Biden-Harris Administration Sets Goal of Reducing Cancer Death Rate by at least 50 Percent Over the Next 25 Years, and Improving the Experience of Living with and Surviving Cancer
As Vice President, in 2016, Joe Biden launched the Cancer Moonshot with the mission to accelerate the rate of progress against cancer. The cancer and patient community and medical researchers responded with tremendous energy and ingenuity.
President Biden is reigniting the Cancer Moonshot with renewed White House leadership of this effort. Because of recent progress in cancer therapeutics, diagnostics, and patient-driven care, as well as the scientific advances and public health lessons of the COVID-19 pandemic, it’s now possible to set ambitious goals: to reduce the death rate from cancer by at least 50 percent over the next 25 years, and improve the experience of people and their families living with and surviving cancer— and, by doing this and more, end cancer as we know it today.
The President and First Lady Jill Biden also announced a call to action on cancer screening to jumpstart progress on screenings that were missed as a result of the pandemic, and help ensure that everyone in the United States equitably benefits from the tools we have to prevent, detect, and diagnose cancer.
Building on a Quarter Century of Bipartisan Support, Public Health Progress, and Scientific Advances Over the first 20 years of this century, the age-adjusted death rate from cancer has fallen by about 25 percent, which means more people are surviving cancer and living longer after being diagnosed with cancer. That was enabled by progress on multiple fronts.
Science brought us treatments that target specific mutations in many types of cancer –for example, in certain types of lung cancer, leukemia, and skin cancers.
It has also provided therapies that use our immune system to detect and kill cancer cells and these immunotherapies are making a big difference in certain skin cancers, blood cancers, and others.
We also have cancer vaccines – like the HPV vaccine –which prevents the cause of up to seven kinds of cancer.
We developed tools, like low-dose CT scans and refined use of colonoscopies, which help us detect lung cancer and colorectal cancers early when there are better treatment options.
Starting in the early 1990s, we also made progress against tobacco use through targeted public health education campaigns as well as new, more effective approaches to smoking cessation. We have seen a 50 percent decrease in adult long-term cigarette smoking and a 68 percent drop in smoking rates among youth.
Five years ago, with the bipartisan passage and enactment of the 21st Century Cures Act, Congress invested $1.8 billion, providing seven years of new funding for cancer research in many areas including studies on cancer disparities, new clinical trial networks to drive drug discovery, and innovative projects examining childhood cancer. The law streamlined cancer-related decision-making at the FDA through the formation of an Oncology Center of Excellence, so that effective treatments can be approved faster and patients can have more direct access to information about the regulatory process.
First Lady Jill Biden’s advocacy for cancer education and prevention began in 1993, when four of her friends were diagnosed with breast cancer. Following that year, she launched the Biden Breast Health Initiative to educate Delaware high school girls about the importance of cancer prevention. As First Lady she continues her work emphasizing early detection efforts and the patient, family and caregiver experience with cancer. She will also stress the importance of cancer screenings, especially those delayed or put off due to the COVID-19 pandemic, and will urge government partners, the business community, and non-profit sectors to help make screenings more accessible and available to all.
At the White House, then-Vice President Biden brought together a task force and challenged the public and private sectors to join together in making progress. Companies, patient groups, universities, and foundations worked together to forge new partnerships and launch new programs.
The Biden-Harris Administration Has Maintained This Commitment In the President’s first budget, he sustained strong funding for biomedical and health research with increased funding for the NIH and NCI, and full funding for the 21st Century Cures Act and the Beau Biden Cancer Moonshot Initiative at the NCI.
President Biden proposed a bold new vision for biomedical and health research in the Advanced Research Projects Agency for Health (ARPA-H). The goal of this entity is to improve the U.S. government’s capabilities to speed research that can improve human health — to improve our ability to prevent, detect, and treat a range of diseases including cancer, infectious diseases, Alzheimer’s disease, and many others. ARPA-H funding has already been included in appropriation and authorization bills pending in Congress.
President Biden committed to a bilateral effort with the United Kingdom to take on the challenges of cancer together. This has already resulted in a November 2021 US-UK Cancer Scientific Meeting of leadership, patient advocates, and oncology research experts which produced recommendations for how the two nations can work in partnership to make even more urgent progress on cancer.
The Biden-Harris Administration has also prioritized strengthening health care for the American people by lowering health care costs and expanding coverage. The President’s health care agenda is the biggest expansion of affordable health care in a decade, and includes cutting prescription drug costs by letting Medicare negotiate prices; strengthening the Affordable Care Act and reducing premiums for 9 million Americans; improving Medicare benefits by capping out-of-pocket costs on drugs, including cancer drugs, purchased at a pharmacy; and covering millions of uninsured Americans in states that have failed to expand Medicaid.
New Goals for the Cancer Moonshot Based on the progress made and the possibility before us, President Biden today set new national goals for the Cancer Moonshot:
Working together over the next 25 years, we will cut today’s age-adjusted death rate from cancer by at least 50 percent.
We will improve the experience of people and their families living with and surviving cancer.
Taken together, these actions will drive us toward ending cancer as we know it today.
There’s so much that can be done.
To diagnose cancer sooner — Today, we know cancer as a disease we often diagnose too late. We must increase access to existing ways to screen for cancer, and support patients through the process of diagnosis. We can also greatly expand the cancers we can screen for. Five years ago, detecting many cancers at once through blood tests was a dream. Now new technologies and rigorous clinical trials could put this within our reach. Detecting and diagnosing cancers earlier means there may be more effective treatment options.
To prevent cancer — Today, we know cancer as a disease we have people and families too few good ways to prevent. But now, scientists are asking if mRNA technology, used in the safe and effective COVID-19 vaccines to teach your body to fight off the virus, could be used to stop cancer cells when they first appear. And we know we can address environmental exposures to cancer, including by cleaning up polluted sites and delivering clean water to American homes, for example, through the Bipartisan Infrastructure Law.
To address inequities — Today, we know cancer as a disease for which there are stark inequities in access to cancer screening, diagnostics and treatment across race, region, and resources. We can ensure that every community in America – rural, urban, Tribal, and everywhere else – has access to cutting-edge cancer diagnostics, therapeutics, and clinical trials.
To target the right treatments to the right patients — Today, we know cancer as a disease for which we understand too little about why treatments work for some patients, but not for others. We are learning more about how to use information about genetics, immune responses, and other factors to tell which combinations of treatments are likely to work best in an individual patient.
To speed progress against the most deadly and rare cancers, including childhood cancers — Today, we know cancer as a disease for which we lack good strategies for developing treatments against many of the more than 200 distinct types. We can invest in a robust pipeline for new treatments, and the COVID-19 pandemic response has demonstrated we can accelerate clinical trials without compromising safety and effectiveness.
To support patients, caregivers, and survivors — Today, we know cancer as a disease in which we do not do enough to help people and families navigate cancer and its aftermath. We can help people overcome the medical, financial, and emotional burdens that cancer brings by providing support to navigate cancer diagnosis, treatment, and survivorship.
To learn from all patients — Today, we know cancer as a disease in which we don’t learn from the experiences of most patients. We can turn our cancer care system into a learning system. When asked, most people with cancer are glad to make their data available for research to help future patients, if it can be done easily while respecting their privacy. Additionally, the diverse personal experiences of patients and their families make their input essential in developing approaches to end cancer as we know it.
Mobilizing the Entire Government Under the Biden-Harris Administration, the Cancer Moonshot will specifically:
Re-establish White House Leadership, with a White House Cancer Moonshot coordinator in the Executive Office of the President, to demonstrate the President and First Lady’s personal commitment to making progress and to leverage the whole-of-government approach and national response that the challenge of cancer demands.
Form a Cancer Cabinet, which will be convened by the White House, bringing together departments and agencies across government to address cancer on multiple fronts. These include the Department of Health and Human Services (HHS), Department of Veterans Affairs (VA), Department of Defense (DOD), Department of Energy (DOE), Department of Agriculture (USDA), Environmental Protection Agency (EPA), National Institutes of Health (NIH), National Cancer Institute (NCI), Food and Drug Administration (FDA), Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), Office of Science and Technology Policy (OSTP), Domestic Policy Council (DPC), Office of the First Lady (OFL), Office of the Vice President (OVP), Office of Management and Budget (OMB), Office of Legislative Affairs (OLA), Office of Public Engagement (OPE), along with additional members, as needed, to help establish and make progress on Cancer Moonshot goals.
Issue a Call to Action on Cancer Screening and Early Detection:
To deliver the message of urgency and increased access to get back on track after more than 9.5 million missed cancer screenings in the United States as a result of the COVID-19 pandemic. With regular recommended screenings, we can often catch cancer when there may be more effective treatment options or even prevent it from developing by removing pre-cancerous tissue.
To help ensure equitable access to screening and prevention through at-home screening (especially for colon cancer and HPV, the virus that causes cervical, head, neck and other cancers), mobile screening in communities without easy access to a clinic, through the community health networks we have built and strengthened during the COVID-19 pandemic, and other ways to reduce barriers to cancer screening.
NCI will organize the collective efforts of the NCI cancer centers, and other networks such as the NCI Community Oncology Research Network (NCORP), to offer new access points to compensate for millions of delayed cancer screenings due to the pandemic, with a focus on reaching those individuals most at risk.
Federal agencies, led by the NCI, will develop a focused program to expeditiously study and evaluate multicancer detection tests, like we did for COVID-19 diagnostics, which could help detect cancers when there may be more effective treatment options.
The Department of Health and Human Services (HHS) commits to accelerating efforts to nearly eliminate cervical cancer through screening and HPV vaccination, with a particular focus on reaching people who are most at risk.
The President’s Cancer panel this week released a report “Closing Gaps in Cancer Screening” laying out recommendations focused on connecting people, communities, and systems to increase equity and access.
Host a White House Cancer Moonshot Summit, bringing together agency leadership, patient organizations, biopharmaceutical companies, the research, public health, and healthcare communities and more to highlight innovation, progress, and new commitments toward ending cancer as we know it.
Build on a White House Cancer Roundtable Conversation Series hosted over the last six months, with experts, including people living with cancer, caregivers, and survivors. These discussions focused on cancer prevention, early detection, clinical trial design and access, patient support and navigation, childhood cancer, learning from all patients and issues relating to equity in access and outcomes. Going forward, this will include discussions on additional topics and the knowledge gained will continue to inform this whole-of-government approach on cancer.
Require an All-Hands-On-Deck Approach. President Biden calls on the private sector, foundations, academic institutions, healthcare providers, and all Americans to take on the mission of reducing the deadly impact of cancer and improving patient experiences in the diagnosis, treatment, and survival of cancer. Progress will be informed by people living with cancer, caregivers, and families and contributed by all parts of the oncology community and beyond. We invite all Americans to share perspectives and ideas, and organizations, companies, and institutions to share actions they plan to take as part of this mission at whitehouse.gov/cancermoonshot.
In a White House press call, September 3, 2021, Biden Administration officials laid out plans and strategy for pandemic preparedness to counter the COVID-19 pandemic still impacting the nation and the world, and to prepare for inevitable future pandemics.
The administration is seeking$65.3 billion over 7 to 10 years to institute the full set of capabilities needed to transform our ability to be prepared for any family of virus.
“President Biden is committed to combatting the ongoing COVID-19 pandemic and Building Back Better for the next biological threat. As part of this responsibility, the United States must lean forward and catalyze the advances in science, technology, and core capabilities required to protect the Nation against future and potentially catastrophic biological threats, whether naturally-occurring, accidental, or deliberate. “
Here are the remarks, and a fact sheet detailing the Biden Administration’s plan:
Office of Science and Technology Policy Director Dr. Eric Lander stated:
The COVID-19 pandemic arrived at a time when science and technology capabilities were changing very rapidly. Recent scientific advances made it possible to respond much more rapidly than ever before. Had COVID-19 emerged five years ago, we would have had far fewer tools to do this.
But, five years from now, we need to have much better capabilities. We need to have better capabilities because, well, even with the knowledge and the tools that dramatically improved our ability to respond, COVID-19 has still been devastating for the nation and the world.
As of today, COVID-19 has killed at least 642,000 Americans and many, many millions of people around the world, and many recovered patients are living with long-term effects of the disease.
It’s also caused economic damage to the United States that’s been estimated in the range of $16 trillion in lost economic output, direct spending, mortality, and morbidity. And the societal impact has been borne disproportionately by frontline and vulnerable populations, especially people of color.
We need better capabilities also because there is a reasonable likelihood that another serious pandemic that could be worse than COVID-19 will occur soon, possibly even within the next decade. And the next pandemic will very likely be substantially different than COVID-19. So, we must be prepared to deal with any type of viral threat.
Now, because of ongoing progress in science and technology and innovation, we can have better capabilities for medicine, for situational awareness, for public health, and for lots more. For the first time in the nation’s history, we have the opportunity, due to these kinds of advances in science and technology, not just to refill stockpiles, but transform our capabilities. But we really need to start preparing now.
We’ve got to seize the unique opportunity to transform our scientific capabilities so we’re prepared for the increasing frequency of biological threats on the horizon. Investing to avert or mitigate the huge toll of future pandemics or other biological threats is both an economic and moral imperative.
So, five years from now, we need to be in a far stronger position to stop infectious diseases before they become global pandemics like COVID-19.
Now, there’s a lot we can do to transform our scientific capabilities for vaccine, therapeutic, diagnostic development; for early warning; for public health systems.
Importantly, these kinds of advances will not only strengthen our systems for dealing with future biological threats, they will be valuable for everyday public health and medical care for all Americans and for the world. This will help everyday public health for everyone.
Now, all these efforts, I’ve got to say, must, from the very outset, include a strong emphasis on reducing inequities and increasing access for all Americans to the resulting advances, because as we’ve seen from this pandemic, having the burden largely borne by vulnerable populations is unacceptable.
The COVID-19 pandemic has exposed fundamental issues with America’s public heath that go far beyond pandemic preparedness.
The issues include the need to increase overall public health funding, strengthen the public health workforce, eliminate barriers to access, improve data systems, address disparities, improve communications, and improve coordination across federal, state, local, and Tribal authorities.
The plan that’s being released today addresses needs directly related to pandemic preparedness, but I just want to emphasize there are broader public health issues that’ll need to be addressed separately and in a coordinated fashion.
So, today, the White House is releasing a document entitled “American Pandemic Preparedness: Transforming our Capabilities,” and the document describes goals under five pillars to protect the U.S. against biological threats.
Pillar number one is: transforming our medical defenses, including improving vaccine, therapeutics, and diagnostics.
Pillar number two: ensuring situational awareness about infectious disease threats, for both early warning and real-time monitoring.
Pillar three: strengthening public health systems, both in the U.S. and internationally, to be able to respond to emergencies, with a particular focus on protecting the most vulnerable communities.
Pillar four: building core capabilities, including personal protective equipment, stockpiles and supply chains, biosafety and biosecurity, and regulatory improvement.
And pillar five: managing the mission, with the seriousness of purpose, commitment, and accountability of an Apollo Program.
So, while the government — the U.S. government has made and must continue to make investments in basic science research, this plan includes the full set of capabilities needed to transform our ability to be prepared for any family of virus. The cost is $65.3 billion over 7 to 10 years.
And it’s vital that we start with an initial outlay of $15- to $20 billion to jumpstart these efforts. And, accordingly, we’re proposing that the current budget reconciliation provides at least $15 billion towards this goal.
The administration will work through other appropriations to support the remainder of that $65.3 billion budget, above baseline, needed to execute the plan in full.
And over the coming months, the White House will be developing the President’s budget, which will provide resources to ensure that the United States is prepared for the next pandemic.
So, let me just say, these critical investments will build on and complement the broader U.S. government biomedical and health research portfolio.
We strongly believe that this mission is so important that it needs to be managed with the seriousness of purpose, commitment, and accountability of, well, President Kennedy’s Apollo Program, overseen by a dedicated program office.
So we’re proposing there be a centralized “Mission Control” acting as a single, unified program management unit that draws on expertise from multiple agencies at HHS, including NIH, CDC, BARDA, FDA, and CMS, as well as other agencies and departments such as DOD, DOE, VA. You know, for example, the Countermeasures Acceleration Group — formerly “Operation Warp Speed” — is led by a single joint program management unit.
And Mission Control should have the responsibility and the authority to develop and update plans with objective and transparent milestones; regularly assess and publicly report on mission progress; shift funding to ensure that goals are achieved; coordinate linkages across performers in government — academia, philanthropy, and industry; and conduct periodic exercises to evaluate our actual national pandemic preparedness by deploying these capabilities, including through testing rapid product development. And it should seek input of outside experts and have working groups that allow it to get the best possible advice.
So, like any ambitious endeavor — whether it’s going to the Moon with the Apollo mission or cracking the human DNA with the Human Genome Project — an effort like this will take serious, sustained commitment and accountability.
And like those kinds of efforts, it is likely to yield benefits far beyond the initial mission — in this case, advances in human health and providing tools that can help overcome health inequities and ensure equitable access to innovative products for all Americans.
So, we at the Office of Science and Technology have been working hard on the plan in very close partnership with the National Security Council, and particularly the National Security Advisor, Jake Sullivan.
NSC Director for Global Health Security and Biodefense Dr. Beth Cameron on American Pandemic Preparedness stated:
The President has been committed from day one to pandemic readiness, including ending this pandemic which threatens the world and continues to create dangerous variants.
In parallel, he and the administration remain committed to advancing, repairing, and strengthening health security and pandemic preparedness for the future, including obviously here in the United States but also around the world.
And that’s why the President took swift action early to lay out a vision and plans for this work, including signing his first National Security Memorandum, which focused on the COVID-19 health and humanitarian response; advancing health security; and building better biological preparedness. And this plan is really one central piece of that effort.
We’re also actively implementing many of the actions called for in NSM-1, including, obviously, releasing a COVID-19 response strategy, both domestically and globally. We’ve established a new domestic Center for Epidemic Forecasting and Outbreak Analytics. We’ve reengaged with the WHO on day one. We’re working across the government to raise the global and domestic research and development ambition to decrease the timing between detection of the new biological threat and safe delivery of targeted countermeasures and therapeutics. And you obviously heard a lot more about that from Dr. Lander.
We’re reviewing the existing state of our biodefense enterprise — and I’ll come back to that in a second — and we continue to prioritize helping other countries in need to build their capacities to prevent, detect, and respond, and to advance our programs that support the global health security agenda and establish catalytic health security financing for the future.
The President signed, on his first day in office, Executive Order 13987, and that focused on the organization here in the United States for COVID-19, but also on emerging biological threats. And it included reestablishing my office — the Directorate for Global Health Security and Biodefense on the NSC staff.
And we’re really here to provide a high-level “belly button,” if you will, to elevate these important issues to the President and the NSC.
Our team has a “no-fail” mission to rapidly mobilize the policy machinery to elevate high-consequence infectious disease outbreaks quickly across the White House and to the National Security Advisor, and really to empower agencies to adopt a no-regrets response.
And we’re working very closely with OSTP and across the White House with all relevant departments and agencies as well to do a whole-of-government review and update of national bio-preparedness policies, which is directed by that executive order and by National Security Memorandum-1.
And so the document that we’re releasing today that Eric outlined in detail lays out a set of urgent needs and opportunities that are necessary to protect the United States against biological and pandemic threats.
We believe that transforming our capabilities will require a systematic effort and a shared vision for biological preparedness that, as you heard from Eric, is really akin to an Apollo mission.
And that’s why we envision that this will be a core element of our strategy going forward on biodefense and pandemic readiness, informed by lessons from the COVID-19 pandemic.
Importantly, though, we continue to take stock of our full range of biodefense, pandemic readiness, and global health security needs, including capabilities, policies, and practices that we need to update and refresh, building on our lessons from COVID-19 and other outbreaks.
While this plan does lay out a clear vision for bio-preparedness, it doesn’t cover everything. As Dr. Lander said, it’s really focused on our capabilities at home to prepare for pandemic.
COVID-19 has enumerated a number of challenges in our preparedness for a moderate pandemic, but we do need additional capabilities to be fully prepared for any biological event that comes our way, and that includes countering bioterrorism; countering the development and use of biological weapons; strengthening the Biological Weapons Convention; improving food security and food defense, zoonotic spillover events, and others.
And we really focused this document on specific capabilities to stop a pandemic sooner, including a strong emphasis on science and technology, and early countermeasure development. And we felt it was urgent to get started on this issue immediately.
Simultaneously, we remain focused on reviewing and updating our other policies and practices, including across the broader healthcare system, workforce, and other areas. And of course, we remain laser focused on the domestic and global COVID-19 response and our full programs of — a full suite of programs in support of those efforts. These are vital, and the President has also placed a major priority on them, including in his FY22 Budget Request.
So, just in closing, as we finalize our broader whole-of-government bio-preparedness effort, as directed by the President, this an important and crucial element, and we have to start now.
FACT SHEET: Biden Administration to Transform Capabilities for Pandemic Preparedness
President Biden is committed to combatting the ongoing COVID-19 pandemic and Building Back Better for the next biological threat. As part of this responsibility, the United States must lean forward and catalyze the advances in science, technology, and core capabilities required to protect the Nation against future and potentially catastrophic biological threats, whether naturally-occurring, accidental, or deliberate.
We must seize the opportunity to ready ourselves for the biological threats on the horizon. Investing to avert or mitigate the huge toll of future pandemics and other biological threats is an economic and moral imperative. The cost of pandemic prevention pales in comparison to the enormous cost – in lives and in economic cost – of a pandemic. It’s hard to imagine a higher return on national investment.
On January 20, the President directed a whole-of-government review of U.S. national biopreparedness policies and re-established the National Security Council Directorate on Global Health Security and Biodefense. Today, we are releasing a plan for transforming U.S. capabilities to prepare for and respond rapidly and effectively to future pandemics and other high consequence biological threats. This plan is a core element of the larger strategy to bolster and resource pandemic readiness and biodefense.
I. Transforming our Medical Defenses, including dramatically improving and expanding our arsenal of vaccines, therapeutics, and diagnostics.
II. Ensuring Situational Awareness about infectious-disease threats, for both early warning and real-time monitoring.
III. Strengthening Public Health Systems, both in the U.S. and internationally to be able to respond to emergencies, with a particular focus on reducing inequities and protecting the most vulnerable communities.
IV. Building Core Capabilities, including personal protective equipment, stockpiles and supply chains, biosafety and biosecurity, and regulatory improvement.
V. Managing the Mission, with seriousness of purpose, commitment, and accountability akin to the Apollo mission, which brought our astronauts to the moon decades ago.
This work will include, from the outset, a strong focus on ensuring equity and access by all Americans to the resulting advances.
Because transforming our capabilities will take time, it is imperative that we start now.
Achieving these capabilities will require a systematic effort and shared vision for biological preparedness across our government. Like any ambitious endeavor – whether the Apollo mission or the Human Genome Project that cracked the code of human genetics – transforming our nation’s pandemic preparedness will take serious, sustained commitment and ambitious accountability. And like those efforts, it is likely to yield benefits beyond the original mission – in this case advances in human health and providing tools that could overcome health inequities and ensure equitable access to innovative products.
In addition to this plan’s efforts to strengthen public health in the context of pandemic preparedness, we also must address the broader need to strengthen the U.S. public health system and reinvigorate our public health workforce. The Biden-Harris Administration is committed to efforts to support our public health workforce and to prevent the types of public health inequities revealed by COVID-19.
Over the next several weeks, we will be building on this vision as we finalize our whole-of-government biopreparedness review, continue to learn from COVID-19, and commit ourselves to a biodefense and pandemic readiness strategy that builds back better in the United States and around the world for this pandemic and the next.
Today, President Biden announced that the Centers for Medicare & Medicaid Services (CMS) is extending access to the Special Enrollment Period (SEP) for health insurance through the Affordable Care Act marketplace until August 15 – giving consumers additional time to take advantage of new savings through the American Rescue Plan. This action provides new and current enrollees an additional three months to enroll or re-evaluate their coverage needs with increased tax credits available to reduce premiums.
“Every American deserves access to quality, affordable health care – especially as we fight back against the COVID-19 pandemic,” said HHS Secretary Xavier Becerra. “Through this Special Enrollment Period, the Biden Administration is giving the American people the chance they need to find an affordable health care plan that works for them. The American Rescue Plan will bring costs down for millions of Americans, and I encourage consumers to visit HealthCare.gov and sign up for a plan before August 15.”
As a result of the American Rescue Plan, additional savings will be available for consumers through HealthCare.gov starting April 1. These savings will decrease premiums for many, on average, by $50 per person per month and $85 per policy per month. On average, one out of four enrollees on HeathCare.gov will be able to upgrade to a higher plan category that offers better out of pocket costs at the same or lower premium compared to what they’re paying today.
Consumers who want to access the SEP to enroll in coverage and see if they qualify for financial help to reduce the cost of monthly premiums, can visit HealthCare.gov or CuidadoDeSalud.gov to view 2021 plans and prices and enroll in a plan that best meets their needs. Additionally, consumers can call the Marketplace Call Center at 1-800-318-2596, which provides assistance in over 150 languages. TTY users should call 1-855-889-4325. Consumers can also find a local assister or agent/broker in their area: https://localhelp.healthcare.gov
Consumers who are eligible and enroll under the SEP will be able to select a plan with coverage that could start as soon as the first month after plan selection. Current enrollees will be able to change to any plan available to them in their area. To take advantage of the SEP, current enrollees should review their application and make changes, if needed, to their current information and submit their application in order to receive an updated eligibility result.
Additionally, beginning in early July on HealthCare.gov, consumers who have received or have been determined eligible to receive unemployment compensation for any week during 2021 may be able to get another increase in savings when enrolling in new Marketplace coverage or updating their existing Marketplace application and enrollment. These savings to be made available starting in early July for eligible consumers are in addition to the increased savings available to consumers on HealthCare.gov starting April 1.
The SEP is currently available to consumers in the 36 states that use the HealthCare.gov platform. Consumers served by State-based Marketplaces that use their own platform can check their state’s website to find out more information on Special Enrollment Periods in their state.
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.
Hollywood and the Entertainment Industries Jump into Wellness
The Future of Immune Health: Stop Boosting, Start Balancing
Spiritual and Numinous Moments in Architecture
Just Breathe!
The Self-Care Renaissance: Where Wellness and Healthcare Converge
Adding Color to Wellness
Resetting Events with Wellness: You may never sit on a banquet chair again
Money Out Loud: Financial Wellness is Finding Its Voice
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.
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.
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.
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.
The vast majority of hospitalized COVID-19 patients in New York State, still with the greatest number of cases in the world, are now coming from people at home, not from work, not from among essential workers, and not people taking public transportation. The majority are over 51 years old, retired, minorities and from downstate.
The finding comes from hospitalization data gathered in a new targeted effort to further reduce the number of new hospitalizations per day by trying to figure out the source of the new cases. The state received 1,269 survey responses from 113 hospitals over three days.
Governor Cuomo noted that the findings underscore the importance of social distancing, hand-washing, and wearing face masks when out in public to cut down transmission. The lockdown and mitigation protocols have helped the state avoid the worst projections: over 100,000 hospitalizations when the state only had capacity for 50,000.
At the same time, Cuomo is preparing the state to reopen, and looking beyond, to make the state’s public health and economy resilient should this pandemic or some other crisis strike again.
“As we begin re-opening parts of the state and re-imagining New York in the new normal, we should take this moment in history to use what we’ve learned and actually build our systems back better,”Governor Cuomo said.”I don’t want to replace what we did – I want to set the bar higher and actually improve our situation so we are prepared for the future. We’re working with some of the nation’s great business leaders to ensure we are thinking outside the box and improving and modernizing our systems for the future.”
Cuomo today announced that Schmidt Futures will help integrate New York State practices and systems with the best advanced technology tools to build back better. Eric Schmidt, former Google CEO and Executive Chairman and founder of Schmidt Futures, will lead the state’s 15-member Blue Ribbon Commission and use what the state has learned during the COVID-19 pandemic, combined with new technologies, to improve telehealth and broadband access.
Among the areas that Cuomo is targeting for greater resiliency in the economy and society against the next pandemic or crisis are public health, public transportation, and public education, using the lessons learned from the current crisis, in which many things have had to be innovated and implemented that had never before been done.
He noted “Hospitals must be organized to operate as one system in a public health emergency.” During the current crisis, the only way to accommodate the influx of patients needing hospitalization – at one point predicted at over 100,000 beds when the entire state only has 50,000 – was to “flex/surge” equipment, personnel and capacity among public/private/nonprofit hospitals, staffs, equipment, downstate and upstate.
“Reimagining” a better healthcare system will require analysis of how to ensure telemedicine is available to all; how to better allocate healthcare resources statewide; how to harden the healthcare system against future challenges; and how to better protect and support healthcare workers.
“This crisis presents a unique opportunity for us to learn and better ourselves: better transportation, social equity; better public safety; better housing; better economy; better education,” Cuomo said.
The day before, Cuomo announced that New York State is collaborating with the Bill & Melinda Gates Foundation to develop a blueprint to reimagine education in the new normal. As New York begins to develop plans to reopen K-12 schools and colleges, the state and the Gates Foundation will consider what education should look like in the future, including:
How can we use technology to provide more opportunities to students no matter where they are;
How can we provide shared education among schools and colleges using technology;
How can technology reduce educational inequality, including English as a new language students;
How can we use technology to meet educational needs of students with disabilities;
How can we provide educators more tools to use technology;
How can technology break down barriers to K-12 and Colleges and Universities to provide greater access to high quality education no matter where the student lives; and
Given ongoing socially distancing rules, how can we deploy classroom technology, like immersive cloud virtual classrooms learning, to recreate larger class or lecture hall environments in different locations?
The state will bring together a group of leaders to answer these questions in collaboration with the Gates Foundation, who will support New York State by helping bring together national and international experts, as well as provide expert advice as needed.
The Governor also announced that, on this, National Nurses Day, JetBlue is donating 100,000 pairs of round-trip flights for medical personnel and nurses to honor their efforts, beginning with 10,000 pairs of tickets for New York medical professionals. Additionally, three painted JetBlue planes honoring New York’s frontline workers will do a flyover above New York City on Thursday, May 7th, at 7:00 p.m.
Governor Cuomo also announced a new contest asking New Yorkers to create and share a video explaining why people should wear a mask in public. The winning video will be used as a Public Service Announcement. Videos should be less than 30 seconds long, should show a mask properly worn over the mouth and nose and must be submitted by May 30th. Interested New Yorkers can learn more at WearAMask.ny.gov.
“The last few months have been an incredibly stressful time full of change, but we have to learn and grow from this situation and make sure we build our systems back better than they were before,” Governor Cuomo said. “One of the areas we can really learn from is education because the old model of our education system where everyone sits in a classroom is not going to work in the new normal. When we do reopen our schools let’s reimagine them for the future, and to do that we are collaborating with the Bill & Melinda Gates Foundation and exploring smart, innovative education alternatives using all the new technology we have at our disposal.”
Meanwhile, the state’s health experts, including Health Commissioner Howard Zucker, said there were still many questions to be answered about this novel coronavirus. The CDC has only recently determined that the virus that came to New York, New Jersey and Illinois came through Europe, not China, and is somewhat different and also appears to be more infections. Dr. Zucker was unable to say whether having antibodies, as determined with new testing, which means the person had been infected, is also immune from the other coronavirus or even immune from new infections, and if immune, for how long.
The Governor detailed the preliminary results of new hospitalization data, in a new targeted effort to further reduce the number of new hospitalizations per day by trying to figure out the source of the new cases. The state received 1,269 survey responses from 113 hospitals over three days and found that the majority of individuals were:
Not working or traveling;
Predominately located downstate;
Predominately minorities and older individuals;
Predominately non-essential employees; and
Predominately at home.
Finally, the Governor confirmed 2,786 additional cases of novel coronavirus, bringing the statewide total to 323,978 confirmed cases in New York State. Of the 323,978 total individuals who tested positive for the virus, the geographic breakdown is as follows:
Governor Offers Full Partnership with Federal Government as Part of State’s Continued Efforts to Bring Mass Testing to Scale; New York Will Partner with Connecticut and New Jersey to Create a Regional Testing Partnership
Announces $200 Million in Emergency Food Assistance for More Than 700,000 Low-Income Households Enrolled in SNAP
Governor is Working with Congressional Delegation to Create a COVID-19 Heroes Compensation Fund
Announces New Partnerships with Private Sector to Provide Free Housing for Frontline Medical Workers
Releases ‘New York Tough’ Video Showing How New Yorkers are Spending Their Time at Home, Building on Ongoing State Efforts to Reach All Communities in New York with the Life-Saving Stay Home Message – Video is Available Here
Confirms 10,575 Additional Coronavirus Cases in New York State – Bringing Statewide Total to 170,512; New Cases in 54 Counties
The reason that the national coronavirus numbers are plateauing is because New York State, with more coronavirus cases than any other country, has brought down the rates of new infections, even as the daily death toll remains high. But it is not clear whether COVID-19 has yet to strike places where the numbers seem relatively low, because there is not sufficient testing. Trump is pushing to reopen the economy – desperate to be able to go into the election with a strong economy, low unemployment rates, high Dow – without care that lifting stay-at-home mitigation will trigger new spikes in infections and new waves, as are already being experienced in some Asian countries.
New York Governor Andrew Cuomo, who has received high marks for his command-and-control that clearly has resulted in significantly lower rates of infection than a slew of statisticians predicted could happen if steps to contain the virus were not implemented, said as much. Looking ahead to how and when the state could get back to work, he warned against doing it too early or too suddenly. Testing – both to diagnose and to determine if someone has the antibodies to effectively be immune to the coronavirus – is critical and he called for the federal government to exercise the Defense Production Act to get private labs and manufacturers to bring tests up to scale, that is, by the tens of millions.—Karen Rubin, news-photos-features.com.
Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today announced New York State is ramping up antibody testing, a key component of any plan to reopen the economy. The state is currently conducting 300 of these antibody tests, and is on track to conduct 1,000 per day by next Friday and 2,000 per day by the following week. As part of the state’s continued efforts to bring mass testing to scale, the Governor offered a full partnership with the federal government to conduct this important work. In the interim, the Governor announced that New York, Connecticut and New Jersey will create a regional testing partnership to bring mass testing to scale for residents in these states.
Governor Cuomo also announced an additional $200 million in emergency food assistance will be available for more than 700,000 low-income households enrolled in the Supplemental Nutrition Assistance Program. Those enrolled in SNAP and not yet receiving the maximum benefit will receive an additional payment to bring them up to this amount in March and April. The supplemental benefits will be issued in April and delivered directly to recipients’ existing Electronic Benefit Transfer accounts. Households eligible for the supplement that live in counties outside of New York City will begin receiving the supplemental emergency benefit starting on April 13, and all eligible households will have received it by April 24. In New York City, the emergency benefits will be issued starting on April 14, and the issuance completed on April 25.
Governor Cuomo is also working with New York’s Congressional delegation to create a COVID-19 Heroes Compensation Fund to support health care and other frontline workers and their families who contracted COVID-19.
The Governor also announced new partnerships with the private sector to provide housing for frontline medical workers. Airbnb co-founder and CEO Brian Chesky will contribute $2 million to help provide rooms in union hotels at no cost to frontline workers. As part of this effort, 1199SEIU is partnering with Airbnb to offer housing to its members — comprised of hospital and other healthcare workers — as they fight the COVID-19 crisis statewide. Additionally, the InterContinental Times Square, Yotel and the Hudson Hotel are providing an additional 800 free rooms for health care workers coming to New York City from out of state, collaborating with the Hotel Association of New York City, MetLife and the Related Companies.
As part of Governor Cuomo’s social media awareness campaign, the state today released a video that features New Yorkers showing us their reality as they stay home under the state-wide Pause restrictions. Working in partnership with Resonant Pictures, the state put out a call for photographs of life in the city over the past three weeks. The video, set to the iconic song by The Fray, truly illustrates “How to Save a Life,” during the pandemic.
“The data has shown that what we do today will determine the infection rate two or three days from now, so we must continue to do what we are doing even though it is difficult –because it is working,” Governor Cuomo said. “The key to reopening is going to be testing. New York State has been very aggressive on testing, and our state lab is now developing an antibody test which is fast and non-invasive. The State Department of Health can currently do 300 tests a day and by next Friday, they will be able to do 1,000 tests and 2,000 tests the following week. That’s great, sounds like a lot, but 2,000 tests are still a drop in the bucket, and I’m proud of how New York has advanced on testing.”
Here is more of what Governor Cuomo said in his daily briefing:
“New York State has been very aggressive on testing and our state lab has been very aggressive on testing. Our state lab is now developing an antibody test which is a fast and not invasive test. The State Department of Health can do 300 tests a day. By next Friday, they will be able to do 1,000 tests and 2,000 tests the following week. That’s great, sounds like a lot but 2,000 tests are still a drop in the bucket, and I’m proud of how New Yorkers advanced on testing. You look at how quickly New York State has moved on testing and how many tests we have done – we’ve done a higher percentage of tests in New York State than other countries have done and New York State far exceeds what this nation as a whole is doing on testing. Even with our high capacity and high performance on testing it’s still not enough. It’s not enough if you want to reopen on a meaningful scale and reopen quickly so the testing front is going to be a challenge for us.
“Why can’t New York just develop more tests and do more testing? How do we get New York State Department of Health to scale? That’s an issue that we’ve been working on it’s harder than it sounds. You need certain reagents so you can do the testing. You need certain materials so you can do the testing. It’s very hard to get these reagents right. You’re in a situation where countries all across the globe are trying to do the same thing.
“Federal government has something called the Defense Production Act, DPA they call it, which I’ve been saying from day one is a very powerful tool for the federal government to use when they need to secure a product in the defense of this nation. This is in the defense of this nation. The federal government has used it effectively. They’ve used that in this situation more as a point of leverage than anything else, basically saying to a company, you know, we need you to do this, we do have the Defense Production Act that we could use. But we need an unprecedented mobilization where government can produce these tests in the millions.
“New York State Department of Health is doing is doing several thousand. We have 9 million people we want to get back to work. You need more than several thousand tests per week if this is going to happen any time soon. Private sector companies on their own, I don’t believe will be able to come to scale. We’re working with the private sector companies. They have the tests but they don’t have the capacity to come to scale. You’re going to need government intervention to make that happen and the federal government is in the best position to do that.
“New York State offers to be a full partner with the federal government. We do have the largest number of cases in New York. New York is an economic engine. I can’t do it as a state. If I had a Defense Production Act in the state, I would use it. I would use it. I don’t have that tool, the federal government does. Any way we can partner with the federal government to get these tests up to scale as quickly as possible, we are all in. I like to operate as a coalition with New Jersey and Connecticut because we are the tri-state area. I have spoken to Governor Murphy and Governor Lamont of Connecticut. They will join in a testing coalition. So, I ask the federal government if you are willing to step in and use the federal powers, New York State and New Jersey and Connecticut would partner with the federal government. And let’s get the testing up to scale quickly so we can start to build that bridge to reopening the economy.
“Second on reopening, you need a federal stimulus bill. You need a federal stimulus bill – they passed a couple already. But you need a fair federal stimulus bill that is not a political pork barrel bill. You know where the cases are. You know where the need is. I understand the political dynamics of the U.S. Senate but this is not a time to be passing bills that really are to make sure your home state gets enough funding. That’s not what this is about. This is about helping the country coming back and focusing on the need. When I says the bills were unfair to New York, the past bills, it is not just that I am advocating to New York. Look at the need. Look at where the cases are. Look at where the damage has been done. The federal government is trying to address that damage. You know where it has been done. Look at the chart on where the cases exist. Look at the number of deaths, the number of cases, the number of hospitalizations and help those places come back and come back quickly. That’s what the stimulus bill is supposed to be doing.
“Also, let’s make sure we are learning from what we just went through and are going through. Because there are lessons I think we should all be aware of over the past few months. And before you take a step forward, let’s make sure we know what we are stepping into. A question I had from day one, when you look back at this, where were the horns that should have been triggered back in December and January. Where were the warning signs? Who was supposed to blow the whistle? The President has asked this question and if think he’s right. The President’s answer is the World Health Organization should have been blowing the whistle. I don’t know enough to know if that’s right or wrong, but I know the question is right and sometimes the question is more important than the answer.
“How did this happen? I still want to know how this happened. Because the warning signs were there. And if you don’t know the answer, then how do you know it is not going to happen again, right? Fool me once – January, you go back and look at the headlines in January and you see questions and you see warnings. Now, they were all over the map, but we saw what was happening in Asia. We saw what was happening in Europe. Where were the international experts saying, ‘Well, if this is happening there, this is what we should expect to happen in the United States? Or prepare to happen in the United States?’ January, February, you still had sources in this country saying basically there’s nothing to worry about. You know, how did that happen? Did we really need to be in this situation where the United States winds up with a higher number of cases than the places that went before? We sat here and we watched China. China winds up have 84,000 cases, we wind up having 474,000 cases. I mean, how does that happen? We saw South Korea. They wind up with 10,000 cases. Italy, where we saw a collapse of the whole health system, winds up with 143,000 cases.
“I raise the question because the answer, again, is less important than the question, but before we move forward let’s make sure we’re not repeating the same mistake that we made, right? George Santayana. ‘Those who do not remember the past are condemned to repeat it.’ I don’t want to repeat what we just repeated, what we just went through over this past month.
“So, what are the relevant questions? Is there going to be a second wave? Let’s look at the countries that have gone through this reopening process and what can we learn from them? Right? Well, we have to start to reopen. Let’s look at what the other countries who have gone before us, what they did, what worked and what didn’t work. When you take just a cursory review you see caution signs. Hong Kong appeared to have the virus under control, they let its guard down, the virus came back. Hong Kong recorded the biggest rise in cases and a new wave of infections. Is that true? Could it happen here? Article yesterday, Italy has seen a bump in the number of cases. You know, before we take a step make sure we are more informed and more aware than we were in the past. They’re talking about a second wave in Singapore.
“You got back and you look at the 1918 flu epidemic. That was over 10 months. There was a first wave, there was a second wave. The second wave was worse than the first wave because the virus mutated. Third peak and the whole experience was 10 months. Is there any extrapolation to where we are today? I don’t know the answers. This is not what I do. It’s not what a state does.
“But, we know the questions and we should have the questions answered before we take a step forward. Yes, no one has been here before. These are totally uncharted waters. But we do know that none of this is predetermined and it is all a function of our actions. We are in total control of our destiny here. What we do will effect literally live and death for hundreds of people.
“So, where do we go from here? First, keep doing what we’re doing. Stay home because that works. We are flattening the curve, we must continue to flatten the curve. We have to get testing to scale. That is an entirely new exercise. It’s something we still haven’t done well in this country. We need both diagnostic testing and antibody testing. We need millions and millions of them. We need them in a matter of weeks, not months.
“We have to be more prepared as a nation. We should never go through this scramble that we went through with states competing against other states to buy masks from China. I mean, we should just never have been here in the first place, but certainly we should never be here again. And then let’s make sure we study the waters ahead and proceed with caution before we set off on the next journey. When we talk about reopening, let’s study the data and let’s look at what has happened around the world. Let’s make sure the best health minds in the country are giving us their best advice.
“How do we go forward? We stay New York tough. New York tough means more than just tough, it means discipline. It means unified. It means loving. And it means smart. Now is a time to be smart. Now more than ever. That’s what it means to be New York tough and we are.”
“The actual curve, today 18,569, is much, much better. How do you create a curve so different from the projections? In fairness to experts, nobody has been here before, and a big variable was what policies would put in place, and a bigger variable is whether people listen to the policies you put in place. Just because you announce a policy– to close businesses and everybody stay home – if people don’t take seriously or feel is political, they wouldn’t follow it.”
Finally, the Governor confirmed 10,575 additional cases of novel coronavirus, bringing the statewide total to 170,512 confirmed cases in New York State. Of the 170,512 total individuals who tested positive for the virus, the geographic breakdown is as follows:
BURLINGTON, Vt. – Sen. Bernie Sanders on Friday released a list of priorities to ensure the next coronavirus legislation passed by Congress is the boldest legislation in history, matches the scale of the crisis, saves lives and ensures working Americans are not left behind.
“We are in the midst of a COVID-19 pandemic that could lead to the death of hundreds of thousands of Americans and infect millions of others, and we are entering an economic downturn that could be worse than the Great Depression of the 1930s.” Sanders said. “In this unprecedented moment in modern American history, it is imperative that we respond in an unprecedented way. That means that Congress must pass, in the very near future, the boldest piece of legislation ever written in modern history. Today, I am outlining a set of six core provisions that must be included in new Congressional legislation to support working people during this horrific crisis.”
Sanders’ priorities include:
Keep workers on payroll – make sure that every worker in America continues to receive their paycheck, retroactive to the beginning of the crisis. An important precedent was set by keeping airline workers on payroll in the last bill
Use Medicare to make sure no one has to pay for health care during the crisis
A $2,000 monthly emergency payment to every person in the country until the crisis has passed
The forceful use of the Defense Production Act to direct the production of all of the personnel protective equipment, ventilators and other medical supplies
Hazard pay for workers on the frontlines of the emergency
$600 billion in direct fiscal aid to states and cities
Freezing monthly rent and mortgage payments
Emergency food for millions of families who would otherwise go hungry
In a mailing to supporters, Sanders described his priorities in more detail:
Our country is now facing its worst crisis in modern history. We are in the midst of a COVID-19 pandemic that could lead to the death of hundreds of thousands of Americans and infect millions of others, and we are entering an economic downturn that could be worse than the Great Depression of the 1930s.
Last week, 3.3 million Americans filed for unemployment. This week that number doubled to 6.6 million claims — ten times higher than any other week on record. It is certain that well over 10 million people have lost their jobs — more than in the Wall Street crash of 2008.
In this unprecedented moment in modern American history, it is imperative that we respond in an unprecedented way. And that means that Congress must pass, in the very near future, the boldest piece of legislation ever written in modern history.
There are many, many issues that must be addressed in our response to this pandemic, and working together, we will make sure they are addressed.
1. Addressing the Employment Crisis and Providing Immediate Financial Relief
There is little doubt in my mind that we are facing an economic crisis that could be even worse than the Great Depression. The St. Louis Federal Reserve has projected that 47 million more people may become unemployed by the end of June, with unemployment reaching 32 percent. In my view, we must make sure that every worker in America continues to receive their paycheck during this crisis and we must provide immediate financial relief to everyone in this country.
An important precedent for that approach was taken in the recent stimulus package in which grants were provided to the airlines for the sole purpose of maintaining the paychecks and benefits of some 2 million workers in that industry through September 30. We must expand that program to cover every worker in America and we must make it retroactive to the beginning of this crisis. This is not a radical idea. Other countries, such as the UK, Norway, Denmark, France, and others have all come up with similar approaches to sustain their economy and prevent workers from losing their jobs.
Our primary goal during this crisis must be to prevent the disintegration of the American economy. It will be much easier and less expensive to prevent the collapse of the economy than trying to put it back together after it collapses.
To do this, we must also begin monthly payments of $2,000 for every man, woman, and child in our country, and guarantee paid family leave throughout this crisis so that people who are sick do not face the choice of infecting others or losing their job.
2. We Must Guarantee Health Care to All
Let’s be clear: we were facing a catastrophic health care crisis before the pandemic, and now that crisis has become much, much worse. Already, 87 million people are uninsured or underinsured. Layoffs will mean tens of millions of people more will lose their current insurance — which will result in countless deaths and bankruptcies. Already in the last two weeks, an estimated 3.5 million people have lost their employer-sponsored insurance.
And as the pandemic grows, we are seeing more and more reports of people who have delayed treatment due to concerns about cost. In this pandemic, uninsurance will lead to deaths and more COVID-19 transmissions.
Therefore, during this crisis, Medicare must be empowered to pay all of the deductibles, co-payments and out-of-pocket healthcare expenses for the uninsured and the underinsured. No one in America who is sick, regardless of immigration status, should be afraid to seek the medical treatment they need during this national pandemic. Let me be clear: I am not proposing that we pass Medicare for All in this moment. That fight continues into the future. But, for the moment, we must act boldly to make sure everyone can get the health care they need in the coming months.
3. Use the Defense Production Act to Produce the Equipment and Testing We Need
Unbelievably, in the United States right now, doctors and nurses are unnecessarily putting their lives on the line treating people suffering from the coronavirus because they lack personal protective equipment like masks, gloves, and surgical gowns. The CDC has directed health professionals to use homemade gear like bandanas or scarves and some workers at the VA are being told to re-use one surgical mask for a week at a time. HHS estimated that our country needs 3.5 billion masks in response to this crisis.
President Trump has utilized the Defense Production Act thousands of times for the military and for enforcement of his immigration policies, yet he has resisted using its power to save lives during the pandemic. That is unacceptable. We must immediately and forcefully use the Defense Production Act to direct the production of all of the personal protective equipment, ventilators and other medical supplies needed.
We must also utilize this power to produce antibody tests so we can begin figuring out who has already contracted the virus and has developed some immunity to COVID-19.
In addition, OSHA must adopt a strong emergency standard to protect health care workers, patients, and the public during this crisis. We must crack down aggressively on price gougers and hoarders, and use any means necessary to secure supplies.
4. Make Sure No One Goes Hungry
Even before this crisis hit, one in every seven kids in America was going hungry and nearly 5.5 million seniors in our country struggled with hunger. Already in this crisis we see lines at food banks and growing concern that our most vulnerable communities and those recently unemployed may struggle to feed their families.
As communities face record levels of food insecurity, we must increase SNAP benefits, expand the WIC program for pregnant mothers, infants, and children, double funding for the Emergency Food Program (TEFAP) to ensure food banks have food to distribute, and expand Meals on Wheels and School Meals programs. When necessary, we must also develop new approaches to deliver food to vulnerable populations — including door-to-door drop offs.
5. Provide Emergency Aid to States and Cities
Even as state and local employees like police officers, firefighters and paramedics work on the front lines of this pandemic, states and cities that pay their salaries are facing enormous budgetary pressures.
Congress must provide $600 billion in direct fiscal aid to states and cities to ensure they have the personnel and funding necessary to respond to this crisis. In addition, the Federal Reserve must establish programs to provide direct fiscal support and budgetary relief to states and municipalities.
6. Suspend Monthly Payments
Even before this crisis, half of the people in our country were living paycheck to paycheck. In America today, over 18 million families are paying more than 50 percent of their income on housing. Now, with growing unemployment, families are facing financial ruin if we do not act quickly and boldly.
That’s why we must suspend monthly expenses like rent, mortgages, medical debt and consumer debt collection for 4 months. We must cancel all student loan payments for the duration of this crisis, and place an immediate moratorium on evictions, foreclosures, and utility shut-offs.
Brothers and sisters: In this unprecedented moment in our history it is easy to feel like we are alone, and that everyone must fend for themselves. But that would be a mistake and a terrible tragedy. Now, more than any other moment in our lives, we must remember that we are all in this together — that when one of us gets sick, many more may get sick. And when my neighbor loses their job, I may lose my job as well.
Further, we cannot wait until our economy collapses to act. It will be far easier and less expensive to act now, in a very bold way, than to try to rebuild our country later.
If we work together and unite behind these basic principles of economic and health justice, I am confident that we will not only get through this unprecedented crisis together but that we will lay the groundwork for a better and more just America in the future.
The proposal put forward by Sanders today is backed by several progressive groups.
“Half of Veterans are over age 65, and we disproportionately suffer from preexisting conditions and economic challenges which make the COVID-19 pandemic particularly devastating for our community,” Common Defense Director Alex McCoy said. “Meanwhile, countless workers at the Department of Veterans Affairs are making extraordinary sacrifices to save lives, while going without sufficient protective equipment. Senator Sanders’ plan for Phase 4 of COVID-19 response takes the bold steps which are absolutely essential to saving countless lives and preventing immeasurable economic hardship. We must immediately implement his proposals to provide Americans with a financial lifeline, and pivot our industrial capacity to produce sufficient supplies. We applaud Senator Sanders for demonstrating real leadership in this crisis and centering the tangible needs of ordinary people, while Donald Trump downplays the threat and weaponizes aid to give favors to his political allies and bail-outs to his favorite corporate CEOs.”
“Senator Sanders’ economic rescue principles speak to the bold, fast action needed to protect and support people, and prevent corporations from consolidating economic and political power amidst a crisis,” People’s Action Director George Goehl said. “We urge him to build on this strong framework by including a Rent Zero policy in the short term: no rent or mortgage payments during the crisis, no late fees, and no debts from housing obligations during the crisis.”
“Bernie’s plan for the fourth phase of a federal legislative response centers people, not corporations. It is about helping us survive with the cash assistance, healthcare, nutrition, worker safety we need, and relief from monthly payments we cannot make. It speaks to the needs of frontline workers who are battling the pandemic and making it possible for the rest of us to shelter in place, said Ana Maria Archila, Co-Director of Center For Popular Democracy Action. “Bernie is uniquely courageous in demanding and lifting up the inclusion of immigrants, recognizing that low-income communities of color will bear the worst of this crisis. His plan provides urgent and direct relief to those most vulnerable — addressing the gaps left by previous relief bills and creating a foundation for long-lasting recovery.”
“Governments all around the world are keeping people employed and on payroll by covering salaries if businesses commit to not cutting wages or laying people off,” Justice Democrats Executive Director Alexandra Rojas said. “Senator Sanders is leading the fight to bring that common sense model to our country when so many workers and small business owners are confronting a complicated Rube Goldberg machine just to get a little relief.”
“This moment of crisis exemplifies the detrimental impact failing to account for the needs and extend protections to the most vulnerable has on the health of all within our communities, said Javier H. Valdés, Co-Director of Make the Road Action. “Only through a comprehensive response that covers the immediate and future healthcare, economic and maintenance needs of all members of our society can we prevent greater loss of life and a deeper economic downturn. Make the Road will continue to fight alongside Senator Sanders to ensure the next phase of COVID-19 legislative response includes these provisions and an eye towards justice.”
“The current government response has left behind some of our most vulnerable neighbors including the homeless, the undocumented, the unbanked, and those without internet connections, said Marisa Franco, Founder and Director of Mijente. “The priorities outlined by Senators Sanders for the next Coronavirus Stimulus Package are what our country needs to ensure everyone in our community can access the financial and medical support needed to withstand this crisis. We stand with Senator Sanders in demanding a $2,000 monthly emergency payment, emergency food, and Medicare to every person in our country regardless of their housing situation, immigration status or whether they have a bank account or internet connection.”
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?
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.
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 ignoredand 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?
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.
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.
Governor Andrew M. Cuomo today announced the formation of a new
hospital network Central Coordinating Team to facilitate a more coordinated and
strategic approach among the state’s healthcare system in combating the
COVID-19 pandemic.
The program could become a model for other states, indeed, a model for a national approach to providing necessary personnel and equipment to address coronavirus hotspots as they emerge around the country as Cuomo called for unity.
The coordinating team will help implement the statewide
public-private hospital plan, which the Governor announced yesterday,
to share information, supplies, staff and patients among hospitals across the
State. The team will be responsible for organizing upstate to downstate
staffing; assisting Elmhurst Hospital and other stressed hospitals; setting
patient thresholds for hospitals; organizing patient transfers to other
hospitals and the USNS Comfort; coordinating State-City stockpiles
and individual hospital stockpiles; and facilitating staffing recruitment.
The team will be led by the State Department of Health and
includes the Westchester, New York City and Long Island healthcare systems, the
Greater New York Hospital Association and the Healthcare Association of New
York State. The team will also work with FEMA and the federal government.
Governor Cuomo also announced the State is launching
an online portal that will help connect hospitals and healthcare fasciitis
across the state with the nearly 80,000 healthcare workers who have volunteered
to work on a temporary basis during the COVID-19 pandemic. The portal will
prioritize the deployment of workers to hospitals with the greatest need;
volunteers are expected to be deployed as early as this Thursday.
“As we continue to battle the ongoing COVID-19 pandemic, we
have two missions – preparing our hospital system so it is not overwhelmed when
the apex of the curve hits and ensuring people stay home so they don’t get the
virus in the first place,” Governor Cuomo said. “We are
following the mathematical projections of the experts and preparing for the
main battle at the apex by procuring as much equipment as we can, increasing
our hospital capacity and supporting hospital staff. We met with the entire
state hospital system for the first time ever and established an unprecedented
new approach to work cooperatively as one unified, statewide healthcare
system to defeat this virus. This virus does not discriminate — no one is
immune to it — and people must continue to be cautious, think of others and not
leave their homes unless absolutely necessary.”
The governor soberly gave “the blunt truth of this situation”
saying: “Total number of people tested, 200,000. Population of 19 million,
is not going to give you a random sample, but it’s been helping us track down
on the positive cases. Number of positive cases, 9,298. Total cases 75,000
cases. You see the predominance in New York City, then Westchester, then
Nassau, then Suffolk, then Rockland. So you can see it’s that area of density.
It spreads out from that area of density. The march of coronavirus across the
State of New York continues. We’re down to just two counties that don’t have a
case. The overall numbers, 75,000 have tested positive. Ten thousand people in
our hospitals, 2,700 ICU patients. Good news, 4,900 – almost 5,000 –
discharged. That’s up 771. So people come in, they get treated, they go home.
“New York is at 75,000 cases. Next state is 16,000. California is
at 7,000. So you can see New York, there’s a magnitude of difference more than
any other state. Fifteen-hundred fifty deaths. That’s up from 1,218 yesterday.
Again, we’re studying the charts. We’re trying to study the data, follow the
data. The data is uneven. It bounces. Numbers often bounce in any model. There
are variables in this model. The hospitals are reporting it, so what every
hospital reported, were they busy, are they combining a couple of days in one?
It’s an imperfect reporting mechanism.
“You see the basic line is still up. What the statisticians will
tell you is you basically draw the straight line that columns indicate and you
see that we’re still going up which is what we see on the overall trajectory,
that we’re still going up. Number of intubations was down, not much, but it was
down and that’s a good sign. You also see the number of discharges going up and
that’s consistent. The longer people are in, they either get treated and leave
or they get put on a ventilator and the longer you’re on a ventilator, the less
likelihood you will come off the ventilator. That is the blunt truth of this
situation.”
With the realization that New York is still 14 to 30 days from
reaching the apex – that is, the peak of number of cases on a given day – after
which there would still be the descent before the crisis is ended, Cuomo said, “In
general, I am tired of being behind this virus. We’ve been behind this virus
from day one. The virus was in China. We knew it was in China. Unless we assume
there’s some immune system variation with Asian people, it was coming here and
we have been behind it from day one since it got here and we’ve been playing
catch-up. You don’t win playing catch-up. We have to get ahead of it. The
second rule is never underestimate your opponent, and we underestimated this
virus. It’s more powerful, it’s more dangerous than we expected, and the third
point is plan forward. Get ahead of it. Get ahead of it, fight the fight today,
yes, but anticipate the next battle and plan for the next battle.
“And the main battle is at the apex. We’re still going up the
mountain. The main battle is on the top of the mountain. That’s where the main
battle is going to be. The apex of the curve and then we come down the other
side of the mountain. We are planning now for the battle at the top of the
mountain. That’s what we are doing. Get a staffing plan ready now for the
battle at the top of the mountain. Equipment stockpile now – we’re gathering
equipment that we don’t need today because today is not the day of the battle.
The battle is when we hit the apex, depending on who you believe, 14 days to 30
days from today.
“And also we need a social acceptance of the time expectation.
We’re all anxious. We’re all tired, we’re all fatigued. It’s been all bad news
for a long time. Our whole lifestyle has been disrupted. Everybody knows wants
to know one thing, when is it over, nobody knows. Well, President said by
Easter; this one said by this – nobody knows. You can have a hypothesis, you
can have a projection, you can have an opinion but nobody knows, but I can say
this, it is not going to be soon. If our apex is 14 to 21 days, that’s our
apex. You then have to come down the other side of the mountain once you hit
the apex, so calibrate yourself and your expectations so you’re not
disappointed every morning you get up.”
Cuomo described the “balkanization” and “fragmentation” of the
state’s health care system – private hospital chains, public hospitals,
downstate and upstate, city and suburbs and rural communities, rich and needy
and now federal hospitals – and said that he was creating a network where
staff, supplies and patients would be allocated as needed.
“That has to be our mentality. We laid out a full plan on how to
do facility development, how to move people among hospitals so nobody gets
overloaded, shifting patients, shifting staff, shifting supplies. None of us
have enough supplies. Okay, then let’s pool our supplies and let’s put them out
for the people who need them. Just because one hospital happened to have found
a vendor from China who delivered 5 million masks, let’s share those masks.”
Getting ahead of the virus means gearing up for the projected apex
and stockpiling vital equipment like ventilators for the day when they will be
needed – a remark intended to blunt Trump’s veiled accusation that Cuomo was warehousing
4,000 ventilators while complaining that he needed 30,000.
And he continued to appeal for mass testing as critical to not
only determining who is sick, but who has the antibodies and therefore no
longer at risk.
The crisis ends, he said, “when we get a fast track test, an at
home test, 15-minute test, and people can find out when they can go back to
work because they’re negative. We’re working on additional testing. As I said,
the department of health has a new test, but that’s when this ends
“We’re also working on the new medications. We’re leading the
country in many of these developments. We have saliva testing. We’re working on
the antibody testing and plasma testing at the same time.”
Cuomo added, “We know what to do. We just have to do it. It is
individual discipline to stay at home. That’s what it
is, it’s discipline. No social distancing. It’s discipline. Well, I’m
bored. I know. I’m bored. It’s discipline. Making this healthcare system work,
that’s government skill, that’s government performance. That’s saying to that
healthcare system, I don’t care how it worked yesterday, I don’t care whose
turf this is, I don’t care whose ego is involved, I’m sorry, we have to find a
way to work, a better way. Time to say to that federal government and to FEMA
and HHS, you have to learn how to do your job, and you have to learn how to do
it quickly. Because time is not our friend. It’s about a social stamina. This
is not one week, two weeks, three weeks, four weeks, five weeks, six
weeks, okay? This is not going to be an Easter surprise. Understand that
and have the stamina to deal with it.
The coordination of the state’s health care system is but one step
in what Cuomo called for as “unity” – coordination and cooperation among
states.
“Let’s help one another. New York needs help now. Yesterday I
asked for healthcare workers from across the country to come here because we
need help. We will pay you, and more importantly, we will return the favor.
This is going to be a rolling wave across the country. New York, then it’ll be
Detroit, then it’ll be New Orleans, then it will be California. If we were
smart as a nation, come help us in New York. Get the equipment. Get the
training. Get the experience. And then let’s all go help the next place, and
then the next place, and then the next place. That would be a smart national
way of doing this. And showing that unity. And, unity meaning, we’re not, I
know this is a political year, and everything is a political backdrop, and
Democrats want to criticize Republicans, Republicans want to criticize Democrats.
Not now. Not now. There are no red states, there are no blue states. The virus
doesn’t attack and kill red Americans or blue Americans. It attacks all
Americans. And keep that in mind, because there is, there is a unifying wisdom
in that.”
The Governor confirmed 9,298 additional cases of novel
coronavirus, bringing the statewide total to 75,795 confirmed cases in New York
State – among them, the governor’s own brother, Chris Cuomo, who anchors a news
program on CNN. Of the 75,795 total individuals who tested positive for the
virus, the geographic breakdown is as follows:
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