut the prices of drugs used to treat blood clots, heart disease, cancer, and more by nearly 40% to 80%, and save taxpayers $6 billion in the first year alone.

While Republicans in Congress try to repeal this law—which would increase prescription drug costs and take good-paying jobs away from their constituents, all to give massive tax cuts to big corporations—Vice President Harris and I will keep fighting to move our country forward by investing in America and giving families more breathing room.

FACT SHEET: Two Years In, the Inflation Reduction Act is Lowering Costs for Millions of Americans, Tackling the Climate Crisis, and Creating Jobs

In the two years since the Inflation Reduction Act was signed into law:

  • Just yesterday, the President and Vice President announced that, for the first time in history, Medicare successfully negotiated lower prescription drug prices, which will save millions of seniors, people with disabilities, and other Medicare beneficiaries over $1.5 billion out-of-pocket in the first year. 
    • Millions of Americans are saving an average of $800 per year on health insurance premiums because of cost savings from the American Rescue Plan that the Inflation Reduction Act extended, helping drive the nation’s uninsured rate to historic lows. 4 million seniors and other Medicare beneficiaries saved money on insulin because of the law’s cap at $35 for a month’s supply. 10.3 million Medicare enrollees received a free vaccine in 2023, saving them more than $400 million in out-of-pocket vaccine costs.
       The IRS successfully piloted Direct File in 12 states, saving 140,000 people an estimated $5.6 million in tax preparation fees by enabling them to file their taxes directly with the IRS online, for free. And, the IRS has recovered over $1 billion by cracking down on millionaire tax cheats since the law passed. 
       Last year, 3.4 million Americans benefited from $8.4 billion in Inflation Reduction Act tax credits to lower the cost of clean energy and energy efficiency upgrades in their homes – significantly outpacing projections of the popularity of the tax credits in just the first year they were available.
       Since January 2024, more than 250,000 Americans have claimed the IRA’s electric vehicle tax credit, saving these buyers about $1.5 billion total. Nearly all of these buyers claimed the incentive at the point of sale.
       Since the beginning of the Biden-Harris Administration, companies have announced$900 billion in clean energy and manufacturing investments in the US, including over $265 billion in clean energy investments since the Inflation Reduction Act was signed into law. These investments are creating over 330,000 new jobs in the United States according to an outside group. 
       
    • Economically distressed areas are poised to benefit the most from those investments. Over 99% of high-poverty counties in the United States are benefitting from an Investing in America project funded by the Inflation Reduction Act, Bipartisan Infrastructure Law, or CHIPS and Science Act. According to Treasury Department analysis, since the Inflation Reduction Act passed, 75% of private sector clean energy investments have flowed to counties with lower than median household incomes,  and clean energy investment in energy communities has doubled.  And, the Inflation Reduction Act is the largest investment in environmental justice in history.

Additionally, the Biden-Harris Administration has taken action to protect the critical investments that the Inflation Reduction Act is making in the domestic clean energy economy from unfair trade practices. In May, President Biden increased tariffs on $18 billion of Chinese imports to combat China’s artificially low-priced exports in strategic sectors such as electric vehicles, batteries, and solar. These actions protect American jobs, businesses, investments, and economic growth. 

Lowering health care costs for millions of Americans

President Biden and Vice President Harris have made expanding access to high-quality, affordable health care and lowering prescription drug costs for American families a top priority. Thanks to the Inflation Reduction Act, health care is more accessible and more affordable than ever before.  In just the last two years:

  • The law enhanced the Affordable Care Act’s financial assistance that is available to consumers to purchase health insurance. Millions of Americans are saving, on average, about $800 a year on their health insurance plans, with more than 80 percent of consumers able to find health insurance for $10 or less a month. As a result, a record-breaking 21 million people signed up for ACA coverage in 2024. That’s 9 million more than when the President and Vice President took office, and more underserved communities are enrolling in coverage, with 1.7 million Black Americans and 3.4 million Latinos enrolled, a 95% and 103% increase, respectively, since 2020.
    • The Inflation Reduction Act capped insulin costs at $35 for a month’s supply and making recommended adult vaccines free. Four million Medicare beneficiaries are now saving on their monthly insulin costs, and over 10 million beneficiaries received a free vaccine, saving more than $400 million in out-of-pocket cost. 
       Drug companies that increase prices faster than inflation now have to pay a rebate to Medicare—which is translating into lower out of pocket costs for seniors.
       Next year, out of pocket drug costs will be capped at $2,000 per year for Medicare beneficiaries, which is expected to save nearly 19 million seniors an average of $400 per year.
       
  • The Inflation Reduction Act – for the first time ever – gives Medicare the power to negotiate lower prescription drug prices. Just this week, the Biden-Harris Administration announced new, lower prescription drug prices for all ten drugs selected for the first year of the Inflation Reduction Act’s Medicare Drug Price Negotiation Program. The new, lower prices, which go into effect in 2026, will save American taxpayers $6 billion and will save seniors and people with disabilities $1.5 billion in out of pocket costs in 2026 alone. These new prices cut the list cost for drugs that treat heart disease, blood clots, diabetes, cancer, and more by nearly 40% to 80%.

Lowering energy costs with the largest climate investment in history

The Inflation Reduction Act is tackling the climate crisis by advancing clean power, cutting pollution from buildings, transportation, and industry and supporting climate-smart agriculture and forestry. The law is accelerating our progress toward President Biden and Vice President Harris’ goal of cutting U.S. climate pollution by 50 to 52 percent below 2005 levels in 2030.

Two years after the signing of the Inflation Reduction Act, the Biden-Harris Administration has made tremendous progress implementing the climate and clean energy provisions of this law quickly and effectively. Treasury guidance is now available for nearly all of the Inflation Reduction Act’s clean energy tax provisions. On the grant, loan, and rebate side of the law, nearly two thirds of Inflation Reduction Act funding has been awarded. As an example of the Administration’s rapid progress on implementation, today the Environmental Protection Agency announced that all $27 billion in awards through their Greenhouse Gas Reduction Fund are now obligated. $20 billion of these awards go toward a national clean energy financing network that will support tens of thousands of clean energy projects, reducing or avoiding millions of metric tons of carbon pollution annually over the next seven years. The other $7 billion in awards through the Solar for All program will save over $350 million each year on energy bills for over 900,000 low-income and disadvantaged households through residential solar.

In the two years since President Biden signed the Inflation Reduction Act into law:

  • Clean energy projects are creating more than 330,000 jobs in nearly every state in the country, according to outside groups.
    • Companies have announced $265 billion in new clean energy investments in nearly every state in the nation. According to Treasury Department analysis, many of these investments are happening in underserved communities—since the IRA passed, 75% of private sector clean energy investments made since the Inflation Reduction Act passed have occurred in counties with lower than median household incomes,  and clean energy investment in energy communities has doubled. Last week, Treasury and IRS released new data showing that in 2023, more than 3.4 million American families saved $8.4 billion from IRA consumer tax credits on home energy technologies. These tax credits can save families up to 30% off heat pumps, insulation, rooftop solar, and other clean energy technologies. New York and Wisconsin have now launched home energy rebate programs, with more states expected to launch later this summer and fall. Already, 22 states have submitted their applications to DOE to receive their full rebate funding. These rebate programs help low- and middle-income families afford cost-saving electric appliances and energy efficiency improvements by providing rebates up to $14,000 per household. In total, the IRA rebates programs are expected to save consumers up to $1 billion annually in energy costs and support an estimated 50,000 U.S. jobs in residential construction, manufacturing, and other sectors. 
    • Since January 2024, more than 250,000 Americans have claimed the Inflation Reduction Act’s EV tax credits—either $7,500 off a qualified new electric vehicle, or up to $4,000 off a qualified used electric vehicle. In total, these taxpayers have saved about $1.5 billion and nearly all buyers claimed the incentive at the point of sale.


Making the tax system fairer and making the wealthy pay their fair share

The Inflation Reduction Act fully pays for these investments, and reduces the deficit over the long run, by cutting wasteful spending on special interests and making big corporations and the wealthy pay more of their fair share. After 55 of the biggest corporations in America paid $0 in federal income tax on $40 billion in profits in 2020, the Inflation Reduction Act requires billion-dollar corporations to pay at least 15 percent in tax. It also requires corporations to pay a 1 percent excise tax on stock buybacks, encouraging businesses to invest in their growth and productivity instead of funneling tax-preferred profits to foreign shareholders. By making large corporations pay more of their fair share, the IRA will raise around $300 billion over a decade.

The Inflation Reduction Act also makes a historic investment in modernizing the IRS, providing funding to better taxpayer experience, reduce fraud, and upgrade critical technology infrastructure. Thanks to these investments, the IRS has already:

  • Improved services for millions of taxpayers. This spring, the IRS answered 3 million more phone calls than in 2022, cut phone wait times to three minutes from 28 minutes, served 200,000 more taxpayers in person, and saved taxpayers 1.4 million hours on hold last filing season. It also expanded online services, enabling 94% of taxpayers to submit forms digitally instead of via mail if they so choose.
    • Successfully piloted Direct File, allowing taxpayers to easily file their taxes online and for free, directly with the IRS for the first time. Over 140,000 Americans successfully filed their taxes through Direct File this year, claiming over $90 million in refunds and saving an estimated $5.6 million in tax preparation fees. Users said Direct File was easy and fast to use, with 90% rating their experience excellent or above average. Building on this success, the IRS has invited all 50 states and the District of Columbia to join Direct File starting in 2025. 
    • Collected $1 billion from 1,500 millionaire tax cheats, launched enforcement action against 25,000 millionaires who have not filed a tax return since 2017, began audits on dozens of the largest corporations and partnerships, and cracked down on high-end tax evasion like deducting personal use of corporate jets as a business expense. At the same time, the IRS is adhering to Treasury Secretary Yellen’s commitment to not increase audit rates relative to current levels for small businesses and Americans making less than $400,000 a year.

Over the next decade, the Inflation Reduction Act’s investments will enable the IRS to further crack down on wealthy and corporate tax cheats and collect over $400 billion in additional revenue.

Going forward, the IRS is on track to implement additional improvements to taxpayer experience; provide additional in-person services in rural and underserved areas; redesign notices and forms to be less confusing; and expand online and mobile-friendly tools.

Investing in America to create jobs and expand opportunity

When President Biden thinks about climate change, he thinks about jobs. Two years into implementation of the Inflation Reduction Act, it’s easy to see why.

Across the nation, the Inflation Reduction Act is catalyzing a clean energy and manufacturing boom. Since President Biden took office, the Biden-Harris Administration’s Investing in America agenda has catalyzed nearly $900 billion in private sector investment commitments, including roughly $400 billion in clean energy across every state in the nation. That topline figure includes enough power generation to replace 40 Hoover Dams, the largest wind tower manufacturing facility in the world, the largest solar investment in US history.

Broader macroeconomic indicators also illustrate how, through tax credits and domestic content requirements within the law–we are successfully onshoring critical supply chains and encouraging a resurgence of domestic manufacturing. Real investment in manufacturing structures is at an all-time high—and has been for six quarters. Manufacturing’s contribution to GDP broke quarters for three consecutive quarters in 2023. And Americans have filed to open a record 300,000 new manufacturing businesses.

These investments are having real impacts on communities—particularly those that need it most. Public dollars are flowing disproportionately to disadvantaged and left behind communities: 99% of high-poverty counties have received funding from the infrastructure law, CHIPS Act, or Inflation Reduction Act, and non-metro communities have received nearly double the per capita funding of their urban counterparts. On the private sector side, analysis from the US Treasury tells a similar story. Since the IRA passed, 84% of announced clean investments have flowed to counties with college graduation rates below the national average, and the rate of investment in energy communities has more than doubled. Given these successes, it is no wonder that Republicans who voted against the bill are suddenly trying to take credit for it—and urging their leadership not to proceed with an unpopular repeal effort.

Statement from Vice President Kamala Harris on the Inflation Reduction Act Anniversary

Since day one of our Administration, President Joe Biden and I have made it a priority to strengthen the middle class by lowering costs, creating jobs, and advancing opportunity. That is why we fought to enact our Inflation Reduction Act, historic legislation that I was proud to cast the tie-breaking vote on in the Senate. In the two years since President Biden signed it into law, this landmark bill has already delivered for American families.

This transformational legislation is reducing the cost of health care for millions of people in communities across our nation – from capping the price of insulin at $35 a month for seniors to capping out-of-pocket drug costs at $2,000 a year for Americans on Medicare, which is expected to save nearly 19 million seniors an average of $400 per year. Additionally, Medicare is now able to negotiate lower prescription prices for millions of Americans while saving taxpayers billions by paying rates 40% to 80% lower for expensive medications used to treat conditions such as blood clots, heart disease, and cancer.

Our Inflation Reduction Act is also the single largest climate investment in American history. While taking on the climate crisis and lowering utility bills for families, it is helping us to rebuild American manufacturing and drive American innovation – creating good-paying union jobs, furthering economic opportunity, and contributing to the nearly $900 billion of private-sector investment since President Biden and I took office.

As we mark this two-year anniversary, President Biden and I recommit to doing everything in our power to ensure that families throughout our country have the freedom to thrive

Biden Administration, Health Care

FACT SHEET: Biden-Harris Administration Announces New Actions to Lower Health Care and Prescription Drug Costs by Promoting Competition

While the dictator wannabe Donald Trump promises to tear up the Constitution, weaponize the judiciary, persecute political opponents, imprison the media and repeal the Affordable Care Act (Obamacare) – and monopolizing headlines doing it as he propagandizes over his 91 indictments – President Biden is working feverishly and accomplishing landmark programs  to improve lives of Americans. Here is a fact sheet on the Biden-Harris Administration’s new actions to lower healthcare and prescription drug costs by promoting competition. – Karen Rubin/news-photos-features.com

Among the actions the Biden-Harris Administration is taking to lower healthcare and drug costs, are new regulations improving transparency of hospital charges © Karen Rubin/news-photos-features.com

President Biden believes that health care should be a right, not a privilege. For too long, corporate special interests and trickle-down economics have allowed Big Pharma to make record profits, while millions of Americans struggle to afford health care and prescription drugs to treat common and chronic conditions. As part of the President’s Bidenomics agenda, the Biden-Harris Administration is cracking down on price gouging and taking on special interests to lower costs for consumers and ensure every American has access to high-quality, affordable health care.
 
The Biden-Harris Administration is announcing new actions to promote competition in health care and support lowering prescription drug costs for American families, including the release of a proposed framework for agencies on the exercise of march-in rights on taxpayer-funded drugs and other inventions, which specifies that price can be a factor in considering whether a drug is accessible to the public. The Administration believes taxpayer-funded medications should be reasonably available and affordable. These actions build on the steps the Administration has already taken to lower health care costs, including capping the cost of insulin at $35 per product per month for seniors, finally allowing Medicare to negotiate lower prescription drug prices, requiring drug companies to pay rebates to Medicare if they raise prices faster than inflation, and locking in $800 per year in health insurance savings for 15 million Americans under President Biden’s Inflation Reduction Act.

Lowering Prescription Drug Costs

Currently the 25 largest pharmaceutical companies control around 70% of industry revenues. Other parts of the health care industry also face limited competition. Over 75% of Americans live in highly concentrated hospital markets, and just three or fewer issuers of individual health insurance control 80% of the market in 44 states.  In addition, five insurers control over 70% of the Medicare Advantage market.  This consolidation contributes to higher costs for taxpayers, lower wages for health care workers, and worse quality of care for patients.
 
New research released by the Department of Health and Human Services (HHS) finds that a lack of competition in drug markets is highly correlated with higher prices. Among the highest priced drugs (i.e., those in the top 10% of price per prescription), 89% of small molecule drugs and 100% of biological products had only one manufacturer. Meanwhile, nearly three in ten individuals struggle to pay for the drugs they need.

Today, the Biden-Harris Administration announced a new action to support lowering prescription drug costs and increase Americans’ access to life-saving medications:

  • Promoting equitable access to lower-priced taxpayer-funded drugs. Taxpayers have spent hundreds of billions of dollars on research catalyzing the discovery and development of new prescription drugs. The Biden-Harris Administration believes taxpayer-funded drugs and other taxpayer-funded inventions should be available and affordable to the public. When an invention is made using taxpayer funds, under certain circumstances march-in authority under the Bayh-Dole Act enables the federal government to license the invention to another party. The prior Administration proposed a rule preventing the government from exercising this authority on the basis of high price alone. The Biden-Harris Administration decided not to finalize that proposal earlier this year, consistent with President Biden’s Executive Order on Promoting Competition in the American Economy. Today, the Department of Commerce (DOC) and HHS released a proposed framework for agencies on the exercise of march-in rights that specifies for the first time that price can be a factor in determining that a drug or other taxpayer-funded invention is not accessible to the public. DOC and HHS invite public input on how this framework can promote access to taxpayer-funded inventions, including treatments for patients, while promoting innovation.

Scrutinizing Anticompetitive Acquisitions and Anticompetitive Practices

Consolidation in health care markets has accelerated in recent decades, too often leading to higher costs, worse quality, and less access to care—particularly in rural areas. For example, a review of hospital merger studies finds that mergers in concentrated markets led to price increases often exceeding 20%. Consolidation has also led to a rapid decline in independent physician practices, with research finding that patients of hospital-owned practices pay nearly $300 more for similar care than at independent physician practices. At the same time, private-equity ownership in the health care industry has ballooned, with approximately $750 billion in deals between 2010 and 2020—in sectors including, but not limited to, physician practices, nursing homes, hospices, home care, autism treatment, and travel nursing. Too often, aggressive profiteering by private equity-owned practices can lead  to higher patient costs and lower quality care.

Today, the Biden-Harris Administration announced new efforts to stop anticompetitive mergers and anticompetitive practices by dominant corporations in health care markets:

  • Launching a cross-government public inquiry into corporate greed in health care. The Biden-Harris Administration believes that the health care system should serve patients, not corporate profiteers. The Administration is concerned that our health care system is increasingly being financialized, with corporate owners like private-equity firms and others maximizing their profits at the expense of patients’ health and safety, while increasing costs for patients and taxpayers alike. The Department of Justice (DOJ), the Federal Trade Commission (FTC), and HHS will issue a joint Request for Information to seek input about how private equity and other corporations’ increasing power and control of our health care is affecting Americans. The agencies will use this joint Request for Information to identify areas for future regulation and enforcement prioritization, and they will continue to work together on case referrals, reciprocal training programs, data-sharing, and further development of additional health care competition policy initiatives. As part of this effort, HHS will appoint a Chief Competition Officer and DOJ’s Antitrust Division and FTC will name Counsels for Health Care to lead these efforts.
    • Identifying anticompetitive “roll ups” that currently evade antitrust review. Businesses, including private equity firms, health insurers, and health systems sometimes use a “roll up” strategy, in which a series of relatively small acquisitions can lead to the consolidation of a market and contribute to worse patient outcomes while increasing taxpayer costs. These serial acquisitions may violate the antitrust laws. However, each individual acquisition may fall below the size thresholds for reporting the prospective deal to the antitrust enforcement agencies before consummating the acquisition—making it more challenging for the enforcement agencies to identify anticompetitive transactions at the outset. Today, HHS, DOJ, and FTC announced that they will, to the maximum extent possible, engage in data sharing to help the antitrust enforcers identify potentially anticompetitive transactions that might otherwise evade ready review by antitrust enforcers.  
       
    • Increasing ownership transparency. HHS, through the Centers for Medicare & Medicaid Services (CMS), has taken unprecedented action to shed light on ownership trends in health care. The Biden-Harris Administration is the first to make ownership data on hospitals, nursing homes, hospice providers, and home health agencies publicly available, and today, CMS is releasing, for the first time, ownership data on Federal Qualified Health Centers and Rural Health Clinics on data.cms.gov. Making ownership information transparent allows for identification of common owners with histories of poor performance, analysis of trends on how market consolidation impacts consumers, and evaluation of the relationships between ownership and changes in health care costs and outcomes.
       
    • Increasing Medicare Advantage transparency. Currently, about 50% of Medicare enrollment is in Medicare Advantage and the government is expected to spend over $7 trillion on Medicare Advantage over the next decade. The Biden-Harris Administration is committed to ensuring Medicare Advantage insurance plans best meet the needs of people with Medicare, there is timely access to care, and the market has healthy competition. To support this work, CMS must have comprehensive and high-quality Medicare Advantage programmatic data, including understanding the effects of market shifts on consumers and care outcomes. CMS has taken steps to improve Medicare Advantage data transparency and today, it is announcing a new phase of this work, which will start with soliciting information from the public early next year to strengthen CMS’ data capabilities and Medicare Advantage transparency efforts.

Building on Past Actions to Increase Health Care Competition and Lower Prescription Drug Costs

Today’s announcements build on steps the Administration has already taken to lower health care costs, increase competition, and improve the quality and availability of care across the health care industry. These include:

  • Negotiating and lowering drug prices. Thanks to President Biden’s Inflation Reduction Act, the Administration has announced 10 prescription drugs for which Medicare will negotiate prices directly with participating manufacturers. These drugs cost people with Medicare $3.4 billion out of pocket in 2022. This builds on other progress to lower prescription drug costs. Individuals with Medicare can now receive certain vaccines for free under the President’s lower cost prescription drug law, which previously would have cost an average of $70 in out-of-pocket costs. The Inflation Reduction Act also capped the cost of insulin at $35 per product per month for almost four million seniors and others on Medicare with diabetes, which can lead to hundreds of dollars in savings for a month’s supply.
    • Stopping Big Pharma tactics that raise prices for working families. In September, the FTC issued an enforcement policy statement explaining that Big Pharma companies may face legal action if they delay entry of generic competitors with improper patent listings in the Food and Drug Administration’s (FDA’s) publication “Approved Drug Products with Therapeutic Equivalence Evaluations,” commonly known as the “Orange Book.” When a brand pharmaceutical company improperly lists a patent in the Orange Book, it may lead to a 30-month statutory stay that blocks the approval of competing drug products, including lower-cost generic alternatives. Such improper listings may delay competition and raise prices for life-saving products like asthma inhalers. FTC and FDA are working to address such improper listings, with FTC announcing last month that it is using FDA’s regulatory Orange Book patent listing dispute process to challenge more than 100 patents listed for brand-name asthma inhalers, epinephrine autoinjectors, and other drug products.
       
    • Cracking down on anticompetitive and anti-consumer practices in Medicare Advantage. Medicare Advantage—which serves over 30 million American seniors and people with disabilities—is increasingly dominated by just a few large national plans. Last month, HHS announced new steps to stop predatory marketing and steering of patients to Medicare Advantage plans that may not best meet their needs. HHS, through CMS, proposed a rule that would, if finalized as proposed, stop large insurance plans from offering brokers and agents lavish compensation—such as cash bonuses, volume bonuses, and perks—and working with marketing middlemen who are more likely to contract with larger insurers, leading to steerage of patients to plans based on compensation to the broker or agent, rather than based on the patients’ best interests. The agency also proposed new steps to ensure seniors and people with disabilities can actually access supplemental benefits like hearing and dental coverage that these large plans market and help drive up Medicare costs—so that they aren’t merely marketing ploys. In addition, CMS will continue to implement updates to Medicare Advantage payment that improve payment accuracy, address gaming, and recover overpayments. Addressing overpayment in Medicare Advantage will help to make the market more competitive between Medicare Advantage plans and create a more level playing field between Medicare Advantage and Traditional Medicare.
       
    • Making hearing aids available over the counter. To lower the price of hearing aids and expand access, President Biden’s Executive Order on Promoting Competition in the American Economy called on the FDA to act promptly to make hearing aids available over the counter, without a prescription. That is now a reality. Under a final rule issued by the FDA, hearing aids are now on store shelves across the country—for thousands of dollars less than before. The rule is also spurring competition among providers, leading to new features and models. 
       
    • Cracking down on nursing homes that endanger resident safety. In recent years, there has been a disturbing trend towards private equity firms and other large corporate owners purchasing nursing homes and slashing levels of staff to maximize profits. The Biden-Harris Administration has taken numerous steps to crack down on nursing homes that put the well-being of their residents at risk, including proposing a rule that, if finalized as proposed, would establish a federal floor for safe staffing levels. In addition, last month CMS finalized a rule that will provide the public with more information about who owns a nursing home—including whether facilities are owned by a private equity company or a real estate investment trust—so that families can make more informed decisions about where to seek nursing home care for their loved ones.
       
    • Reforming the organ transplant system. President Biden recently signed a bipartisan law, the Securing the U.S. Organ Procurement and Transplantation Network Act, to break up the monopoly that has controlled the organ transplant system for its entire nearly four decade history. HHS will harness competition with the intent to make multiple awards to different entities to benefit from best-in-class vendors and provide a more efficient system that strengthens oversight and improves patient safety.
       
    • Addressing anticompetitive misuse of the patent system. The FDA and U.S. Patent and Trademark Office are working together on a robust set of initiatives aimed at protecting and promoting U.S. innovation while advancing marketplace competition that can lower drug prices and expand access.
       
    • Banning non-compete agreements that trap health care workers and others. The FTC proposed a rule to ban employers from using non-compete clauses. The estimated 18% of workers covered by non-compete clauses include many across the health care industry such as doctors and nurses, who will have more employment opportunities if the rule is finalized.
       
    • Promoting competition in eyeglasses. Bundling eye exams with the purchase of eyeglasses reduces competition in the market for eyeglasses—raising prices and reducing options for consumers. The FTC proposed an update to its Eyeglass Rule to make sure that eye doctors give patients their prescriptions immediately after their eye exam—facilitating consumers’ ability to choose where to get their eyeglass prescriptions filled.
       
    • Developing new payment models for doctors including supporting independent doctors. Succeeding in value-based care can be challenging for small, independent physician practices. Beginning July 1, 2024, the CMS Innovation Center’s Making Care Primary Model will provide a pathway for primary care clinicians to gradually adopt prospective, population-based payments that support the delivery of advanced primary care. 
       

Improving transparency of hospital charges. CMS hospital price transparency regulations lay the foundation for a patient-driven health care system by making hospitals’ standard charges’ data available to the public.  Last month, CMS strengthened these regulations to require hospitals to make charges available in a more standardized manner to streamline enforcement capabilities. This will help the public learn how much an insurance company pays for a particular hospital service, for third parties to develop consumer-friendly materials, for hospitals to comply, and for CMS to enforce the regulations.

Biden Administration, Consumer Protection, Financial Protection, Health Care, Joe Biden, News & Photo Features

Biden Takes New Actions to Lower Health Care Costs and Protect Consumers from Scam Insurance Plans, Junk Fees as Part of ‘Bidenomics’ Push

Actions are the latest in a series of steps the Biden Administration has taken to eliminate hidden junk fees and lower prescription drug costs

President Biden announced a series of new actions under a core pillar of his “Bidenomics” agenda to lower health care costs and crack down on surprise junk fees for American families and consumers © Karen Rubin/news-photos-features.com

Today, President Biden announced a series of new actions under a core pillar of his “Bidenomics” agenda to lower health care costs and crack down on surprise junk fees for American families and consumers. Since the beginning of his Administration, President Biden has passed historic legislation to lower health care costs for tens of millions of Americans, took on Big Pharma to finally allow Medicare to negotiate lower prescription drug prices, and took action to eliminate hidden fees in every sector of the economy. Today, the Administration is taking additional steps to continue to deliver on those promises.

The President announced:

  • The Biden-Harris Administration is cracking down on junk insurance.  New proposed rules would close loopholes that the previous administration took advantage of that allow companies to offer misleading insurance products that can discriminate based on pre-existing conditions and trick consumers into buying products that provide little or no coverage when they need it most.  These plans leave families surprised by thousands of dollars in medical expenses when they actually  use health care services like a surgery.  If finalized, the rule would limit so-called “short-term” plans to truly short time periods, close loopholes made worse by the previous administration, and establish a clear disclosure for consumers of the limits of these plans.
     
  • The Administration is releasing important guidance on rules against surprise medical billing. Biden-Harris Administration rules are already preventing as many as 1 million surprise medical bills every month.  New guidance will help stop providers from gaming the system by evading the surprise billing rules with creative contractual loopholes that still leave consumers with unexpected costs.
     
  • The Administration is announcing new steps to protect consumers from unfair medical debt. For the first time in history, the Consumer Financial Protection Bureau, HHS, and Treasury are collaborating to explore whether health care provider and third-party efforts to encourage consumers to sign up for these products are operating outside of existing consumer protections and breaking the law. Medical credit cards and loans often lead to higher costs without consumers fully understanding the risks.
     
  • The Department of Health and Human Services is releasing a new report showing that nearly 19 million seniors and other Part D beneficiaries are projected to save $400 per year on prescription drugs when President Biden’s $2,000 out-of-pocket cap goes into effect. It’s also releasing state by state data that demonstrates how seniors across the country are helped by just one element of the President’s robust agenda to lower prescription drug prices.

These actions are the latest in a series of steps the Administration has taken to address hidden junk fees across industries, including: cracking down on bounced check and overdraft fees in the banking industry, which is saving consumers more than $5 billion every year; proposing rules to require airlines to disclose all of their fees up front and successfully pushing a number of airlines to end family seating fees; and mobilizing private sector action to eliminate hidden junk fees for concert and sports tickets.

Cracking down on junk insurance
The Affordable Care Act has helped tens of millions of Americans access high-quality, affordable health insurance and protects Americans from being discriminated against because of pre-existing conditions.  But actions from the previous administration allowed insurance companies to take advantage of loopholes in the law and sell “junk insurance” plans that evade these protections. These “junk insurance” plans leave families surprised by thousands of dollars in bills, often because the insurance plan claims they have a pre-existing condition that isn’t covered.  For example, a man in Montana faced $43,000 in health care costs because his insurance plan claimed his cancer was a pre-existing condition, and a Pennsylvania woman was surprised by nearly $20,000 in bills for an amputation her junk plan refused to cover.  Today, the Biden-Harris Administration is proposing rules to crack down on this junk insurance, as part of the latest efforts by the Administration to eliminate hidden and junk fees in every industry across the economy.  These actions will reduce scam insurance plans that offer really no insurance at all.

  • “Short-term” plans must be truly short-term.  Under the new rules, if finalized, plans that claim to be “short-term” health insurance would be limited to just 3 months, or a maximum of 4 months, if extended – instead of the 3 years that junk plans can offer today as a result of changes made by the previous administration.
     
  • Income replacement “fixed indemnity” plans cannot mimic comprehensive health insurance. Under the proposed rules, plans that want to be exempt from the rules for health insurance — because they are designed to replace lost income when people get sick, rather than provide full medical coverage – have to live up to their original purpose and cannot be designed like comprehensive health insurance. This means that plans would need to make clear that people signing up for these plans would get a defined benefit, like $100 per day of illness, instead of thinking that they have comprehensive insurance. This proposed rule aims to prevent Americans from being on the hook for high medical costs, like a woman who needed an amputation and was left with $20,000 in medical debt because her plan did not include comprehensive coverage.
     
  • Plans have to clearly disclose limits. Under the proposed rules, plans are required to provide consumers with a clear disclaimer that explains the limits of their benefits, including to existing consumers currently enrolled in these plans. 

Preventing surprise medical billing
Before President Biden took office, millions of people received surprise bills for health care they thought was in-network care covered by their health plan.  This could include when people need emergency care and are taken to the nearest hospital, or when a pregnant woman delivers her baby at an in-network hospitals only to find out that the anesthesiologist who cared for her is actually out-of-network.  These surprise bills can cost people hundreds or thousands of dollars, averaging between $750 to $2,600. The Administration is protecting millions of consumers from surprise medical bills through the implementation of the No Surprises Act, which has already protected 1 million Americans every month since January 1, 2022 from unfair, undeserved out-of-network charges and balance bills.
 
The Biden-Harris Administration is taking an important next step to protect consumers from surprise medical bills by issuing guidance to clarify that payers cannot use loopholes to avoid surprising billing protections:

  • Ending abuse of “in-network” designation. Today, some health plans contract with hospitals, but try to claim that they are not technically “in-network” – which can expose consumers to higher payments when they have to make a hospital visit.  The Administration today is making clear this is not allowed under federal law: health care services provided by these providers are either out-of-network and subject to the surprise billing protections, or they are in-network and subject to the ACA’s annual limitation on cost-sharing, further protecting consumers from excessive out-of-pocket costs.
     
  • Facility fees treated like other health care costs. The Administration is also concerned about an increase in patients being charged “facility fees” for health care provided outside of hospitals, like at a doctor’s office. These fees are often a surprise for consumers. The Administration today is making clear that health plans and providers must make information about these facility fees publicly available to consumers, as well as other price information for services and items they cover or provide. In addition, nonparticipating providers and nonparticipating emergency facilities cannot evade the protections of the No Surprises Act, including the prohibition on balance billing, by renaming charges otherwise prohibited under the No Surprises Act as “facility fees.”

Protecting consumers from unfair medical debt
Increasingly, health care providers are signing up patients for third-party medical credit cards and loans to help pay for care. These credit cards often include teaser rates and deferred interest features that lead to higher costs for consumers, and may be offered even when low- or no-cost alternatives, such as zero-interest payment plans, financial assistance, or health coverage may be available. Health care providers may be promoting these products because they could allow providers to get paid faster, outsource servicing and collections costs to third parties, receive a higher payment from consumers who otherwise would pay a discounted price for care, and in some circumstances, receive a share of the interest revenue gained by the third-party financial company.
 
Use of these products may complicate insurance coverage and the availability of financial assistance, and consumers may not fully understand the risks associated with these products, leading to higher costs and negative impacts on consumers’ financial, physical, and emotional well-being.
 
For the first time ever, the Consumer Financial Protection Bureau (CFPB), HHS, and Treasury are collaborating on the needs of health care consumers by releasing a Request for Information (RFI) to learn more about this emerging practice and solicit comment on potential policy actions. Part of this RFI will explore whether providers are operating outside of existing consumer protections, because once medical bills are placed on medical credit cards, there may be gaps in how various consumer protections apply. 

New data shows nearly 19 million seniors and other Medicare beneficiaries will save an estimated $400 per year in prescription drug costs because of President Biden’s out-of-pocket spending cap
Thanks to President Biden’s Inflation Reduction Act, out-of-pocket spending on prescription drugs at the pharmacy will be capped at $2,000 per year for Medicare Part D enrollees starting in 2025.  Today, the Department of Health and Human Services (HHS) released data showing that 18.7 million (or 1 in 3) seniors and people with disabilities who are enrolled in Part D plans will save, on average, $400 per year when the $2,000 cap and other Inflation Reduction Act provisions go into effect in 2025. And some enrollees will save even more: 1.9 million enrollees with the highest drug costs will save an average of $2,500 per year starting in 2025. Overall, the law’s Part D benefits provisions will reduce enrollee out-of-pocket spending by about $7.4 billion annually.
 
To view data broken down by state and demographic, visit LINK.
 
Today’s actions follow significant milestones achieved last week in implementing President Biden’s historic law to lower health care and prescription drug costs. On June 30, the Centers for Medicare and Medicaid Services released revised guidance that describes how they will negotiate lower prescription drug prices for seniors later this year. The first ten drugs selected for negotiation will be announced by September 1, 2023. Also last week, the $35 monthly cap on insulin for Medicare Part B beneficiaries went into effect. Already 1.5 million Medicare Part D beneficiaries were saving up to hundreds of dollars per month on insulin costs because of the Inflation Reduction Act, and many more will benefit from these cost savings starting this month.
  

Biden Administration, Health Care, News & Photo Features

FACT SHEET: Biden Takes Action to Lower Health Care and Prescription Drug Costs for Americans

President Biden Signs Executive Order Directing HHS to Explore Additional Actions to Lower Prescription Drug Costs

Starting this January, seniors and other Medicare beneficiaries will begin to see the benefits of these cost-saving measures. Because of the Inflation Reduction Act: a month’s supply of insulin will be capped at $35; Medicare beneficiaries will pay $0 out of pocket for recommended adult vaccines covered by their Part D plan, including the shingles vaccine – which costs seniors up to $200; Prescription drug companies that try to raise their prices faster than inflation will be required to pay Medicare a rebate © Karen Rubin/news-photos-features.com

This fact sheet about actions that President Biden is taking to lower health care and prescription drug costs was provided by the White House:

To mark the start of Medicare Open Enrollment season, President Biden is highlighting how seniors can take advantage of the Inflation Reduction Act’s cost-saving provisions as they shop for new health insurance plans. The President  also signed an Executive Order directing the Department of Health and Human Services to explore additional actions it can take to lower prescription drug costs to build on his Administration’s work lowering costs for working and middle-class families.

Americans are squeezed by the cost of living – that’s been true for years and is a key reason the President ran. Health care costs in particular are driving inflation. Too many Americans face challenges paying for prescription drugs. On average, Americans pay two to three times as much as people in other countries for prescription drugs, and one in four Americans who take prescription drugs struggle to afford their medications. Nearly three in ten American adults who take prescription drugs say that they have skipped doses, cut pills in half, or not filled prescriptions due to cost. 

The Inflation Reduction Act – which President Biden and Congressional Democrats delivered – tackles that problem and locks in on average $800 per year lower health care premiums for 13 million families, lowers seniors’ prescription drug prices, and caps their out of pocket expenses for prescription drugs at $2,000 per year. The Inflation Reduction Act protects Medicare beneficiaries from catastrophic drug costs by phasing in a cap for out-of-pocket costs at the pharmacy, establishing a $35 monthly cap per prescription of insulin, requiring companies who raise prices faster than inflation to pay Medicare a rebate, and allowing Medicare to negotiate prices for high-cost prescription drugs for the first time ever. Republicans in Congress, meanwhile, have said their top priority is to repeal the Inflation Reduction Act, ending these cost-saving provisions and raising prices for tens of millions of Americans. 

To further lower health care costs, earlier this week, the Treasury Department took action to fix the so-called “family glitch” rule that was making it harder for families to afford health care coverage for their spouse or child. About 1 million Americans will either gain coverage or see their insurance become more affordable as a result of the new rule.

Lowering Medicare Costs This Open Enrollment Season

Starting this January, seniors and other Medicare beneficiaries will begin to see the benefits of these cost-saving measures. Because of the Inflation Reduction Act:

• A month’s supply of insulin will be capped at $35 starting on January 1, 2023. 

• Medicare beneficiaries will pay $0 out of pocket for recommended adult vaccines covered by their Part D plan, including the shingles vaccine – which costs seniors up to $200. 

• Prescription drug companies that try to raise their prices faster than inflation will be required to pay Medicare a rebate. 

Earlier this year, HHS released a report showing that the price of 1,200 prescription drugs rose faster than inflation in just the last year. For example, one manufacturer of a drug used to treat high blood pressure and heart failure, used by millions of Medicare beneficiaries, increased the drug’s price by nearly 540 percent in 2022. Another drug used to treat autoimmune conditions increased by $1000 just this year.

During Medicare Open Enrollment – running from October 15 to December 7 – seniors and other beneficiaries will be able to choose drug coverage that reflects these new cost-savings, putting money back into their pockets. 

Medicare beneficiaries should visit Medicare.gov or call 1-800-MEDICARE to review their options for the coming year, and make sure their health and prescription drug coverage is right for them.  

Using HHS’ Innovation Center to Further Bring Down Costs

As the Biden-Harris Administration works to implement the Inflation Reduction Act, President Biden signed an Executive Order directing the Department of Health and Human Services to consider additional actions to further drive down prescription drug costs. That includes leveraging the “Innovation Center” at HHS, created by the Affordable Care Act, which has authority to test new ways of paying for Medicare services thatimprove the quality of care while lowering costs.  

Under Executive Order XX, HHS will have 90 days to submit a formal report outlining any plans to use the Innovation Center’s authorities to lower drug costs and promote access to innovative drug therapies for Medicare beneficiaries. This action would build on the Inflation Reduction Act’s landmark drug pricing reforms and help provide additional breathing room for American families.

Health Care, News & Photo Features, Public Health

Experts Predict Most Significant Wellness Trends for 2021

Between the coronavirus pandemic and the specter of future pandemics, climate-change borne insects and illness, coupled with the advances in medicine and medical technology and the demand for universal health care and equity, there is new focus and demand for prevention and wellness and more focus on self-care. © Karen Rubin/goingplacesfarandnear.com

The coronavirus pandemic and the specter of future pandemics. Climate-change borne insects and illness. Advances in medicine and medical technology. The demand for universal health care and equity. With all of these developments are producing new focus and demand for prevention, wellness and self-care.

In other words, don’t get sick and place more stresses on an overwhelmed and unaffordable health care system.

Indeed, the Centers for Disease Control and Prevention estimates that 69 percent of all deaths globally each year are the result of preventable diseases and that the global cost of largely preventable chronic diseases (cardiovascular disease, chronic respiratory disease, diabetes and more) could reach $47 trillion by 2030 (World Economic Forum, 2017).

In light of this, the Global Wellness Institute has launched a fundraising challenge for The Wellness Moonshot: A World Free of Preventable Disease,  a global fight to eradicate preventable, chronic diseases. GWI is a nonprofit organization with a mission to empower wellness worldwide by educating the public and private sectors about preventative health and wellness.

At its recent Global Wellness Summit (GWS), the organization unveiled the top nine wellness trends for 2021, the new directions that will have the most meaningful impact on the $4.5 trillion global wellness industry:

Global Wellness Summit Trends Report: “The Future of Wellness 2021”

In this report, wellness industry analysts and experts identify the nine wellness trends that will have the most meaningful–not fleeting–impact in 2021 and beyond.

  1. Hollywood and the Entertainment Industries Jump into Wellness
  2. The Future of Immune Health: Stop Boosting, Start Balancing
  3. Spiritual and Numinous Moments in Architecture
  4. Just Breathe!
  5. The Self-Care Renaissance: Where Wellness and Healthcare Converge
  6. Adding Color to Wellness
  7. Resetting Events with Wellness: You may never sit on a banquet chair again
  8. Money Out Loud: Financial Wellness is Finding Its Voice
  9. 2021: The Year of the Travel Reset (The year when all travel may become wellness travel)

Forecasting trends in the fast-evolving wellness space is daunting every year. In 2020, we experienced a global pandemic, economic meltdown, racial injustice, polarizing politics, and a mental wellness crisis that changed every aspect of human life­­. The pandemic made wellness radically more important to people overnight, while the coronavirus exposed the terrible human cost for not controlling chronic, underlying conditions, radically strengthening the case for preventative wellness. At the same time, there was accelerated fatigue with a wellness industry overly focused on elitist, hyper-trendy, evidence-free wellness solutions—which suddenly feel “so 2019.”

Wellness today is at a watershed moment. The trends report reflects how wellness is poised to take a bigger seat at the healthcare table (see “The Self-Care Revolution” trend). It predicts a future industry that will be more inclusive, accessible and affordable (see the “Adding Color to Wellness,” “The Entertainment Industry Jumps into Wellness,” and “Just Breathe!” trends). How it will basically “get real” and more evidence-based (see “The Future of Immune Health: Stop Boosting, Start Balancing”)—and tackle tougher, more crucial human pain-points (see “Money Out Loud: Financial Wellness Is Finding Its Voice”). And the report also predicts how wellness will continue to rewrite vast industries, from travel, to architecture and design, to the meetings industry.

This wellness forecast is based on the insights of hundreds of top executives of wellness companies, economists, doctors, investors, academics and technologists­ (from dozens of nations) that gathered in person and virtually at the recent Summit to debate where wellness was headed—making for a particularly informed, global set of predictions.

1. Hollywood and the Entertainment Industries Jump into Wellness

By Beth McGroarty, VP, Research & Forecasting, Global Wellness Summit

Wellness will become a bigger, more meaningful programming focus on TV and in the music industry. Big Media is digesting the huge cultural force wellness has become.

For wellness purists, any trend about Goliath TV, music and tech companies moving into wellness programming can cause eye rolls; It must be…inauthentic. But for anyone serious about “wellness for all,” more wellness experiences at Big Media platforms are a story of unprecedented reach, access and affordability.

A New Wellness TV

If wellness programming on TV (whether Oprah or the Goop Lab) has been about wellness as a topic you passively consume, the future is TV content and platforms that involve and impact you.

Smart TVs are baking wellness “channels” onto their home screens. Samsung TVs launched Samsung Health, letting people binge 5,000 hours of free fitness/meditation classes from the buzziest brands. The future: smart TVs (like Apple’s) that connect to your health wearable (like Apple Fitness+) to serve up personalized wellness/fitness experiences right on your TV.Samsung’s 2021 TVs’ “Smart Trainer” does just that: offering real-time coaching as you work out.

Wellness companies are becoming full-blown TV studios. Mega-meditation-apps, Calm and Headspace, recently scored TV shows (HBO Max and Netflix), translating their meditative experiences into immersive television. Meditation apps with TV series? Unthinkable just two years ago.

China is perfecting the marriage of wellness TV programming and e-commerce, and Waterbear Network is a new “Netflix” for climate activism.

Wellness Music Exploding

The ways that music is being created forstress, sleep, focus, a better workout, or just trippy, ambient bliss…has kicked into high gear. It’s a paradigm shift: If music has always been consumed around artist, song and genre, now it’s “serve me music-as-therapy (with a specific emotional vibe), exactly when I need it.”

The big music sites (Spotify, Amazon, Apple) are really ramping up their music-for-wellbeing content, making “wellness” a new listening channel. Think: rock, jazz, hip-hop… “chill”… “sleep.”

Meditation apps are becoming big wellness music “record labels.” Calm’s music division keeps partnering with more big artists for adult lullabies or chill-out tracks. Headspace just named its first Chief Music Officer and came out swinging by hiring John Legend to create its original wellness music.

More apps are launching, specifically focused on music-for-wellbeing: the new Myndstream app and label produce music to help people chill out, sleep or focus; Muru Music Health, the first streaming platform aimed at people over 60, uses AI to deliver tailor-made music to prevent brain aging. The Soul Medicine app serves up music all composed around a 432 MHz frequency, which studies have shown works to synch sides of your brain and decrease heart rate.

Generative music technology—where your biometrics meet neuroscientist-designed sound—will take sound-as-precision-medicine to radical places, moving out of start-up labs and onto bigger media platforms. Endel pulls your heart rate, movement and circadian data to create a constantly changing “sound blanket” to help you de-stress, focus and sleep. They have big plans, including creating “smart house” tech that constantly adapts sound, light and temperature based on your physical/mental state.

Celebrities are now all over wellness, not just as spokespeople but as company founders, execs, and major investors. They are a rising, not-to-be-ignored force in the global wellness investment space.

Sure, many dream of creating the next money-minting GOOP empire, but it’s more than that: Wellness is becoming a powerful way for celebrities to positively rebrand during a health, racial inequity and environmental crisis. More celebs will keep investing in wellness brands that tackle serious social issues—from women’s sexual wellness to bringing wellness to Black and brown communities. Selena Gomez’s new brand Rare Beauty underwrites her Rare Impact Fund, pledging $100 million for mental health services in underserved communities.

The future: more collaborations between Big Media (who know a few things about high-quality, immersive content) and the wellness world (who has done a far better job than doctors in getting people obsessed with health).We need binge-able wellness programming—of all kinds. A trend that could impact billions of lives and feels awfully overdue.

2. The Future of Immune Health: Stop Boosting, Start Balancing

By Beth McGroarty, VP, Research & Forecasting, Global Wellness Summit

People were blitzed with “immune-boosting” supplements, foods and therapies in 2020. The future: more evidence-backed approaches to immune health, with metabolic health, the microbiome, and personalized nutrition becoming crucial—along with more experimentation with everything from “positive stress” experiences to intermittent fasting for immune resilience.

We join many forecasters in naming immune health a 2021 trend, not only because we agree that it will remain a consumer obsession post-vaccine but because the main ways the wellness industry has been addressing it are…flat-out wrong.

First, the idea that you can “boost” your immunity is unscientific nonsense, and “more boosting” is precisely the wrong approach: A supercharged immune system leads to the body attacking itself, the pathway to autoimmune diseases, and the cytokine storm that killed COVID-19 patients.

Second, the wellness market has led with pop-it, guzzle-it, IV-drip-it, “immune-boosting” superfoods and supplements, none of which can change the complex immune system much. So many sexy products like elderberry-adaptogen gummies in prescription-like bottles. How did wellness become such a Big-Pharma-simulating world?

The future: approaches that lead to immuno-stabilization, immuno-balance. Most are the untrendy pillars of wellness: exercise, sleep and stress-reduction.

But with new research and lessons from COVID-19, some things become far more important:

Metabolic health: COVID-19 brutally exposed the connection between metabolic ill-health and immune dysfunction, as people with metabolic issues (far more widespread than obesity and diabetes) were more likely to get sick and die. The #1 thing to strengthen our immunity: refocus on diets that drive metabolic health (and stop the profusion of trendy ones that don’t). This means embracing some version of the Mediterranean Diet.

The microbiome: An incredible 70% of our immune system is headquartered in our “gut.” And new research from PREDICT (the world’s largest research project on how individuals respond to food) on the gut-immune health connection is profound, finding diet is the # 1 determinant of our microbiome (trumping genetics). Other new studies have found that the gut microorganisms of COVID-19 patients look radically different than those of uninfected people.

More people will embrace the generic gut-health weapons: fiber-rich, whole, unprocessed foods; prebiotics; fermented probiotics; and now even postbiotics are coming. New research shows that the same foods impact individuals’ microbiomes (and metabolic health) very differently, so labs are working overtime to crack the insanely complex, 100-trillion-cell microbiome to create better testing models for personalized nutrition. Two scientist-founded microbiome testing companies to watch: Israel’s Day Two and Zoe Global, founded by the doctors behind PREDICT.

Personalized nutrition: All of this means far greater urgency for personalized nutrition in general. The gold standard: advanced, integrated genetic, bloodmarker, and microbiome testing (and UCSF is working on). So many companies are putting together the pieces in the meantime, such as MYX Health, using one-prick bloodspot tech to test everything from average blood sugar levels to inflammation markers for tailored nutrition plans.

We’ll see more experimentation with:

Intermittent fasting: Research mounts that intermittent fasting can dramatically “flip the switch” on immune system regeneration. Studies also indicate that daily fasting windows and special “fast-mimicking” diets show significant, positive immune impact, but multi-day, water-only fasts hurt immune response.

“Positive stress” experiences: Human immune systems evolved around constant, short stresses (how we survived), but now we sit at desks with temperatures always tuned to 72 degrees. Voluntary “positive stress” experiences—hot and cold; fasting; types of breathwork; high-intensity, short bursts of exercise—are proven to have a short-term, positive immune effect. All will rise in wellness, from the Wim Hof Method to wild swimming to home infrared saunas. The first human clinical trial testing on whether regular positive stress experiences have a long-term impact on our cellular biology and the immune system is coming soon.

“Immunity travel”: Wellness resorts rushed to immunity programs when the pandemic hit: so many add-on, “immune-boosting” menus and IV drips. Now destinations will go deeper, more medical, and revolve around interventions that matter more: from in-depth metabolic and immune profile testing to gut health and personalized nutrition—such as Germany’s Buchinger Wilhelmi. Biohacking centers, such as BelleCell in London, are deploying futuristic tech, such as IV laser therapy and hyperbaric oxygen chambers, to target “cellular bioresilience” and the immune system.

After a long 2020, people are aware that their immune health is a holistic affair, that food and the microbiome are lynchpins, and that “slow” not “hyper” strategies are the difference-makers. People will keep gobbling trendy quick-fixes in trendy bottles, but they’re ready for more. A wellness industry newly focused on the hard—and fast-evolving—immune science could extend and save many lives. And help its own reputation along the way.

3. Spiritual and Numinous Moments in Architecture
By Veronica Schreibeis Smith, Founding Principal, Vera Iconica Architecture and Developments

In recent years, a storm of studies has demonstrated the powerful connection between the built environment and our physical health, and a new “wellness architecture” has taken off, heavily focused on functional design moves, whether circadian lighting or air purification.

What has been glossed over is design that can tap into and nurture our spirituality. In 2021, we will see new attention paid to creating everyday spaces that can incite sacred and numinous moments, that elevate our consciousness and potential, and ground us in gravitas in the midst of a mindless, consumerist society. Architecture and design will move up Maslow’s Pyramid, from our recent era of look-at-me, visually ostentatious fads (luxury McMansions that reside in the “Esteem” tier) to a new architecture reaching for the “Self-Actualization” tier—a built environment that can move our souls.

Thin places: We will see more experimentation with creating special “thin places” that dissolve the veil between ordinary, everyday places and the sacred realm. Architect Dr. Phillip Tabb has identified 16 shared traits, including transitioning into the space with a threshold, much light and luminosity, and the beneficial manifestations of nature. Thin places move us from the secular, overwhelming pace of our daily lives to a sacred, more empowered state, and neuroscience has shown that this non-ordinary architecture has the same impact on our brains as meditation.

Ancient revivals: Feng shui principles are well-known, but we will see interest in other ancient traditions such as Vastu architecture, which also uses techniques like orientation, proportions, astrology, placement of rooms/furnishings, and blessing ceremonies to improve human energy. There will be more interest in sacred geometry and BioGeometry to create spiritual spaces rooted in the math of nature. And we will see a revival of the temple in both faith-based and everyday architecture.

“Nudge architecture”: Nudge architecture is the concept ofdesigning cues into the environment that influence behavior while still allowing people to make their own choices. For example, placing meditation coves in workplace courtyards (baking spirituality into everyday life) or placing a beautiful stairway in building entries and tucking elevators into back corridors (baking movement into life). 

A Spiritual Home: We will rethink layouts in our homes that we take for granted, such as designing the “bath room” as an elevated space for bathing rituals rather than basic hygiene (i.e., the toilet must move).  Wellness kitchens[1] will be designed so that preparing whole foods becomes a joyful, relaxing ritual—and bedrooms will become sleep sanctuaries, thoughtfully arranged to reflect the sacredness of winding down in preparation for dreamtime.

The new spiritual architecture means we will no longer accept secular environments that disregard a need to uplift us emotionally, maximize our cognitive performance, bring us to the present moment, and allow us space to breathe and be mindful. Spiritual wellbeing is an inextricable part of a well life and rightfully deserves more design consideration and designated spaces in our homes, workplaces, communities and urban landscapes.

Just breathe. Taking a meditative break on a hike in Death Valley National Park (c) Karen Rubin/goingplacesfarandnear.com

4. Just Breathe! 

By Sandra Ballentine, Editor at Large, W Magazine

Contrary to popular belief, you don’t need to know where your chakras are or what a didgeridoo sounds like to do breathwork. An increasing number of clinical studies from major universities like Harvard, Stanford and Johns Hopkins are putting science and data behind something we’ve actually known for centuries—the way we breathe has profound effects on our mental and physical health and abilities. It might even help us strengthen our immune systems. Many of us have heard of top performers (think leading athletes, elite military personnel and major rock stars) using their breath to aid focus and reduce fear at critical moments, but the beauty of breath is that anyone can access its power, even children.

This trend explores the people, the techniques, the places, and the new technologies pushing the practical magic of breathwork into exciting—and important—new directions.

Practitioners are bringing breathwork to ever-larger audiences and pushing it into fascinating new territories, including rehabilitation, fitness and community building and relief from chronic stress, trauma and PTSD. Breath artist, Sage Rader, brings modern breathwork to the masses with a rock-star delivery, alchemizing science and spirituality into entertainment, while Jasmine Marie’s Black Girls Breathing delivers meditational breathwork as mental healthcare for Black women. This trend looks at techniques, whether nose breathing, the lengthened exhale, or the “sigh,” as specific brain and body medicine.

Cool, clubby breathwork parties and festivals are rising, such as Donovan McGrath’s (creator of Amplified Yoga, one of L.A.’s hottest live music-driven fitness classes) plans to introduce Amplified Ecstatic Breath, a breathwork social hour (complete with mood-shifting lights and a live DJ) as soon as people can meet again. Hospitality is taking a much bigger breath, with more—and more diverse—breathwork programming everywhere from Six Senses’ global resorts to Chablé Yucatan and Chablé Maroma in Mexico.

If breathwork apps have been around, gaining traction now are handheld devices that track air quality and fitness/health wearables that incorporate breathing-related metrics like breathing rate, pulse oximetry, heart-rate variability and habitual breathing patterns. There’s so much action in breath-tech, such as Israel-based start-up Anicca set to launch its Companion device, which regulates the wearer’s emotions by amplifying the sensation of their breathing as a calming vibration on their body.

Certain breathing techniques can help strengthen the lungs post-COVID-19, and there are even studies that point to breathwork as a possible therapeutic for one of the world’s deadliest diseases: hypertension. Perhaps the best part of all—this drug-free medicine costs absolutely nothing. And with so many accessible techniques and styles to choose from, there really is something for everyone and every situation. 

5. The Self-Care Renaissance: Where Wellness and Healthcare Converge

By Cecelia Girr & Skyler Hubler of Backslash, TBWA Worldwide

From 1400–1700, the Medical Renaissance marked a historic breakthrough in our approach to healthcare. Science began to dominate superstition. Anatomical discoveries paved the way for modern medicine. And yes, vaccines were in development.

Over three hundred years later, we’re undergoing a new kind of medical renaissance. One where two complementary yet often competing entities—healthcare and wellness—will converge. Wellness is learning to lean into science, establish standards, and hold itself accountable. At the same time, healthcare is beginning to borrow from the wellness playbook—transforming a once sterile and strictly curative industry into a more holistic, lifestyle-oriented, and even pleasurable one. In this new era, hospitals will take inspiration from five-star resorts, yoga studios might measure improved telomere length, and prescriptions may be coupled with hyper-personalized guides to optimal health.

Promising signs of governments, doctors and medicine giving wellness wings for widespread adoption are already emerging. Over in Singapore, for example, the government is teaming up with the world’s biggest tech giant to create a healthier society. Through the LumiHealth app and Apple Watch, Singaporeans can participate in country-wide wellness challenges and access personalized health programs until 2022. 

On the other end of the spectrum, we’re seeing healthcare take cues from the more pleasurable parts of wellness. Even the most dreaded semi-annual appointment—the dentist—is being rebranded as a self-care experience. Think seasonal toothpaste flavors, massage chairs in the lobby, and yes—your favorite Netflix show streaming on the ceiling.

As we look to a future where healthcare and wellness converge, there’s no better visual representation than Octave’s Sangha Retreat in Suzhou, China. On the property, there’s a corridor that runs from one side to the other. One end is home to conventional medicine, and the other hosts wellness practices ranging from acupuncture to more “out-there” devices that measure the age of your soul. Visitors are free to flow between the two sides based on their needs. 

The corridor at the Sangha Retreat presents what we believe is next for healthcare and wellness. A kind of yin yang approach where two seemingly opposing forces finally discover that they can—and must—work together. As Dr. Kenneth R. Pelletier puts it, “Medicine is realizing that its roots have come from wellness traditions, and the wellness community is recognizing that not all doctors are evil.”

6. Adding Color to Wellness

A personal and professional reflection, as a Black woman living in the US, who researches the wellness industry

By Tonia Callender, Research Fellow, Global Wellness Institute

Graphic videos and the protests of last summer prompted many businesses to voice support for anti-racism. While diversity and inclusion have become a popular topic in the wellness industry, mainstream wellness companies ignore Black wellness consumers and rarely market to them.

Moreover, the industry disregards the value that talented Black wellness professionals can bring to wellness spaces, limiting them to entry-level or maintenance positions. This essay argues that to generate substantive change, the wellness industry must recognize and address the false narrative that wellness is for affluent white people. It discusses how the industry can add color to wellness by valuing Black consumers and wellness professionals and describes the different ways that Black people actually experience wellness offerings and spaces, highlighting racial inequalities.

Unequal wealth and the continued effects of residential segregation, racial bias and discrimination hinder Black wellness. Lack of access to good education, clean air, healthy food, potable water, and good health care hamper this ethnic group’s ability to protect and nurture its wellness. When compared to their fellow white citizens, Black Americans are more stressed and less healthy but have fewer choices. Racial bias and structural barriers continue to force unequal wellness options on Black people. Most importantly, for many people of color, even the least costly wellness practices can be difficult to pursue. This essay discusses some of the obstacles facing Black people who pursue wellness activities while providing a personal perspective on Black wellness experiences. Whether appreciating nature or engaging in physical activity, Black people face a different wellness landscape. For example, when it comes to mental wellbeing, they have more stress and fewer options. 

This piece also provides insights into the future, illustrating how companies are changing the wellness narrative and giving suggestions for how the wellness industry can add color to wellness. The industry can support Black wellness by allowing non-white groups to also shape the wellness narrative, incorporating Black wellness needs into services, spaces and products and valuing black wellness professionals. Companies such as Fenty Beauty in the beauty sector and the Shine app in the mental wellness space have found substantial success by incorporating Black wellness into their products and services, and both companies represent the vision of people of color who reject the current mainstream wellness narrative. They have not focused solely on Black wellness but have incorporated the needs of Black people into their wellness offerings. 

Global consumer markets are becoming more diverse, and Black and brown consumers are witnessing increased purchasing power. Companies that value wellness for all racial groups and income levels will thrive as they expand their consumer markets and increase business innovation and profitability. Wellness enterprises that value diversity, respect Black wellness needs, and work to support more equitable access, represent the future of wellness.   

7. Resetting Events with Wellness: You may never sit on a banquet chair again

By NancyDavis, Chief Creative Officer and Executive Director, GWI & GWS

In mid-March 2020, the pandemic brought in-person events to an abrupt halt. And no matter the power of technology and the gratitude we felt for Zoomed Wi-Fi connectivity, the world hungered for personal interactions.

But there was a silver lining: a new trend that will forever change meetings and events was born, with wellness at the core. The trend reinforces top-of-mind topics like health, safety and immunity and employs new protocols and technologies that mitigate risk in engaging ways. In 2021 and beyond, creativity is driving connection—and how we gather is taking on new—and healthier—meanings.

As the months passed, conflicting issues continued to converge in the world of meetings and events: a pent-up desire to travel, the still-spreading coronavirus, the uptick in virtual technologies, coupled with the unending human desire and need for connection.

The answer? New hybrid events (in-person and virtual gatherings) sprouted like mushrooms after a spring rain. Technology companies raced to be the platform for hosting hybrid meetings. Investors threw money at tech companies, and within months of the pandemic shutting down most in-person gatherings, new companies had taken hold, and a new world was emerging.

Moreover, the pandemic also generated the opportunity to reimagine not only how an event would take place but also how it could be healthier. The spark that ultimately combusted for the Global Wellness Summit (GWS) was an idea to “reset events with wellness” in an authentic and powerful way—ultimately creating a new trend for 2021.

The 14th annual Summit was to take place in November in Tel Aviv. However, when COVID-19 hit, the GWS quickly pivoted to a “Safe Summit.”  The now smaller event moved from Tel Aviv to The Breakers Palm Beach, and a virtual aspect was added, allowing more people to attend. A former US Surgeon General because the conference Medical Advisor, banquet seating became wellness stations, mandatory COVID-19 testing and temperature checks replaced handshakes and hugs, and buffet breaks were transformed to healthy snacks presented for carrying away. Mood lighting was turned into far-UVC and air purification, reducing viral load, and fun was reimaged with a “Mask-erade” with Distanced Disco Dancing.

Over 100 delegates attended the 2020 Global Wellness Summit in person at The Breakers, and over 500 attendees logged in virtually. It set a new standard for meetings and provided a road map for the future of healthy events.

8. Money Out Loud: Financial Wellness is Finding Its Voice

By Cecelia Girr & Skyler Hubler of Backslash, TBWA Worldwide

Money has topped the “do-not-discuss” list for decades—right alongside religion, sex and politics. But it’s 2021, and transparency is trending. A culture craving authenticity is breaking the money taboo—transforming finance from a hush-hush, one-size-fits-all, cut-and-dry industry to one that’s more human, empathetic, and, dare we say, fun. 

This growing openness is being driven by a much larger mental health awakening. We’re moving on from the vanities of look-good, feel-good wellness and lifting the lid off the heavier pressures that are contributing to an unhealthy society. And with research linking financial stress to anxiety, depression, high blood pressure, respiratory conditions, and more—it’s about time money is put under the microscope.

This growing financial wellness movement is moving money talk far beyond the bank. Financial therapists are tackling the intersection between money and mental health. Financial literacy courses are simplifying complicated finance bro jargon. And the three billion views of #personalfinance content on TikTok are proving that finance influencers are officially a thing. And the discussion is just getting started.

As the money conversation heats up, it’s being brought to the fore by those who have typically been excluded from dialogue altogether. We all engage with money daily, yet our experience with it vastly differs based on factors like race, socioeconomic status, age, personal values, and even sexual orientation. And though the majority of 2020 headlines felt hopeless, the year did bring promising signs of greater financial inclusivity. Jefa, a digital bank designed specifically for women in Latin America, and Majority, a banking service that sets immigrants up with the tools needed for financial success, are just two of the several hyper-personal neobanks that are emerging.

All positive progress starts with a conversation. In this case, the conversation is about money—how it makes us feel, how and why our experiences with it differ, and what ultimately needs to change. As the conversation becomes increasingly loud, inclusive and honest, the old voices will be shouted out by the new. We’ll begin to see the end of financial systems designed to profit from our failure and the start of financial wellness awakening. Money talks. It’s time we start using a language everyone can understand.

In 2021, all travel may have a measure of wellness travel. Seeking out restorative effects of being in nature, active travel,, travel sustainability with minimal impact like biking, hiking will continue to be popular (c) Karen Rubin/goingplacesfarandnear.com

9. 2021: The Year of the Travel Reset

The year when all travel may become wellness travel
By Elaine Glusac, columnist, New York Times

The coronavirus pandemic acted as a near-complete brake on travel in 2020. The pause gave everyone—consumers and suppliers—the opportunity to think about rebooting travel for the better by correcting overtourism, becoming more conscious of where the money goes, and how to use the enormous power of tourism to sustain cultures and environments and perhaps even leave them better off.

Looking ahead, the year 2021 may be the year that all travel becomes wellness travel. As home and work lives merged during the pandemic, work grew for many, prompting employers to emphasize self-care, beginning with vacations. Additionally, health assessments—including pre-arrival COVID-19 tests—are becoming vital precursors to travel. And vaccine passports are in development.

From the manic travel of 2019—which was the ninth year of record-setting growth in travel, outpacing global economic expansion—2021 will be the year of the travel reset, going slower, nearer and more mindfully. Fitfully too, mirroring the vaccination rollout, which has prompted optimism as well as tentativeness.

Some ways travel will be reset in 2021:

Making travel regenerative: or leaving a place better off than you found it. An example includes the Svart lodge in Norway, which plans to be energy positive, producing more solar power than it needs.

Challenging overtourism: finding ways to ensure that when travel rebounds, it doesn’t threaten to overrun attractions and communities.

Correcting undertourism: being mindful of the positive force travel can be by sustaining communities and ecosystems in encouraging conservation and local investment.

Tentative travel: taking cautious steps in travel to local and regional destinations before national and international ones as confidence in the health and safety of travel grows.

Embracing nature: discovering the healing power of nature, a movement unleashed during the pandemic, will continue as travelers continue to value isolation, slow travel and human-powered travel.

Putting purpose first: making travel more meaningful or purposeful, from planning family reunions to pursuing personal challenges like climbing Mt. Kilimanjaro. 

Eventually, the widespread distribution of vaccines is expected to unleash a flood of travel, though the date the dam breaks is hard to foresee. For now, 2021 will be a year of resetting travel as a closer, slower, more careful, healthier pursuit as we emerge post-vaccine.

The full 97-page Global Wellness Summit Trends Report can be purchased  here.

The Global Wellness Summit is an invitation-only international gathering that brings together leaders and visionaries to positively shape the future of the $4.5 trillion global wellness economy. Held in a different location each year, Summits have taken place in the US, Switzerland, Turkey, Bali, India, Morocco, Mexico, Austria, Italy and Singapore. The 14th annual Summit took place at The Breakers Palm Beach, FL, from November 8–11, 2020. The 2021 GWS will be held in Tel Aviv, Israel, in November 2021. 

See also:
Pandemic Underscores Urgency for True Universal Healthcare with Added Emphasis on Wellness

Coronavirus Pandemic, Democrats 2020, Donald Trump, Economic Policies, Economy, Health Care, News & Photo Features

Biden Challenges Trump Attempts to Spin Historic Failure to Combat Coronavirus

Vice President Joe Biden is directly challenging Trump’s handling of the coronavirus pandemic accelerating across the United States and world that has produced twin crises in healthcare and the economy, in the form of questions that should be posed at the White House briefings that have become campaign rallies for Trump’s election. (c) Karen Rubin/news-photos-features.com

Vice President Joe Biden is directly challenging Trump’s handling of the coronavirus pandemic accelerating across the United States and world that has produced twin crises in healthcare and the economy, in the form of questions that should be posed at the White House briefings that have become campaign rallies for Trump’s election. Instead of a “whole of government” marshaling of forces to combat the virus, Trump’s “whole of government” is one big political enterprise, while Trump uses that time at the bully pulpit to attack Democrats, particularly Speaker Nancy Pelosi, and call the impeachment yet another “hoax” instead of organizing his administration to make sure all the states and cities have the life-saving equipment and staff needed to save lives, that the nation unites together to curtail social contact, and to make sure businesses and families to have the financial resources necessary to make it through. Instead, Trump has denied re-opening enrollment to Obamacare for those who don’t have health insurance, and his administration has no clue how to actually implement the $2.2 trillion in “relief” money to families and businesses.  This is from the Biden campaign: –Karen Rubin, news-photos-features.com.

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


1.  Why are you refusing to allow Americans who desperately need health insurance in the middle of a pandemic access to the Affordable Care Act’s marketplace? 
 
The Trump administration is refusing to re-open the federal ACA marketplace’s enrollment period — jeopardizing Americans’ access to health insurance in the midst of a global pandemic — despite pleas from a bipartisan coalition of leaders, including the Republican Governor of Arizona, Doug Ducey, to do so.
 
This is yet another step in Trump’s ideological battle against the ACA — no matter the cost to the health care of Americans — which has seen his Administration pursue efforts that would kick tens of millions of Americans off their coverage and roll back protections for Americans with pre-existing conditions
 
About 20 million Americans have received health insurance through the ACA, and it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a letter to President Trump and Republican leaders demanding that they drop their efforts to jeopardize Americans’ health care. 
 

2.  Why do you continue to mislead Americans about your failure to adequately develop and deploy an effective coronavirus test — a failure that allowed the virus to spread unchecked and explode across our country?
 
In a call with governors on Monday, according to the New York Times, Trump continued to shrug off the coronavirus testing crisis that exploded on his watch, claiming that “I haven’t heard about testing being a problem” and that he hasn’t “heard about testing in weeks” — even though countless Americans are still unable to be tested for the coronavirus, fatally undercutting our response to this crisis?

Trump’s lie was so out of step with reality that it prompted a rebuke from fellow Republicans, with Maryland Governor Larry Hogan saying yesterday that Trump’s claim was “just not true” and that “no state has enough testing” and Ohio Governor Mike DeWine adding that “we know Ohio hasn’t had as much testing as we would have liked. We had to ration the testing.”
 
Similarly, Trump’s assertion in a Monday interview with Fox New that testing failures were the fault of the Obama-Biden administration was demolished by PolitiFact yesterday, which rated Trump’s claim “Pants on Fire” false, and said that that his attack “flies in the face of logic.”
 
Trump’s baseless claims come just days after a bombshell report by the Times showed how his failure to quickly deploy an accurate coronavirus test resulted in a “lost month” that left America blind as it tried to combat the virus’ spread, and that his administration “squandered [America’s] best chance of containing the virus’s spread.”


3.  With new polls showing that Americans don’t approve of your handling of the coronavirus crisis, do you regret not acting sooner to halt the virus’ spread, like other countries did, instead of downplaying its threat for months?
 
Two new polls today show growing numbers of Americans disapprove of Trump’s slow and erratic response to the coronavirus, which has left the United States leading the world in confirmed cases.
 
A POLITICO/Morning Consult survey found that by a seven point margin, Americans don’t think the administration is doing enough to combat the coronavirus. Similarly, an Associated Press poll also out today shows that only 44% of Americans approve of Trump’s handling of the pandemic and only 38% approve of the federal government’s response — even as people rally in support of how their state and local officials have handled the crisis. 
 
These sliding poll numbers come as Trump continues to mislead Americans about his slow response to the coronavirus pandemic, bizarrely claiming in Monday’s press briefing that he knew all along how dangerous the virus was, but failing to explain why he didn’t take swift action.
 

4.  GOP State Attorneys General confirmed Monday that they will continue their lawsuit to roll back the Affordable Care Act and kick millions of Americans off their health insurance in the midst of a pandemic. Will you, as Vice President Biden has called for, withdraw your support for this effort?
 
The Daily Beast confirmed on Monday that at least five Republican state Attorneys General plan to continue their lawsuit to overturn the ACA — threatening the health care of millions of Americans in the middle of a pandemic.  
 
Ten years ago, President Obama signed the Affordable Care Act into law, expanding access to quality, affordable health care for millions of Americans. But instead of standing up for Americans’ health care, Donald Trump continues to lead fellow Republicans in efforts to do away with the law and the critical protections it put in place.
 

5.  Why did your administration ignore existing Obama-Biden Administration plans to combat pandemics and why did you take actions that reduced our preparedness for challenges like the coronavirus?
 
POLITICO reports that the Trump administration tossed out an existing “pandemic playbook” from the National Security Council that laid out, in detail, steps to take in the face of a public health emergency like this. 
 
As a result, key problems that the playbook planned for — like the current logistical challenges plaguing our health care system — went unaddressed, slowing down our response. 
 
This is only one in a string of missteps by the Trump administration that left the United States unprepared and vulnerable to a future pandemic. Key positions across the government have been left unfilled, or occupied by unqualified political cronies. Similarly, CDC staff in China was slashed on Trump’s watch, removing important eyes and ears on the ground that could have given us critical early notice of the coronavirus’ spread.


6.  With another round of record unemployment claims showing the economic pain the coronavirus is putting the American people through, do you regret the weeks you spent downplaying the threat it posed and do you agree with your Treasury Secretary who said last week that unemployment numbers are “not relevant”?
 
With 6.6 million Americans filing for unemployment benefits last week, the explosive economic toll of the coronavirus continues to grow.
 
For months, Trump ignored and downplayed the looming threat of the coronavirus and failed to take the necessary steps to prepare us — even as other countries quickly acted. Now, America has more coronavirus cases than any other country in the world and our economy continues to suffer body blows.
 
Throughout, Trump’s administration has shown a cavalier indifference to the unimaginable economic toll of the coronavirus has had on the American workers, with Secretary Mnuchin claiming that last week’s massive unemployment figures were “not relevant” — even as families across the country are struggling to make ends meet.
 
 
7.  Why are you refusing to allow Americans who desperately need health insurance in the middle of a pandemic access to the Affordable Care Act’s marketplace? 
 
The Trump administration is refusing to re-open the federal ACA marketplace — preventing Americans’ access to health insurance in the midst of a global pandemic — despite pleas from a bipartisan coalition of leaders, including the Republican Governor of Arizona, Doug Ducey, to do so.
 
This is yet another step in Trump’s ideological battle against the ACA — no matter the cost to the health of Amercans — which has seen his Administration pursue efforts that would kick tens of millions of Americans off their coverage and roll back protections for Americans with pre-existing conditions
 
About 20 million Americans have received health insurance through the ACA, and it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a letter to President Trump and Republican leaders demanding that they drop their efforts to jeopardize Americans’ health care.
 

8.  A new report today shows that the U.S. Army was projecting as early as the beginning of February that 150,000 Americans could be killed by the coronavirus. So why did you continue to waste precious weeks downplaying the threat it posed?
 
A shocking report today by the Daily Beast shows that as early as February 3, the U.S. Army had internal projections showing that upwards of 150,000 Americans could die as a result of the coronavirus that was then spreading rapidly around the globe.
 
Instead of joining other countries around the world in taking quick action to prepare for the virus, Trump dismissed and downplayed its threat, telling a campaign rally a week later that “looks like by April, you know, in theory, when it gets a little warmer, it miraculously goes away.”
 
Vice President Biden, in contrast, was sounding the alarm — writing a January 27 op-ed in USA Today about the threat it posed and the steps that should be taken, with Jonathan Chait of New York Magazine noting yesterday that Joe Biden “very much did see the coronavirus disaster coming.”
 
 
9.  With new polls showing that Americans don’t approve of your handling of the coronavirus crisis, do you regret not acting sooner to halt the virus’ spread?
 
Two new polls released yesterday show growing numbers of Americans disapprove of Trump’s slow and erratic response to the coronavirus, which has left the United States leading the world in confirmed cases.
 
A POLITICO/Morning Consult survey found that by a seven point margin, Americans don’t think the administration is doing enough to combat the coronavirus. Similarly, an Associated Press poll also out today shows that only 44% of Americans approve of Trump’s handling of the pandemic and only 38% approve of the federal government’s response — even as people rally in support of how their state and local officials have handled the crisis.
 
These sliding poll numbers come as Trump continues to mislead Americans about his slow response to the coronavirus pandemic, bizarrely claiming in Monday’s press briefing that he knew all along how dangerous the virus was, but failing to explain why he didn’t take swift action.
 
 
10.  Why do you continue to mislead Americans about your failure to adequately develop and deploy an effective coronavirus test — a failure that allowed the virus to spread unchecked and explode across our country?
 
In a call with governors on Monday, according to the New York Times, Trump continued to shrug off the coronavirus testing crisis that exploded on his watch, claiming that “I haven’t heard about testing being a problem” and that he hasn’t “heard about testing in weeks” — even though countless Americans are still unable to be tested for the coronavirus, fatally undercutting our response to this crisis?
 
Trump’s lie was so out of step with reality that it prompted a rebuke from fellow Republicans, with Maryland Governor Larry Hogan saying Tuesday that Trump’s claim was “just not true” and that “no state has enough testing” and Ohio Governor Mike DeWine adding that “we know Ohio hasn’t had as much testing as we would have liked. We had to ration the testing.”
 
Similarly, Trump’s assertion in a Monday interview with Fox New that testing failures were the fault of the Obama-Biden administration was demolished by PolitiFact yesterday, which rated Trump’s claim “Pants on Fire” false, and said that that his attack “flies in the face of logic.”
 
Trump’s baseless claims come just days after a bombshell report by the Times showed how his failure to quickly deploy an accurate coronavirus test resulted in a “lost month” that left America blind as it tried to combat the virus’ spread, and that his administration “squandered [America’s] best chance of containing the virus’s spread.

Coronavirus Pandemic, Democrats 2020, Donald Trump, Election 2020, Health Care, News & Photo Features

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

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

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

Five Questions for Donald Trump at Today’s Briefing

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

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

Coronavirus Pandemic, Democrats 2020, Health Care, News & Photo Features

On 10th Anniversary of Obamacare, Biden tells Trump, AGs ‘Drop the Lawsuit’ to Strip Millions of Health Insurance, Gut Protections for Pre-Existing Conditions

2017 rally to save Obamacare, Long Island. 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, candidate for President, 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. © Karen Rubin/news-photos-features.com

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

Donald Trump, Government Accountability, Government spending, Health Care, Homeland Security, News & Photo Features

In Oval Office Speech, Trump Fails to Offer Solutions to Stem Healthcare Crisis Looming With Coronavirus Pandemic or Calm Economic Fears

Trump offers his “historic actions” to address the coronavirus pandemic: payroll tax cut, tax deferral, travel ban from Europe (c) Karen Rubin/news-photos-features.com.
Trump, in an address to the nation from the  Oval Office, tried to calm fears and most importantly (for him) calm the financial markets after the World Health Organization declared the coronavirus a pandemic and chided nations for underplaying the crisis. Trump spent most of the time self-congratulating himself, calling the crisis “unprecedented” (it’s not), and his actions “historic” (hardly). Trump said nothing about making the health care infrastructure work to save Americans from suffering and needless dying, or for bolstering finances for people who have lost their means of earning money, paying bills, caring for children. His solution, to unilaterally ban travel from Europe (not UK) is absurd. Still no idea how many Americans harbor the infection. He used words like “unprecedented” when this is hardly unprecedented (Spanish flu, Swine flu, Ebola, and months of seeing what happened in China, South Korea, Italy). He kept saying that America will get by because we are the strongest, smartest, best nation that ever existed. Trump’s solution is medieval: pull up the drawbridge, build a wall against foreign invasion. Balderdash. And by the way, YOU DIDN’T BUILD THAT: the strong economy was bequeathed by Obama and other predecessors that Trump is frittering away with $1 trillion budget deficits despite (as Trump constantly claims) a historic, strong economy. And what does strong military have to do with coronavirus pandemic? The amount of back-slapping Trump does to himself (“unprecedented steps” which are hardly unprecedented or even dramatic or adequate or on target for the health crisis at hand), and his sychophants, even the “experts” have had to lather praise is disgusting. As for abandoning the partisanship, he means “adore me, go along with whatever I say.” Immediately after, he attacked Nancy Pelosi and Democrats. Here s the speech annotated – Karen Rubin/news-photos-features.com.
REMARKS BY PRESIDENT TRUMP
IN ADDRESS TO THE NATION
 
Oval Office
   
9:02 P.M. EDT
 
THE PRESIDENT:  My fellow Americans: Tonight, I want to speak with you about our nation’s unprecedented response to the coronavirus outbreak that started in China and is now spreading throughout the world.
 
Today, the World Health Organization officially announced that this is a global pandemic.

We have been in frequent contact with our allies, and we are marshalling the full power of the federal government and the private sector to protect the American people.

[And yet the European Union was blindsided by Trump’s sudden ban on travel from Europe but not the UK].
 
This is the most aggressive and comprehensive effort to confront a foreign virus in modern history.  I am confident that by counting and continuing to take these tough measures, we will significantly reduce the threat to our citizens, and we will ultimately and expeditiously defeat this virus.
 
From the beginning of time, nations and people have faced unforeseen challenges, including large-scale and very dangerous health threats.  This is the way it always was and always will be.  It only matters how you respond, and we are responding with great speed and professionalism.

[Hardly ‘unforeseen’ when the outbreak began in December in China and his first response came in March after pooh-poohing.]

Our team is the best anywhere in the world.  At the very start of the outbreak, we instituted sweeping travel restrictions on China and put in place the first federally mandated quarantine in over 50 years.  We declared a public health emergency and issued the highest level of travel warning on other countries as the virus spread its horrible infection. 
 
And taking early intense action, we have seen dramatically fewer cases of the virus in the United States than are now present in Europe. 

  [Except you really don’t know how many Americans are harboring the coronavirus because there hasn’t been adequate testing. And back in January, when Seattle doctor suspected coronavirus, federal agencies refused allowing testing, continued to reject the test kits from W.H.O. and relied on faulty, inadequate tests of its own.]

The European Union failed to take the same precautions and restrict travel from China and other hotspots.  As a result, a large number of new clusters in the United States were seeded by travelers from Europe. 

[That is one of Trump’s ‘blame others’ ‘blame them’ ‘blame Europe’ out of his ass comments. He doesn’t know how the infection came here or where it came from. Those cruise goers didn’t come from Europe.]
 
After consulting with our top government health professionals, I have decided to take several strong but necessary actions to protect the health and wellbeing of all Americans.
 
To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days.  The new rules will go into effect Friday at midnight.  These restrictions will be adjusted subject to conditions on the ground.
 
There will be exemptions for Americans who have undergone appropriate screenings, and these prohibitions will not only apply to the tremendous amount of trade and cargo, but various other things as we get approval.  Anything coming from Europe to the United States is what we are discussing.  These restrictions will also not apply to the United Kingdom.
 
At the same time, we are monitoring the situation in China and in South Korea.  And, as their situation improves, we will reevaluate the restrictions and warnings that are currently in place for a possible early opening.

  [There is no travel ban on South Korea.]

Earlier this week, I met with the leaders of health insurance industry who have agreed to waive all copayments for coronavirus treatments, extend insurance coverage to these treatments, and to prevent surprise medical billing. 
 
We are cutting massive amounts of red tape to make antiviral therapies available in record time.  These treatments will significantly reduce the impact and reach of the virus.

[Treatment still not likely to be available for a year.]
 
Additionally, last week, I signed into law an $8.3 billion funding bill to help CDC and other government agencies fight the virus and support vaccines, treatments, and distribution of medical supplies.  Testing and testing capabilities are expanding rapidly, day by day.  We are moving very quickly.

[Who will get that money and supplies?  Will Trump steer to “loyal” states and communities like Texas and Florida, and away from places like New York, California, Massachusetts, just as he did with Ukraine’s military aid, George w. Bush did with anti-terror funding after 9/11 and Chris Christie did by shutting down the George Washington bridge to punish Democratic mayors who refused to endorse him?]
 
The vast majority of Americans: The risk is very, very low.  Young and healthy people can expect to recover fully and quickly if they should get the virus.  The highest risk is for elderly population with underlying health conditions.  The elderly population must be very, very careful.

[The problem here is that the ‘young, healthy’ people can transmit the infection to others who are vulnerable.]
 
In particular, we are strongly advising that nursing homes for the elderly suspend all medically unnecessary visits.  In general, older Americans should also avoid nonessential travel in crowded areas. 
 
My administration is coordinating directly with communities with the largest outbreaks, and we have issued guidance on school closures, social distancing, and reducing large gatherings.
 
Smart action today will prevent the spread of the virus tomorrow.
 
Every community faces different risks and it is critical for you to follow the guidelines of your local officials who are working closely with our federal health experts — and they are the best. 

[Here is the key piece: the federal government is failing and useless and has no clue what to do, so Trump needs to rely – and probably blame – state and local officials who are doing their best to keep up with the needs. But key policies need to be made at the federal level. See Nicholas Kristof, “12 Steps to Tackle the Coronavirus” in New York Times of what Trump should have said and done.]
 
For all Americans, it is essential that everyone take extra precautions and practice good hygiene.  Each of us has a role to play in defeating this virus.  Wash your hands, clean often-used surfaces, cover your face and mouth if you sneeze or cough, and most of all, if you are sick or not feeling well, stay home.
 
To ensure that working Americans impacted by the virus can stay home without fear of financial hardship, I will soon be taking emergency action, which is unprecedented, to provide financial relief.  This will be targeted for workers who are ill, quarantined, or caring for others due to coronavirus.
 
I will be asking Congress to take legislative action to extend this relief.
 
Because of the economic policies that we have put into place over the last three years, we have the greatest economy anywhere in the world, by far. 

  [To the extent the US has in fact has greatest economy in the world, it is largely because of his abuse of tariff wars, sanctions, ending aid to undermine other economies.]

Our banks and financial institutions are fully capitalized and incredibly strong. 

[Thanks Obama! And Dodd Frank.]

Our unemployment is at a historic low.  This vast economic prosperity gives us flexibility, reserves, and resources to handle any threat that comes our way.
 
[He neglects to mention the $1 trillion budget deficits he has run despite his ‘historic’ strong economy, low unemployment. The fact that 40% of all Americans don’t have $400 available to cover an emergency.]

This is not a financial crisis, this is just a temporary moment of time that we will overcome together as a nation and as a world.  

[The next morning, the Dow plummeted another 2000 points, more than 7%, down to 21,400 from a high of 29,000 just a couple of weeks earlier. Trump was reported to have leveled a tirade at Federal Reserve Chair Powell for failing to cut interest rates even further than the half-point “emergency” cut a week ago.]

However, to provide extra support for American workers, families, and businesses, tonight I am announcing the following additional actions:  I am instructing the Small Business Administration to exercise available authority to provide capital and liquidity to firms affected by the coronavirus. 
 
Effective immediately, the SBA will begin providing economic loans in affected states and territories. These low-interest loans will help small businesses overcome temporary economic disruptions caused by the virus.  To this end, I am asking Congress to increase funding for this program by an additional $50 billion. 
 
Using emergency authority, I will be instructing the Treasury Department to defer tax payments, without interest or penalties, for certain individuals and businesses negatively impacted.  This action will provide more than $200 billion of additional liquidity to the economy.

  [How are the individuals and businesses chosen? What will this do to the Treasury’s ability to pay bills? How does starving the federal government of resources help the situation]

Finally, I am calling on Congress to provide Americans with immediate payroll tax relief.  Hopefully they will consider this very strongly.

[Payroll tax only helps people who are earning wages, not the people who are laid off or lose their jobs. The amount of money is so miniscule, people don’t even realize. And how does starving Medicare and Social Security of funding help? Instead, should be requiring paid sick leave, unemployment benefits expanded to people with fewer hours and contract workers. See Nicholas Kristof.]
 
We are at a critical time in the fight against the virus.  We made a life-saving move with early action on China.  Now we must take the same action with Europe.  We will not delay.  I will never hesitate to take any necessary steps to protect the lives, health, and safety of the American people.  I will always put the wellbeing of America first.

[Yet another undeserved pat on the back, and misguided focus on putting up walls instead of gearing up for the spreading epidemic in the country. Some 100 million are projected to get the illness; more than 1 million expected to die. Millions will jam emergency rooms and ICUs. There are only 1 million hospital beds and 700,000 of these are already occupied. People will die of heart attacks and other ailments because they cannot be accommodated. Doctors and nurses and health care workers will get sick or become so overworked they can’t function. Who is available to replace? What is Trump doing about that? Is he setting up mobile clinics, like MASH units? Sending out mobile testing vehicles. Doing drive-by testing as in South Korea which is handling 20,000 tests a day?]  

If we are vigilant — and we can reduce the chance of infection, which we will — we will significantly impede the transmission of the virus.  The virus will not have a chance against us. 
 
No nation is more prepared or more resilient than the United States.  We have the best economy, the most advanced healthcare, and the most talented doctors, scientists, and researchers anywhere in the world.

[More jingoism, American Exceptionalism. America First. Balderdash. Basically his argument is, ‘We will defeat this epidemic because we are The Greatest.’ And by the way, YOU DIDN’T BUILD THAT! Obama and predecessors handed Trump a strong economy, rescued from the depths of the Great Recession. Obama created the Affordable Care Act which covered 30 million more people than before, controlled health care costs, enabled more people to become doctors, nurses, health care workers.]
 
We are all in this together.  We must put politics aside, stop the partisanship, and unify together as one nation and one family. 

 [Biggest joke-on-America ever, since Trump, who wears a MAGA hat on CDC tour, and tells Pence not to praise Washington Governor Jay Inslee (“a snake”, and accuses Democrats and Nancy Pelosi of perpetrating a hoax in raising alarm about coronavirus in order to undermine him. As for abandoning the partisanship, what he really means, as Moscow Mitch always means when he uses the term “compromise” is “Do what we say, don’t criticize or point out why we are inept, corrupt, and out only for ourselves.”]

[Trump assailed Democrats hours after he implored lawmakers to “stop the partisanship.” Then the markets cratered, unassuaged by his economic proposals, New York Times reported.]  

As history has proven time and time again, Americans always rise to the challenge and overcome adversity. 
 
Our future remains brighter than anyone can imagine.  Acting with compassion and love, we will heal the sick, care for those in need, help our fellow citizens, and emerge from this challenge stronger and more unified than ever before.

[Such pablum. Trump reads the teleprompter in a monotone, the sentences running one into another. He has no idea what he just said.]
 
God bless you, and God bless America.  Thank you.
 
                         END                 9:12 P.M. EDT

See also:

Cuomo Pleads with CDC to Allow Coronavirus Testing in Private Labs to Better Monitor, Contain Spread

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

Sanders to Trump: Stop Playing Politics with our Health and National Security  

Democrats 2020, Election 2020, Health Care, Women and Politics

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

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

The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. In what can be described as an love letter to Senator Elizabeth Warren’s supporters, Senator Bernie Sanders has released his “Reproductive Health Care and Justice for All” plan. But you decide how many of these provisions would ever be enacted. This is from the Sanders campaign:

WASHINGTON – Senator Bernie Sanders released a major tenet of his presidential platform: Reproductive Health Care and Justice for All. The latest policy plan builds on the Senator’s wide-ranging agenda for quality and affordable health care for all people. The plan centers on two primary prongs — ensuring universal and affordable access to reproductive health care, and a comprehensive action plan to address the crisis of maternal mortality in communities of color across the country. 

“There has been no time in the history of this country when women, especially Black women, have had the reproductive freedom and justice that they deserve. In my administration, that will finally change,” said Senator Bernie Sanders. “We must once and for all put an end to the unacceptable crisis of Black maternal mortality, and ensure every woman in this country — no matter where they’re from — has the basic right to quality healthcare.”

Sen. Sanders continued, “When I am in the White House, we will fight back against the Republican assault on abortion rights across this country and defend a woman’s fundamental right to control her own body. As President, there will be no doubt that in the United States of America, abortion is a constitutional right. Period.”

The Reproductive Health Care and Justice for All plan reflects the fact that issues of justice must be addressed holistically and intersectionally. The plan will be implemented in tandem with a comprehensive, progressive agenda to end racial disparities in our economic, criminal justice, environmental, education, and health care systems.  

The full and detailed plan can be found here. The following is a summary of key policies and action items as part of Reproductive Health Care and Justice for All.

As President, Bernie Sanders will:

Use executive authority to reverse President Trump’s anti-choice actions.  

Codify Roe v. Wade in legislative statute, require all judicial nominees to support Roe v. Wade as settled law, and require preclearance for state abortion laws to ensure that state laws do not impose undue restrictions and barriers for abortion services.  

Protect and expand funding for Planned Parenthood, and repeal the Hyde and Helms Amendments.  

Ban state Targeted Regulation of Abortion Providers (TRAP) laws that put undue and unnecessary burdens and regulations on doctors who provide abortion services with the goal of restricting access.  

Ensure anti-choice crisis pregnancy centers do not receive federal funds.  

Ensure that all communities have access to nearby abortion care.   

Make birth control available over-the-counter, in addition to free under Medicare for All.  

Ban ineffective abstinence-only sex education.  

Increase access to and funding for reproductive services and facilities in communities of color, eliminate “contraceptive deserts,” and increase funding to hospitals where Black mothers and parents receive care.  

Work with women of color-led community organizations to develop and coordinate policy.    

Educate health care providers and medical school students on providing culturally competent care.  

Ban discrimination by health care providers, and provide a right of action for patients discriminated against.  

Establish standard protocols to rapidly address postpartum hemorrhage, a leading cause of maternal mortality in Black women.  

Require hospitals that receive federal funding to hire culturally competent care liaisons to field complaints, and provide training to all labor and delivery staff, including nurses, doctors, and clerks.
 

Ensure there are sufficient OBGYN physicians, midwives, lactation consultants and doulas in medically underserved communities of color.   

Create and expand programs for Black maternal mortality liaisons, patient advocates, care coordinators, and social workers at hospitals serving at-risk women of color.  

Expand the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program for pregnant mothers, infants, and children.