Tag Archives: healthcare

Coronavirus Pandemic, Economic Policies, Economy, Health Care, News & Photo Features, NYS Acts to Contain Coronavirus

NYS Governor Cuomo: ‘We’re working on every level. Every pistol is firing. Everything that can be done is being done.’

Governor Andrew Cuomo tours Northwell Health Laboratories on Long Island to urge CDC to allow private labs to test for coronavirus using automated systems to better monitor and contain the spread of COVID-19 © Karen Rubin/news-photos-features.com

Cuomo: “My last point is practice humanity. We don’t talk about practicing humanity, but now if ever there is a time to practice humanity the time is now. The time is now to show some kindness, to show some compassion to people, show some gentility – even as a New Yorker.”

Trump has played a pathetic game of catch-up to the actual task of getting Americans through the coronavirus pandemic as best as possible, with as few deaths and as little destruction to the economy and society as possible. While he has proved a mendacious inept clog, true leadership has been demonstrated by Governors, especially New York Governor Andrew Cuomo. His press availability today, in which he gave updates on his nonstop effort to increase hospital capacity and obtain necessary protective equipment and medical supplies in anticipation of a surge of patients, was heartening to New Yorkers. It was a speech that hearkened to Franklin Delano Roosevelt, who was Governor of New York before he was President, leading the nation through the Great Depression and later through World War II.  This is a rush transcript of the Governor’s remarks:

Good morning. Happy Saturday. Welcome to the weekend. I want to give you an update and briefing on where we are today and then we’re going to go out and do some real work, get out of this building before we get cabin fever. You know the people who are here today. From my far right, Simonida Subotic who is in charge of managing supplies which is a major function for us, Robert Mujica, Director of Division of the Budget, Melissa DeRosa, Secretary to the Governor, the great James Malatras who has been a tremendous help here.

Go through the facts, the numbers are still increasing. We have been seeing that. That’s the line that we’re tracking. This is all about the increase in the number of cases and managing the increase in the number of cases to the capacity of our health care system. What are we doing? We’re reducing the spread and the rate of the spread to match the increase in the number of cases and increasing hospital capacity at the same time – just how do our hospitals manage the rate of the spread.

We’re trying to reduce the spread to over a period of months. Over a period of months our healthcare system can deal with the numbers. We have moved to zero non-essential workers. You can’t go below zero so we’re doing everything we can there and we put out new rules on personal conduct and what people should be doing and how they should be behaving and where they should be.

Matilda’s Law which is for the vulnerable population, senior citizens, people with compromised immune systems, underlying illnesses – that was very specific. As I mentioned we named it for my mother Matilda because I went through this with my own siblings. How do we help mom? Where do we bring mom? There was a difference of opinion. The best health professionals put together guidelines that not only help senior citizens but also their families who are trying to deal with this. I know it was helpful to my family and the question among siblings these laws and guidelines answered. I don’t want to mention which sibling but it turns out that he was wrong.

The personal conduct rules and regulations are also very helpful. I want to thank Dr. Fauci who is really an extraordinary American and has given me great guidance and help and assistance in putting together these policies so I’d like to thank him and we’re doing those.

We’re working on every level. Every pistol is firing. Everything that can be done is being done. New Yorkers are lucky. We have a very experienced team that’s doing this. This is not their first rodeo. They’ve been through a number of emergencies on a number of levels.

Increasing hospital capacity – we want to get the capacity of 50,000 thousand up to a minimum of 75,000. We told the hospitals we’re going to be ending elective surgeries. We are now working with hospitals to reconfigure the space in the hospital to get more beds and to find more staff to manage those beds. We’re working on building new beds. We’re going to go out and review a number of sites today. I’d like to give the final list to the federal government and the Army Corps of Engineers today but we’re looking at Javits, SUNY Stony Brook, SUNY Westbury, the Westchester Convention Center, and I’m going to go out and take a look at those sites today or the ones I can get to. That would give us a regional distribution and a real capacity if we can get them up quickly enough and then increasing supplies which is one of the most critical activities.

We are literally scouting the globe looking for medical supplies. We’ve identified 2 million N-95 masks which are the high protection masks. We have apparel companies that are converting to mask manufacturing companies in the State of New York in all sorts of creative configurations and I want to thank them. I put out a plea yesterday to ask them for help and we’ve been on the phone with all sorts of companies who are really doing great work. We’re also exploring the State of New York manufacturing masks ourselves.

We’re going to send 1 million N95 masks to New York City today. That’s been a priority for New York City and 1 million masks won’t get us through the crisis but it’ll make a significant contribution to New York City’s mask issue and I want to thank Mayor de Blasio for working in partnership. We’re sending 500,000 N95 masks to Long Island. We’ve been working with County Executive Laura Curran and County Executive Steve Bellone and I want to thank them.

We’re gathering ventilators. Ventilators are the most important piece of equipment and the piece of equipment that is most scarce. We’re gathering them from all different health facilities across the state and then we’re going to use those in the most critical areas. We also identified 6,000 new ventilators that we can actually purchase so that’s a big deal.

From the federal government’s point of view I’ve spoken to the President a number of times. I spoke to the Vice President a number of times. They’ve issued a federal disaster declaration which is a technical act by the federal government but what it basically does is it allows the federal emergency management agency called FEMA to step in and assist financially. By that declaration FEMA would pay 75 percent of the cost of a disaster. New York State would pay 25 percent of the cost. The federal government can waive the 25 percent of the cost. I’m asking them to waive that 25 percent in this situation. I’ve worked on many disasters, FEMA has waived the 25 percent. If there’s any situation where FEMA should waive the 25 percent, this is the situation.

We’re also working with the federal government. We’re requesting 4 field hospitals at 250 capacity each. That would give us 1000 field hospital beds. We’re going to be looking at Javits as a location for those field hospitals. We’re also requesting 4 Army Corps of Engineers temporary hospitals. Those are the sites I mentioned earlier that I’m going to take a look at. The SUNY Stonybrook, Westbury, Westchester Convention Center and also Javits. Javits is so big that it can take the 4 field hospitals and an Army Corps of Engineers temporary hospital. We’re also requesting assistance with medical supplies which has been a very big topic of conversation all across the country. 

We’re also asking our federal congressional delegation to fix a law that was passed on the coronavirus federal aid because of a technical issue the way the bill was written, New York State does not qualify for aid. That’s over $6 billion, that is a lot of money and we need the federal delegation to fix that bill otherwise New York State gets nothing. New York State has more coronavirus cases than any state in the United States of America. That we should not be included in the bill, obviously makes no sense. 

We’re also going to conduct immediately trials for the new drug therapy which we have been discussing. I spoke to Dr. Zucker about it. There is a theory that the drug treatment could be helpful. We have people who are in serious condition and Dr. Zucker feels comfortable, as well as a number of other health professionals, that in a situation where a person is in dire circumstance, try what you can. The FDA is going to accelerate to New York 10,000 doses. As soon as we get those doses we will work with doctors, nurses and families on using those drugs and seeing where we get. 

I spoke to the President, he spoke to this drug therapy in his press conference yesterday and I spoke to him afterward. I said that New York would be interested and we have the most number of cases and health professionals have all recommended to me that we try it, so we’ll try it.  We’re also working on a number of other drug therapies, an anti-body therapy, a possible vaccine. We have a company here in New York called Regeneron that’s really showing some promising results. I exempted them from the no work order, because they couldn’t possibly have a really significant achievement for us. The new numbers, the more tests you take, the more positives you find, and I give this caution because I think people misinterpret the number of new cases. They take that number of new cases as if it is reflective of the number of new cases, the spread. It is not. The number of new cases is only reflective of the number of cases you are taking, right. Where our goal is to find the positive cases, because if we find a positive case we can isolate that person, and that stops the spread. So we’re actually looking for positives. The more tests you take, the more positives you will find.

We are taking more tests in New York than anyplace else. We’re taking more tests per capita than China or South Korea. We’re also taking more tests than any state in the United States of America. That is actually a great accomplishment. Because if you remember back, two weeks, which seems like a lifetime now, the whole question was coming up to scale on tests. How do we get the number of tests up and how do we get it up quickly? I spoke to the president and the vice president and said decentralize the testing, let the states do it. I have 200 labs. I can mobilize quickly. Let us do the tests. They agreed. We’re doing more tests than any state, so for example, we’ve done 45,000 tests. California has done 23,000, Washington has done 23,000, so you see how many more tests we are doing. And again, I credit the team that’s working here, because this is exactly what the mandate was. Perform as many tests as quickly as you can, and that’s the drive-thrus we’ve put in place, the hospital management, et cetera. So our numbers should be higher. And they are.

Total number of positive cases now is up to 10,000, number of new cases has increased by 3,000, let’s go back in case you can’t read as fast as I can read. 6,000 New York City, 1,300 Westchester, 1,200 in Nassau. You see the Westchester number is slowing. We did a New Rochelle containment area. The numbers would suggest that that has been helpful. So I feel good about that. You see Nassau increasing, you see Suffolk increasing. So that’s just the wide spread increase that we have been anticipating. But our hotspot of Westchester is now slowing, and that’s very good news. New York City, it is the most dense environment. This virus spreads in density, right. And that’s what you’re seeing in New York City, obviously, has many more people than any other specific location in the state. Number of counties are increasing. You see the blue. I said to you early on that blue is going to take over the whole state, just the way every state in the United States has now been covered. Most impacted states, you look at the cases in New York is 10,000, Washington, California, 1,000 each. Does that mean that we have ten times the number of cases as California or Washington? Or does that mean we’re doing more tests than California or Washington? The truth is somewhere in the middle, and nobody can tell you. Total number of people tested, we’re up to 45,000. Number of new tests. This is a rate that we watch. What is the rate of hospitalization? Again, because this is all about hospital capacity, right, 1,500 out of 10,000, it’s roughly 15 percent of the cases. It’s been running about 14, 15. It’s gone as high as 20 percent, 21 percent. So actually 15 percent rate of hospitalization is not a bad number. It’s actually down from where it was. The more refined number is, of those who are hospitalized, how many require the ventilators, because the ventilators are the piece of equipment that is most scarce. That’s the next refinement of these numbers that we have to do.

And again, the context on the numbers is important. We’re talking 10,000 et cetera. You look at any world health organization or the NIH, or what any of the other countries are saying. You have to expect that at the end of the day, 40 percent to 80 percent of the population is going to be infected. So the only question is, how fast is the rate to that 40 percent, 80 percent, and can you slow that rate so your hospital system can deal with it. That is all we’re talking about here. If you look at the 40 to 80 percent, that means between 7.8 million and 15 million New Yorkers will be affected at the end of the day. We’re just trying to postpone the end of the day. Again, perspective, Johns Hopkins, this is not a science fiction movie. You don’t have to wait to the end of the movie to find out what happens. Johns Hopkins has studied every case since it started, 284,000, 11,000 deaths, almost 90,000 recoveries, 183,000 still pending. Which tracks everything we know in the State of New York. Our first case, first case, healthcare worker, 39-year-old female who was in Iran. She went home, she never went to a hospital, she recovered, she’s now negative. You get sick, you get symptoms, you recover. That is true for the overwhelming number of people. Again, context, people who died in the flu, from the flu, in 2018-2019: 34,000 Americans. 34,000, so when you hear these numbers of deaths, keep it in perspective. 34,000 people died of the flu. Over 65, 74 percent of the people were over 65. 25 percent were under 65. So, if you have an underlying illness, you catch the flu, you can die. More likely if you have an underlying illness, senior citizens, et cetera, but not necessarily. You have 25 percent under 65 years old die from the flu.

Also, in terms of context, perspective. Don’t listen to rumors. I mean, you have such wild rumors out there, and people call me with the craziest theories. Just, I understand there’s anxiety and stress, but let’s remember some basic context and facts. Society functions. Everything works. There’s going to be food in the grocery stores. There’s no reason to buy a hundred rolls of toilet paper. There really isn’t. And by the way, where do you even put a hundred rolls of toilet paper? The transportation system functions. The pharmacy system functions. These things are all going to work. Nonessential workers, stay home, but the essential workers are staying home, especially the healthcare workers. There is not going to be any roadblock when you wake up in the morning that says you can’t leave this place, you can’t leave that place, right? So if you have a real question, because you think there’s a real concern from a credible source, contact my team. We have a special website: coronavirus.health.ny.gov, and ask the question and you will get a real, truthful, factual response.

I have not hidden anything from the people of this state. I have not tilted facts. Franklin Delano Roosevelt, the American people deserve the truth, they can handle the truth, give them the truth. When they don’t get the truth and if you don’t get the facts, that’s when people should get anxious. If I think I’m being deceived or there’s something you’re not telling me, or you’re shading the truth, now I’m anxious. Everything I know, I’ve told you, and I will continue to tell you, and these are facts, and you hear a rumor, and you want to check it out, go to that website, these are people who work for me directly, and you will have the truth. We do have an issue with younger people who are not complying, and I’ve mentioned it before but it’s not getting better. You know, you can have your own opinion. You cannot have your own facts – you want to have an opinion, have an opinion, but you can’t have your own facts. “Well young people don’t get this disease.” You are wrong – that is not a fact. 18-49 years old are 54 percent of the cases in New York State. 54 percent. 18-49 years old. So you’re not Superman, and you’re not Superwoman, you can get this virus and you can transfer the virus and you can wind up hurting someone who you love or hurting someone wholly inadvertently. Social distancing works and you need social distancing everywhere. There’s a significant amount of non-compliance, especially in New York City, especially in the parks – I’m going to go down there today, I want to see what situation is myself, but it has to be stopped because you are endangering people and if it’s because of misinformation, if it’s because of noncompliance, I don’t care frankly – this is a public health issue and you cannot endanger other people’s health. You shouldn’t be endangering your own. But you certainly have no right to endanger someone else’s.

This is my personal opinion, this is not a fact, you know to me it’s very important in a situation like this, tell me the facts and then tell me your opinion – this is my opinion. We talk about social responsibility, especially young people talk about social responsibility and they should – we pass a lot of legislation in this building, groundbreaking legislation, national firsts, on economic rights, highest minimum wage in the United States of America, human rights, first state to pass marriage equality, which I believe was a human rights issue, we talk about environmental responsibility and this state has the most aggressive environmental laws in the United States of America and I am proud of it, but I also want people to think about the social responsibility when it comes to public health. We haven’t talked about it before, not really a field, it’s not really an issue, it’s not really a hashtag, but social responsibility applies to public health just as it applies to human rights, and economic rights and environmental rights – public health, especially in a moment like this, is probably most critical.

So let’s think about that and let’s act on that. In this crisis, think of yourselves, we are all first responders – your actions can either save or endanger a life, so we are all first responders. What’s going to happen? We’re going to get through this. We don’t know how long it’s going to take us to get through this. Fact is we’re trying to slow the spread of the virus to a number of months so the healthcare system can deal with it, so therefore by definition it’s going to be a number of months. I know people want to hear, “It’s only going to be a matter of weeks and then it’s going to be fine.” I don’t believe it’s going to be a matter of weeks. I believe it is going to be a matter of months, but we are going to get through it, and how long and how well it takes us to get through it is up to us. It depends on what we do – you know when you’re sick and you say to the doctor, “Well how long until I get better?” And the doctor says, “It depends on what you do. If you follow the advice, you’ll get healthy faster, but it depends on what you do.” This depends on what we do. China is now reporting no news cases. Let’s assume that’s true – look at that trajectory, look at that turnaround, look at what they did, we do have data we can follow. So how long is it going to take? It depends on how smart and how we responsible are and how diligent we are. You tell me the percentage of compliance and intelligence and discipline on social disciplining et cetera? I’ll tell you how long it takes for us to get through it.

Also something that people aren’t really talking about but I think we should start talking about – we talk about the economic consequences of this situation and they are going to be significant, and we are going to have to deal with it and New York will be right on top of it and as aggressive as we are with everything else. But economic consequences come second – first, is dealing with this crisis. We talk about the economic consequences but we also need to talk about the social consequences. There is no Dow Jones index that we can watch on the screen that is measuring the social consequences and the social decline. But the stress, the anxiety, the emotions that are provoked by this crisis are truly significant, and people are struggling with the emotions as much as they are struggling with the economics. And this state wants to start to address that. I’m asking psychiatrists, psychologists, therapists who are willing to volunteer their time to contact the state and if this works out I would like to set up a voluntary network where people can go for mental health assistance where they can contact a professional to talk through how they are feeling about this. They are nervous, they are anxious, they are isolated. It can bring all sorts of emotions and feelings to the surface. When you are isolated you do not have people to talk to.

So I am asking the professional mental health establishment to contact us. Let us know that you are willing to volunteer time. It would obviously be all electronic. It would not be in person. It would be telephone, it would be Skype, etc. But I would ask you to seriously consider this. Many people are doing extraordinary things during this public health crisis. I ask the mental health community, many of them are looking for a way to participate, this is a way to participate. And if we get enough mental health professionals willing to volunteer their time, we will set up a mental health electronic help center. And we will talk more about that the next few days.

What happens besides how long? What happens? The bigger question to me is what do we learn about ourselves through this? As a society, we have never gone through this. We have never gone through a world war. We have not gone through any great social crisis. Here in New York, we went through 9/11 which I think is relevant in terms of some feelings that people are now experiencing. 9/11 transformed society. I was there. I was part of it. You were never the same after 9/11. You had a sense of vulnerability that you never had before which I feel to this day. There was a trauma to 9/11. But as a society, as a country, we have been blessed in that we have not gone through something as disruptive as this.

So what do we learn about ourselves? I think what we are saying already is a crisis really brings out the truth about ourselves first of all and about others. And your see people’s strengths and you see people’s weaknesses. You see society’s strengths and you see society’s weaknesses. You see both the beauty and the vulnerability. You see the best in people and you see the worst in people. You see people rise to the occasion and you see people fall from the burden of the emotion. So, I think – You take a step back.

Coronavirus Pandemic, Governor Andrew Cuomo, Health Care, NYS Acts to Contain Coronavirus

NYS Governor Announces Efforts to Dramatically Increase Hospital Capacity, Medical Supplies to Address Anticipated Surge in Covid-19 Patients

Governor Andrew Cuomo, with Dr. Howard A. Zucker, the state’s Health Commissioner, and Northwell Health’s CEO Michael J. Dowling. The Governor announced new efforts to expand hospital capacity and increase the state’s supply of personal protective equipment © Karen Rubin/news-photos-features.com

Governor Will Visit Sites – Jacob K. Javits Convention Center, SUNY Stony Brook, SUNY Old Westbury & Westchester Convention Center

Announces New Actions to Increase State’s Supply of Personal Protective Equipment

Issues Executive Order Temporarily Closing DMV In-Office Transactions; Online Transactions Still Available

Announces FEMA Granted New York’s Request for Major Disaster Declaration

Asks New York’s Congressional Delegation to Fix the Coronavirus Federal Aid Law that Currently Exempts New York from Receiving Aid

Department of Health Commissioner Recommends Trials for New Drug Therapy

New Yorkers Can Sign Up for Email Updates Here and Ask Questions About COVID-19 Here

New Yorkers Can Find More Information About the New COVID-19 Paid Sick Leave Law Here

Governor Andrew M. Cuomo today announced the recommendation of the Army Corps of Engineers regarding four initial sites in New York State for locating temporary hospitals – the Jacob K. Javits Convention Center, and locations at SUNY Stony Brook, SUNY Old Westbury and the Westchester Convention Center. Over the past days, an inspection team led by the Army Corps of Engineers, and including state officials from the Office of General Services, the Dormitory Authority of the State of New York, the Department of Health and the New York State Division of Military and Naval Affairs, has visited more than a dozen sites to review for temporary hospital use. Upon the Governor’s determination, the Army Corps is expected to immediately begin work to construct the temporary hospitals. The Governor is also requesting FEMA designate four field hospitals with 250 beds each for the state, intended for use in the Javits Center in addition to the temporary hospital to be constructed by the Army Corps.

Governor Cuomo also announced that the state is taking new actions to increase the supply of personal protective equipment – or PPE. The state has identified two million N95 masks for purchase and will send one million to New York City and 500,000 to Long Island. Apparel manufacturers in the state are converting their operations to begin manufacturing masks and other medical equipment, and the state is also exploring manufacturing masks. Additionally, the state is gathering ventilators from different health facilities from across the state to be used in the most critical areas and has already purchased 6,000 additional ventilators.

The Governor also issued an executive order temporary closing the Department of Motor Vehicles for all in-office visits. Online transactions, including for license renewals, are still be available. License and permit expirations will be extended.

The Governor also announced that federal government approved New York’s request for a major disaster declaration that allows FEMA to step in financially and assist the state. Under the current declaration FEMA will pay 75 of the funding and New York is responsible for 25 percent. The Governor is urging the President and his administration to grant a 100 percent federal cost share under this declaration. The Governor urges the federal government to quickly grant the state’s pending request to support homeowners through additional individual assistance programs and statewide hazard mitigation assistance.

The Governor is also asking New York’s Congressional delegation to modify federal coronavirus legislation to ensure New York is eligible for $6 billion in aid. Due to a current technical issue in the bill, New York State is not eligible to receive aid.

Additionally, the Governor announced that State Department of Health Commissioner Dr. Zucker has recommended trials for new drug therapy to help combat COVID-19. The FDA is acquiring 10,000 doses of Hydroxychloroquine and Zithromax for New York State to use on a trial basis.

New Yorkers can sign up to receive daily email updates on the evolving COVID-19 situation here and can ask questions about COVID-19 here. New Yorkers can also find more information about the new COVID-19 Paid Sick Leave Law here.

“Every day we see the number of cases of novel coronavirus continue to rise, and we know that by all projections we’re going to have more hospitalizations than we can deal with in our healthcare system,” Governor Cuomo said. “We have a plan of action to help stop the spread of this virus, including expanding hospital capacity and identifying new hospital beds, and after meeting with the Army Corps of Engineers and hearing their recommendations, we stand ready for the building of temporary hospitals at four facilities in New York State. This is a public health crisis, but worse than the virus is the fear, but we have a plan and we are doing everything we can to keep the people informed and save lives.”

Coronavirus Pandemic, Democrats 2020, Economic Development, Economic Policies, Economy, Election 2020, Health Care, News & Photo Features

Sanders: Coronavirus Crisis Points to Urgent Need for Fundamental Changes to Economy, Healthcare System

Senator Bernie Sanders on the coronavirus pandemic: “In this moment of crisis, more and more people understand that we need fundamental changes to our economy, and we need fundamental changes to our healthcare system.” © Karen Rubin/news-photos-features.com

BURLINGTON, Vt. – Sen. Bernie Sanders gave remarks regarding the lessons we can learn from the growing coronavirus outbreak.  This is a rushed transcript provided by the Sanders campaign:

Good afternoon everyone, thank you for being here. In the midst of a major healthcare and economic crisis currently facing our country, I’d like to take a few minutes to talk about the lessons we can learn long-term about what we are experiencing today.  

As I discussed yesterday, our country is facing, as everybody knows, a medical and economic crisis, the likes of which we have not seen for generations. And we must prepare for this response in an unprecedented way, making certain that our government responds effectively, and protects the interests of all our people regardless of their income, or where they live. In other words, this is not just about giving tax breaks to large corporations, but about remembering the people today who don’t have much money, who are nervous about their economic futures and healthcare prospects. 

Needless to say we must massively increase the availability of test kits for the coronavirus and the speed at which the tests are processed. We need to anticipate significant increases in hospital admissions, which means that we will need more ICU units and ventilators, we will need more doctors, nurses, and medical personnel of all kinds – and we must make sure that these frontline personnel are well protected from the diseases they are treating. I have talked to nurses recently who worry very much about whether they are getting the kind of knowledge and equipment they need so that they do not get sick. 

We need to significantly improve our communications and collaboration with other countries to ensure that we are learning everything that we can about the successes and failures of other countries as they deal with this crisis. And furthermore, we must be honest with the American people and communicate as effectively and directly as we can with all of the scientific information that we can provide. 

Further, and most importantly, our response to this entire crisis must be guided by the decisions of doctors, scientists, and researchers, not politicians.  

But as we struggle with this crisis, it is also important that we learn the lessons of how we got to where we are today, and what we must do in the future so that we are better prepared for similar crises that may come.  

Poll after poll already shows us that the American people understand that we must do what every other major country on earth does, and that is to guarantee healthcare to all of our people as a human right, not a privilege. As we begin to see the failures and vulnerabilities of the current healthcare system, my guess is that those numbers and the demand for universal healthcare will only go up. 

The American people are asking: how is it possible that we spend twice as much per capita as the people of Canada and other major countries, while 87 million of us are uninsured or underinsured.  

And obviously, in this crisis, and unbelievably, it means that people who are sick today, people who woke up this morning with symptoms of the coronavirus, are saying, “you know I feel sick but I cannot afford  to go to a doctor.”  And when somebody is not treated for the virus – somebody who is unable to afford to go to that doctor – that means that that infection can spread to many others, putting us at risk.

So it’s not just a question that in normal times – tragically, unbelievably – that we lose 30,000 people a year because they don’t get to doctor on time, but now the lack of healthcare threatens other people as well. 

How could it be, that when we spend so much more than what other countries are spending, we have millions of people who may be dealing with the virus but they cannot go to the doctor because they can’t afford it? That is a question that must resonate in every American’s mind.   

If this isn’t a red flag for the current dysfunctional and wasteful healthcare system, frankly I don’t know what is. 

For the benefit of all of us, we must make sure that every person in this country who needs to seek medical treatment can go to a doctor free of charge regardless of their income. That is obviously what we must do now in the middle of a crisis, but it is what we must do as a nation in the near future. 

Here are just a few instances about how absurd and dysfunctional our current healthcare system is. 

It has been estimated that a full battery of tests for the coronavirus costs over $1,300.  First of all, take a look at that – $1,300 to get the test people need to have to know if they have the virus or not. 

In America today, 40% of our people don’t have $400 in the bank to pay for an emergency expense. We have half of our people living paycheck to paycheck. 

If their car breaks down they can’t afford to get it fixed, and if somebody tells them it costs $1,300 for the test to determine whether you have the coronavirus if they’re sick, what are they supposed to do? What happens to them?  

How can someone without insurance afford to pay $1,331 to get tested when they don’t even have $400 in the bank? What are they supposed to do? What happens to them?  Do they go to a payday lender where the average interest rate is over 390%? Do they borrow money from their family? Or do they go without the test? Which every doctor in the world will tell them is a test they should have.  

And while the Trump administration says it may cover co-pays to cover the cost of testing for those who have insurance, they will not cover the cost of treatment – which could cost tens of thousands of dollars.  

How cruel is that? How absurd is that? To say to people, “we’re sorry you have coronavirus, we covered the cost of the test, but now you’re on your own and it’s going to cost tens of thousands of dollars to get treated.” That is totally absurd. 

Clearly what we need to do is to make sure that if someone has the coronavirus that person gets the treatment that they need.  

In other words, our current system leaves people uninsured, but even if you have insurance you may not even have the ability to travel to a doctor near you. 

Because now we’re talking about a system in which many rural hospitals have closed down and they cannot find a doctor in their communities. 

The reality today, and this is an issue we must to deal with, is that we don’t have enough doctors, we don’t have enough hospitals, and we don’t have enough clinics in rural communities and inner cities.   

Further, we are in a situation when we desperately need affordable prescription drugs, yet we have a pharmaceutical industry that continues to make billions in profits by charging outrageous prices for prescription drugs, sometimes 10x more in this country than in other countries.   

In my view, the most cost effective way to reform our dysfunctional and cruel system is to move to a Medicare for All, single-payer healthcare system.

And I think in the midst of this crisis, more and more Americans understand the truth of that.  

It is nearly impossible to believe that anyone can still think it’s acceptable to continue with a healthcare system that leaves tens of millions of people uninsured. The cruelty and absurdity of that view is more obvious in the midst of this crisis than it has ever been.   

And let’s be clear. Lack of healthcare and affordable medicine does not only threaten the healthcare and well-being of the uninsured. It threatens everyone who comes in contact with them.

In fact, what this crisis is beginning to teach us is that we are only as safe as the least insured person in America. 

Further, we are the only major country on earth that does not mandate paid family and medical leave. And we’re seeing how that crisis is impacting where we are today.  

As we speak, there are millions of workers — right now — who are being told to go to work, yet they may be ill and should be staying home. 

But these very same families will face financial ruin if they don’t go to work. These are workers in the restaurant industry, transportation industry, tourism, retail — in other words the people who interact with the public every single day.  

Right now, at a time when half of our people live paycheck to paycheck, and at a time of massive wealth and income inequality, we must directly address the economic desperation facing a huge number of Americans. 

So we must finally pass a paid family leave program in the United States to keep this virus from spreading and to keep Americans healthy.  

We must do it right now. 

People should not be going to work when they are sick, it is unfair to them, it is unfair to the people they are in contact with. And yet, that reality exists, because we are the only major country on earth not to guarantee paid family leave and sick time.

Finally, from a national security perspective, it is incomprehensible that we are dependent on China and other countries for masks, for prescription drugs, for rubber gloves, and for key parts needed to make advanced medical equipment like ventilators.

As a result of globalization and our disastrous trade policies, we have been outsourcing millions of jobs and factories overseas that have gutted our economy. Now we are seeing another tragic and devastating result of those policies, as we find ourselves dependent on other countries to provide the most essential things we need to combat a pandemic and protect the lives of the people in our country.

Now trade is a good thing, but it has to be based on common sense principles. It has to be based on protecting American workers and protecting our national security, making sure we are producing what we need in this country in the event of a national crisis.

Now is the time to begin bringing back production and manufacturing to the United States and enact fair trade policies so that we are never in this position again. 

Now here is the bottom line. As we are dealing with this crisis, we need to listen to the scientists, to the researchers, and to the medical professionals, not politicians. 

We need to move quickly to prepare for the exponential increase of cases we will be seeing here in our country.

But as we do that, we must begin thinking about how, as a society, we can create a healthcare and economic system that is humane, that is compassionate, and that works for all people, not just the wealthiest.

Now that is an issue that people have had to think about for a long time, but I think in this moment of crisis more and more people understand that we need fundamental changes to our economy, and we need fundamental changes to our healthcare system.

Democrats 2020, Economic Policies, Economy, Election 2020, Health Care

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

Senator Elizabeth Warren released her plan to take decisive action on the coronavirus pandemic to both keep American families healthy and stabilize the economy. © Karen Rubin/news-photos-features.com

In contrast with the disjointed, chaotic, ineffective, politicized handling to stem the coronavirus pandemic offered by the Trump Administration still more concerned about the stock market than lives (Trump suggested a new benchmark, that since as many as 65,000 people die each year from seasonal flu – “Who knew? I find that amazing” – that anything less would be considered victory), every Democratic candidate to replace Trump has demonstrated more effective leadership. Trump has honed in on pushing the Federal Reserve to lower interest rates, and for further tax cuts which will do nothing to address the actual global economic impacts of a pandemic – curtailed production and consumer demand as well as general business uncertainty –  Senator Elizabeth Warren released her plan to take decisive action to both keep American families healthy and stabilize the economy. This is from the Warren campaign:

Charlestown, MA – Today, Elizabeth Warren released her plan to take decisive action to keep American families healthy and stabilize our economy as the virus spreads. 

Elizabeth Warren’s plan will: 

Ensure that every American — including the millions of Americans who are uninsured — can get all recommended evaluation and care for coronavirus for free, including any recommended coronavirus vaccine once it is developed.

Create an emergency paid leave program so that anyone who meets the CDC’s description of relevant symptoms of coronavirus or is exposed and placed under quarantine can get fully paid time off of work to consult a doctor and recover—or provide care to a family member or other dependent who requires it.

Enact at least a $400 billion fiscal stimulus package to head off the potential economic impact of coronavirus.

Elizabeth discussed these concrete solutions to the coming economic shocks of coronavirus at a town hall in Houston over the weekend. The plan released today builds on her comprehensive plan to prevent, contain, and treat infectious diseases outbreaks like coronavirus she released more than four weeks ago — before any of the other candidates, or the incumbent in the White House.
 
Read her plan here and below.
 
Protecting our People and our Economy from Coronavirus
 
Coronavirus is a public health emergency and a serious threat to the American economy. While it’s important that our leaders communicate calmly and clearly about the situation to avoid unnecessary panic, it’s just as important that we take decisive action to keep American families healthy and stabilize our economy as the virus spreads.
 
Coronavirus is already hitting other countries hard. Major cities in China have been effectively shut down for weeks. Japan just announced that it was closing schools for about a month. The number of confirmed coronavirus cases in Italy, Iran, and South Korea continues to grow.
 
And now coronavirus is here. This weekend, the U.S. experienced its first death from the virus and there are at least two coronavirus cases of apparent local origin in California, two in Washington, and one in Oregon. Firms like Amazon have suspended non-essential employee travel in the United States and US film and TV productions have cancelled or suspended shoots. 
 
Weeks ago, I was the first presidential candidate to put out a plan to address the public health effects of coronavirus. And with Republicans insisting that we cut spending elsewhere to cover the cost of coronavirus response, I introduced a bill in the Senate to immediately move the billions of dollars taxpayers are spending on Donald Trump’s useless border wall to coronavirus preparedness instead.
 
But it’s clear that we must do even more to contain the spread of the virus and to address the economic damage it is creating. The Dow Jones dropped nearly 12% last week — its worst week since the 2008 financial crisis — but the plummeting stock market is just the tip of the iceberg. Small businesses that rely on overseas production are suffering. American exporters in agriculture and forestry are losing access to valuable overseas markets. Tourism is down sharply.
 
Supply chain disruptions due to halted production in China and elsewhere will ripple through the economy for months, especially in critical industries like automobiles and electronics. And coronavirus has exposed a critical weakness in our drug supply chain. Active pharmaceutical ingredients are the chemical components of drugs that make them work—and a significant portion of them are manufactured in China, which means supply chain disruption may eventually cause drug shortages in the U.S.
 
Analysts now project that American companies will generate zero earnings growth in 2020 because of coronavirus. And if the coronavirus reaches global pandemic levels, experts predict that it could lead to a recession in the US and across the globe.
 
The Trump Administration response has been a mess. The President has put Vice President Mike Pence in charge of coordinating the response — the same man who ignored scientific experts and presided over a public health emergency as Governor of Indiana. Instead of buckling down and working on our response after being put in charge, Pence promptly spoke at a right-wing conference and jetted off to Florida for a Republican fundraiser. Meanwhile, the Trump Administration appears to have no ideas for dealing with the widespread economic effects of coronavirus except more tax cuts.
 
I rang the warning bells for years before the 2008 crisis. Quicker action during the Bush Administration could have reduced the severity of the crisis — or averted it entirely. While we still don’t know the full scope of the public health and economic impact of coronavirus, and even further actions may be necessary in upcoming months, we should take the following steps right now to limit the spread of the virus and get ahead of its economic impact:

Ensure that every American — including the millions of Americans who are uninsured — can get all recommended evaluation and care for coronavirus for free, including any recommended coronavirus vaccine once it is developed.

Create an emergency paid leave program so that anyone presenting with the symptoms of coronavirus, or who has a family member or other dependent presenting with the symptoms of coronavirus, can get fully paid time off of work to see a doctor, get treatment, or provide care.

Enact at least a $400 billion fiscal stimulus package to head off the potential economic impact of coronavirus.

  Ensuring Every American Can Get Free Care for Coronavirus
 
The request for emergency supplemental funding put forward by Senate Democrats is a good proposal. I strongly support it. But I believe we must also do more.
 
Paying for Care. Donald Trump has spent years ripping health coverage away from millions. As deductibles soar, many Americans must pay full price for care until months into a new plan year, as they wait for their insurance to kick in. People without coverage often do not seek the care they need and those with high deductibles delay important care. And for those who are put under federally mandated quarantines, thousands of dollars in medical bills may plunge them into a serious financial crisis. Millions of Americans choosing not to seek care because of cost concerns will worsen the public health and economic effects of coronavirus.
 
Medicare for All will prevent this kind of problem in the future. But in the short term, facing a potential outbreak, we must ensure that every person in this country can talk to a doctor if they think they might have coronavirus—and get the recommended testing and care they need if they do.
 
If other countries’ experiences are an indication, most people who contract the virus will need simple, supportive primary care and to stay isolated to prevent further spread. But it’s important that those who become acutely ill can seek the more advanced care they need.
 
Our response must ensure that every person in this country can get recommended evaluation, diagnosis, and treatment for coronavirus for free. Congress should dedicate sufficient funding to reimburse health care providers and hospitals for uncompensated care relating to coronavirus. This fund should also be large enough to cover the costs of government mandated quarantines or isolation for patients who cannot afford any bills that it may generate. Congress should also require that insurers fully cover all recommended care for coronavirus, including appropriate evaluation, diagnostic testing, and treatment.
 
What does my plan mean for you? It means that you could get all recommended medical advice and care for coronavirus for free—regardless of whether you have hit your deductible, whether you’re on Medicare or Medicaid, or have no insurance at all.
 
Ensuring Hospital and Health System Capacity. Because of the way coronavirus spreads, many more people will be exposed to it than we saw with Zika or Ebola. That means our health system will see a surge in demand for basic primary care and diagnostic screenings in the midst of an already brutal flu season that has stretched hospitals’ capacity. To address the likely increase in people seeking medical evaluation and treatment for coronavirus, Congress should provide a temporary surge in funding for Federally Qualified Health Centers, Community Health Centers, Rural Health Clinics, and safety-net hospitals to increase their capacity.
 
Ensuring Access to Vaccines and Other Medical Countermeasures. We must increase federal investment in developing a coronavirus vaccine and ensure that every person who needs the vaccine can get it at no personal cost. As we did during the outbreak of H1N1 (the “swine flu”), the government should guarantee that it will purchase a bulk quantity of the eventual vaccine for coronavirus. This will create an incentive for the private sector to develop it quickly and ensure manufacturers of sufficient demand.
 
We must also ensure — either under existing laws or through new congressional action — that health insurance companies and federal health programs cover any recommended coronavirus vaccine with no cost sharing, similar to the H1N1 vaccines from 2009. The government can also distribute the vaccines to vulnerable populations and provide them for free to the uninsured. In the event that a private sector manufacturer wants to charge an outrageous price for the vaccine once it is developed, the government should contract for its manufacture or invoke compulsory licensing as I have called for in other drug pricing contexts, and as the government threatened to do during the 2001 anthrax scare.
 
Together, these actions will ensure that every American can get the vital medical advice and care they need for coronavirus for free. That is not only the moral thing to do, it limits the spread of the disease and keeps us all safer.
 
Guaranteeing Every American Fully Paid Emergency Leave for Coronavirus Testing and Recovery
 
America’s shameful lack of national paid leave and sick days will worsen the spread of coronavirus. People who feel sick will go into work anyway, afraid of losing their jobs or the pay they badly need. Parents may feel compelled to work even as their kids or their elderly relatives might need medical attention. Research shows that mandated paid leave and sick days dramatically reduce the spread of diseases.
 
Congress must act to pass Senator Gillibrand’s FAMILY Act, which would provide up to twelve weeks per year of paid leave to all workers to care for themselves and their loved ones in case of serious medical issues or the welcoming of a new child. As President, I will fight to make this policy the law. But in the face of a public health crisis, we can’t wait — and should immediately make cash assistance available to people who need time off because of coronavirus through an “emergency paid leave” program.
 
Here’s how it would work:

Anyone who meets the CDC’s description of relevant symptoms or is exposed and placed under quarantine — or has a family member or other dependent who meets that description — will be eligible for emergency paid leave to take time off to follow CDC’s recommended course of action, which may include self-isolation, evaluation and testing, or treatment.

Emergency paid leave will be available pursuant to CDC’s guidelines about the appropriate length of recovery and quarantine or isolation time for those who contract or are exposed to coronavirus. If a family caretaker is also required during this period, that person will also be eligible for emergency paid leave.

Anyone eligible for the program will receive emergency paid leave that fully replaces their actual wage income — up to a cap set at the 99th wage percentile. 

My emergency paid leave program will accomplish two critical goals. First, it will give people the financial peace of mind to take time off to stay home and recover or care for a loved one who  has the symptoms of coronavirus or has been exposed to it. That will help limit the spread of the disease. Second, providing access to paid leave benefits funded by the government rather than by employers during this health crisis will help stabilize businesses, who will be relieved of the burden of potentially paying large shares of their workforce for long absences.
 
Enacting At Least a $400 Billion Stimulus to Head Off the Projected Economic Effects of Coronavirus, and Announcing a Federal Reserve Emergency Lending Program
 
Experts have a variety of estimates of the potential impact of coronavirus on the American economy. They project that coronavirus will reduce US economic growth in 2020 by at least 0.2 percentage points. But they recognize that if coronavirus turns into a global pandemic — which they give a 40% likelihood — it could produce a US and global recession. An older Congressional Budget Office analysis of the potential US economic impact of various pandemic scenarios estimated that a pandemic could reduce US economic growth by between 1% and 4.25% of GDP.
 
There is evidently much uncertainty at this time about the potential economic impact of coronavirus, but several factors weigh in favor of enacting a stimulus to counteract a more severe impact. First, the US does not have particularly strong automatic economic stabilizers compared to other industrialized countries. Second, given the extremely low cost of government borrowing now, the US has the capacity to borrow and invest at a higher return. Third, history shows that it’s often hard to pass multiple stimulus packages in succession — and it’s better that the initial package is too big rather than too small.
 
Based on those factors and the range of projections for the economic impact of coronavirus, we should immediately enact a stimulus package that represents an authorization of at least 2% of GDP, or roughly $400 billion.
 
The stimulus should focus on the following categories of spending:

Low or no-interest loans to companies of all sizes that are negatively affected by supply chain disruptions, reductions in tourism, or other temporary coronavirus-related impacts, and that will use the funds to avoid layoffs and hours reductions, not for additional executive compensation, dividends, or share buybacks.

Unemployment insurance and other direct payments to households — with exact amounts tied to unemployment levels and wage growth.

Other aid to state and local governments that may be losing revenue because of coronavirus, in order to minimize reductions in services for residents.

Jump starting our ability to make our own active pharmaceutical ingredients and their base components by establishing a strategy to support domestic manufacturers—with the ultimate goal of requiring all federal agencies that procure or reimburse for drugs (like the DOD, VA, and Medicare) to preference drugs with American-made ingredients. My legislation to allow the government to manufacture drugs would provide a strong foundation for this effort.

Green infrastructure investments, like domestically produced clean energy, that can be accomplished even with the supply chain disruptions that are likely to exist with a widespread coronavirus outbreak. 

Given the positive multiplier effect that these types of government spending have on the economy, a stimulus of this type would likely counteract a roughly 3% dip in GDP.
 
In addition, whether the Federal Reserve Board chooses to cut interest rates or not, it should announce as soon as possible — and no later than the markets opening on Monday — that it stands ready to use its emergency lending authority to create a broad-based emergency lending facility program to help real economy companies whose supply chains have been disrupted because of the coronavirus and who will use the money to do right by their workforce.
 
Companies across America are already struggling with supply chain disruptions, and we don’t want these temporary struggles to lead to widespread layoffs or for otherwise solid companies to go under. While Congress should deliver the stimulus package I described above to help these types of companies, an immediate announcement from the Fed of this type of program will give companies — and markets — confidence that the Fed is available as a lender of last resort if Congress fails to deliver, and could help avert a more severe downturn.

Read her plan here

Democrats 2020, Donald Trump, Election 2020, Health Care, National Security

Sanders to Trump on Coronavirus: Stop Playing Politics With Our Health and National Security

“Concern about the coronavirus continues to grow, yet the Trump administration’s response has been inadequate, misleading, and dangerous,” declared Senator Bernie Sanders after Trump appointed Mike Pence to lead the administration’s response to the pandemic. © Karen Rubin/news-photos-features.com

COLUMBIA, S.C. – Sen. Bernie Sanders on Thursday issued the following statement on the Trump administration’s response to coronavirus: 

“Concern about the coronavirus continues to grow, yet the Trump administration’s response has been inadequate, misleading, and dangerous. By picking Vice President Mike Pence to lead the administration’s response to the pandemic, Trump has not only chosen someone completely unqualified, but the president has made clear that he’s more concerned about his own politics than the health and safety of the country.

“In my view, the Trump administration must take immediate action. First, they must replace Mike Pence with an expert on pandemics and disaster response. Second, the Trump administration must stop releasing misleading, unscientific, and false information about whether the coronavirus is controlled or when it will be controlled. Third, they must immediately staff their response team with experts and scientists to help us address a pandemic based on facts – Steve Mnuchin and Larry Kudlow are political cronies, not scientists. In addition, Trump must sign the full $8.5 billion in coronavirus response funding proposed by Sen. Chuck Schumer.

“We need a president who does not play politics with our health and national security. Besides passing Medicare for All so everyone can see a doctor or get a vaccine for free, my administration will greatly expand funding for the Center for Disease Control and National Institute of Health, work with the international community, including with the World Health Organization, and invest in research and technology to make vaccines available quickly,” Sanders stated.

Election 2020, Health Care

Sanders Heralds Study That Shows Medicare for All Would Save $450 Billion, 68,000 Lives Each Year

A new study that shows Medicare for All would save Americans $450 billion and 68,000 premature deaths a year could bolster the 2020 presidential campaigns of progressives Senator Elizabeth Warren and Bernie Sanders.

Medicare for All is ironically, considering that Americans and especially Democrats have indicated that access to affordable healthcare is their number one priority, is the issue that could sink the 2020 presidential  candidacy of progressives Bernie Sanders and Elizabeth Warren. Now Sanders is heralding a new study by epidemiologists in the medical journal The Lancet which found that Medicare for All would save Americans $450 billion and prevent 68,000 premature deaths a year. Here is Sanders’ statement:

Sen. Bernie Sanders on Saturday applauded a new study published today by a team of epidemiologists in the peer-reviewed medical journal The Lancet, which found that Medicare for All will save Americans $450 billion and prevent 68,000 unnecessary deaths each and every year.

“This study confirms that Medicare for All will save the American people $450 billion on health care costs and will prevent 68,000 unnecessary deaths – each and every year,” Sanders said. “In other words, guaranteeing health care as a human right by creating a Medicare for All system will cost substantially less than our current dysfunctional health care system. It will save working class families thousands of dollars and it will prevent tens of thousands of Americans from dying each year. While the CEOs in the pharmaceutical and health insurance industry may not like it, we will end their greed and enact Medicare for All when I am president.”

According to the study, by replacing premiums, deductibles, co-payments and out-of-pocket costs with a progressive tax system, Medicare for All will save the average family thousands of dollars each year and will provide lower-income households the greatest relief. 

Struggling hospitals serving low-income communities would be particularly helped by Medicare for All by eliminating uncompensated care, increasing Medicaid reimbursement rates to Medicare levels, and reducing administrative overhead, according to the study.

The study also debunks several attacks on Medicare for All from the private health care industry that made well over $100 billion in profits last year. Doctors and hospitals would see large savings in cost and time from streamlining our bloated and inefficient administrative and billing system, allowing doctors to spend more time with patients, the study found.

The study is the latest in a series of studies conducted over the past three decades that have found that guaranteeing universal health care through a single-payer health care system would not only dramatically improve the health and well-being of the American people, it would cost less than our current dysfunctional health care system that puts profits over people. 

Last month, another medical journal found that 19 out of 22 studies done over the past 30 years concluded that moving to a Medicare for All, single-payer health care system would cost less than our current health care system in the first year, and all of the studies showed that it would cost less within a decade of implementation.
 

Democratic Party, Democrats, Democrats 2020, Election 2020, Social Safety Net, Social Security

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

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

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


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

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

Highlights of Senator Klobuchar’s Plan:

Tackling Alzheimer’s and Other Chronic Conditions

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

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

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

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

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

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

Ensure a Secure Retirement

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

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

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

Improve Health Care for Seniors and Lower Prescription Drug Costs

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

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

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

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

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

Invest in Long-Term Care

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

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

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

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

Reduce Costs and Prevent Fraud

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

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

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

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

Democrats, Election 2020, Social Safety Net, Social Security

Democratic Candidates for 2020: The Biden Plan for Older Americans

Vice President Joe Biden, campaigning to be the 2020 Democratic nominee for president, released his plan for seniors to have secure retirement © Karen Rubin/news-photos-features.com

The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. This is from the Biden 2020 campaign:

THE BIDEN PLAN FOR OLDER AMERICANS

The moral obligation of our time is rebuilding the middle class. The middle class isn’t a number, it’s a value set. And, a key component of that value set is having a steady, secure income as you age so your kids won’t have to take care of you in retirement. This means not only protecting and strengthening Social Security, but also helping more middle-class families grow their savings. 

A dignified retirement also means having access to affordable health care and support. Too many Americans – and too many older Americans – cannot afford their prescriptions or their long-term care. Their families are faced with saving for their own retirement or taking care of their aging parents. It’s not right. 
 
Working- and middle-class Americans built this country. And, they deserve to retire with dignity – able to pay for their prescriptions and with access to quality, affordable long-term care. 

I. STAND UP TO THE ABUSE OF POWER BY PRESCRIPTION DRUG CORPORATIONS

Too many Americans cannot afford their prescription drugs, and prescription drug corporations are profiteering off of the pocketbooks of sick individuals. The Biden Plan will put a stop to runaway drug prices and the profiteering of the drug industry by:

  • Repealing the outrageous exception allowing drug corporations to avoid negotiating with Medicare over drug prices. Because Medicare covers so many Americans, it has significant leverage to negotiate lower prices for its beneficiaries. And it does so for hospitals and other providers participating in the program but not drug manufacturers. Drug manufacturers not facing any competition, therefore, can charge whatever price they choose to set. There’s no justification for this except the power of prescription drug lobbying. The Biden Plan will repeal the existing law explicitly barring Medicare from negotiating lower prices with drug corporations.
  • Limiting launch prices for drugs that face no competition and are being abusively priced by manufacturers. Through his work on the Cancer Moonshot, Biden understands that the future of pharmacological interventions is not traditional chemical drugs, but specialized biotech drugs that will have little to no competition to keep prices in check. Without competition, we need a new approach for keeping the prices of these drugs down. For these cases where new specialty drugs without competition are being launched, under the Biden Plan the Secretary of Health and Human Services will establish an independent review board to assess their value. The board will recommend a reasonable price, based on the average price in other countries (a process called external reference pricing) or, if the drug is entering the U.S. market first, based on an evaluation by the independent board members. This reasonable price will be the rate Medicare and the public option will pay. In addition, the Biden Plan will allow private plans participating in the individual marketplace to access a similar rate.
  • Limiting price increases for all brand, biotech and abusively priced generic drugs to inflation. As a condition of participation in the Medicare program and public option, all brand, biotech and abusively priced generic drugs will be prohibited from increasing their prices more than the general inflation rate. The Biden plan will also impose a tax penalty on drug manufacturers that increase the costs of their brand, biotech or abusively priced generic over the general inflation rate.
  • Allowing consumers to buy prescription drugs from other countries. To create more competition for U.S. drug corporations, the Biden Plan will allow consumers to import prescription drugs from other countries, as long as the U.S. Department of Health and Human Services has certified that those drugs are safe.
  • Terminating pharmaceutical corporations’ tax break for advertisement spending.Drug corporations spent an estimated $6 billion in 2016 alone on prescription drug advertisements to increase their sales, a more than four-fold increase from just $1.3 billion in 1997. The American Medical Association has even expressed “concerns among physicians about the negative impact of commercially driven promotions, and the role that marketing costs play in fueling escalating drug prices.” Currently, drug corporations may count spending on these ads as a deduction to reduce the amount of taxes they owe. But taxpayers should not have to foot the bill for these ads. As president, Biden will end this tax deduction for all prescription drug ads, as proposed by Senator Jeanne Shaheen.
  • Improving the supply of quality generics. Generics help reduce health care spending, but brand drug corporations have succeeded in preserving a number of strategies to help them delay the entrance of a generic into the market even after the patent has expired. The Biden Plan supports numerous proposals to accelerate the development of safe generics, such as Senator Patrick Leahy’s proposal to make sure generic manufacturers have access to a sample.

II. PROTECT AND STRENGTHEN MEDICARE AS WE KNOW IT AND ENSURE QUALITY, AFFORDABLE HEALTH CARE FOR ALL OLDER AMERICANS 

On March 23, 2010, President Obama signed the Affordable Care Act into law, with Vice President Biden standing by his side, and made history. It was a victory 100 years in the making. It was the conclusion of a tough fight that required taking on Republicans, special interests, and the status quo to do what’s right. But the Obama-Biden Administration got it done.
 
Today, the Affordable Care Act is still a big deal – especially for older Americans. Because of Obamacare, over 100 million people no longer have to worry that an insurance company will deny coverage or charge higher premiums just because they have a pre-existing condition – whether cancer or diabetes or heart disease or a mental health challenge. Insurance companies can no longer set annual or lifetime limits on coverage. The law limited the extent to which insurance companies may charge you higher premiums just because of your age. And, the Affordable Care Act strengthened Medicare by extending the life of the Medicare Trust Fund; giving Medicare beneficiaries access to free recommended preventive services, such as an annual wellness visit; and closing the prescription drug coverage gap, often referred to as the “donut hole.”
 
But, every day over the past nine years, the Affordable Care Act has been under relentless attack.

Immediately after its passage, Congressional Republicans began trying again and again to repeal it. Following the lead of President Trump, Republicans in Congress have only doubled down on this approach since January 2017. And, since repeal through Congress has not been working, President Trump has been unilaterally doing everything he can to sabotage the Affordable Care Act. Now, the Trump Administration is trying to get the entire law – including protections for people with pre-existing conditions – struck down in court.
 
As president, Biden will protect the Affordable Care Act from these continued attacks. He opposes every effort to get rid of this historic law – including efforts by Republicans, and efforts by Democrats. Instead of starting from scratch and getting rid of private insurance, he has a plan to build on the Affordable Care Act by giving Americans more choice, reducing health care costs, and making our health care system less complex to navigate. You can read Biden’s full health care plan [here]. In addition, to improve older Americans’ access to affordable, quality health care, Biden will:

  • Protect Medicare as we know it. Today, Medicare provides health insurance coverage to over 60 million older Americans and people with disabilities.  As president, Biden will continue to defend our nation’s commitment to older Americans and people with disabilities through Medicare, and he will keep Medicare as a separate and distinct program, and ensure there is no disruption to the current Medicare system.
  • Protect Medicaid and ensure its beneficiaries can access home and community-based long-term care when they want it. Medicaid pays for more long-term care than any other insurer in the country. In fact, roughly 6 in 10 individuals residing in nursing homes are enrolled in Medicaid, including many older Americans. Yet, the Trump Administration is reportedly considering a plan to cut Medicaid funding by turning it into a block grant. And Republican leadership in states like Iowa, where Medicaid has been privatized with devastating results for some of its most vulnerable residents, are not fulfilling their obligations under the program. The Biden Plan will protect Medicaid funding and make sure the program gives those on Medicaid who need long-term care the flexibility to choose home- and community-based care. In addition, the Biden Administration won’t let states skirt their duties under Medicaid and will take enforcement action against any state that allows profiteering to get in the way of Medicaid beneficiaries’ health.
  • Provide tax relief to help solve the long-term care challenge. The Biden Plan will also help Americans pay for long-term care by providing relief for Americans needing long-term care by creating a $5,000 tax credit for informal caregivers, modeled off of legislation supported by AARP. These informal caregivers – whether family members or other loved ones – have for too long been doing tireless work without any financial support. In addition, Biden will increase the generosity of tax benefitsfor older Americans who choose to buy long-term care insurance and pay for it using their savings for retirement.
  • Care for our caregivers. The physical, emotional, and financial challenges of caring for a loved one is enormous. As president, Biden will work to enact at the federal level the AARP-endorsed Caregiver Advise, Record, Enable (CARE) Act, which has already been passed in 39 states. This legislation will help our caregivers by ensuring hospitals equip them with instructions and information when their loved ones are discharged. Biden also supports additional proposals to support caregivers, such as funding to give them access to respite care.

III. PRESERVE AND STRENGTHEN SOCIAL SECURITY

Social Security is the bedrock of American retirement. Roughly 90% of retirement-age Americans receive Social Security benefits, and one-in-four rely on Social Security for all, or almost all, of their income. The program has not only ensured that middle-class workers can enjoy the sound and secure retirement they worked so hard for, it also lifted over 17 million older Americans out of poverty in 2017 alone.
 
The Biden Plan will protect Social Security for the millions of Americans who depend on the program. With Social Security’s Trust Fund already in deficit and expected to be exhausted in 2035, we urgently need action to make the program solvent and prevent cuts to American retirees.
 
But the Biden Plan doesn’t stop there. As president, Joe Biden will strengthen benefits for the most vulnerable older Americans – including widows and widowers, lifelong workers with low monthly benefits, and old-age beneficiaries who may have exhausted their other savings. Specifically, the Biden Plan will:

  • Put Social Security on a path to long-run solvency. The impending exhaustion of the Social Security Trust fund imperils American retirement as we know it. Waiting to act only jeopardizes the program further, and will make an eventual solution that much more difficult. The Biden Plan will put the program on a path to long-term solvency by asking Americans with especially high wages to pay the same taxes on those earnings that middle-class families pay.
  • Preserve the nature of Social Security. Social Security is one of our nation’s great public policy successes, in large part due to the fact that participation in the program is shared across almost all workers. Efforts to privatize the program – such as an approach suggested under the Bush Administration – will undermine the program’s solvency, while putting at risk individuals’ income in retirement. Similarly, proposals to make the program “means-tested” – so that only low-income retirees workers receive benefits – jeopardizes the program’s universal nature and key role as the bedrock of American retirement. Ultimately, the success of Social Security is largely due to the fact that almost all Americans can rely on the program to make their retirement more secure.
  • Provide a higher benefit for the oldest Americans. At advanced ages, Americans become more vulnerable to exhausting their savings, sometimes falling into poverty and living a life of hardship. The Biden Plan will provide the oldest beneficiaries – those who have been receiving retirement benefits for at least 20 years – with a higher monthly check to help protect retirees from the pain of dwindling retirement savings.
  • Implement a true minimum benefit for lifelong workers. No one who has worked for decades and paid into Social Security should have to spend their retirement in poverty. The Biden Plan will revolutionize the Social Security’s minimum benefit, which has deteriorated over time to the point of being entirely ineffective. Under the Biden Plan, workers who spent 30 years working will get a benefit of at least 125% of the poverty level.
  • Protect widows and widowers from steep cuts in benefits. For many couples, the death of a spouse means that Social Security benefits will be cut in half – putting pressure on the surviving spouse who still needs to make the mortgage payment and handle other bills. The Biden Plan will allow surviving spouse to keep a higher share of the benefits. This will make an appreciable difference in the finances of older Americans, especially women (who live longer on average than men), raising the monthly payment by about 20% for affected beneficiaries.
  • Eliminate penalties for teachers and other public-sector workers. Current rules penalize teachers and other public sector workers who either switch jobs or who have earned retirement benefits from various sources. The Biden Plan would eliminate these penalties by ensuring that teachers not eligible for Social Security will begin receiving benefits sooner – rather than the current ten-year period for many teachers. The Biden Plan will also get rid of the benefit cuts for workers and surviving beneficiaries who happen to be covered by both Social Security and another pension. These workers deserve the benefits they earned.

IV. EQUALIZE SAVING INCENTIVES FOR MIDDLE-CLASS WORKERS

In the modern retirement landscape, a sound retirement begins with years of diligent saving. While other aspects of the Biden Plan will help raise wages for workers and reduce costs for spending like child care and health insurance, the Biden Plan will also ensure that middle-class families get a leg up as they grow their nest egg.
 
Under current law, the tax code affords workers over $200 billion each year for various retirement benefits – including saving in 401(k)-type plans or IRAs. While these benefits help workers reach their retirement goals, many are poorly designed to help low- and middle-income savers – about two-thirds of the benefit goes to the wealthiest 20% of families. The Biden Plan will make these savings more equal so that middle class families can enter retirement with enough savings to support a healthy and secure retirement. President Biden will do so by:

  • Equalizing the tax benefits of defined contribution plans. The current tax benefits for retirement savings are based on the concept of deferral, whereby savers get to exclude their retirement contributions from tax, see their savings grow tax free, and then pay taxes when they withdraw money from their account. This system provides upper-income families with a much stronger tax break for saving and a limited benefit for middle-class and other workers with lower earnings. The Biden Plan will equalize benefits across the income scale, so that low- and middle-income workers will also get a tax break when they put money away for retirement. 
  • Removing penalties for caregivers who want to save for retirement. Under current law, people who work as caregivers without receiving wages are ineligible to get tax breaks for retirement saving. The Biden Plan will allow caregivers to make “catch-up” contributions to retirement accounts, even if they’re not earning income in the formal labor market, as has been proposed in bipartisan legislation by Representatives Jackie Walorski and Harley Rouda.
  • Giving small businesses a tax break for starting a retirement plan and giving workers the chance to save at work. As proposed by the Obama-Biden Administration, the Biden Plan will call for widespread adoption of workplace savings plans and offer tax credits to small businesses to offset much of the costs. Under Biden’s plan, almost all workers without a pension or 401(k)-type plan will have access to an “automatic 401(k),” which provides the opportunity to easily save for retirement at work – putting millions of middle-class families in the path to a secure retirement.

V. PROVIDE HELP FOR OLDER WORKERS WHO WANT TO KEEP WORKING

With longer lifespans and the changing nature of work, many Americans are choosing to stay in the workforce longer. Despite their valuable contributions, these workers often face illegal discrimination or steep tax penalties when they try to continue to earn a living. Joe Biden believes that all workers deserve an opportunity to earn a living and will fight to change the laws to allow all people – regardless of their age – to get the pay they deserve. The Biden Plan will:

  • Protect older Americans against harmful age discrimination. As president, Biden will back bipartisan legislation protecting older workers from being discriminated against in the workforce. According to an AARP survey, this practice is widespread – with more than 60% of older workers reporting discrimination because of their age. The Biden Plan will put in place workplace safeguards making it easier for older workers to prove that they were treated unfairly at work.
  • Expand the Earned Income Tax Credit (EITC) to older workers. The EITC is one of the most effective strategies for helping low-wage workers achieve a living wage. Unfortunately, the EITC is not available to workers once they turn 65, putting them at a distinct disadvantage relative to their younger peers. As president, Joe Biden will allow low-wage older workers to claim the tax credit they deserve.
Election 2020, Health Care

Bernie Sanders Defends Medicare-for-All, Attacks Insurance Companies, Big Pharma for Dysfunctional, High-Cost Healthcare

Bernie Sanders, seen at a Brooklyn rally, is defending his signature plan, Medicare-for-All, and blaming the greed of the insurance and pharmaceutical industries as the reason for dysfunctional, high cost health care system that causes 30,000 premature deaths a year and bankrupts 530,000 Americans a year. © Karen Rubin/news-photos-features.com

WASHINGTON – U.S. Senator Bernie Sanders, running to be the Democratic nominee for president, on July 17 delivered a major address on Medicare for All, coinciding with the 54th anniversary of Medicare being signed into law. In his remarks, Sanders outlined his plan to make health care a human right for all Americans. Here is highlighted transcript of remarks as they were prepared for delivery: – Karen Rubin, News & Photo Features

Thank you all very much for being here to discuss one of the major crises facing our country.  Let me also thank the dozens of organizations throughout America who support Medicare for All and the tens of thousands of doctors, nurses and other health professionals who support my legislation.  Let me thank the 14 Senate co-sponsors that we have on this legislation and the 118 Members of the House who support similar legislation.  And mostly, let me thank the American people who by the millions understand, as I do, that health care is a human right, not a privilege.

Together, we will end the international embarrassment of the United States being the only major country on earth that does not guarantee health care to all of its citizens.  

It is not acceptable to me, nor to the American people, that some 87 million people today are either uninsured or underinsured.

It is not acceptable to me that we end up spending almost twice as much as any other major country on health care, while our life expectancy continues to decline and our healthcare outcomes lag behind many other countries.

Frankly, I am sick and tired of talking to doctors who tell me about the patients who died because they were uninsured or underinsured, and walked into the doctor’s office when it was too late.  And we are talking about over 30,000 Americans who die every year because they are uninsured or under-insured.  What a tragedy. 

I am sick and tired of seeing working class families and small businesses pay far more for healthcare than they can afford, and 530,000 Americans declare bankruptcy each year because they cannot pay off the outrageous cost of a medical emergency or a hospital stay.  Families should not be driven into financial ruin because someone in the family became seriously ill.  How insane is that?

I am sick and tired of hearing from Americans who lost loved ones because they could not afford the unbelievably high cost of prescription drugs, or hearing from constituents who are forced to cut their pills in half due to the cost. 

In fact, later this month, I will be travelling from Detroit, Michigan to Windsor, Ontario with a busload of Americans who have diabetes in order to purchase insulin in Canada at one-tenth of the price that they pay in America.

I am sick and tired of talking with people who are struggling with mental illness but cannot afford the mental health counseling they desperately need. 

I am tired of talking to people who have teeth that are rotting in their mouths, but cannot afford the high cost of dental care. 

Let me be very honest and tell you that, in my view, the current debate over Medicare for All really has nothing to do with healthcare.  It has everything to do with greed and the desire of the healthcare industry to maintain a system which fails the average American, but which makes the industry tens and tens of billions of dollars every year in profit. 

It is about whether we maintain a dysfunctional system which allows the big drug and health insurance companies to make over $100 billion in profits last year, while the top CEOs in that industry made $2.6 billion in total compensation – all the while 1 out of 5 Americans cannot afford the prescription drugs their doctors prescribe.

It’s about whether we maintain a system in which the CEO of the Aetna insurance company, Mr. Mark Bertolini, received a golden parachute worth nearly $500 million after his company merged with CVS Health, while elderly people lack the resources to purchase a hearing aid.

It’s about whether we maintain a system that allows the former CEO from Gilead (John Martin) to become a billionaire by charging $1,000 a pill for a hepatitis c drug called Sovaldi that costs a dollar to manufacture.

Let us make no mistake about it.  The struggle that we are now undertaking, to guarantee health care to all Americans as a right and to substantially lower the cost of prescription drugs, will be opposed by some of the most powerful forces in America – entities that have unlimited amounts of money.  We’re talking about the insurance companies, the drug companies, private hospitals, medical equipment suppliers, Wall Street and other powerful entities.  

Let me make a prediction. In order to defeat the Medicare for All movement, powerful special interests will be spending millions on 30 second television ads, full page magazine ads, and corporate-sponsored “studies” to frighten the American people about Medicare for All – which is exactly what happened before the passage of Medicare in the 1960s. They failed then and they’re going to fail now.

And let me give you an example of the kind of money and power we are talking about. 

Over the last 20 years, the insurance industry and pharmaceutical companies have spent more than $330 million in campaign contributions and over $4 billion in lobbying to get Congress to do its bidding. 

The pharmaceutical industry alone has hired some 1,200 lobbyists – including the former leadership of both political parties.

I find it quite interesting that Billy Tauzin, the Republican Congressman who wrote the bill to prevent Medicare from negotiating for lower drug prices and then went on to become the President and CEO of Pharma, received over $11.6 million in compensation in 2010.

That’s how business is done in Washington.  Well, I have a different vision of what a rational healthcare system is all about.  Instead of massive profits for the drug companies, the insurance companies and Wall Street, we must provide a healthcare system that provides quality healthcare to all in a cost effective way.

And that is exactly what Medicare for All does.

Under this legislation, every family in America would receive comprehensive coverage, and middle-class families would save thousands of dollars a year by eliminating their private insurance costs as we move to a publicly funded program.

The transition to the Medicare for All program would take place over four years. In the first year, benefits to older people would be expanded to include dental care, vision coverage and hearing aids, and the eligibility age for Medicare would be lowered to 55. All children under the age of 18 would also be covered. In the second year, the eligibility age would be lowered to 45 and in the third year to 35. By the fourth year, every man, woman and child in the country would be covered by Medicare for All.

Medicare for All will reduce – let me repeat, reduce — overall health care spending while lowering the number of uninsured and underinsured people in this country to zero.   

We accomplish this because Medicare for All creates a system of health care insurance that isn’t designed to generate profits for insurance and drug companies — it will be a system focused on delivering actual health care. It will save lives, save money, and end the frustration of endless paperwork, denials, and desperate fights with an insurance company to cover medically-necessary medications and procedures.

Medicare for All will fully eliminate health insurance premiums, deductibles and co-payments. Make no mistake about it: These are nothing less than taxes on the middle class. 

And when we do that, the average middle class family will save an estimated $3,000 each and every year.

Further, unlike the current dysfunctional system, Medicare for All allows people the freedom to choose any doctor, clinic, and hospital without worrying about whether their provider is in-network or not.  People will be able to make the health care choices that are best for themselves and their families without some insurance bureaucrat telling them which providers they can see or not see. Medicare for All is at the end of the day empowering patients and health care providers. 

In addition, a Medicare for All system will allow us to address the serious problem of medically underserved areas. 

Just to demonstrate how absurd our health care system is, I was in Philadelphia two days ago rallying with the people of that city to try to stop the closure of Hahnemann University Hospital, an important, safety net hospital in that community.  Why do the owners want to close this hospital? Because they can make more money redeveloping that property into condominiums and hotels.

Let me address some of the half-truths, misinformation, and, in some cases, outright lies that people may be hearing about Medicare for All.  

Medicare for All critics tell us that Americans just love their private health insurance companies. We heard this most recently from UnitedHealth CEO David Wichmann, who by the way, made $83 million in 2017 and who said Medicare for All would “destabilize the nation’s health system.” 

But let’s remember: the current system is already disrupting and destabilizing millions of people’s lives. In the current system, 50 million Americans every year lose their existing health insurance when their employer changes insurer, when they change jobs, or when they cannot afford their current plan. For many of them, they will no longer be able to see the doctor they have relied on for years.  For others, important treatments for long-term conditions or disabilities will be changed or stopped altogether.  

Here is the simple truth. The American people do not like their private health insurance companies. In fact private health insurance companies are quite unpopular.  What the American people do like are their doctors, nurses and other health care providers. 

While our opponents claim that Medicare for All is too expensive, the reality is that it is much more cost effective than our current system.

The Center for Medicare and Medicaid Services estimates that, if we do not change the system, this country will be spending $50 trillion over the next ten years –19.4 percent of our nation’s GDP.  This is unsustainable and will be incredibly harmful to the people of our country, to the business community, and to the entire economy.

And the reason why we spend so much is obvious.  It is not just the huge profits in the insurance industry and the pharmaceutical industry, but it is the incredible and wasteful bureaucratic maze developed by thousands of different healthcare plans.  Today, hospitals and doctors must deal with patients who have different deductibles, different co-payments, different networks of coverage, and different coverage for pharmaceuticals, or no insurance at all.  All of this is not only driving doctors and nurses and hospital administrators to distraction, but it is wasting up to $500 billion a year on unnecessary administrative costs.

Unlike our current system, there is broad consensus – from conservative to progressive economists – that Medicare for All would result in substantial savings to the American people.  Two of the most recent studies on this issue have estimated that Medicare for All would save the American people between $2 trillion and $5 trillion over a 10-year period.

Let us be clear, the fight against Medicare for All today is not a new development.  Powerful special interests have always opposed healthcare programs that work for the people and not for corporate interests.

Let us not forget that when President Harry Truman first proposed a program guaranteeing health care to seniors that idea was billed as radical, “un-American,” and an attack on basic freedom. And because of that assault, the idea stalled in Congress for years — until voters made their voices heard.

In 1960, America elected John F. Kennedy after he campaigned in support of Truman’s idea. That election prompted serious work on universal health care bill, and Kennedy at the time noted that “what we are now talking about doing, most of the countries of Europe did years ago.”

Finally, following the 1964 Democratic election landslide, the new Congress was able to pass what is now known as Medicare despite intense opposition from the health insurance industry and the pharmaceutical companies.

More than a half-century after that achievement, the time is now to go forward.  The time is now to expand Medicare to every man, woman and child in this country. 

Let us be very clear.  When it comes to health care, the insurance and drug industries have been able to control the political process.  

If we are going to break the stranglehold of corporate interests over the health care needs of the American people, we have got to confront a Washington culture that is corrupt, that puts profits before people.

That is why I am calling on every Democratic candidate in this election to join me in rejecting money from the insurance and drug industries. That means not accepting donations over $200 from health insurance or pharmaceutical company PACs, lobbyists or executives. Candidates who are not willing to take that pledge should explain to the American people why those corporate interests believe their campaigns are a good investment.

Of course, President Trump should do the same but I am not going to even waste my breath suggesting that he will.  His efforts to throw 32 million people off their health insurance to have it replaced with junk insurance shows exactly what side he is on.

Finally, let me say, eliminating health insurance and drug company money from the Democratic primary won’t solve all the problems, but it is an important step forward. Now is the time to tell the health care industry that your profits are not more important than the lives of the American people.

See also: Biden Plan for Universal Healthcare: Protect, Build on Obamacare

Election 2020, Health Care, Presidential Campaign 2020, Presidential Politics

Biden Plan for Universal Healthcare: Protect, Build on Obamacare

Vice President Joe Biden, in the race for the Democratic nomination for President, has staked out a position on improving on the Affordable Care Act (Obamacare) as his solution to providing universal healthcare  – essentially, enabling people keep their private insurance but creating a new public option. That is more moderate than the Democrats like Bernie Sanders and Elizabeth Warren who want a more extreme Medicare for All that replaces private insurance (though it is unlikely that there will not still be a market for supplemental private insurance, just as there is now for Medicare). Here, is the Biden campaign’s description and rationale for Biden’s plan to protect and build upon the Affordable Care Act: – Karen Rubin, News& Photo Features

Vice President Joe Biden, in the race for the Democratic nomination for President, has staked out a position on improving on the Affordable Care Act (Obamacare) as his solution to providing universal healthcare  – essentially, enabling people keep their private insurance but creating a new public option. © Karen Rubin/news-photos-features.com

On March 23, 2010, President Obama signed the Affordable Care Act into law, with Vice President Biden standing by his side, and made history. It was a victory 100 years in the making. It was the conclusion of a tough fight that required taking on Republicans, special interests, and the status quo to do what’s right. But the Obama-Biden Administration got it done.

Today, the Affordable Care Act is still a big deal. Because of Obamacare, over 100 million people no longer have to worry that an insurance company will deny coverage or charge higher premiums just because they have a pre-existing condition – whether cancer or diabetes or heart disease or a mental health challenge. Insurance companies can no longer set annual or lifetime limits on coverage. Roughly 20 million additional Americans obtained the peace of mind that comes with health insurance. Young people who are in transition from school to a job have the option to stay covered by their parents’ plan until age 26.

But, every day over the past nine years, the Affordable Care Act has been under relentless attack.

Immediately after its passage, Congressional Republicans began trying again and again to repeal it. Following the lead of President Trump, Republicans in Congress have only doubled down on this approach since January 2017. And, since repeal through Congress has not been working, President Trump has been unilaterally doing everything he can to sabotage the Affordable Care Act. Now, the Trump Administration is trying to get the entire law – including protections for people with pre-existing conditions – struck down in court.

As president, Biden will protect the Affordable Care Act from these continued attacks. He opposes every effort to get rid of this historic law – including efforts by Republicans, and efforts by Democrats. Instead of starting from scratch and getting rid of private insurance, he has a plan to build on the Affordable Care Act by giving Americans more choice, reducing health care costs, and making our health care system less complex to navigate.

For Biden, this is personal. He believes that every American has a right to the peace of mind that comes with knowing they have access to affordable, quality health care. He knows that no one in this country should have to lay in bed at night staring at the ceiling wondering, “what will I do if she gets breast cancer?” or “if he has a heart attack?” “Will I go bankrupt?” He knows there is no peace of mind if you cannot afford to care for a sick child or a family member because of a pre-existing condition, because you’ve reached a point where your health insurer says “no more,” or because you have to make a decision between putting food on the table and going to the doctor or filling a prescription.

In the coming months, Joe Biden will build on today’s plan by rolling out his proposals to tackle some of our greatest public health challenges – from reducing gun violence to curing devastating diseases as we know them like cancer, Alzheimer’s, diabetes, and addiction.

I. GIVE EVERY AMERICAN ACCESS TO AFFORDABLE HEALTH INSURANCE

From the time right before the Affordable Care Act’s key coverage-related policies went into effect to the last full year of the Obama-Biden Administration, 2016, the number of Americans lacking health insurance fell from 44 million to 27 million – an almost 40% drop. But President Trump’s persistent efforts to sabotage Obamacare through executive action, after failing in his efforts to repeal it through Congress, have started to reverse this progress. Since 2016, the number of uninsured Americans has increased by roughly 1.4 million.

As president, Biden will stop this reversal of the progress made by Obamacare. And he won’t stop there. He’ll also build on the Affordable Care Act with a plan to insure more than an estimated 97% of Americans. Here’s how:

Giving Americans a new choice, a public health insurance option like Medicare. If your insurance company isn’t doing right by you, you should have another, better choice. Whether you’re covered through your employer, buying your insurance on your own, or going without coverage altogether, the Biden Plan will give you the choice to purchase a public health insurance option like Medicare. As in Medicare, the Biden public option will reduce costs for patients by negotiating lower prices from hospitals and other health care providers. It also will better coordinate among all of a patient’s doctors to improve the efficacy and quality of their care, and cover primary care without any co-payments. And it will bring relief to small businesses struggling to afford coverage for their employees.

Increasing the value of tax credits to lower premiums and extend coverage to more working Americans. Today, families that make between 100% and 400% of the federal poverty level may receive a tax credit to reduce how much they have to pay for health insurance on the individual marketplace. The dollar amount of the financial assistance is calculated to ensure each family does not have to pay more than a certain percentage of their income on a silver (medium generosity) plan. But, these shares of income are too high and silver plans’ deductibles are too high. Additionally, many families making more than 400% of the federal poverty level (about $50,000 for a single person and $100,000 for a family of four), and thus not qualifying for financial assistance, still struggle to afford health insurance. The Biden Plan will help middle class families by eliminating the 400% income cap on tax credit eligibility and lowering the limit on the cost of coverage from 9.86% of income to 8.5%. This means that no family buying insurance on the individual marketplace, regardless of income, will have to spend more than 8.5% of their income on health insurance. Additionally, the Biden Plan will increase the size of tax credits by calculating them based on the cost of a more generous gold plan, rather than a silver plan. This will give more families the ability to afford more generous coverage, with lower deductibles and out-of-pocket costs.

Expanding coverage to low-income Americans. Access to affordable health insurance shouldn’t depend on your state’s politics. But today, state politics is getting in the way of coverage for millions of low-income Americans. Governors and state legislatures in 14 states have refused to take up the Affordable Care Act’s expansion of Medicaid eligibility, denying access to Medicaid for an estimated 4.9 million adults. Biden’s plan will ensure these individuals get covered by offering premium-free access to the public option for those 4.9 million individuals who would be eligible for Medicaid but for their state’s inaction, and making sure their public option covers the full scope of Medicaid benefits. States that have already expanded Medicaid will have the choice of moving the expansion population to the premium-free public option as long as the states continue to pay their current share of the cost of covering those individuals. Additionally, Biden will ensure people making below 138% of the federal poverty level get covered. He’ll do this by automatically enrolling these individuals when they interact with certain institutions (such as public schools) or other programs for low-income populations (such as SNAP).

II. PROVIDE THE PEACE OF MIND OF AFFORDABLE, QUALITY HEALTH CARE AND A LESS COMPLEX HEALTH CARE SYSTEM

Today, even for people with health insurance, our health care system is too expensive and too hard to navigate. The Biden Plan will not only provide coverage for uninsured Americans, it will also make health care more affordable and less complex for all. 
 
The plan’s elements described above will help reduce the cost of health insurance and health care for those already insured in the following ways:

All Americans will have a new, more affordable option. The public option, like Medicare, will negotiate prices with providers, providing a more affordable option for many Americans who today find their health insurance too expensive.

Middle class families will get a premium tax credit to help them pay for coverage. For example, take a family of four with an income of $110,000 per year. If they currently get insurance on the individual marketplace, because their premium will now be capped at 8.5% of their income, under the Biden Plan they will save an estimated $750 per month on insurance alone. That’s cutting their premiums almost in half. If a family is covered by their employer but can get a better deal with the 8.5% premium cap, they can switch to a plan on the individual marketplace, too.

Premium tax credits will be calculated to help more families afford better coverage with lower deductibles. Because the premium tax credits will now be calculated based on the price of a more generous gold plan, families will be able to purchase a plan with a lower deductible and lower out-of-pocket spending. That means many families will see their overall annual health care spending go down.

The Biden Plan has several additional proposals aimed directly at cutting the cost of health care and making the health care system less complex to navigate. The Biden Plan will:

Stop “surprise billing.” Consumers trying to lower their health care spending often try to choose an in-network provider. But sometimes patients are unaware they are receiving care from an out-of-network provider and a big, surprise bill. “Surprise medical billing” could occur, for example, if you go to an in-network hospital but don’t realize a specialist at that hospital is not part of your health plan. The Biden Plan will bar health care providers from charging patients out-of-network rates when the patient doesn’t have control over which provider the patient sees (for example, during a hospitalization).

Tackle market concentration across our health care system. The concentration of market power in the hands of a few corporations is occurring throughout our health care system, and this lack of competition is driving up prices for consumers. The Biden Administration will aggressively use its existing antitrust authority to address this problem.

Lower costs and improve health outcomes by partnering with the health care workforce. The Biden Administration will partner with health care workers and accelerate the testing and deployment of innovative solutions that improve quality of care and increase wages for low-wage health care workers, like home care workers.

III.  STAND UP TO ABUSE OF POWER BY PRESCRIPTION DRUG CORPORATIONS
 
Too many Americans cannot afford their prescription drugs, and prescription drug corporations are profiteering off of the pocketbooks of sick individuals. The Biden Plan will put a stop to runaway drug prices and the profiteering of the drug industry by:

Repealing the outrageous exception allowing drug corporations to avoid negotiating with Medicare over drug prices. Because Medicare covers so many Americans, it has significant leverage to negotiate lower prices for its beneficiaries. And it does so for hospitals and other providers participating in the program, but not drug manufacturers. Drug manufacturers not facing any competition, therefore, can charge whatever price they choose to set. There’s no justification for this except the power of prescription drug lobbying. The Biden Plan will repeal the existing law explicitly barring Medicare from negotiating lower prices with drug corporations.

Limiting launch prices for drugs that face no competition and are being abusively priced by manufacturers. Through his work on the Cancer Moonshot, Biden understands that the future of pharmacological interventions is not traditional chemical drugs but specialized biotech drugs that will have little to no competition to keep prices in check. Without competition, we need a new approach for keeping the prices of these drugs down. For these cases where new specialty drugs without competition are being launched, under the Biden Plan the Secretary of Health and Human Services will establish an independent review board to assess their value. The board will recommend a reasonable price, based on the average price in other countries (a process called external reference pricing) or, if the drug is entering the U.S. market first, based on an evaluation by the independent board members. This reasonable price will be the rate Medicare and the public option will pay. In addition, the Biden Plan will allow private plans participating in the individual marketplace to access a similar rate.

Limiting price increases for all brand, biotech, and abusively priced generic drugs to inflation. As a condition of participation in the Medicare program and public option, all brand, biotech, and abusively priced generic drugs will be prohibited from increasing their prices more than the general inflation rate. The Biden Plan will also impose a tax penalty on drug manufacturers that increase the costs of their brand, biotech, or abusively priced generic over the general inflation rate.

Allowing consumers to buy prescription drugs from other countries. To create more competition for U.S. drug corporations, the Biden Plan will allow consumers to import prescription drugs from other countries, as long as the U.S. Department of Health and Human Services has certified that those drugs are safe.

Terminating pharmaceutical corporations’ tax break for advertisement spending. Drug corporations spent an estimated $6 billion in 2016 alone on prescription drug advertisements to increase their sales, a more than four-fold increase from just $1.3 billion in 1997. The American Medical Association has even expressed “concerns among physicians about the negative impact of commercially driven promotions, and the role that marketing costs play in fueling escalating drug prices.” Currently, drug corporations may count spending on these ads as a deduction to reduce the amount of taxes they owe. But taxpayers should not have to foot the bill for these ads. As president, Biden will end this tax deduction for all prescription drug ads, as proposed by Senator Jeanne Shaheen.

Improving the supply of quality generics. Generics help reduce health care spending, but brand drug corporations have succeeded in preserving a number of strategies to help them delay the entrance of a generic into the market even after the patent has expired. The Biden Plan supports numerous proposals to accelerate the development of safe generics, such as Senator Patrick Leahy’s proposal to make sure generic manufacturers have access to a sample.

IV. ENSURE HEALTH CARE IS A RIGHT FOR ALL, NOT A PRIVILEGE FOR JUST A FEW
 
Joe Biden believes that every American – regardless of gender, race, income, sexual orientation, or zip code – should have access to affordable and quality health care. Yet racism, sexism, homophobia, transphobia, and other forms of discrimination permeate our health care system just as in every other part of society. As president, Biden will be a champion for improving access to health care and the health of all by:

Expanding access to contraception and protect the constitutional right to an abortion. The Affordable Care Act made historic progress by ensuring access to free preventive care, including contraception. The Biden Plan will build on that progress. Vice President Biden supports repealing the Hyde Amendment because health care is a right that should not be dependent on one’s zip code or income. And, the public option will cover contraception and a woman’s constitutional right to choose. In addition, the Biden Plan will:

1) Reverse the Trump Administration and states’ all-out assault on women’s right to choose. As president, Biden will work to codify Roe v. Wade, and his Justice Department will do everything in its power to stop the rash of state laws that so blatantly violate the constitutional right to an abortion, such as so-called TRAP laws, parental notification requirements, mandatory waiting periods, and ultrasound requirements.

2) Restore federal funding for Planned Parenthood. The Obama-Biden administration fought Republican attacks on funding for Planned Parenthood again and again. As president, Biden will reissue guidance specifying that states cannot refuse Medicaid funding for Planned Parenthood and other providers that refer for abortions or provide related information and reverse the Trump Administration’s rule preventing Planned Parenthood and certain other family planning programs from obtaining Title X funds.

3) Just as the Obama-Biden Administration did, President Biden will rescind the Mexico City Policy (also referred to as the global gag rule) that President Trump reinstated and expanded. This rule currently bars the U.S. federal government from supporting important global health efforts – including for malaria and HIV/AIDS – in developing countries simply because the organizations providing that aid also offer information on abortion services.

Reducing our unacceptably high maternal mortality rate, which especially impacts people of color. Compared to other developed nations, the U.S. has the highest rate of deaths related to pregnancy and childbirth, and we are the only country experiencing an increase in this death rate. This problem is especially prevalent among black women, who experience a death rate from complications related to pregnancy that is more than three times higher than the rate for non-Hispanic white women. California came up with a strategy that halved the state’s maternal death rate. As president, Biden will take this strategy nationwide.

Defending health care protections for all, regardless of gender, gender identity, or sexual orientation. Before the Affordable Care Act, insurance companies could increase premiums merely due to someone’s gender, sexual orientation, or gender identity. Further, insurance companies could increase premiums or deny coverage altogether due to someone’s HIV status. Yet, President Trump is trying to walk back this progress. For example, he has proposed to once again allow health care providers and insurance companies to discriminate based on a patient’s gender identity or abortion history. President Biden will defend the rights of all people – regardless of gender, sexual orientation, gender identity – to have access to quality, affordable health care free from discrimination.

Doubling America’s investment in community health centers. Community health centers  provide primary, prenatal, and other important care to underserved populations. The Biden Plan will double the federal investment in these centers, expanding access to high quality health care for the populations that need it most.

Achieving mental health parity and expanding access to mental health care. As Vice President, Biden was a champion for efforts to implement the federal mental health parity law, improve access to mental health care, and eliminate the stigma around mental health. As President, he will redouble these efforts to ensure enforcement of mental health parity laws and expand funding for mental health services.

In the months ahead, Biden will put forward additional plans to tackle health challenges affecting specific communities, including access to health care in rural communities, gun violence, and opioid addiction.

SUPPORTING HEALTH, NOT REWARDING WEALTH

Joe Biden believes in rewarding work, not just wealth – and investing in hard-working Americans’ health, not protecting the most privileged Americans’ wealth. Warren Buffett said it best when he stated that he should not pay a lower tax rate than his secretary.
 
The Biden Plan will make health care a right by getting rid of capital gains tax loopholes for the super wealthy. Today, the very wealthy pay a tax rate of just 20% on long-term capital gains. According to the Joint Committee on Taxation, the capital gains and dividends exclusion is the second largest tax expenditure in the entire tax code: $127 billion in fiscal year 2019 alone. As President, Biden will roll back the Trump rate cut for the very wealthy and restore the 39.6% top rate he helped restore when he negotiated an end to the Bush tax cuts for the wealthy in 2012. Biden’s capital gains reform will close the loopholes that allow the super wealthy to avoid taxes on capital gains altogether. The Biden plan will assure those making over $1 million will pay the top rate on capital gains, doubling the capital gains tax rate on the super wealthy.

WATCH: Joe Biden talks more about the need to build on and protect ACA in THIS new video.

See also: Biden Gives Speech on Foreign Policy that Defines His Quest for Presidency