Senator Elizabeth Warren, one of the two giants in the progressive wing of the Democratic party who ended their presidential campaigns, like Senator Bernie Sanders just days before, officially endorsed Vice President Joe Biden for president in a message to her supporters writing, “Joe Biden is a selfless public servant. He’s committed to the fight for social, racial, and economic justice. And he will lead a government that works for the American people.”
She stated, “Empathy matters. And, in this moment of crisis, it’s more important than ever that the next president restores America’s faith in good, effective government.
“Joe Biden has spent nearly his entire life in public service. He knows that a government run with integrity, competence, and heart will save lives and save livelihoods. And we can’t afford to let Donald Trump continue to endanger the lives and livelihoods of every American.
“Now, when Donald Trump is gone, we will need to do more than heal a nation that has been bitterly divided. We will need to rebuild and transform our country.
“And I’ve seen Joe Biden help a nation rebuild.
“In 2009, President Obama put him in charge of leading the implementation of the historic Recovery Act to help our economy and help working families.
“During the recovery, and later when I worked at the White House setting up the Consumer Financial Protection Bureau, I saw him up close, doing the work, getting in the weeds -— never forgetting who we were all there to serve.”
Vice President Biden, acknowledging Warren’s call for structural change, responded, “It’s an endorsement that I am grateful for — and one I don’t take lightly. Her courage, tenacity, and persistence shed a light on some of the most important issues facing our country — and has made a real difference in people’s lives. The plans — and the people who organized for them — changed this race, the conversation, our party, and the country.
You know, primaries can often put a magnifying glass on small differences and bury broad consensus. Elizabeth and I believe at our cores Wall Street didn’t build this country, the middle class did. And it’s time our government worked harder for the middle class, but to do that we can demand nothing less than ‘big, structural change.’
When I say ‘winning a battle for the soul of our nation’ people often misunderstand me,” Biden stated. “I’m not being nostalgic. I’m not trying to take us back to a country that never existed. The foundational principles of our country — that all men are created equal — are ones that we’ve never lived up to. But we’ve never given up trying to live up to them.
“America wasn’t built by Wall Street. It was forged by working people — strivers, looking for their chance to get ahead. People like you, doing the work to make our country a better place.
“It is not enough to ‘go back’ to anything. We have to take immediate, bold action to tackle the climate crisis (and if you don’t know, I wrote one of the first bills on climate change). We have to relieve a generation of the crushing burden of student debt. We have to make health care a right and not a privilege. And to get there, we’re going to need millions of grassroots supporters to take action right away.
“If you join our campaign, we will not just defeat Donald Trump. We will not just win the battle for the soul of our nation. We will transform it too.”
In a formal statement, Biden said, “Throughout this primary, there was no competitor more passionate in her convictions or sharper in her arguments than Senator Elizabeth Warren. Her voice made the debate stage, the Democratic Party, and every candidate competing against her better and stronger. By centering her campaign in the importance of ideas and comprehensive policy plans, she helped set a high-water mark for what our politics can be at their best — authentic and service-oriented, focused on how we can deliver the most help to the most people. And I’ve been proud to work with her over the past few weeks to identify and adopt important policy proposals that will strengthen us as a people.
“At a moment of crisis for our nation, Senator Warren’s ideas will be more important than ever as we chart a path forward. The cracks in our economy that have left so many Americans exposed and vulnerable were there before the pandemic, and now they are laid bare for all to see just how dangerous they are. We know how much work it will take to come through this crisis, and I am proud to have Senator Warren in my corner for the fight ahead — not just as we work to defeat Donald Trump in November, but in the years to come, as we push through a bold and progressive policy agenda for the American people.
“Senator Warren knows what’s possible when leaders put their own egos aside and do the work. And thanks to her integrity and determination, today there are millions of little girls and young women who know that their voices can command any stage and change the world for the better. Generations of women will be inspired to get involved in public life — to dream big and fight hard — because of Elizabeth.”
In addition to Senator Warren’s endorsement, Vice President Biden also picked up endorsements from Senators Debbie Stabenow and Gary Peters of Michigan and Tammy Baldwin of Wisconsin.
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
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
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.
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.
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
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
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.
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
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
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
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.
In addition, whether the Federal Reserve Board chooses to cut interest rates or not, itshould 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.
Capitalists are actually much more responsive to the public will than lawmakers – which may not be saying much. But as the United Nations Climate Summit demonstrated, corporations and the financial institutions that fund them are becoming more conscious of climate change. Even former Treasury Secretary Henry Paulson has become an advocate for climate action. More investors are factoring in the cost of climate disasters as well as the change to agriculture, human productivity and health, availability of resources including potable water. Still, corporations that are wedded to the status quo and an economy and society oriented around fossil fuels and intense carbon emissions, that don’t respect air and water quality, need a nudge. Senator Elizabeth Warren, running for president, has just released a plan to stop Wall Street from financing the climate crisis.
“Climate change poses a systemic risk to the health and stability of our financial system,” Senator Warren stated. “And yet, Wall Street is refusing to listen, let alone take real action. My plan to Stop Wall Street From Financing the Climate Crisis is just the first step to ensuring our financial system is ensured against the worst effects of climate change and Wall Street stops financing the climate crisis.“
This is from the Warren campaign:
Charlestown, MA – Senator Elizabeth Warren released her
plan to stop Wall Street from financing the climate crisis. Elizabeth’s plan
will limit and manage the risk that climate change poses to our economy by
reining in Wall Street and ensuring our banks, asset managers, and insurers pay
the true cost of climate change, instead of passing it on to millions of
Elizabeth rang the alarm in
the lead up to the 2008 financial crisis. She is sounding the alarm on Wall
Street once again as we face the existential threat of our time: climate
change. It’s clear that our entire financial system is in major
danger from the climate crisis. And yet, neither the largest U.S. financial
institutions, nor the public watchdogs that
are supposed to hold them accountable, have taken adequate steps to address
Wall Street’s role in exacerbating the crisis.
As President, Elizabeth Warren will:
Direct the Federal Reserve to invoke its authority under Section 165 of
Dodd-Frank to impose “enhanced prudential standards” –– things like
higher capital standards, or tougher stress testing –– on large
financial institutions based on their exposure to climate-related risks.
Treat climate change as the systemic risk to our financial system that
it is and use existing financial regulations to push the Financial Stability
Oversight Council (FSOC) to carefully examine the risks posed by climate change
and use its authority to designate financial institutions as
“systemically important” if appropriate.
Go beyond her Climate Risk Disclosure Plan by strengthening
SEC rules that govern the climate change expertise in the composition
of boards of directors, as well as in shareholder representation and disclosure
in proxy voting.
Elizabeth will also require U.S. banks to report annually how much
fossil fuel equity and debt is created, and/or held as assets, with respect to
all fossil fuel extraction and infrastructure.
Fight for pensions by pushing the Securities and Exchange
Commission and Department of Labor –– the two government bodies charged with
regulating pensions –– to declare carbon-intensive investments not consistent
with a fund manager’s fiduciary duty to its clients.
Hold insurance companies accountable for the risk they’re
spreading through the financial system — and through vulnerable communities —
by working with Congress to make large insurance companies doing business in
the U.S. disclose the size of the premiums they’re deriving from coal, oil and
gas projects, associated infrastructure, and companies.
Elizabeth will also investigate insurers who talk out of both sides of
their mouth when they deny coverage to policyholders under
the guise of too much climate risk, while simultaneously insuring fossil fuel
Transition us away from Donald Trump’s climate-denying
administration at a speed unmatched by any transition in modern
history. As part of that transition, she will announce her choices for Cabinet,
including a Treasury Secretary who understands the financial risks of the
climate crisis, by December 1, 2020. And she will staff all senior and mid-level
White House positions, like financial regulators, by Inauguration Day.
Requiring implementation of the Paris Climate accord and the
elimination of fossil fuel subsidies as preconditions for any trade
Dedicating $100 billion to helping other countries purchase and deploy
American-made clean energy technology that is manufactured right here at home
under the Green Marshall Plan.
Ending all American support for international oil and gas projects
through the Export-Import Bank and the Overseas Private Investment
Committing to using America’s voting power in the World Bank and other
global financial institutions to cut off investment in fossil fuel projects and
to direct that investment into clean energy projects instead.
Stop Wall Street from Financing the Climate Crisis
I’ve spent most of my career getting to the bottom of what’s happening to
working families in America. And when I saw the seeds of the 2008 financial
crisis growing, I rang the alarm as
loud as I could. But the people with the power to stop the crisis didn’t listen
— not enough of them anyway. Not the banks, not Alan Greenspan or other federal
regulators, not Congress. And when the financial crisis hit in 2008, working
families lost it all while the big banks that broke the economy got a fat
And once again, as we face the existential threat of our time –– climate
change –– Wall Street is refusing to listen, let alone take real action.
It’s clear that our entire financial system is in major danger from the climate
crisis. And yet, neither the largest U.S. financial institutions, nor the public watchdogs that
are supposed to hold them accountable, have taken adequate steps to address
Wall Street’s role in exacerbating the crisis. In fact, many of the largest banks and assetmanagers have
actually increased their holdings of fossil fuel assets since
the Paris Agreement was signed. And in the two years immediately after the
Paris Agreement was adopted, the six largest U.S. bank investors in fossil
fuels companies loaned, underwrote, or otherwise financed over $700 billion for fossil fuel
companies. Wall Street banks are making a quick buck accelerating
climate change, all while communities across the country are suffering from the lasting impacts
of industrial pollution and the increasingly devastating
effects of climate change.
There has been some movement by big financial firms. A recently leaked report from J.P. Morgan —
the world’s largest financial backer of fossil fuel companies — stated that
the climate crisis could lead to “catastrophic outcomes where human life as we
know it is threatened.” Late last year, Goldman Sachs announced that
it will spend $750 billion over ten years on sustainable finance projects,
restrict financing to all new oil production and exploration in the Arctic, and
impose stricter lending requirements for coal companies. And in a letter to
investors earlier this year, Blackrock –– the world’s largest asset manager ––
announced that it will exit investments with high
environmental risk, like thermal coal, and launch new investment
products that screen for fossil fuels. While these actions are a small step in
the right direction, they are long overdue given the relative impact the
financial industry has had on the climate crisis — and they’re not enough to
protect us from a climate-fueled financial collapse, either.
We will not defeat the climate crisis if we have to wait for the financial
industry to self-regulate or come forward with piecemeal voluntary commitments.
Winning a Green New Deal and achieving 100% clean energy for our global economy
–– or enacting any of my 13 plans to defeat the climate
crisis –– will be near impossible so long as large financial
institutions are allowed to freely underwrite investments in dirty fossil
This ends when I am president. A Warren administration will act
decisively and swiftly to manage the risk that climate change poses to our
economy by reining in Wall Street and ensuring our banks, asset managers, and
insurers pay the true cost of climate change instead of passing it on to
millions of Americans. We can make the financial system work for good
as we transition to 100% clean energy, but first, we have to change the way
Wall Street is currently doing business.
Use existing financial regulations to tackle climate change because it is
a systemic risk to our financial system
Foreign financial regulators understand that the climate crisis poses serious
risks to the financial system. European regulators are warning of a “green swan” event that
could trigger a climate change-driven financial crisis. The Governor of the
Bank of England, Mark Carney, and the Governor of the Banque de France,
François Villeroy warned that climate change poses a
“catastrophic effect” to the global economy that could lead to
“a sudden collapse in asset prices” similar to the to the 2008 financial
crisis, and has urged central banks, such as the Federal Reserve Board, to play
a much larger role in tackling the crisis.
I am sounding the alarm on Wall Street once again –– just as I did in
the lead up to the 2008 financial crash.
The Dodd–Frank Wall Street Reform and Consumer Protection Act was our country’s
response to the 2008 crisis. It included tools that our federal regulators
could use to protect the safety and soundness of our financial
system. Regulators should use those tools now to address the systemic risk that
climate change poses.
Specifically, the Financial Stability Oversight Council (FSOC) –– a body
created by Dodd-Frank to bring together heads of financial regulatory agencies
to assess threats across jurisdictions and markets –– should carefully examine
the risks posed by climate change and use its authority to designate financial
institutions as “systemically important” if appropriate. And the Federal
Reserve should invoke its authority under Section 165 of Dodd-Frank to impose
“enhanced prudential standards” –– things like higher capital standards and
margin requirement, or tougher stress testing –– on large financial
institutions based on their climate-related risks.
By using the authorities Congress has already given them, federal regulators
can mitigate the climate-related risk in our financial system and help accelerate
the transition towards a clean energy economy.
Increase corporate accountability through the Securities & Exchange
That’s a problem in two ways. First, there are a lot of companies that could be
badly hurt by the likely environmental effects of climate change, and their
financial implications such as stranded assets, and supply-chain risk. We’ve
already seen how record storms, flooding, and wildfires can cause billions of dollars in damage.
Second, global efforts to combat climate change will have an enormous impact on
certain types of companies, particularly those in the energy sector. The Task
Force on Climate-related Financial Disclosures found that reductions in greenhouse
gas emissions and increasingly affordable deployment of clean
energy technology could have “significant, near-term financial implications”
for Big Oil and fossil fuel companies.
My Climate Risk Disclosure plan addresses
these problems by requiring companies to publicly disclose both of these types
of climate-related risks. It directs the Securities and Exchange Commission
(SEC) to issue rules that make every public company disclose detailed
information, including the likely effect on the company if climate change
continues at its current pace and the likely effect on the company if the world
successfully restricts greenhouse gas emissions to meet the targets of the
Paris Agreement. My plan also requires the SEC to tailor these disclosure
requirements for specific industries so that, for instance, fossil fuel
companies will have to make even more detailed disclosures.
But disclosure is just the first step. There is more the SEC can do to ensure
companies are more accurately accounting for climate risk, which is why a
Warren administration will go further by strengthening SEC rules that govern
the climate change expertise in the composition of boards of directors, as well
as in shareholder representation and disclosure in proxy voting. My
administration will also require U.S. banks to report annually how much fossil
fuel equity and debt is created, and/or held as assets, with respect to all
fossil fuel extraction and infrastructure. And a Warren administration will
work with the SEC Office of Credit Ratings to direct credit rating agencies to
impose process standards — like climate due diligences — that incorporate the
physical and financial risks that climate change presents to securities and
other financial assets, as well as to the companies that issue them.
For the millions of public school teachers, firefighters, police officers, and
other state and federal public employees who spend their careers in service to
our government, pension funds provide a shot at a decent retirement. Most
simply, pensions are deferred wages for our public employees. And yet
today, our pension systems are failing our public employees.
That’s in part because they are invested in fossil fuels –– leaving
all the risk of fossil fuel investments in hard working Americans’ retirement
One recent analysis found
that pension funds would be significantly more successful without risky fossil
investments. California’s $238 billion state teachers retirement fund CalSTRS
–– which serves nearly a million public school teachers –– would have earned an
additional $5.5 billion over ten years without its fossil fuel investments. And
Colorado’s state pension fund PERA –– which serves 600,000 current and former
teachers, state troopers, corrections officers, and other public employees ––
would have earned almost $2 billion more in value. This matters for
hard-working pension-holders: investments in fossil fuels over the last 10
years have lost many of California’s public school teachers $5,572 each, and
cost many of Colorado’s public employees $2,900 each. And yet, despite calls
from environmentalists to divest from fossil fuels, in January of this
year CalSTRS rejected divestment,
claiming it would have a “lasting negative impact on the
health of the fund.”
As president, I will fight for every person’s pension, because every
American deserves the right to retire with dignity after spending their career
in service of our local, state and federal government. A Warren
administration would explicitly state policy preferences for limiting climate
risk, beginning with divestment from fossil fuels and prioritizing investments
in environmental, social and governance (ESG) options. And I would go further
by pushing the Securities and Exchange Commission and Department of Labor ––
the two government bodies charged with regulating pensions –– to declare
carbon-intensive investments not consistent with a fund manager’s fiduciary
duty to its clients.
And, as a matter of justice, we should tighten bankruptcy laws to prevent coal
and other fossil fuel companies from evading their responsibility to their
workers and to the communities that they have helped to pollute. In the
Senate, I have fought to improve the
standing of coal worker pensions and benefits in bankruptcy ––
and as president, I will work with Congress to pass legislation to make these
changes a reality.
Instead of halting the effects of climate change, insurers are passing on
the high prices to consumers — or foregoing offering protection to vulnerable
Americans altogether. In some places, insurance companies are pulling
out of areas entirely, leaving consumers exposed. For example, the number of
new and renewed homeowners’ insurance policies fell by 8,700 in
California counties at greatest risk for wildfires. But some insurance
providers will still write policies in vulnerable areas, ratcheting up the monthly prices
consumers pay to counterbalance their increased risk. Premiums
rose in every single state in the nation over the past decade, with states
in tornado alley experiencing the
highest jumps by an average of over $500. And private companies
are taking advantage of the price increases: the number of private flood
insurers has more than doubled since 2016, and they’ve taken in an additional half
a billion in premiums since the prior year.
It’s time to hold insurance companies accountable for the risk they’re
spreading through the financial system — and through vulnerable
communities. I’ll work with Congress to make large insurance companies
doing business in the U.S. disclose the size of the premiums they’re deriving
from coal, oil and gas projects, associated infrastructure, and companies. I’ll
investigate insurers who talk out of both sides of their mouth when they deny coverage to policyholders under
the guise of too much climate risk, while simultaneously insuring fossil fuel
projects. I’ll push the SEC to require insurance companies to show that they
have evaluated climate-related risks in their underwriting processes and in
their reserves. I will reform the National Flood Insurance Program by making it
easier for existing residents to move out of flood-prone properties – both
inland and coastal – including a program to buy back those properties from
low-income homeowners at market value. And within my first term I will ensure
the Federal Emergency Management Agency’s flood maps are fully updated, so that
we can raise the standard for new construction through the Federal Flood Risk
Personnel is Policy
At the World Economic Forum in Davos last month, economic leaders from across
the world highlighted the vital need to include climate risks in
economic analysis. But Treasury Secretary Steve Mnuchin found himself in a
minority of one, arguing that costs were being overestimated when
considering the impacts of climate change. Either he’s uninformed or he’s
lying: study after study shows that we
are drastically underestimating the cost of the climate
I have often said that personnel is policy. The
regulators in charge of protecting the American people need to understand the
risk that the climate crisis poses to our entire financial system — and the
millions whose livelihoods depend on it. That’s why I will appoint at every
level of the system financial regulators committed to holding financial
institutions accountable for climate risk. Here’s what that means:
I will appoint a Treasury Secretary who — unlike Steven Mnuchin —
believes in the power of markets to help defeat the climate crisis: because
right now, research in both of those fields shows
how vital it is that we expose the climate risk.
I’ll appoint financial regulators — including Federal Reserve
governors, Commodity Futures Trading Commission commissioners, and leadership
of every other agency represented on the Financial Stability Oversight Council
— who understand the clear threat climate change poses to our financial system
and who implement policy that addresses financial institutions’ exposure to
climate risks and hold them accountable to addressing.
I’ve already pledged to appoint an SEC
chair who will use all existing tools to require robust
disclosure of climate-related risks. I’ll also appoint SEC commissioners who
will manage the threat climate change poses to the economy by pushing for
corporate disclosure of climate risk and a shift of finances away from fossil
The size and the scope of the risk that climate poses to our financial
system requires immediate action. I’ve committed to transitioning us
away from Donald Trump’s climate-denying administration at a speed unmatched by
any transition in modern history, so that we can begin tackling the urgent
challenges ahead on Day One. As part of that transition, I will
announce my choices for Cabinet, including a Treasury Secretary who understands
the financial risks of the climate crisis, by December 1, 2020. And I’ll staff
all senior and mid-level White House positions, like financial regulators, by Inauguration
Day — so that we can begin de-risking our financial system from the moment I’m
Work with international allies
One of the next catastrophic global financial crises may well be caused by the growing
climate crisis. The 2008 recession proved how financial crises are
no longer isolated: their impact echoes across countries. That’s why addressing
the financial risks of the climate crisis is an international issue. But
the United States isn’t just lagging behind other countries on addressing the
climate risk: right now, we’re not even in the same league.
A Warren Administration will work with international allies to build a more
resilient financial and environmental future for our planet. And I’ll use every
tool in the box to build that world. As President I’ll advocate for the Federal
Reserve to join the global coalition of central banks known as the Network on Greening the Financial
System. As we transition to a 100% clean energy economy, the United
States should be a leader on the global stage, and having a seat at the table
is the first step. As part of my New Approach to Trade, I
will require implementation of the Paris Climate accord and the elimination of
fossil fuel subsidies as preconditions for any trade agreement. My Green
Marshall Plan will dedicate $100 billion to helping other countries purchase
and deploy American-made clean energy technology that is manufactured right
here at home. And we should end all American support for international oil and
gas projects through the Export-Import Bank and the Overseas Private Investment
Corporation. We should also commit to using America’s voting power in the World
Bank and other global financial institutions to cut off investment in fossil
fuel projects and to direct that investment into clean energy projects instead.
Our efforts should be dedicated to accelerating the global transition to clean
The vigorous contest of Democrats running for president has produced excellent policy proposals to address major issues. Senator Elizabeth Warren released her plan for Justice for Border Communities – a stark contrast to what Trump has done to punish asylum seekers, separating children from their parents, and most recently, using the coronavirus pandemic to raise the prospect of shutting the border to Mexico entirely.
“Our border region is made up of multinational, multicultural, economically vibrant communities that reflect the best of what our country can be. From affordable housing to investing in small businesses to stopping Trump’s monument to hate, we can make big, structural change to promote accountability, opportunity, and prosperity at the border,” Senator Warren stated.
This is from the Warren campaign:
Charlestown, MA – Senator Elizabeth Warren, running for president, released her plan to ensure accountability in our border communities by rolling back the Trump administration’s incessant militarization, immediately stopping the construction of Trump’s wall on the border between Mexico and the United States, creating a fair and welcoming immigration system, and respecting the rights of people and our fragile border ecosystem.
She will also work to build a 21st century border economy by boosting small businesses, growing access to financial services, closing the digital divide, uplifting labor and environmental protections through trade, and developing the green workforce of the future.
Some new proposals in her plan include:
In her first 100 days, she will convene a borderlands
summit, bringing together federal, state, and local representatives, Tribal
Nations, members of the business community, community organizations and
stakeholders to undo the harm of the Trump administration and create more
prosperity in the region.
She will create a new position in the White House that
serves as an advisor to the president on border communities. This person will
direct an Interagency Task Force on Border Community Prosperity and coordinate
the entire federal government’s investment in our border communities.
She will end Trump’s deployment of military forces to the
Despite the immediate public health threat, the Trump
administration is demanding that we cut spending elsewhere to pay for emergency
funding we need to prepare for and respond to coronavirus — so she is
introducing a bill in the Senate to redirect funding diverted to the wall
toward coronavirus instead.
She will end Constitution-Free Zones: She will hold
immigration enforcement to the same due process and standards as other law
enforcement agencies — no more warrantless property searches, no more
arbitrary stops, no more violations of basic Constitutional rights.
She will reverse the Trump administration’s policy giving
Border Patrol agents the power to make “credible fear” determinations for
asylum-seekers rather than asylum officers.
She will invest resources in more culturally competent asylum
officers and immigration judges and better coordinate a full federal government
response to the humanitarian crisis at the border, just like we would with FEMA
under a natural disaster.
She will pardon those convicted of providing food and water
to migrants — because no one should go to jail simply for providing
humanitarian aid to another person in need.
She will create a Border Health Initiative within the
Federal Office of Rural Health Policy to focus on strengthening these health
institutions in ways that serve the unique needs of this region and its people.
She will build a 21st century border economy by investing in
our ports of entry.
The campaign recently did a Texas Latino Engagement tour —
and listened and learned from hundreds of Latino, Latina, and Latinx people in
San Antonio, Laredo, McAllen, Corpus Christi, and Houston.
Elizabeth will be in San
Antonio with former Secretary of HUD Julián Castro today.
But the challenges at the border did not start with Donald Trump’s ignorance
and bigotry. For decades, decisions made in Washington have divided and
disrupted communities, cities, Tribal Nations, and families — many of whom
have lived along what is now the border for longer than the United States has
The 15 million residents living
in our Southern borderlands — from Brownsville, Texas to San Diego, California
— deserve a champion and a partner in the White House. Building an
America that reflects our values means elevating the voices of those who have
traditionally been overlooked and underserved. We’ve got to make sure everyone
has a seat at the table, and that includes border communities and immigrant
advocacy groups. In my first 100 days, I will convene a borderlands summit,
bringing together federal, state, and local representatives, Tribal Nations,
members of the business community, community organizations, and stakeholders to
undo the harm of the Trump administration and create more prosperity in the
region. I will also create a new position in the White House that serves as an
advisor to the president on border communities. This person will direct an
Interagency Task Force on Border Community Prosperity and coordinate the entire
federal government’s investment in our border communities.
A Warren administration will ensure accountability in our border
communities by rolling back the Trump administration’s incessant
militarization of the border, creating a fair and welcoming immigration system,
and respecting the rights of people and our fragile border ecosystem. I’ll
fight for healthy and safe border communities with affordable housing,
high-quality education, health care, and economic opportunities. And together,
we’ll build a 21st century border economy by boosting small
businesses, growing access to financial services, closing the digital divide,
uplifting labor and environmental protections through trade, and developing the
green workforce of the future.
Accountability in Border Communities
We need a federal government that’s accountable to our border
communities. That means an immigration system that keeps families
together, preserves our security, grows our economy, honors our Constitution,
and reflects our values. That also means an approach to national security that
respects the rights of people and our fragile border ecosystems. As president,
my administration will:
Welcome those in need and protect rights and due process. My immigration plan commits
to decriminalizing migration, significantly reducing detention and ending
private detention facilities, providing rights and due process for all
immigrants, reaffirming asylum protections for those fleeing violence, and
ending policies like metering and the “Remain in Mexico” policy. As president,
I’ll also reverse the Trump administration’s policy giving Border Patrol agents
the power to make “credible fear” determinations for asylum-seekers rather than
asylum officers. A Warren administration will invest resources in more
culturally competent asylum officers and immigration judges and better
coordinate a full federal government response to the humanitarian crisis at the
border, just like we would with FEMA during a natural disaster. And I’ll pardon
those convicted of providing food and water to migrants — because no
one should go to jail simply for providing humanitarian aid to another person
Remake CBP and ICE in a way that reflects our values. We
spend billions of dollars each year on a
massive and cruel immigration detention and enforcement system that
breaks up families and keeps thousands locked up — with little evidence that it makes
our nation safer.A Warren
administration will reshape CBP and ICE from top to bottom, reducing
funding for detention and instead focusing their efforts on ports of entry and
homeland security efforts like screening cargo, identifying counterfeit goods,
and preventing smuggling and trafficking. And to change the culture, I’ll
insist on transparency and strengthen the authorities of independent internal
watchdogs to prevent future abuses. I’ll designate a Justice Department task
force to investigate accusations of serious violations, and give it independent
authority to pursue any substantiated criminal allegations.
The Supreme Court ruling that a family can’t seek damages after
their son was killed by a border patrol agent because he was on
the Mexican side of the border when the agent shot him shows us that our system
of accountability is broken. In spite of the Supreme Court’s decision, a few
steps to one side of the border or another should not serve to forfeit basic
rights. As president, I’ll work to reverse the decision legislatively in order
to ensure accountability for victims of border patrol violence — regardless of
the side of the border. Furthermore, I support requiring Customs and Border
Patrol (CBP) agents to wear body cameras, a best practice in local law
enforcement that reduces use-of-force incidents and increases transparency.
And as new technology is deployed, a Warren administration will monitor
violations of privacy and limit the use of facial-recognition software. Let
there be no ambiguity on this: if you are violating the basic rights of
immigrants, now or in the future, a Warren administration will hold you
Stop Trump’s Militarization of the Border. Despite Trump’s
rhetoric, the people seeking asylum at the southern border are not a threat to
our national security. And Trump’s wall is a monument to hate — and only the
latest attempt to treat the southern border as a war zone rather than as a
vibrant community. Many of the apprehensions at the border are families and
children who commonly turn themselves in to
Border Patrol to apply for asylum. This is a humanitarian
crisis in need of medical doctors, immigration lawyers, and social workers —
not military troops. As president, I will end Trump’s deployment of
military forces to the border. I’ve listened to communities at the border when
they say we do not need Trump’s failed wall, and I will immediately stop the
construction of Trump’s wall on the border between Mexico and the United
States. I will also work to repeal the sections of law that allow the federal government to
waive federal procurement rules or environmental impact reviews.
Despite the immediate public health threat, the Trump administration is demanding
that we cut spending elsewhere to pay for emergency funding we need to prepare
for and respond to coronavirus — so I am introducing a bill in the Senate to
redirect funding diverted to the wall toward coronavirus instead. We need to
get our priorities straight and focus on keeping the American people safe,
rather than funding some useless vanity project. Let’s be clear: our border
communities are not a war zone.
End Constitution-Free Zones. CBP has the authority to
operate within 100 miles of any “external boundary” — an area deep into
the interior of the country that covers about 200 million people, including
9 of the 10 largest U.S. cities. The Border Patrol operates numerous
immigration checkpoints and regularly stops people to check their immigration
status, raising concerns about racial profiling and violations of the
Constitution’s Fourth Amendment protections. During natural disasters and daily
life, immigrant families are afraid to travel freely in their own communities.
Citizens of Tribal Nations such as the Tohono O’odham Nation who have tribal ID cards face
unnecessary hurdles with border patrol checkpoints. Agents also have the authority to enter private property
(except dwellings) 25 miles from the border, which includes almost
all of El Paso. There is no reason Border Patrol agents should have special
access to private property without receiving a warrant from a judge just like
the rest of law enforcement. As president, I will hold immigration enforcement
to the same due process and standards as other law enforcement agencies — no
more warrantless property searches, no more arbitrary stops, no more violations
of basic Constitutional rights. It’s time to rein in CBP, and ensure everyone’s
rights are respected.
Root Out White Nationalism. We need to call out white
nationalism for what it is—domestic terrorism. It is a threat to
American safety and security. In a Warren administration, we will use every
tool we have to defeat it, and that includes from within our military, our law
enforcement, and our immigration enforcement agencies. To start, I will
instruct these federal agencies to tighten their background check processes and
to better track incidents of bias crimes and reports of affiliation with white
nationalist or neo-Nazi groups in their ranks. Extremist ideology is a threat
to our values, and it has no place inside our government. As part of my plan to
reshape ICE and CBP, I’ve said that I will strengthen the authorities of
independent internal watchdogs to prevent future abuses. This includes tasking
the Inspectors General at both agencies to focus explicitly on reports of bias
crimes or racism on the job. A Warren administration will have zero tolerance
for these types of infractions.
From the 1918 Porvenir massacre through
today, we must also recognize the long history of racist violence along
the U.S.-Mexico border. Tragically, we have seen how this horrific
history repeated itself just last August, when a white nationalist, directly
echoing the rhetoric of President Trump, drove hundreds of miles to commit an
act of terror against the people of El Paso. As I laid out in my plan to combat white nationalism,
combatting white nationalist crime will be a top priority for the Departments
of Justice and Homeland Security in a Warren administration. My administration
will also work with federal and local law enforcement to crack down on
dangerous anti-immigrant vigilante militias at the border, which often include members of hate groups or
individuals with a history of violence,
including against U.S. citizens.
Respect Tribal Sovereignty. My plan for public lands
includes aggressive steps to
stop private interests from pillaging sacred lands. I will use all legal
authorities, including the Native American Graves
Protection and Repatriation Act, to protect sacred sites like Organ
Pipe. And absent extraordinary circumstances, respect for tribal sovereignty
means that no project, development or federal decision that will have a
significant impact on a tribal community, their lands, resources, members or
religious practices, should proceed without the free, prior, and informed
consent of the Tribal Nation concerned. I have also called for a new Sacred Lands Religious
Freedom Restoration Act to dramatically improve the
ability of Tribal Nations to block the imposition of development, extraction,
and land use decisions with respect to tribal lands.
Fighting for Safe, Healthy, High-Quality Living on the Border
A generation of barely budging wages and rising costs for basics like housing,
health care, child care, and education have squeezed family budgets. Many
families living in communities at our borders are hanging on by their
A lack of affordable housing and decades of systemic discrimination has
driven hundreds of thousands of people,
predominantly U.S. citizens of Mexican-descent, in Texas, Arizona, New Mexico,
and California to live in neighborhoods, called colonias, without basic
necessities like potable water, electricity, and safe housing. Border
communities have uninsured rates that are much higher than the national average
and have some of the highest rates of chronic diseases like diabetes in the
country. In the colonias in Texas, over 50% of adults do not have a
high school diploma.
A Warren administration will:
Invest in safe and affordable housing for all. My Housing Plan for America invests
$500 billion over the next ten years to build, preserve, and rehab more than
three million units that will be affordable to lower-income families —
including $523 million to create 380,000 affordable rental homes in rural
communities and $2.5 billion to build or rehabilitate 200,000 homes on
tribal lands, where overcrowding, homelessness, and substandard
housing have reached crisis levels. My plan will lower rents by 10%, reform
land-use rules that restrict affordable housing construction and further racial
segregation, and take a critical first step towards closing the racial wealth gap.
My plan to protect and empower renters tackles the growing cost of rent,
strengthens fair housing law and enforcement, fights for a nationwide right to
counsel for low-income tenants in eviction proceedings, and creates a national
small dollar grant program to help make sure families aren’t evicted because of
My administration will also take on “land contracts”
agreements, predatory loans that arefrequently targeted at
communities of color and areprevalent in border communities. In
these contracts, tenant-buyers can be subject to unjust eviction
proceedings, homes can be in such bad condition they’re basically
uninhabitable, interest rates exorbitantly high, and in the case of some
colonias, developers have failed to provide basic infrastructure
like a sewer system or paved roads. And because of the “forfeiture clause”
embedded in these kinds of agreements, if tenants fall behind on these
high-interest payments, lenders can seize the property — and keep the payments
that have been made as “liquidated damages.”
Texas is one state that has moved toward increasing protections after
a certain amount has been paid, but there’s more we can do. I’ll choose a CFPB
Director committed to reining in land contracts, work with states to require
that these contracts be recorded to collect better data and formalize land
titling, and strengthen protections and rights of these residents to ensure
their property isn’t lost to exploitative practices and can be passed onto
Protect Clean Water.Clean water is
vital to our health and welfare and to our economy. But decades of
environmental racism have allowed corporate polluters to
pump dangerous amounts of pollution into our border communities and unaccountable developers to
leave these communities without the resources and infrastructure to take it
on. 30% of people living in colonias
don’t have safe drinking water. Meanwhile, border communities have
been battling toxic waste dumping in
their neighborhoods. And yet, Trump’s 2021 budget proposal eliminates much of
the federal money allocated for water and wastewater projects that could have
been used to work towards clean drinking water in border regions.
A Warren administration will invest in our nation’s water systems. I have
committed to fully capitalize the Drinking Water State Revolving Fund and the
Clean Water State Revolving Fund to refurbish old water infrastructure and
support ongoing water treatment operations and maintenance, prioritizing the
communities most heavily impacted by inadequate water infrastructure. I will
also fully enforce Safe Drinking Water Act standards for all public water
systems and aggressively regulate chemicals that make their way into our water
supply, including from agricultural runoff. I’ll restore all funding to water
and wastewater projects the Trump administration has proposed to eliminate.
And, for the thousands of people who rely on private
sources for drinking water, a Warren administration will fight for
adequate funding so that everyone can have access to safe water. I’ll also make
giant agribusinesses pay the full costs of the environmental damage they wreak
on the border communities that surround them by closing the loopholes that they
use to get away with polluting and by beefing up enforcement of the Clean Air
and Clean Water Acts against them.
Health care is a human right and that’s why we need
Medicare for All. Under Medicare for All, every single person in this
country will be able to see the doctor they need and get their recommended
treatments. As president, I will immediately act to lower the cost of
prescription drugs, using every available tool to bring pressure on the big
drug companies and bring down the high costs of many common prescription drugs,
including Insulin. And within 100 days, I’ll work with Congress to expand
coverage to every American by expanding Medicare and creating a Medicare for
All option that is free for all kids and families at or below 200 percent of
While we work to deliver Medicare for All, a Warren
administration will roll back the Trump administration’s efforts to rip health
coverage away from people. The Trump administration’s reinterpretation of
Section 1557 would undermine critical nondiscrimination protections, weakening
requirements to make health information language-accessible. As president, I will
direct HHS to reinstate the Obama administration’s 2016 guidance that fully
upholds civil rights and nondiscrimination protections. I’ll roll back the
Trump administration’s Public Charge rule change, which is harming immigrants
with disabilities and forcing immigrant families to choose between staying
together and ensuring their children can get critical services. And I’ll
reverse the Trump administration’s harmful Medicaid policies, like work
requirements and block grants, that take coverage away from low-income
individuals and families.
Strengthen the Health System. While coverage is critical,
it’s only part of ensuring access to high-quality care. We also have a
responsibility to make sure that places that have experienced a loss in
services or are otherwise medically underserved get support to improve their
health systems and meet the needs of their communities.
That’s why I’ve committed to protecting health care in rural communities by
creating a new designation under Medicare for rural hospitals, ending the
harmful effects of consolidation, and dramatically increasing funding for
Community Health Centers. I will also establish a $25 billion dollar capital
fund to support a menu of options for improving care in health professional
shortage areas, including: constructing a new facility like a
Community Health Center, Rural Health Clinic, School-Based Health Center, or
birthing center; expanding capacity or services at an existing clinic;
establishing pharmacy services or a telemedicine program; supporting a diabetes
self-management education program; improving transportation to the nearest
hospital; or piloting models like mobile clinics and community paramedicine
programs. A Warren administration will also expand our health care workforce by
investing more resources in building the pipeline of culturally-competent and
language-inclusive medical professionals in rural areas and other areas with
shortages, from physicians to promotoras.
But we also need to support robust public health efforts to keep these
communities healthy and prepared to handle potential outbreaks — and to work
in partnership with the international community, including Mexico, in our
global health response. That’s why I’ve committed to fully fund the critical
agencies that support our public health infrastructure. To
double down on this commitment in the border region, I will also create a
Border Health Initiative within the Federal Office of Rural Health Policy to
focus on strengthening these institutions in ways that serve the unique needs
of this region and its people.
Fight for high-quality education from the earliest years through college. 33 of the 44 counties along the
Southern border are non-metropolitan counties. Today, a majority of rural communities lack
sufficient access to child care. My plan for Universal Child Care will
provide high-quality child care free for millions and affordable for everyone.
My administration will also work closely with local providers and tribal
governments to make sure there are high-quality child care options available in
every community — including home-based child care services. And as part of a
comprehensive early childhood education system, I will ensure all children can
attend free high-quality universal pre-K.
I’m also committed to protecting English Language Learners by enforcing their
rights to meaningful access to rigorous coursework, teachers, special education
services, and integration with the rest of the student body, while fostering
their home language. And I will protect the rights of immigrant students,
ensuring that all immigrant children have access to a quality education, no
matter their native language, national origin, or immigration status.
Border states are
facing an acute teacher shortage.
My administration will treat teachers and staff like the professionals they are
by strengthening the ability of educators to organize and bargain for just
compensation and ensure that educators aren’t drowning in debt. I’ll also build
a more diverse teacher and school leadership pipeline by investing in Grow Your
Own and teacher residency programs. And I will push to fully fund the Teacher
Quality Partnership program to support teacher residency programs in high-need
areas, like rural communities, and in areas of expertise like Special Education
and Bilingual Education.
My student debt cancellation and
universal public college plan will cancel up to $50,000 in
student loan debt for more than 95% of Americans who carry it and make two-year
or four-year public college or technical school free. My plan also makes a
minimum $50 billion investment in HBCUs, Hispanic Serving Institutions, Tribal
Colleges and Universities, and other Minority-Serving Institutions.
Prevent Gun Violence in Border Communities and in Mexico. After
Trump, we’ll have work to do to restore our relationship with our Mexican
neighbors. One area where we can begin to make improvements immediately is
in stopping the flow of American guns
to Mexico. As Mexico struggles with record violence, Americans must
face the fact that our weak gun laws have not only fed an epidemic of gun
violence at home, but are also a leading driver of instability among our
neighbors. This instability in turn is displacing people across Mexico and
elsewhere in Latin America, feeding the humanitarian crisis that border
communities in both the U.S. and Mexico are facing today. I will fight to end gun violence,
recognizing that this is part of addressing the root causes of migration and improving
our relationship with Mexico. And as president, I will pass a new federal
anti-trafficking law making clear “straw purchases” are a federal crime and
prosecute gun traffickers by instructing my Attorney General to go after the
transnational gun trade with all the resources of the federal government.
Building a 21st Century Border Economy
A thriving border economy is crucial to the economic wellbeing of the rest of
our country. And when Trump has threatened to shut it down, the ramifications
have been felt quickly and acutely. In 2018, a 5 hour border crossing closure
at San Ysidro in California — the busiest land border crossing in
the world — cost local businesses $5.3 million. We
need a strong border economy that works for everyone. That means investments in
local small businesses, growing access to financial services, closing the
digital divide, trade that uplifts labor and environmental protections, and
developing the green workforce of the future.
Boosting Small Businesses. Small businesses are
essential to the prosperity of border communities, but these businesses have
been harmed by increased border militarization and Trump’s reckless tariff by tweet approach
to trade. People along the U.S.-Mexico border also confront barriers to
accessing the capital and financial services necessary to start and grow their
businesses — barriers that disproportionately affect Latino,
Native American, and Black entrepreneurs. My comprehensive agenda to boost
America’s small businesses will level the playing field for
small business owners on the border by providing access to credit, helping
small businesses deal with regulatory requirements, and unleashing the full
purchasing power of the federal government to support small businesses.
Protecting and Expanding Financial Services. The number of
rural counties without a locally owned community bank has doubled since 1994, and
border communities are increasingly becoming banking
deserts. I’ve proposed allowing the U.S. Postal Service to partner with
local community banks and credit unions to provide access to
low-cost, basic banking services online and at post offices. A Warren
Administration will also strengthen lending to small businesses in underserved
areas by expanding support for Community Development Financial Institutions,
which provide an important source of funding for
women, people of color, and rural communities. As president, my
administration will also protect immigrant families sending remittances by
enacting stronger rules at the Consumer Financial Protection Bureau around
remittances to ensure fees are transparent, and I will oppose President Trump’s
proposed tax on remittances that targets wire transfers to Mexico, Latin
America, and the Caribbean to pay for his wall.
Extend Broadband to Border Communities. The communities
along the U.S.-Mexico border have some of the lowest levels of internet
connectivity in the nation. This digital divide is a
major barrier for people to find jobs, students to complete homework, small
business to connect to new markets, and it holds back the entire community.
That’s why as president, I will make it clear in federal statute that
municipalities have the right to build their own broadband networks and
establish a new $85 billion federal grant program to
massively expand broadband access across the country. I will also require all
telecommunications services to contribute fairly into the Universal Service
Fund to shore up essential universal service programs that provide subsidies to
low-income individuals, schools, and libraries to increase broadband adoption –
because every home in America deserves a fiber broadband connection at a price
families can afford.
Decreasing Wait Times. Under the Trump Administration, wait times
at ports of entry are dramatically increasing, reducing trade and commerce
and even impacting air quality for
surrounding communities. Every day almost $2 billion worth of products crosses
the U.S.-Mexico border, but delays in Texas can exceed 10 hours — this is
unacceptable. In places like Deming, New Mexico, students pushed across the
border because of unaffordable housing or to be with deported family
members get up at dawn to wait hours
through highly-militarized security checks to make it to school on
the U.S.-side on time. An estimated 40,000 children cross the
U.S.-Mexico border for school every day. First, we will
invest in dedicated pedestrian lanes for both U.S. citizens and students, and
the “All Lanes Open Initiative” so that there is better traffic flow
during the morning rush and expand the program to include evenings. We also
need to completely repeal the “hardening measures,” such as concrete
barriers topped with razor wire, and limit “tactical exercises” that create
choke points and slow down traffic. With the passage of the USMCA, we will
increase the number of custom officials and invest in modern technology to more
efficiently and effectively inspect and verify goods.
Leveling the Playing Field with Trade. As a Senator, I voted
for the USMCA — the revised NAFTA agreement. I supported the agreement because
it made some improvements for American workers, farmers, and consumers, and
Mexican workers too. It guarantees the right to organize for Mexican workers,
provides for new investments in combating pollution such as $300 million
to stop cross-border sewage flows,
and strengthens diplomatic ties with our neighbors at a time that President
Trump seeks to divide us.
But we will do much better for border communities in a Warren administration.
We need a new approach to trade that works for Americans who have been left
behind, including the communities on the U.S.-Mexico border. Instead of pursuing
a race to the bottom when it comes to worker’s rights and environmental
protection, it is time to use our leverage of the American market to encourage
other countries, including Mexico, to elevate their policies. When we raise
labor and environmental standards worldwide, we help millions of people living
abroad and let American workers compete on a more level playing field.
Building the Green Workforce of the Future. Border states
are emerging as leaders of the new green economy.Texas is the leading producer of
wind energy in the country, California is the leading producer
of solar energy, and clean energy investments in New Mexico and Arizona are on the
rise. To really bend the curve on climate, we’ll need sustained big, structural
change across a range of industries and sectors. My administration will commit
to investments in retraining, joint labor management apprenticeships, and
creating strong career pipelines to ensure a continuous supply of skilled,
available workers. And, we will look for every opportunity to partner with high
schools and vocational schools to build pathways to the middle class for kids
who opt not to go to college. Outside experts that have looked at my ideas for
a Green New Deal to analyze how they will drive job creation have estimated
that they will create 10.6 million new green jobs.
That means millions of new clean energy jobs in border states and honoring our
commitments and a just transition for fossil fuel workers, so that no one is
Honoring our Border Servicemembers and Veterans. Military
bases and military families are key drivers of local border economies, from the
Marine Corps Air Station in Yuma to Laughlin Air Force Base in Del Rio. Rather
than defunding military projects — like military base child care
facilities — to build Trump’s “wall”, we should be investing
in military readiness, infrastructure, and veterans and their families. From
military housing and child care to a 21st century VA system, I will keep our
promise to care for our nation’s veterans, service members, and military
The vigorous contest of Democrats
seeking the 2020 presidential nomination has produced excellent policy
proposals to address major issues. Senator Elizabeth Warren released her
plan to “Restore Integrity and Competence to Government After Donald Trump”
presidency has been a dark period in American history. That period won’t end
just because Donald Trump has left office. If we want to write a new chapter in
the American story — one in which the government and economy actually work for
the people — we will have to cleanse the corruption from our government and
urgently act to appoint officials who will bring integrity to public service,”
This is from the Warren campaign:
Charlestown, MA – In one year, the next
president will start her first full day of work. Donald Trump will be leaving
behind a disaster: agencies gutted, others run by lobbyists and rife with
corruption and policies that have thrown our country into crisis. The next president
will need to have the energy, expertise, and vision to safeguard our country,
rebuild the government swiftly, and make fundamental changes so that it works
for the American people.
Elizabeth has a plan to restore integrity and competence to government after
Donald Trump. She will:
Address the corruption and incompetence of the Trump Administration by:
Asking for the resignations of all political appointees,
including U.S. Attorneys, with an exception only for those positions necessary
to preserve continuity and protect national security during the transition
Establishing an independent Justice Department Task Force to
investigate violations by Trump administration officials of federal bribery
laws, insider trading laws, and other anti-corruption and public integrity
laws, and give that task force independent authority to pursue any
substantiated criminal and civil violations.
Reviewing the performance of independent agencies and
removing leading officials for cause where there is justification to do
Identifying federal contracting arrangements that arose as a
result of corruption in the Trump administration – and ending them.
Swiftly appoint new personnel:
Elizabeth will announce her choices for the Cabinet by
December 1, 2020, other top nominations by December 15, 2020, and fully staff
all senior and mid-level White House positions by Inauguration Day.
She will not hire any current lobbyists. If someone has
served as a corporate lobbyist in the past, they will have a six year cooling
off period and there will be no waivers or exceptions. Non-corporate lobbyists
will have a two year cooling off period, and any waivers will be made public.
She will also institute a number of rules to make sure that
executive branch officials are working on behalf of the people – not themselves
or their former employers.
She will use a number of existing tools to swiftly fill
Build a government that reflects the energy and diversity of
The Cabinet and senior leadership team will reflect the full
diversity of America, including having at least 50% of Cabinet positions filled
by women and non binary people.
LGBTQ+ people will be represented across all levels of
government, including in leadership roles.
She will diversify recruitment to direct real resources
toward attracting entry-level applicants for public service from HBCUs, Tribal
Colleges and Universities, Hispanic Serving Institutions, and other
minority-serving institutions, and reform high-level recruiting processes to
attract diverse experienced hires into senior management positions.
She will create new paid fellowship programs for federal
jobs for people from marginalized communities and low-income applicants,
including formerly incarcerated individuals.
She will open up promotion pathways by requiring every
federal agency to incorporate diversity as part of their core strategic plan
and creating support networks through a government-wide mentorship program that
centers Black and Brown employees.
And she will recommit to President Obama’s efforts to raise
the level of people with disabilities in federal service.
One year from today, the next president will begin her first full day of work.
She will be inheriting a government in crisis: from children in cages at
detention facilities near the border to a reckless foreign policy that
endangers our country and a bigoted ban on travelers from Muslim-majority
countries, our country will be in desperate need of immediate course
correction. Further, Donald Trump will leave behind a government that has been
infected by corruption and incompetence, and his vindictive actions as
president suggest that he is likely to do everything he can to undermine the
next president. We cannot assume that everything will be fine once Donald Trump
leaves office. The next president will need to have the energy, expertise, and
vision to safeguard our country, rebuild the government swiftly, and make
fundamental changes so that it works for the American people.
I know how to get the government working for the people because I’ve done it
before. Back in 2010, President Obama picked me to get the Consumer Financial
Protection Bureau (CFPB) up and running. We recruited a mission-driven staff
and set up the organization, and it took swift action to protect Americans from
financial predators and make financial products safer. From defending people
with crushing levels of student debt to fighting for servicemembers and their
families who were targeted by financial vultures, the agency used every tool in
its toolbox to stand up for ordinary Americans. And that agency has now returned
more than $12 billion directly to people who were cheated.
I have also spent the last seven years in the Senate studying the intimate
details of how our government works, finding the levers that can bring about
big structural change, and identifying the key positions that are responsible
for making these changes. And I have learned from a diverse community of
experts who share my vision for progressive, structural change and who know the
executive branch inside and out.
My agenda would make our government and our economy work for everyone. It
starts with anti-corruption reforms, democracy reforms, campaign finance
reforms — reforms that will break the stranglehold that corporate interests
have on Washington and get our government working for the people. We’ll also
make our economy work for everyone — from cancelling student loan debt to
providing universal child care for every kid age 0 to 5 to investing in green
manufacturing. But achieving this agenda while also addressing the crises that
Donald Trump has created will require an energetic president with expertise on
how the executive branch works, a real commitment to making the executive
branch free from corruption, and the courage to use every tool available to
deliver for working families.
Of the positions he has filled, Donald Trump has been stacking the government
with lobbyists, campaign donors, and cronies. Halfway through his first
term, he had already hired 281 lobbyists into
political appointments. Shortly after being elected, thirty-eight percent of those he
picked for high-level government jobs were donors and during
his first two years, 40% of his ambassadors came
from outside the foreign service. The mix of industry insiders and donors has
both created turmoil and opened up an opportunity for big businesses to tilt
the rules in their favor. This government run by and for lobbyists has
dismantled workplace safety and environmental rules, health care protections,
and dozens of other programs and regulations that benefit working people.
Rebuilding our government to work for the people won’t just happen. It’s going
to require painstaking work, extraordinary drive and urgency, and a serious
plan to root out the corruption and incompetence that Trump will leave behind.
That means cleaning out the corruption that has infected the government, and it
means moving immediately to fill key jobs and set up agencies with capable
officials committed to putting the public interest first.
Addressing the Corruption and Incompetence of the Trump Administration
On day one of my presidency, I will take aggressive steps to root out the
corruption and incompetence of the Trump administration and to hold that
administration accountable. I will:
Remove all political appointees. Rooting out the
corruption in our government starts with wiping the slate clean on political
appointments. Donald Trump gave influential, high-ranking positions to his
donors, friends, and political allies. I will ask for the resignations of all
political appointees, including U.S. Attorneys, save only those positions
necessary to preserve continuity and protect national security during the
Prevent political appointees from burrowing into career
positions. The law outlinesclear rules that
help prevent political appointees from circumventing standard hiring practices
and “burrowing” into the government by converting from a political appointment
into a career position. I will strengthen enforcement of rules around
conversion from appointed positions to career civil service to root out
officials who attempt to burrow into agencies.
Establish a Justice Department Task Force to investigate
corruption during the Trump administration and to hold government officials
accountable for illegal activity. Donald Trump has run the most
corrupt administration in history. He was impeached for withholding foreign
aid in an effort to try to benefit his re-election campaign. He
has enriched himself and his business through
the power of his office. And there are public reports of potentially illegal
corruption in everycorner of hisadministration. If we
are to move forward to restore public confidence in government and deter future
wrongdoing, we cannot simply sweep this corruption under the rug in a new
administration. That’s why I will direct the Justice Department to establish a
task force to investigate violations by Trump administration officials of
federal bribery laws, insider trading laws, and other anti-corruption and
public integrity laws, and give that task force independent authority to pursue
any substantiated criminal and civil violations. I have also committed to
establishing a task force to investigate accusations of serious violations by
immigration officials during the Trump era.
Review the performance of independent agencies and remove
leading officials for cause where there is justification to do so. For
good reason, the heads of independent agencies can only be removed for cause —
for example, if they neglect their duties or engage in malfeasance while in
office. My administration will review these agencies and determine whether any
of these agency heads warrant removal for cause — and I will not hesitate to
use my for-cause removal authority if the facts justify it.
Identify federal contracting arrangements that arose as a
result of corruption in the Trump administration – and end them. The
corruption in the Trump administration extends beyond those who work for the government
directly to those who have won contracts to execute government services. For
example, Donald Trump repeatedly pushed the
Army Corps of Engineers to award a border wall contract to a particular company;
the company won the contract despite not meeting the standards for a bid. My
administration will review major contracts executed under the Trump
administration to identify conflicts of interest and other forms of corruption
and take action to cancel any contracts procured as a result of corrupting
Swiftly Appoint New Personnel Who Will Undo the Trump
Administration’s Disastrous Policies, Restore Integrity to Government, and
Fight on Behalf of the American People
It would be foolish to assume that after Trump is gone, the government will
start moving in the right direction all on its own. This will be no ordinary
transition between administrations. One year from now, the next president will
take charge in the middle of multiple crises – from the border, to our foreign
policy, to the undermining of health, safety, and environmental rules, to the
hollowing out and corruption of our public institutions.
My transition will move faster than any transition in modern history to
identify appointees and develop plans for making change starting on day one. Unlike
previous transitions, we will not be able to assume good faith cooperation on
the part of the outgoing administration, and we do not have an outgoing
administration that shares even the most basic values. There will be no time to
lose in putting teams in place to address the crises this administration has
brought on our country – and to take action on the extraordinary challenges
that the American people face.
And that is why I am committing to announcing my choices for the Cabinet by
December 1, 2020, other top nominations by December 15, 2020, and fully staff
all senior and mid-level White House positions by Inauguration Day. Historically,
the Obama administration was the most successful at sending nominations to the
Senate, delivering 35 nominations for confirmation on his first day in office.
As president, I will send the largest package of nominees to the Senate for
confirmation on day one. In addition, I will have the senior and mid-level
ranks of my White House fully staffed on day one, so that we can hit the ground
Source: Partnership for
Public Service, Center for Presidential Transition
I have often said that personnel is policy. The
choices of who to appoint are policy choices, because individuals make policy
decisions. But personnel is also performance. If our government doesn’t have
good people, it can’t perform for the American people. To meet this ambitious
schedule while also ensuring that our government reflects the interests of all
Americans, I will focus on three key areas: instituting hiring rules and
practices that end the revolving door and prevent corruption; building an
administration that reflects the experiences and diversity of our country; and
using all available tools to swiftly fill vacancies.
Ending the Revolving Door and Preventing Corruption
We must ensure that the next administration isn’t afflicted by the corrupting
influence of money that plagues Washington. I have introduced the biggest
anti-corruption legislation since Watergate and my first priority as president
is to pass my Anti-Corruption and Public Integrity Act, so that we can clean up
every aspect of Washington policymaking.
But there are many actions a president can take all by herself, and my
administration will adopt the strictest anti-corruption hiring rules of any
administration in American history. And that starts by ending
the revolving door between big corporations and their lobbyists and government
My administration will not hire any current
lobbyists. If someone has served as a corporate lobbyist in the
past, my administration will require them to have a six year cooling off period
before they are eligible for a government position, and there will be no
waivers or exceptions. Non-corporate lobbyists will have a two year cooling off
period, and any waivers will be made public.
My administration will not hire employees of for-profit
federal contractors, unless I personally review the situation and decide it is
in the national interest. For-profit contractors and licensees do
business with the government – they are often awarded huge contracts and
licenses for important federal projects. Unless I make a specific exception, my
administration will not hire employees of such firms into the agencies or
departments that awarded contracts to their former employers for four years
after their last contract or license was awarded.
My administration will not hire executives of companies
that break federal law or are under investigation unless six years have passed
since the conclusion of the investigation or enforcement action. People
in the private sector can have valuable experience to bring to public service.
But too often, government agencies hire senior executives at companies and
banks that have broken federal law, are subject to enforcement actions, or are
under investigation. Leaders of companies and banks that don’t follow the law
should not be in a position of public trust developing and enforcing the law.
These appointments stop in my administration.
My administration will not hire any person who receives a
“golden parachute” from their employer. “Golden parachutes” – payments,
bonuses, salaries, or other forms of compensation contingent on accepting a
position in the federal government – create the impression that the recipients
will work in their former employers’ best interest – not the public’s. A Warren
administration will not allow such arrangements.
In addition to these hiring restrictions, my administration
will institute rules to make sure that executive branch officials are working
on behalf of the people – not themselves or their former employers:
To prevent conflicts of interest, officials in my
administration will have to divest from any individual stock, bond, or other
investment that federal ethics officials determine may be directly influenced
by the actions of the employee’s agency.
Senior officials in my administration will be required to
divest from all complex investments – including individual stocks and bonds, as
well as commercial real estate and privately-owned or closely-held
Senior officials must also commit to divesting any interests
in family trusts if ethics officials determine that an asset belonging to the
trust might pose a conflict of interest.
Further, executive branch officials who have not been Senate
confirmed must recuse themselves from matters affecting their former employer,
direct competitor, client, or organization that an employee belonged to in the
last four years. Senior officials will be prohibited from being employed
by or consulting for the private sector while simultaneously working in the federal
government. And anyone who volunteers for the federal government, including
White House staff and advisors, will have to agree to abide by all federal
ethics rules too.
The revolving door goes both ways, and too often, people in government depart
and take jobs working at the very firms they had been regulating. At best, this
creates the appearance of corruption. At worst, individuals who are thinking
about their next job corrupt the policymaking process to favor potential
employers. We will end this kind of revolving door corruption.
Senior members of my administration will be required to
pledge not to accept a lobbying appointment after finishing their official
duties – for life. This will apply to all members of my Cabinet, heads of
agencies, my Vice President – and me.
All other members of my administration will have to commit
to not lobby their former office or agency for two years after they leave the
administration – and six years if they become corporate lobbyists – or
until the administration ends, whichever is longer.
Senior government officials in my administration will also
have to pledge for a year not to work for or accept payment from any company
that has lobbied their department or office within the past two years.
Senior government officials in my administration will be
asked to commit not to work for any giant bank or company worth more than $150
billion, any federal contractor receiving more than $5 billion in revenue from
federal contracts, or any market-dominant company, as determined by the
Attorney General, for four years after leaving their post. And anyone in my
administration who participated in the process of granting a contract or
license to a for-profit contractor will also be required to agree not to accept
a job with that contractor for at least four years after leaving government
Both President Obama and President Trump issued their ownethics pledges at
the start of their administrations – and despite good intentions, both failedto curb the number
of lobbyists and government officials that spin through the revolving door.
That’s why the steps I have outlined here will eliminate the loopholes in
previous ethics pledges, principally by expanding the definition of ‘lobbyist’
to include anyone who is hired to influence government, not just those who are
required to register as a lobbyist under current law. Additionally, my plan
requires every executive branch employee – not just political appointees – to
abide by these rules as a condition of their government service and extends the
cooling off periods for executive branch staff to prevent them from lobbying
their former agency or office through the end of an administration. And it
removes the president’s ability to waive these requirements for corporate
lobbyists and executives of law-breaking companies.
Building a Government that Reflects the Energy and Diversity of America
It is not enough, of course, to have people in government who don’t have
conflicts of interest. We need people who are passionate about the mission of
their agencies, deeply understand the needs and experiences of all Americans,
and reflect the diversity of the American people.
Under the Trump Administration, we have seen appointees who are actively
hostile to the mission of their agencies. Secretary of Education Betsy Devos
doesn’t believe in public education. EPA Administrator Andrew Wheeler doesn’t
think climate change is a top priority. As President, I will appoint
people who want to fulfill the purposes of our government, not undermine it —
and that starts with some serious departures from the Trump Administration. For
example, I will appoint:
A Secretary of Education who has been a public
A Secretary of Labor who has been a labor
leader, and appointees to the National Labor Relations Board who have a record
of fighting for workers.
A Secretary of Agriculture who has a
demonstrated commitment to advocating for Black farmers.
A Secretary of Homeland Security who is committed
to undoing the damage caused by the Trump administration and who believes that
immigration makes our country stronger, not weaker.
Department of Justice officials who believe in
voting rights and the rule of law – including for the president.
Antitrust officials who will aggressively
scrutinize mergers, bring challenges to vertical and horizontal mergers, and
are not afraid to take on big tech, big ag, big pharma, and other consolidated
A Securities and Exchange Commission chair who
will require corporate political spending disclosure, strictly enforce our
securities laws, and use all existing tools to require robust disclosure of
A Federal Communications Commission chair who
will restore the 2015 Net Neutrality rules, block monopolistic mergers by media
and telecom corporations, and protect the Lifeline program that helps
low-income Americans afford broadband Internet.
An EPA head who believes in the urgency of
addressing climate change and protecting our environment.
Federal Reserve officials who believe in the
agency’s full employment mandate, recognize that inflation fears have been
overblown for years, and who are willing to let wages grow.
Our government officials can best serve the American public
when they reflect the diversity of the country itself. The federal government
does a dismal job on diversity and inclusion. The share of Latinas in the
federal workforce is about half that of the entire workforce. Even though Black
women are disproportionately represented in the federal workforce, they are
nearly absent from its leadership ranks. White workers make up nearly 80% of
the senior civil service despite making up only 63% of the overall federal
workforce. The Obama administration worked to raise the proportion of people
with disabilities to more than 14% of the federal workforce, but that dropped to 9.2% under Trump.
My administration will be committed to diversity and inclusion, starting on day
one. I will:
Build a Cabinet and senior leadership team that reflects the
full diversity of America, including having at least 50% of Cabinet positions
filled by women and non binary people.
Ensure representation of LGBTQ+ people across all levels of
government, including in leadership roles.
Diversify recruitment to direct real resources toward
attracting entry-level applicants for public service from HBCUs, Tribal
Colleges and Universities, Hispanic Serving Institutions, and other
minority-serving institutions, and reform high-level recruiting processes to
attract diverse experienced hires into senior management positions.
Create new paid fellowship programs for federal jobs for
people from marginalized communities and low-income applicants, including
formerly incarcerated individuals.
Open up promotion pathways by requiring every federal agency
to incorporate diversity as part of their core strategic plan and creating
support networks through a government-wide mentorship program that centers
Black and Brown employees.
Recommit to President Obama’s efforts to raise the level of
people with disabilities in federal service — and I will include federal
contractors and internship programs too.
Using Existing Tools to Swiftly Fill Government Vacancies
To implement the kind of big, structural changes I have proposed, we will need
to address the substantial vacancies in career civil service positions left
behind by the Trump administration. For example, the State Department lost
a significant percentage of
its employees in the first year of the Trump Administration alone. The federal
government has a number of tools to expedite
hiring processes, and a Warren administration would use them to put
well-qualified public servants to work as quickly as possible. For example:
My Office of Personnel and Management (OPM) will use
its direct hire authority to
identify areas of severe shortage and allow agencies to waive competitive
hiring processes in these areas of critical need.
Finally, I will designate officials at OPM to work with agencies to ensure that they are using their hiring authorities as effectively as possible while also prioritizing diversity in hiring and following all relevant laws, regulations, and administration policies.
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
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.
The Democratic candidates for president offer stark contrasts to the present occupant of the Oval Office. With a potential coronavirus pandemic creating global anxiety, Senator Elizabeth Warren has just released a detailed plan how she would prevent, contain and treat infectious disease outbreaks at home and abroad.
Charlestown, MA – Senator Elizabeth Warren released her plan to prevent, contain and treat infectious disease outbreaks at home and abroad. Diseases like Ebola virus, Zika virus and most recently, coronavirus demonstrate the real threat that outbreaks pose to our health and security. The United States can be a leader in combating these problems. But to do so, we must invest at home to ensure our public health agencies, hospitals, and health care providers are ready to jump into action when outbreaks strike. And we must invest and partner with other countries to help build strong public health systems abroad.
By properly preparing, we will save lives, strengthen our relationships with allies, protect our interests, and help build resilience to outbreaks and pandemics around the world.
Warren’s Plan to prevent, contain, and treat infectious disease outbreaks will:
Restore White House leadership on health security by designating a senior official to focus solely on this issue and fully funding domestic public health and preparedness at key HHS agencies, in contrast to President Trump’s decision to eliminate this White House role and massive proposed budget cuts to public health;
Restore American leadership in the international community, reversing President Trump’s assault on the State Department and USAID;
Invest in global health security and rejoin global efforts on climate change by changing how diseases emerge and spread, reverse President Trump’s proposed global health cuts and retreat from international climate efforts.
Ensure evidence-based decisions and equity in response to outbreaks, relying on science to contain them and ensuring that all communities get the help they need to stay healthy.
Preventing, Containing, and Treating Infectious Disease Outbreaks at Home and Abroad
In 2014, the world watched as Ebola spread throughout six countries in West Africa and eventually jumped oceans to reach the United States, Spain, Italy, and the U.K. As the outbreak spread, over 50 countries stepped up to help respond. The experience revealed a new global reality: to effectively beat infectious diseases, we need all hands on deck.
In 2015 the state of Indiana experienced an outbreak of HIV stemming from the ongoing opioid epidemic. In a county with a population of less than 25,000, over 200 people contracted the virus. Simultaneously, Zika virus was spreading throughout the U.S. and causing birth defects in children born to some infected pregnant women.
Instead of building capacity to combat these problems, Donald Trump has deprioritized global health security and risked putting us on heels in a crisis.
Trump has repeatedly tried to nickel and dime federal programs essential to health security, proposing billions of dollars in cuts so drastic that even leading a House Republican thought they would leave Americans vulnerable. Trump eliminated the key position that coordinates global health security across the many federal agencies that work to keep us safe. And his response to natural disasters that could lead to serious outbreaks, like hurricanes in Puerto Rico, has been basically non-existent.
Like so much else, Trump’s approach to keeping us safe from disease outbreaks is a mess. But when he’s gone, we can fix it.
We can invest at home to ensure our public health agencies, hospitals, and health care providers are ready to jump into action when outbreaks strike. And we can help build strong public health systems abroad. By taking these steps, we will save lives, strengthen our relationships with allies, protect our interests, and help build resilience to outbreaks and pandemics.
That’s why I have a plan to prevent, contain, and treat infectious diseases — one that will help keep America safe and healthy. And as President, I will work across all levels of government here at home and with our many partners abroad to turn that plan into action.
Preventing Transmission and Preparing for Outbreaks The best way to beat a pandemic is to prevent it from starting in the first place. As President, I will work to build the foundations that help us catch infectious diseases before they spread.
Build strong public health systems at home and abroad. Combating infectious diseases requires building health infrastructure that enables us to handle epidemics whenever and wherever they strike. Diseases do not recognize borders — we need a global approach to a global problem. To build strong systems we must:
Fund agencies that prevent and manage outbreaks. President Trump has repeatedly proposed billions in cuts to the agencies responsible for fighting and preventing pandemics, a devastating blow that would put lives at risk. Some of the deepest proposed cuts were to the Centers for Disease Control and Prevention (CDC), which runs essential pandemic prevention and response programs. As President, I will fully fund this work, ensuring that key agencies like the Department of Health and Human Services (HHS), the State Department, and the U.S. Agency for International Development (USAID) have the support they need to do their jobs.
Prepare health departments, health care providers and
hospitals, and other facilities and frontline staff. We must increase
funding for the Public Health Emergency Preparedness (PHEP) cooperative
agreement that supports the critical work of health departments across the
country to prepare for outbreaks, natural disasters, and more. Similarly, we
must continue to support the Hospital Preparedness Program (HPP), which ensures
we equip facilities and train staff on the front lines.
Fully fund the Global Health Security Agenda (GHSA). Designed to build capacity in nearly 50 countries, the GHSA funds work in partnership with other countries to strengthen their public health infrastructure and combat outbreaks before they start. And in a few short years, it is clear that investment has paid off. Under President Trump some of this work has ramped down, but we know that the ability to stop an outbreak requires consistent investment and support. As President, I’ll provide it.
Reduce transmission of infectious diseases at home. By
reducing the transmission of communicable diseases like HIV and Hepatitis C, we
keep families healthy and safe and strengthen our health system’s ability to
respond to global pandemics. That’s why I have a plan to invest $100 billion to
end the opioid epidemic, and why I’ve committed to end the domestic HIV epidemic by
2025 and ensure that patients can afford drugs like PrEP and
Hepatitis C treatments by acting on Day One of my presidency to
lower drug prices.
Move to Medicare for All. When people can’t
access basic health care, infectious diseases are more likely to spread and
cause severe, lasting health effects — as we saw in the recent Indiana HIV outbreak.
This is especially true in underserved communities, who can experience
the effects of outbreaks more
severely. Under Medicare for All, everyone will have high quality health care
they can afford, removing financial barriers for patients who may be contagious
and need to seek care. We all benefit when we stop the spread of infectious
Fully fund critical existing global health work. U.S. investments in global health, including programs that combat HIV and AIDS, tuberculosis, and malaria help build capacity in countries around the world that enables them to better handle epidemics when they strike. As President, I will push to expand funding for the President’s Emergency Plan for AIDS Relief, which funds vital services for individuals living with HIV or AIDS overseas and is a pillar of U.S. global health programs. I’ll also repeal the Trump administration’s heartless Global Gag Rule, which makes organizations that conduct or refer patients for abortion ineligible for global health funds — harming patients and reducing the capacity of other nations’ health systems.
Fight climate change. A changing climate means infectious diseases will spread to new places, and it’s already happening. In 2016, the Zika virus threatened more of the U.S. because changing climates mean the mosquitos that carry it now thrive further and further north. And Lyme disease is expected to increase by 20% in the next decade due to climate change. West Nile is projected to more than double by 2050 due to warming, costing upwards of $1 billion annually. Our health depends on fighting climate change. And I have a lot of plans for that.
Recommit to the Paris Agreement and invest in the Green
Climate Fund. On Day One of my administration, I’ll commit the United
States to rejoin the Paris Agreement, including meeting Obama era commitments
to the Green Climate Fund — a critical funding stream to prevent the spread of
climate fueled pandemics — and backfilling the contribution that the Trump
administration neglected to deliver.
Recognize interconnectedness of human, animal, and environmental health. When it comes to pandemics, we must think about how animal, human, and environmental factors interact. Last year the Trump administration shut down the Predict program to test animals for dangerous pathogens that could cross over to humans. As President, I would restore this essential work. And I will support new scientific research to help understand and predict the impact of warmer temperatures on disease emergence and transmission.
Invest in CDC’s Climate and Health Program. This essential program invests in adaptation for the effects of climate change on our nation’s health, but it’s budget only allows for programs that cover roughly half our population. Rather than follow President Trump’s attempts to kill this program, I will expand it to cover every American so no community is left behind.
Prioritize effective federal management. As President, I’ll take key steps to ensure that the agencies who handle outbreaks have clear leadership, responsibility, and support.
Restore White House leadership position for health
security. President Obama created this position in response to the
Ebola epidemic. In 2018, the Trump administration eliminated it –
and I demanded answers. As
President, I will bring it back, with a formal senior lead in my White House
who focuses solely on global health security and oversees this work across the
entire federal government.
Rebuild the State Department and USAID. American security and health depend on robust diplomacy and development assistance, but the Trump administration has declared war on the State Department and USAID. We must reverse the trend of declining American diplomacy and development aid by creating a 21st century foreign service and corps of development specialists. My plan to rebuild the State Department ensures that we have the diplomats we need leading our engagement with the world to help effectively manage outbreaks.
Build on CDC’s legacy as the world and domestic leader in
public health. The Strategic National Stockpile (SNS) holds our nation’s largest supply of
medical countermeasures and medical supplies. Historically, CDC has managed the
SNS because it has the public health expertise to stock the right medical
countermeasures and ensure they get to communities who need them during an
emergency. In 2018, the Trump administration removed the
SNS from CDC management in an ill-advised attempt to
streamline response activities that could make it easier for drug companies to
lobby for their products to be included. As President, I will move it back to
optimize public health while ensuring coordination with other agencies.
Strengthen the Public Health Emergency Medical
Countermeasures Enterprise (PHEMCE). PHEMCE coordinates the federal
government’s efforts to prepare for potential chemical, biological,
radiological and nuclear threats, as well as from emerging infectious diseases.
We must ensure the PHEMCE fully utilizes expertise from across agencies and
reinvigorate its ability to prepare for and respond to emergencies.
Develop vaccines for infectious diseases. The United States should join it’s peer countries and invest in the Coalition for Epidemic Preparedness Innovations (CEPI), a public/private global alliance focused on vaccine development, and actively participate in global coalitions working toward vaccine development. I have pushed CDC to prepare for pandemic influenza, which must include the development of a universal flu vaccine — a necessity if we want to effectively fight the next strain of pandemic influenza.
Containing Outbreaks and Ensuring Equity Effectively containing infectious diseases requires effective coordination, flexible resources, clear data and communication, and the ability to move fast while not leaving anyone behind.
Ensure surge funding to handle the outbreak. Responding to pandemics costs money. And when it’s needed, it’s needed yesterday. In 2014, Congress did not provide funding to combat Ebola when it was out of control in West Africa, and waited until nearly 3 months after the first case occurred in the U.S. to appropriate additional funding. But epidemics don’t wait for Congress. To have a shot at getting ahead of the next big outbreak, we must appropriate and replenish funding for the Public Health Emergency Fund at HHS. This fund enables HHS to quickly respond to public health crises without waiting for supplemental appropriations from Congress.
Establish the Global Health Security Corps. Sometimes outbreaks occur in places experiencing intense conflict. And when health experts cannot enter those regions, outbreaks can grow exponentially. A bipartisan commission recently proposed creating a global health team that can handle these challenges — doctors, scientists, and aid workers with extensive security training who can go into conflict zones to do contact tracing, build trust in communities experiencing conflict, and work effectively with foreign governments at the local, regional, and national level. As president, I’ll launch this Global Health Security Corps to ensure that we can get the right expertise to the center of an outbreak before it becomes an epidemic.
Mitigate impact on underserved populations. Underserved and disadvantaged populations are hit harder by outbreaks. Adding insult to injury, vulnerable populations are often scapegoated for spreading disease. Outbreak responses must ensure that everyone can get the help they need. This requires constant effort on the front lines – but system-level solutions can help, too.
Practice ethical and evidence-based infection
control. My administration will work with state and local governments
to ensure that disease surveillance and response is based on facts and science,
not fear. We will also reject ill-informed, unscientific, and often
counterproductive travel bans in favor of science-based efforts at isolation
and quarantine. These efforts will be undertaken only when necessary, and we
will provide strict protection of civil liberties for those involved, including
the rejection of any unlawful detentions.
Leverage federal health care programs to respond to disasters.Studies have shown the clear connection between extreme weather events and outbreaks. After Hurricanes Irma and Maria hit the US Virgin Islands and Puerto Rico, for example, fatalities from bacterial Leptospirosis spiked, eventually leading to 26 deaths. In addition, despite the extensive damage to the islands infrastructure, the Trump administration waited months before delivering aid or assistance. I have committed to leveragefederal programs to quickly tailor health care responses to specific environmental disasters or outbreaks in affected communities when they occur.
Build equity protections into preparedness grant funding and government seeded innovations. I will instruct my administration to incorporate equity requirements into health preparedness and response programs to ensure all communities get the resources they need to stay healthy. I have also committed to improve environmental equity mapping via “a rigorous interagency effort to identify cumulative environmental health disparities and climate vulnerabilities and cross-reference that data with other indicators of socioeconomic health.” When the government helps fund development and clinical trials of medical countermeasures, we should be sure to negotiate a fair market price so that everyone can afford it.
Provideaggressive dissemination of reliable information. Communication is an essential element of effectively beating an outbreak. My administration will work with the private sector to promote the distribution of important factual information, to counter misinformation, and to ensure that critical facts are appropriately translated so communities can take the steps needed to stay healthy. The Trump administration banned CDC from using “evidence-based” or “policy-based,” as well as other terms, in official documents–unacceptable for an agency whose mission must be informed by science. In a Warren administration, science will once again be in charge at the CDC.
Uphold principles of open science and transparency. Sharing information about what is happening during an outbreak facilitates problem-solving. We must encourage sharing of specimens and data between researchers and public health officials, urge transparency from foreign governments, and increase support for data sharing platforms. During a public health emergency, publishers should not use paywalls to hide important data or force authors to keep data embargoed until publication. My administration will conduct a full-scale reassessment of the public health informatics supported by the federal government and modernize these systems, building on recent congressional investment. And I have already committed to improve interoperability of electronic health records, which will help providers all across this country see their patients’ medical histories and ensure that more patient data can be securely shared with critical public health databases, while ensuring that patient privacy is maintained.
Effectively partner with foreign governments and multilateral organizations. The U.S. cannot beat outbreaks alone. We must use all our tools, including diplomacy and international collaboration, to work through tough issues and partner with other countries. I’ll lead the world in promoting effective multilateral action, including through Joint United Nations Programme on HIV/AIDS and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. And I’ll bolster our work with the World Health Organization (WHO) to continue reforms started after the 2014 Ebola outbreaks and improve the world’s ability to respond collectively to these crises.
Treating Emerging Infectious Diseases It’s essential that we continue pushing for medical advances — both to treat those who contract diseases and vaccinate against those we can prevent.
Invest in basic science. I have committed to invest $100 billion in the NIH — and $60 billion of that will fund basic science research. And when drug companies break the law, I’ll create a “swear jar” where companies will pay a portion of their profits from publicly-funded research back to the NIH. This funding will expand the research we need to develop vaccines and treatments for infectious diseases we know and novel diseases that have not yet emerged.
Invest and incentivize development of new medical countermeasures. To ensure we are able to effectively surge development during a pandemic, we must build and maintain strong infrastructure for medical countermeasure development. As President, I will ensure that small biotechnology innovators get ongoing support from Biomedical Advanced Research and Development Authority (BARDA), and we will leverage the Food and Drug Administration (FDA’s) expertise in manufacturing and clinical trials to help larger drug manufacturers bring these countermeasures to market at scale.
Bring new treatments to patients. The $40 billion I’ve committed to invest in the NIH will fund the creation of the National Institute for Drug Development — a new institute that will work to bring that basic research of the rest of the NIH into reality for patients. And under Medicare for All, we will be able to better incentivize the private sector development of drugs for which the market is currently broken, like vaccines and antibiotics. Vaccines prevent outbreaks from starting, while antibiotics provide critical protection against infections, and we are in desperate need of new antibiotics to combat resistant infections.
Enable surge support during outbreaks, especially for
diagnostics. BARDA and FDA must be ready to surge at times of
outbreak, when the need to quickly diagnose new cases is essential to
containing an outbreak and properly treating patients. My Administration will
work to provide this support and, when appropriate, use Emergency Use
Authorizations to get new diagnostics into the hands of health care providers
as soon as possible.
Prioritize therapies that work for all populations, especially kids. Therapies are often approved after being tested on populations that are not representative of the patient population. As a result, many therapies in the Strategic National Stockpile are not approved for kids, and some therapies do not work as effectively for racial minorities or women. As President, I will direct the FDA and BARDA to work with drug companies to develop pediatric medical countermeasures and increase the enrollment of underrepresented populations in clinical trials, ensuring that the treatments we develop work well for all of us.
Ensure treatments can reach patients quickly. Time is critical when you’re combating infectious diseases. We must make sure that our system is ready to “turn on” at a moment’s notice. That means we must constantly evaluate our medical countermeasure stockpiles and prepare annual updated biological threat assessments. And during an outbreak, we must quickly distribute medical countermeasures, with proper protections for equitable distribution across communities.
Ensure safety of high security labs. My administration will not allow labs to generate novel viruses with epidemic or pandemic potential, or to perform field testing of such viruses and will closely monitor dual-use research on biological threats and update policies as needed. This knowledge is incredibly important to protect our health, but could be harmful if used as a weapon. And we must be vigilant about lab safety standards and avoid accidentally mailing anthrax or forgetting about smallpox specimens for 50 years.
Diseases like coronavirus remind us why we need robust international institutions, strong investments in public health, and a government that is prepared to jump into action at a moment’s notice. When we prepare and effectively collaborate to address common threats that don’t stop at borders, the international community can stop these diseases in their tracks.
Vice President Joe Biden issued his own criticism of the Trump’s administration’s handling of a potential pandemic, in an op-ed in USA Today: Joe Biden: Trump is worst possible leader to deal with coronavirus outbreak citing the need for the President of the United States to cooperate with international partners to address this pandemic and prevent future ones. Biden writes that this is a moment that requires leadership — leadership that Trump is incapable of delivering — and lays out how his policies will be informed by science and reassert U.S. leadership on global health security.
The vigorous contest of
Democrats seeking the 2020 presidential nomination has produced excellent
policy proposals to address major issues. Senator Elizabeth Warren has
released independent analysis supporting her plans for a Green New Deal
creating 10.6 million new green jobs. This is from the Warren campaign:
Charlestown, MA – Senator Elizabeth Warren, campaigning for President, released a new independent analysis estimating that her plans for a Green New Deal will create 10.6 million new green jobs.
“America has a long and proud history of rising to the
challenges that have faced this country — and defeating the climate crisis is
no exception. A Warren administration will ensure that as we fight climate
change, each and every American benefits from the opportunities created by the
clean economy — especially the 10.6 million workers who will power our
transition to 100% clean energy.”
Elizabeth Warren’s plans for a Green New Deal will:
Develop the green workforce of the future by expanding job
training, partnering with unions to rebuild the middle class, and ensuring the
new clean economy is open to everyone
Rebuild and repower our energy grid to grow our economy,
invest in offshore wind, and achieve 100% carbon-neutral power by 2030
Transform our transportation sector by expanding green
public transportation programs and requiring all new light and medium-duty
vehicles sold by 2030 to be zero-emission vehicles
Repair our water infrastructure by rebuilding America’s
dams, levees, and inland waterways and ensuring safe drinking water for all
Rebuild our homes, buildings and schools to achieve safe and
affordable housing and provide our children with healthy living and learning
Finance the green jobs program by creating a new Green Bank
and issuing Green Victory Bonds, modeled after the programs FDR implemented
during the New Deal
My Plan to Create 10.6 Million Green Jobs
Earlier this month, climate scientists published new research suggesting the planet is hurtling towards an ecological tipping point that would irreversibly damage the earth and threaten our livable climate — for good. This most recent study adds to the growing body of evidence that climate change is happening faster than scientists originally thought. And it further reinforces what we already know: we have roughly a decade left to avoid catastrophic impacts by ending our economic dependence on fossil fuels and substantially reducing global emissions.
But while climate change presents an urgent threat, it also presents the greatest opportunity of our time: the chance to rebuild our economy with 100% clean energy, to address the racial and economic inequality embedded in our fossil fuel economy, and to create millions of good, union jobs in the process. This is not the first time our country has faced a threat of this magnitude.
When Franklin Delano Roosevelt said we would build a historic air force of 185,000 planes to defeat the Nazis, America had a nascent military aircraft industry. But FDR rallied the nation to the task: by the end of World War II, we had produced around 300,000 aircraft in less than 5 years.
When John F. Kennedy told the nation that we would send a man to the moon in under a decade, people said that would be impossible, too. But our top scientists and engineers came together and changed the world forever, delivering not just a lunar landing but also a torrent of new technology that helped working Americans here at home.
From World War II to the space race, American ingenuity has risen to meet seemingly impossible challenges — leading the world and unleashing economic benefits for Americans in the process.
Today we face a new challenge. Defeating the climate crisis will require the ingenuity of the moon landing and an economic and industrial mobilization unseen since our efforts in World War II. It will need to happen at the speed and scale of FDR’s New Deal, which launched over 50 federal programs and pulled millions of Americans out of unemployment. It will take workers of all kinds to rebuild and repower our energy grid and to upgrade our transportation, building, and water systems to guard against the worst effects of climate change and protect our most vulnerable communities. And it will take workers in every corner of America — from construction foremen in the Rust Belt to pipefitters in the Bayou — to transform our country’s infrastructure.
The Green New Deal is the answer to this national call.
After the 2008 crash, President Obama ushered through the historic American Reinvestment and Recovery Act to jumpstart our economy and bring an end to the Great Recession. Included in this total federal investment was $90 billion for clean energy, making it one of the largest investments in clean energy in U.S. history. The Council of Economic Advisors later reported that every $1 invested in clean energy leveraged an additional $1.60 in non-federal and private dollars.
Using this historical data and other estimates as a guide, my plans for a Green New Deal will result in an estimated total public and private investment of $10.7 trillion in our new clean energy economy. And independent experts that examined my ideas for a Green New Deal to analyze how they will drive job creation estimated that they will create 10.6 million new green jobs. This will help rebuild the middle class by providing family-supporting wages, career pathways, and worker protections in our new green economy. This is the opportunity of the Green New Deal: a $10.7 trillion total investment in our clean economy that spurs 10.6 million green new jobs. And we’ll do it all together — with no community and no worker left behind.
I mean it when I say that defeating the climate crisis will be a top priority of my administration. That’s why today I’m releasing my plan to enact a climate change agenda that not only reduces our carbon emissions but also jumpstarts our economy.
Developing the Green Workforce of the Future
There are already clean energy job opportunities across the country. But with $10.7 trillion in federal and private investments, we can turn these opportunities into 10.6 million new, union jobs rebuilding our nation’s infrastructure and transitioning to the new clean energy economy. To support the millions of skilled and experienced contractors we will need to plan and execute large construction and engineering projects in the new clean economy and to support the first responders, healthcare workers, social workers, and other public and private employees who respond to climate-induced disasters, my administration will commit to investments in retraining, joint labor management apprenticeships, and creating strong career pipelines to ensure a continuous supply of skilled, available workers. And, we will look for every opportunity to partner with high schools and vocational schools to build pathways to the middle class for kids who opt not to go to college.
Expanding job training.
We currently invest $200 million annually in apprenticeship programs across the country. Successfully training and re-training millions of skilled laborers to rebuild our nation’s infrastructure, however, will require scaling up dramatically. That’s why my plan to Defend and Create American Jobs calls for a tenfold increase in investments in apprenticeships — a $20 billion commitment over the next ten years. I’ll follow Governor Inslee’s lead by re-establishing dedicated programs for green industrial and construction job training and placement under the Workforce Innovation & Opportunity Act (WIOA), too.
And investing in job training is only the first step. A Warren administration will link public investments in clean energy infrastructure to apprenticeship and pre-apprenticeship training, as well as graduation rates and local hires, to ensure that we are creating a full training-to-career pipeline. My plans also call for expanded technical and trade school opportunities to create pathways into good jobs in the new clean energy economy that will not require a college degree. And my administration will create regional sector-specific training partnerships to help better align training with the local job market, leverage the community college system, and ensure that workers gain transferable skills.
Partnering with unions to rebuild the middle class.
I am committed to ensuring that all of the 10.6 million new jobs in the clean economy pull working Americans back into the middle class — and to working hand-in-hand with unions to do so. That’s why I will fight for good wages and strong benefits for every worker that joins the new clean economy. A Warren administration will condition federal clean energy investments to state, local, and tribal governments on employers offering family-supporting wages and benefits — and will enforce this through Project Labor Agreements, prevailing wage laws, and Community Benefit Agreements. And I will work hand-in-hand with unions to return power to the working people powering the green economy. Unions built the middle class and unions will rebuild the middle class in the green economy of the future, too.
I’ve already committed to making sweeping reforms to our labor policy. These changes will extend labor rights to all workers — for example, narrowing the definition of “supervisor” under the National Labor Relations Act to end the exclusion of workers like the construction foremen that will lead the charge on building our clean energy grids. They will guarantee workers entering this new economy have a voice in actually shaping it by strengthening organizing and collective bargaining rights and increasing worker choice and control, including by requiring large companies to allow workers to elect no less than 40% of board members. And I will work with unions to design the training and apprenticeship programs that can create strong career pipelines for workers to enter this new green economy, helping to expand opportunities — and a continuous supply of skilled workers to power this transformation.
Ensuring the new clean economy is open to everyone.
In addition to employing millions of new workers in the clean economy, I am committed to leaving no worker behind as we transition to an economy powered on clean energy. That includes honoring our commitments to fossil fuel workers by holding fossil fuel companies accountable and defending worker pensions, benefits, and securing retirements. I will make sure the opportunities created are available to those who have traditionally been excluded — especially women and communities of color — by imposing new rules on companies that hope to receive federal contracts.
Rebuilding our nation’s infrastructure as part of the new clean energy economy will take all of us, including returning citizens — which is why my administration will partner with organizations that make renewable energy and associated job training available to underserved communities and formerly incarcerated individuals. And my plan to empower workers will expand worker safety protections for workers entering the green economy — like our transit workers who are increasingly subject to assault — and I will strengthen anti-discrimination protections for workers from all backgrounds.
Repowering our Energy Sector
In 2018, clean energy industries employed over 3.2 million Americans — more workers than in the petroleum, natural gas and coal industries combined. The clean energy industry is rapidly expanding — the two fastest-growing jobs in the nation are solar panel installer and wind turbine technician. But there is more to do, and the federal government can and should play a role in increasing the speed and scale of this transition. A Warren administration will focus on rebuilding and repowering our energy grid to grow our economy — and my plans will create 6.8 million good paying jobs in the energy sector, all while cutting carbon pollution.
100% Clean Energy Plan
While some states and utilities have been leading the way on cleaning up their electricity sources, far too many are falling behind. My plan calls for the federal government to set a bold standard for achieving 100% carbon-neutral power by 2030, including carbon-free baseload solutions, putting us on the path to a 100% emissions-free electricity supply by 2035.
These ambitious targets will require us to ramp up renewable energy generation and deployment dramatically. Cleaning up our energy system will create a diverse range of jobs — from construction worker to electrician to project manager. But these good paying jobs won’t just be in renewable energy. They will also come from making homes, offices, and industries more energy efficient. And through my Green Manufacturing plan, we’ll jumpstart American research and manufacturing in areas like battery storage, which will require a whole new set of skills and laborers. And wherever possible, we’ll invest in modernizing our grid with American-made materials, spurring still more jobs right here at home.
Offshore Wind Jobs
Right now, there is only one offshore wind project operating in this country — Rhode Island’s Block Island Wind Farm. It’s clear that today, we are failing to make use of the clean, powerful energy resource that lies just off our coasts. My Blue New Deal For Our Oceans plan will jumpstart the offshore wind industry. Bringing these offshore wind projects to life will generally require the help of workers from more than 70 different occupations — from machinists to engineers, sailors to ironworkers, electricians to longshoremen. By 2030, offshore wind energy development from Maryland to Maine could support more than 36,000 full time jobs. And even after they’re built, we will need workers to operate and service the turbines. My Blue New Deal also calls for electrifying and shoring up our ports, creating additional jobs throughout our coastal communities.
Restarting Our Transportation Sector
America’s transportation and trucking industry accounts for more than 10 million direct jobs, with over 3 million truck drivers alone. But right now, transportation also accounts for the largest portion of U.S. carbon pollution. Moreover, our public transportation infrastructure is crumbling: the American Society of Civil Engineers gave our roads a “D” grade on their most recent infrastructure report card, with one out of every five miles of highway pavement in poor condition.
For too long, our government has failed to invest in critical infrastructure — and unless we take action, poor conditions will continue to plague one of our most important industries. But this, too, is an opportunity: as we rebuild our crumbling transportation infrastructure, we can build in climate resiliency, and create a transportation system powered by electricity rather than fossil fuels. The massive project of investing in our transportation infrastructure will affect every state and county in the nation, creating about 2.6 million jobs in the public and private sector.
Build Green Program
Public transportation is a $71 billion industry that employs more than 430,000 people. And yet, 45% of Americans still do not have access to public transportation, leaving those without access reliant on car ownership to get to work, school and worship. We know that increasing public transportation rates and decreasing vehicle miles traveled is one of the best ways to reduce emissions. That’s why I’m proposing a new Build Green program, which would establish a new grant program to electrify public buses, school buses, rail, cars, and fleet vehicles that is modeled after the Department of Transportation’s BUILD grant program. This program will be paid for by closing corporate loopholes, and will open up new funding opportunities for states, cities, counties and tribal governments to expand and electrify public transportation options. A study conducted in the Twin Cities found Black, Asian-American, and Latinx commuters have longer commutes than white commuters. And people with disabilities face particular barriers in using and accessing public transportation. These investments will be crucial to ensuring equitable and accessible transportation for all.
100% Clean Vehicles.
Demand for passenger electric vehicles is growing at home and abroad — but even though more and more people want electric vehicles, they still only account for around 1% of vehicles on the road. To spur auto manufacturing in this space, I have put forward a bold and ambitious goal to require all new light -and medium-duty vehicles sold by 2030 to be zero emission vehicles. We’ll achieve this goal by investing in a nationwide network of electric vehicle charging infrastructure. By the end of the first term of a Warren administration, there will be a charging station at every rest stop in America. And this nation-wide network of charging infrastructure will begin to lay the groundwork for electrifying long-haul trucking, too. But charging station infrastructure is only half the battle. Right now, consumers don’t have enough access to vehicles. In 2011, there were only two mass market electric vehicles available to consumers — and even now, the auto industry offers only fifteen models. While car manufacturers are already trying to meet growing demand, my investment in clean energy technology, including products designed for use in the electric vehicle supply chain, will further increase adoption of electric vehicles by making it easier for auto manufacturers to build the vehicles that consumers want.
We’ve let our failure to take action destroy our transportation infrastructure for too long and a Warren administration will make sure that the Department of Transportation acts with the speed and scale necessary to address the climate challenges ahead of us. I will take executive action to require the Department of Transportation set performance management rules that require federal transportation investments to be accompanied by life-cycle analysis and reduction strategies for climate and other transportation related pollution.
Renewing Our Water Infrastructure
America’s water infrastructure is crumbling. The government’s failure to invest is putting Americans in danger in two ways: first, our levees, dams and inland waterways infrastructure are all at risk — and will only become more stressed by climate change as sea-level rise, extreme flooding, and drought all become more frequent and severe. Second, our drinking water is increasingly at risk: as the infrastructure supporting it crumbles, an estimated 77 million Americans live with tap water that violates federal safe water standards — and this number does not even include the millions more served by very small water systems or private domestic wells. Meanwhile, more and more Americans struggle to afford their water bills as water bill costs have risen at more than double the rate of inflation over the last 20 years. Fixing our water infrastructure is an urgent priority — but we risk not having enough hands on deck, as the water sector’s aging workforce increasingly enters into retirement. Reinvesting in our nation’s water infrastructure isn’t just essential for the health and the safety of our communities, it’s also a chance to grow our workforce. In a Warren administration, we’ll not only protect Americans by rebuilding our nation’s water infrastructure — we’ll also create about 190,000 thousand good, union jobs in the process.
Rebuilding America’s dams, levees, and inland waterways.
Our nation’s dams, levees, and inland waterways provide necessary infrastructure for shipping and hydroelectric power — but they’ve been so underfunded that they are putting our communities at risk. When the Oroville Dam’s emergency spillway failed in 2017, nearly 200,000 people were evacuated from rural Northern California. And the failure of New Orleans’ levees during Hurricane Katrina made Katrina one of the most devastating U.S. hurricane on record, killing 1,800 people, damaging 70% of homes in New Orleans, and resulting in damages of $125 billion. This stops now. A Warren administration will triple the US Army Corps of Engineers’ annual budget so that they have the resources they need to upgrade our water infrastructure and defend our vulnerable communities from harm. We’ll pay for this with savings from my plan to transition the military away from its dependence on fossil fuels and other internal Department of Defense funding shifts. This dramatic expansion will create new opportunities for good, federal jobs as we update critical infrastructure across the nation — an investment that is more important than ever to defend vulnerable front-line communities from more frequent and more severe weather events.
Ensuring safe drinking water for all
Nearly a decade ago the UN General Assembly adopted a resolution recognizing access to water and sanitation as basic human rights. But today, the United States is in the middle of a dangerous drinking water crisis. Not only do an estimated 77 million Americans’ have tap water that violated federal standards, but at least 2 million Americans still don’t have access to running water. And because of a long legacy of unfair, racist, and deliberate policy choices, communities of color are disproportionately likely to lack access to safe, affordable drinking water. After decades of declining federal investments in safe water, it’s time to invest in safe, affordable water for our communities. That’s why I have committed to fully capitalizing federal programs that fund drinking water capital infrastructure, such as the Clean Water State Revolving Fund and the Drinking Water State Revolving Fund. And I will go further by supporting Rep. Joe Kennedy’s Affordable Safe Drinking Water Act, which would extend the horizon for states and localities to repay revolving loans and expand the funding to cover the installation of lead and per- and polyfluoroalkyl substances (PFAS) filtering systems and remediation measures. These important updates to the State Revolving Fund programs will not only guarantee much-needed upgrades to our drinking water infrastructure, but will also spur necessary investments to allow for expanded job opportunities. My administration will continue to invest in brownfield remediation, which is why I have proposed to reinstate and then triple the Superfund Tax to ensure that we protect our communities from the legacy of environmental harm and we put people to work in the process. And I will remain committed to standing with communities across the country that are impacted by lead.
Jobs in the water sector are wide ranging: there are more than 200 different occupations, including in skilled trades, administration, and finance. What’s more, because every community needs quality water, these jobs exist across the nation. I will work to create more inclusive career paths for water workers to meet the needs of our drinking water infrastructure by fighting for increases in the percent of local hires and minority/women-owned contracts that are awarded as part of water-related government contracting. And I will work with Congress to fully fund the EPA’s Brownfields Environmental Workforce Development and Job Training Grants Program and the Environmental Health Sciences Environmental Career Worker Training Program, which is helping to improve workforce development for water-related careers. Lastly and in order to confront America’s drinking water crisis head on, I will take executive action to develop a national inter-agency safe and affordable drinking water roadmap. And to inform this effort I will convene a Water Equity Advisory Council with representation from key environmental justice and community-based organizations that are on the frontlines of addressing our safe water crisis.
Rebuilding our Homes, Buildings and Schools
In his Second Inaugural Address, President Franklin D. Roosevelt declared that the “test of our progress is not whether we add more to the abundance of those who have much; it is whether we provide enough for those who have too little.” Later that term, FDR signed into law the Wagner-Steagall Housing Act, which put Americans to work building new, modern affordable housing units across the country. But today, whether it’s a leaky window, an old appliance, or mold in a home, it’s hard-working Americans that pay the price through increased utility bills and housing costs.
As I’ve outlined in my 100% Clean Energy Plan, I’ll work with states and local governments to develop and implement new and stronger building codes to reach zero-carbon emissions and building those new standards into federal grant requirements, tax credits, and mortgage products. And I’ll launch an initiative to improve the energy efficiency of existing buildings, with the goal of upgrading 4% of buildings a year until the job is done. All told, my plans will create over 970,000 thousand new jobs as demand grows across sectors from the manufacturing of American-made energy efficient materials to large and small-scale construction efforts.
Safe and affordable housing
We currently have a government that has paid lip service to the idea of providing all Americans in need with safe and affordable housing. The federal government hasn’t funded new public housing construction in decades and has turned a blind eye to the massive maintenance backlog needed to make sure the limited housing we do have is safe to live in. That stops now. My Affordable Housing Plan would invest $500 billion over 10 years to address this crisis and would create 3 million new housing units. As a co-sponsor of the Green New Deal for Public Housing Act, I recognize the right to safe, affordable housing for every American and the need for new, green jobs to realize FDR’s dream. My Green Public Housing program will build on the Green New Deal for Public Housing Act, by raising living standards and providing the financial assistance necessary to retrofit these homes. This will require training a new American workforce and would alone create 240,000 new jobs. We can address the climate crisis while we tackle the housing crisis, too.
Providing our children with healthy learning and living environments
As a former public school teacher, I know firsthand how our children’s learning can be affected by their environment. More than half of our public schools need repairs in order to be in “good” condition. Our poor school infrastructure has serious effects on the health and academic outcomes of students and on the well-being of teachers and staff. That’s why in my K-12 plan I’ve committed at least an additional $50 billion to improving our school infrastructure. This will require a workforce across the country to identify the schools most in need and carry out the necessary upgrades to provide our children with the learning environment they deserve. There’s nothing more important to me than investing in our kids because it means we’re investing in our future.
Green infrastructure means inclusive infrastructure. We have to recognize that our building infrastructure crisis is an environmental justice crisis. The disparities in our building infrastructure reflect the racial inequities that exist in America today. Historically, redlining denied entire groups of people—primarily communities of color—the chance to live in neighborhoods of their choice while also making them the victims of environmental racism. Studies have shown that low-income and minority children bear the brunt of poisoning from lead-based paint and failing lead pipes in older housing units. Our system has also failed Americans with disabilities who occupy 41% of our public housing units and yet only 3% of those units are ADA accessible. These same inequities exist in our public schools, too. In New York City, for example, 83% of elementary schools in New York City are not fully accessible to students with disabilities.
This ends in a Warren administration. It’s the job of our government to reverse these injustices, and I will put Americans to work to finish the job. That’s why I will use the full force of the federal government to invest in addressing these disparities — and creating millions of good, union jobs in the process.Together, these plans will curb homelessness in America, put Americans to work in quality jobs, protect the health of American families, and ease the burden on their pocketbooks.
Financing the Green Jobs Plan
Defeating the climate crisis and transitioning our economy to run on 100% clean energy will take big, structural change. That’s why my plans will result in $10.7 trillion in federal funding to fight for a Green New Deal — backed up by detailed plans laying out exactly how we will use those dollars — to address the size of this crisis.
The transition to clean energy is an opportunity to transform our economy, creating new industries, like in zero-emissions building construction, and greatly expandingothers, like electric vehicle manufacturing, at a speed and scale not seen since World War II — and creating huge opportunities for state, local and non-federal investment in the process, too. My Administration will create new financing tools to unlock state, local, and private investment and direct it towards meaningful investments that tackle climate change, produce jobs, and reduce inequality. And my administration will put in place strong protections to ensure that this $10.7 trillion commitment flows to the right places, so that our climate investments benefit all Americans — not just the wealthy and well-connected.
A New Green Bank
A Green Bank is among the best ways to ensure a dedicated funding stream for an economy-wide climate transition to reconcile the scale of investment required with the speed of transition necessary to defeat the climate crisis. I’ll work with Congress to establish a bank modeled after and expanded upon the National Climate Bank Act, introduced earlier this year by my friend and colleague Senator Markey. We’ll put in place strong bipartisan oversight and governance to ensure that investments are equitable and benefit working Americans. And ultimately, this new Green Bank will mobilize $1 trillion in climate and green infrastructure investments across the country over 30 years.
The Green Bank will open up new markets for greater investment by working alongside existing federal authorities through direct spending, grants, and loans. It will provide security for investors looking for climate-friendly investments in mid- to large-scale infrastructure projects that serve the public interest but might not otherwise attract private capital due to risk-return thresholds, payback horizons, credit risk or other factors. It will increase the overall scale of clean energy investment and the pace of substitution of clean energy technologies for fossil-fuel based technologies, while also protecting consumers by keeping energy prices low and ensuring compliance with the Consumer Financial Protection Bureau’s regulations. And it will expand opportunities for communities and the private sector by directing funds toward communities on the front lines of the climate crisis that have traditionally been left out of investment opportunities.
Green Victory Bonds
Today many states have green bonds programs, using the proceeds to fund land use projects, river and habitat preservation, and energy and water infrastructure. Green bonds have also surged in popularity worldwide, with sales growing 46% last year to about a total of about $460 billion.
While the federal government has never issued a green bond, the World War II-era “Victory Bond” program was a major success, raising $185 billion — over $2 trillion in 2012 dollars — and four out of five American households bought Victory Bonds. I’ll propose a “Green Victory Bond,” backed by the full-faith and credit of the United States by the Treasury Department, to finance the transition to a green economy. These Green Victory Bonds will be sold at levels that allow Americans across the socioeconomic spectrum the opportunity to own a piece of the climate solution, and to benefit from the new green economy that we build together.
The vigorous contest of Democrats seeking the 2020 presidential nomination has produced excellent policy proposals to address major issues. Senator Elizabeth Warren has released a detailed plan to protect and empower renters as part of the fight to end the affordable housing crisis. This is from the Warren campaign:
A full-time, minimum-wage worker can’t afford a two-bedroom apartment anywhere in the nation. Gentrification is displacing communities of color, rising rents are crushing millions of families, and landlords are exploiting their power over tenants.
Elizabeth’s Housing Plan for America will invest $500 billion over the next ten years to build, preserve, and rehab more than three million housing units that will be affordable to working families. Her plan will lower rents by 10% nationwide, reform land-use rules that restrict affordable housing construction and further racial segregation, and take a critical first step towards closing the racial wealth gap.
Today, she released an additional plan to expand on those efforts to protect and empower renters. Her plan will:
Everyone in America should have a decent, affordable, and safe place to live.
But today, stagnant wages, sky-rocketing rents, and a stark shortage of affordable options
are putting the squeeze on America’s 43 million renting households.
In 2015, 38% of renters were “rent burdened” — spending
over 30% of their income in rent. In 2017, 23 million low-income renters paid more than half
of their total household income on housing. Many renters also face high energy
bills, with low-income renters paying as much as 21% of their income because of energy inefficient housing. A
full-time, minimum-wage worker can’t afford a two-bedroom apartment anywhere in the nation. Gentrification is displacing communities of
color, rising rents are crushing millions of families, and landlords are
exploiting their power over tenants.
But for decades, the federal government has turned a blind eye to our growing
affordable housing crisis. When the government has made investments, it’s focused largely on homeownership. From
Nixon’s moratorium on new public housing construction to
Reagan’s severe cuts to the Department of Housing and Urban Development’s
rental assistance program to today’s corporate capture of the right to shelter, Washington has
failed America’s renters. To make matters worse, every singleTrumpadministrationbudget has slashed funding for HUD’s budget.
And shamelessly, some of the same Wall Street firms that tanked the dream of
homeownership for millions of American families are now the country’s biggest landlords — profiting off the destruction they
caused. In the wake of the 2008 crisis, private equity firms like Blackstone
went on a shopping spree, snatching up apartment complexes and single-family homes that had been foreclosed. Even the
United Nations Special Rapporteurs have reported on their aggressive eviction tactics,
the discriminatory impact of their policies on communities of color, and
their lobbying efforts against legislation that would protect
renters — and accused them of contributing to the global housing crisis.
My Housing Plan for America invests $500
billion over the next ten years to build, preserve, and rehab more than three
million units that will be affordable to lower-income families. My plan will
lower rents by 10%, reform land-use rules that restrict affordable housing
construction and further racial segregation, and take a critical first step
towards closing the racial wealth gap.
Today, I’m expanding on those efforts with my plan to protect and empower
renters. It has four goals:
and uphold the rights of tenants
the growing cost of rent
in safe, healthy, and green public housing
exploitation by corporate landlords
Protect and uphold the rights of tenants
We’ll start by strengthening the rights of tenants. Over 805,000 renter households were threatened with
eviction in 2017. When landlords evict tenants, families lose their homes,
parents may lose their jobs, kids suffer in schools, and whole communities,
especially communities of color, can be displaced by gentrification and
skyrocketing rents. In many communities, landlords dramatically hike rents after evicting tenants, driving housing
costs up for everyone.
Tenants that organize to take on bad landlords are up against a massive power
imbalance. I’ll fight to put power back where it belongs: with tenants, not big
Landlords shouldn’t be able to arbitrarily push families out of their
communities to make an extra buck or because of thinly-veiled racism and
discrimination. I’ll work to secure tenants’ rights nationwide
— including by creating a federal just cause eviction standard, a right to
lease renewal, protections against constructive eviction, and tenants’ right to
organize. To enforce these rights, I’ll condition the $500 billion in new affordable housing funding to states from
my housing plan on states affirmatively adopting these key tenant protections.
Judges in eviction proceedings would also be required to consider how an
eviction might harm a tenant’s health conditions or a child’s ability to stay
enrolled in local public schools, and to temporarily stay evictions if tenants
can’t find another home in the same neighborhood.
As President, I’ll also fight for a nationwide right-to-counsel for
In 2010, 90% of tenants in eviction proceedings weren’t
represented by lawyers, but 90% of landlords were. That legal help matters. Legal
representation can significantly increase success in for tenants in their cases,
keep eviction filings off their records, and prevent them from having to enter
homeless shelters. That’s why I’ll fight to create a national housing
right-to-counsel fund which would provide grants to cities to guarantee
access to counsel for low- and middle-income tenants who are facing eviction or
taking their landlord to court for violations like breaching their lease, shutting
off their heat and water, or violating the housing code. And I’ll fight
to create a new tenants’ cause of action that allows tenants to sue landlords
who threaten or begin an illegal eviction.
I’ll also push to create a new Tenant Protection Bureau within the
Department of Housing and Urban Development — modeled after the Consumer
Financial Protection Bureau (CFPB) — to enforce tenants’ rights, take on bad
actors, and make sure landlords keep affordable housing affordable for working
families. Before the financial crash, I came up with the idea for a
consumer financial protection agency— a new federal agency dedicated to
protecting American consumers. I fought for that agency, helped build it from
scratch, and now the CFPB has returned nearly $12 billion directly to consumers scammed by
Tenants deserve a cop on the beat too. My new Tenant Protection Bureau, housed
within HUD, would enforce these federal tenant protections, like just-cause
eviction, for tenants in all federally-funded affordable housing developments,
ensure safe and decent living conditions, and guarantee that landlords don’t illegally
raise rents or fees in federally-subsidized housing. The Tenant Protection
Bureau will also empower community organizers with grants to state and local
groups who will sue for violations of tenant protections.
Tenants face similar dynamics to borrowers facing unscrupulous banks or
servicers. I’ll create a tenant hotline modeled after the CFPB consumer
complaint database that will route complaints from tenants to their
landlords through HUD, which could review the data for enforcement opportunities
and share the data with local officials and organizations to help them enforce
I’ll strengthen fair housing law and enforcement, giving HUD the tools to
take on modern-day redlining. A 2017 study in Virginia found that
Black tenants were more likely to be evicted, even accounting for
different income levels. Research has also shown that low-income women in Black
and Latinx neighborhoods face a heightened risk of eviction. Fifty years after the
passage of the Fair Housing Act (FHA), housing segregation endures, gentrification is pushing communities of color out of
the neighborhoods they built, people with disabilities face pervasive
discrimination, and nearly a quarter of transgender people report
experiencing housing discrimination.
We need to renew our fight against housing discrimination, and I’ll start on
day one. I’ll restore the Affirmatively Furthering Fair Housing (AFFH) rule, which
the Trump Administration put on ice. The AFFH rule would
fulfill the FHA’s promise to end housing segregation by requiring local
governments to identify housing policies and practices with racist effects and
undo them. I’ll also roll back the Trump administration’s effort to add work requirements to housing assistance. And I’ll withdraw
Trump’s racist proposed “mixed status” rule which, according to HUD’s own analysis,
would effectively evict tens of thousands of families and 55,000 children based on the immigration status
of household family members.
But reversing the Trump Administration’s attacks on civil rights isn’t enough.
The FHA protects against discrimination based on race, color, national origin,
religion, sex, familial status, and disability. To start, I’ll make sure that
HUD’s Office of Fair Housing and Equal Opportunity, which has been gutted and undercut by the Trump administration, is fully
funded, staffed, and equipped to robustly enforce the FHA — which is
particularly critical for renters with disabilities who make up the majority of discrimination complaints.
My affordable housing bill would prohibit housing discrimination on
the basis of sexual orientation, gender identity, marital status, veteran status,
and source of income, like a housing voucher. Under a Warren Administration,
HUD will issue regulations to the greatest extent it can under the Fair Housing
Act to end housing discrimination against domestic violence survivors, LGBTQ+
people, and based on tenants’ immigration status or criminal records. I’ll
fight for the Equality Act, which would explicitly ban anti-LGBTQ+
discrimination in employment, housing, healthcare, and public accommodations.
I’ll also direct HUD to take on chronic nuisance ordinances — local laws
that push domestic violence survivors, especially Black women, and people with disabilities, out of their homes.
And I support immigration reform that’s consistent with our values, including a
pathway to citizenship for undocumented immigrants — which would make them
eligible for public housing benefits.
I’ll also create a national small dollar grant program to help make sure
families aren’t evicted because of financial emergencies. I spent my
career studying why families go broke — so I know that it’s all too easy for a
family to fall behind on rent after a surprise trip to the emergency room or
car repair. Massachusetts pioneered several programs that provide small grants
to help families facing a one-time budget crunch, like the Homestart program, which provides grants of on
average $700 and some wraparound services to help families avoid
eviction. It’s been reported that 95% of their eviction prevention program recipients remain in
their homes four years later. I’ll fight to scale this program up nationwide,
likely saving federal, state, and local governments money by helping families
stay out of emergency homeless shelters.
While nobody should be homeless in America, we need to stop treating our
neighbors who are experiencing homelessness as criminals. All across the
country, cities and states make it illegal to live on the street, even when
there are fewer emergency shelter beds than people who need them — 34% of cities have city-wide bans on camping in public, 43% of cities prohibit sleeping in vehicles, and 9% of cities even prohibit sharing food with homeless people.
Even as the affordable housing crisis deepens, pushing more people out of
affordable housing, these laws are spreading — just this month the Las Vegas City Council voted to
criminalize camping on downtown streets. Enough is enough — it’s time to stop
criminalizing poverty. My Department of Justice will not fund efforts to
criminalize homelessness and will deny grant money to police departments who
are arresting residents for living outside.
I’ve also already committed to preventing and combating the epidemic of
LGBTQ+ youth, transgender, and veterans homelessness. My LGBTQ+ rights plan commits to reauthorizing and fully
funding the Runaway and Homeless Youth Act and to creating a LGBTQ+ youth
homelessness prevention program within the U.S. Interagency Council on
Homelessness. And I will restore and strengthen the HUD Equal Access Rule, reversing Ben Carson’s horrific proposal to
allow shelters to discriminate against transgender women – so if a trans women
of color loses her home, she doesn’t face widespread discrimination from
homeless shelters. My plan to support our veterans calls to fully fund rapid re-housing and
permanent supporting housing through the Supportive Services for Veteran
Families (SSVF) and HUD-VASH programs and to create a new competitive grant
program to provide wrap-around services for veterans and their families. As we
fight to end homelessness and expand affordable housing, we won’t leave any
Tackling the growing cost of rent.
My Housing Plan for America tackles the
growing cost of rent at its root: a severe lack of affordable housing supply
and state and local land-use rules that needlessly drive up housing costs. My
plan would add more than 3 million new affordable housing units,
and I’ll commit to prioritizing a portion of these units to particularly
vulnerable groups like the chronically homeless, people living with HIV, people
with disabilities, seniors who want to age in place, and people who have been
incarcerated and are returning to the community. My plan will bring
down the rents by 10% nationwide and make targeted investments in
rural housing programs and in a new Middle-Class Housing Emergency Fund to
support the construction of new housing for middle-class renters in communities
with severe housing supply shortages. My plan also invests $2.5 billion in the
Indian Housing Block Grant and the Native Hawaiian Housing Block Grant to build
or rehabilitate 200,000 homes on tribal land.
We’ll also incentivize the elimination of costly zoning rules — like minimum
lot sizes or parking requirements — with a $10 billion new competitive grant
program that state and local government can use to build infrastructure, parks,
roads, or schools on the condition that they reform land-use rules to allow for
the construction of additional well-located affordable housing units and to
protect tenants from rent spikes and eviction. And in doing all of this, my
plan would create 1.5 million new jobs.
But we must do more. More than 30 states have laws on the books that explicitly
prohibit cities from adopting rent control — and when tenants and
communities fight to repeal those laws, they’re met with fierce opposition from
real estate and private equity giants that have shelled out massive amounts of money to block them.
States shouldn’t be able to suppress local innovation or stop towns and cities
from adopting the housing policies that best protect their residents. That’s
why my administration will work to stop states from preempting local tenant
protection laws, including rent control. A Warren Administration will
side with people over private equity. I’ll condition the new affordable housing
money from my Housing plan that goes to states on repealing state laws that
prohibit local rent control laws and other tenant protections.
States and local governments across the country have adopted a number of
different strategies to tackle rising rent costs. This year, Oregon and California became the first states to pass
statewide rental control measures. From Maryland to Colorado, communities across the country have been
testing out the community land trust model, to try to break the link between
the cost of the land and the private, speculative market. As President,
I’ll create an Innovation Lab in HUD to study strategies that keep rents
affordable such as rent control, multi-year leases, zoning reform, and
community land trusts, and share data on what works and best practices. I’ll
also bring together a commission of federal, state, and local government
officials, public housing administrators, housing justice organizations,
homelessness advocates, and tenants’ unions to discuss affordability and
strategies to address it.
I’ll direct HUD to recognize strategies that prevent gentrification and
displacement of long time communities as ways for meeting jurisdictions’
obligations under the Affirmatively Furthering Fair Housing rule. I’ll also
restore and improve the Small Area Fair Market Rent (SAFMR) rule, which the Trump
administration has tried to block. SAFMR sets the housing voucher
amounts at the zip code level rather than the metro level and promotes
integration by allowing vouchers to cover more in neighborhoods with higher
rental costs. I’ll also direct HUD to ensure that the shift does not reduce the
number of total housing units available to voucher holders, invest additional
resources and technical assistance to increase understanding of this rule among
public housing authorities (PHAs) and tenants, issue additional guidance on
setting payment standards, and make the administrative plans by PHAs of the
implementation of this rule publicly available.
Invest in safe, healthy, and green public housing.
Today, about 2 million people nationwide live in 1.1 million public housing units — and too
many are living in homes with lead, rats and roaches, and black
mold that jeopardize their health. Tenants who receive HUD rental assistance
are more likely to suffer from chronic health conditions or go to an
emergency room than other similarly situated renters. Children in these
households are more likely to have asthma and face an acute risk of lead poisoning.
Public housing is also failing in meeting the needs of Section 8 eligible
renters who have disabilities. About 41% of all public housing units are home to a disabled person,
but only about 3% of those units actually have accessibility features.
The federal government’s decision to scale back or not match inflation when
funding public housing has resulted in a national public housing capital repair
backlog of $70 billion, leading to inaccessible housing for people with
disabilities and substandard living conditions. Because units have
been demolished or removed due to uninhabitable conditions, the total number of
public housing units has fallen by more than 250,000 since the mid-1990s. And with a median
public housing waiting list of 9 months, and in some cases, as long as 8 years, we can’t afford to lose a single unit.
As climate change makes summer heat waves and winter cold snaps more severe and
disasters more frequent, the number of habitable units could fall even further,
and public housing across the country is at risk. Last winter, nearly 90% of New York City Housing Authority units lost heat because
of boiler system breakdowns. Some of those same residents dealt with extreme heat in the summer, which can be particularly
dangerous to the elderly and residents with disabilities. In Charleston, South
Carolina, which is facing rising sea levels, 7 of the PHA’s properties are only a few feet above the high
tide level, and across the country, nearly half a million HUD-assisted housing units are in flood
We must invest in safe, healthy, and green homes. I’ll start by
repealing the Faircloth Amendment, which has prohibited
the use of federal funds for the construction or operation of new public
housing units with Capital or Operating Funds, effectively capping the number
of public housing units available at 1999 levels. I’ll fight to
completely close the national public housing capital repair backlog,
expand disability accessibility, and for 1:1 replacement of any units that have
to be removed or demolished. And I’ll fight for investments in new public
I’ll also update the rules of major federal housing funding programs, like
the Low Income Housing Tax Credit, Housing Trust Fund,
Capital Magnet Fund, and Home Grant program, to allow PHAs or other public
institutions to use these funds to develop properties and Section 811 PRA
housing themselves and maintain public ownership. Under current rules, states
are required to contract with private developers. With this change, PHAs and
other public institutions will also be able to benefit from the massive
investment of my Housing plan. Like existing developments under these programs,
these projects would be subsidized to allow low-income tenants to live
alongside market rate tenants. And I’ll encourage PHAs to develop a
participatory budgeting process with residents on how capital dollars are
I believe that every renter has the right to a healthy home. I have
called for retrofitting 4% of our existing building stock each year in my
100% Clean Energy for America plan. I will
ensure that public housing units and public schools are prioritized for
retrofitting because more efficient homes mean lower energy bills, and the cost
of energy should not hold any family back. And I will work across federal
agencies to eliminate toxic substances like mold and lead from all
housing and drinking water sources by investing in toxic mold removal,
establishing a lead abatement grant program to remediate lead in all federal
buildings, and providing a Lead Safety Tax Credit to incentivize landlords to
invest in remediation for their tenants. I’ll fully fund CDC’s environmental
health programs like the Childhood Lead Prevention program, and fully
capitalize the Drinking Water State Revolving Fund and the Clean Water State
Revolving Fund to ensure that nobody’s drinking water is poisoned because of
crumbling infrastructure. And I will immediately roll back the amended timeline
of the EPA draft rule on lead pipe replacement, which the Trump administration
has tried to relax from 13 to 33 years.
For all new affordable rental units, I will ensure that the project
undergoes an environmental equity screen during both the siting and
construction phases so that we do not continue to subject low-income
communities to environmental racism through our housing policies. I will direct
the Department of Energy to provide technical assistance to utilities to better
support and incentivize on-bill financing to further adoption of clean energy,
no matter the income, credit, or renter status of each customer.
And as we modernize our public housing units, we will build livable communities
starting with a new Green Public Housing program that will create
millions of jobs and provide climate smart housing. Because of the massive
maintenance backlog in America’s public housing, and because the federal
government hasn’t funded new public housing construction in decades, manypublic housingbuildings aren’t equipped to withstand the
increasingly harsh realities of climate change. I am a proud supporter of the
Green New Deal for Public Housing Act, which will create grant programs for
public housing authorities to conduct deep energy retrofits, prioritize
workforce development, upgrade the facilities’ energy efficiency and water
quality, allow for community renewable energy generation, and encourage
recycling, community resiliency, and climate adaptation. My 100% Clean Energy
for America plan calls for all new commercial and residential buildings to have
zero carbon pollution by 2028, and this applies to any new public housing
development as well. Nobody should have to face substandard living conditions,
and through the Green Public Housing program, we will ensure that we raise the
standard of living for all renters.
And I will make sure we’re supporting those who have been displaced by
disaster. Renters are particularly vulnerable in the wake of natural disasters. But
for too long, renters have been overlooked in government post-disaster response
and recovery. That’s why I introduced the Housing Survivors of Major Disaster Act, which will require
FEMA to work with HUD to immediately set up the Disaster Housing Assistance
Program (DHAP) for temporary rental assistance and wraparound services to
disaster survivors. This will also support those who might not have residence
documentation, to ensure renters without leasing documents and people who are
homeless have access to these critical services.
Fight the exploitation of renters by corporate landlords.
Since the mortgage crisis, large private equity firms have become some of the
country’s biggest landlords — a big win for Wall Street, but a huge
loss for America’s renters. Take Blackstone, one of the largest private equity firms in the world. Since
2016, more than 600 complaints have been filed against Blackstone
subsidiary Invitation Homes with the Better Business Bureau, and Invitation
Homes is currently facing a class action lawsuit in California for
subjecting tenants to excessive and illegal late fees.
The problems extend to other private equity landlords too. Colony Capital, the
third-largest single family landlord in the country, evicted more than 30% of tenants living in its Atlanta
rentals. In Memphis, Firstkey Homes, a property management company owned by
Cerberus Capital Management, files for eviction at twice the rate of other property managers.
We can’t keep letting these firms loot the economy to pad their own pockets
while working families suffer. My plan to Rein in Wall Street will hold private equity firms
accountable and prevent private equity funds from snatching up properties and
dramatically raising rents, allowing more people to stay in their homes..
My Excessive Lobbying Tax will make it more costly for these firms
to lobby against policies that protect renters.
But we can do more. I’ll stop federal dollars from going to predatory
landlords and lenders with a long history of harassing tenants, forcing tenants
to live in dangerous or indecent conditions, or redlining our communities. I’ve
already committed to strict new requirements for Fannie
Mae and Freddie Mac, limiting the situations in which the agencies can sell
mortgages and imposing new requirements on Wall Street buyers to protect
I’ll also direct the Federal Housing Administration to deny
federal support to landlords that violate tenants’ rights. My FHA will
develop rules that prohibit federal agencies from insuring, guaranteeing, or
lending to landlords with a history of harassing tenants, violating housing
codes, unjust evictions, violating fair housing law, or engaging in
unconscionable rent increases. That means no federal support for landlords that
violate tenants’ rights — like Jared Kushner’s family firm, which is under investigation for harassing tenants out of
I’ll go further and allow all suits for violations of the Fair Housing Act
and Federal, state or local housing protections to reach to the private equity
firm and its general partners. After the housing crisis, private
equity firms gobbled up hundreds of thousands of Real Estate
Owned (REO) properties and troubled mortgages from FHA, Fannie Mae, and Freddie Mac.
In the years since, private equity firms have expanded their portfolios in
housing and have taken a particularly aggressive position in the market
for manufactured home parks. In the midst of the financial crisis, private equity firms
exploited legal loopholes and used shell companies to ensure tenants were
unable to get justice when they’re wronged and removing all disincentive for
My housing plan would end the pipeline of foreclosed homes from Federal
agencies to private equity firms, and My Wall Street plan allowed extended
liability for actions at a private equity portfolio company to the private
equity firm and its general partners in the case of a government enforcement
I’ll rein in payday lenders who take advantage of renters. Payday
lenders cluster in low-income areas, like around government-subsidized housing, and target communities of color. I’ve called out the unscrupulous, exploitative practices
for more than a decade. As President, I’ll direct the CFPB to issue a
comprehensive package of regulations on payday lenders, including limiting the
proximity of payday lenders near public housing. I’ll call for Congress to
repeal the Dodd-Frank provision that prohibits the CFPB from capping interest
rates, empowering the CFPB to effectively regulate these bad actors.
And I’ll take on “land contracts” agreements, predatory loans that are
frequently targeted at communities of color. Land contracts are high-interest loans that are often marketed as a path to
homeownership. Tenant-buyers make payments towards a lender over a long period
of time, and the lenders that own the homes are only required to turn over
legal title to the home after the renter has completely paid it off. But homes
— often houses lost in the foreclosure crisis — can be in such bad
condition they’re basically uninhabitable, and the contracts shift the costs of
fixing them up away from banks and onto unsuspecting families.
Worse still, these contracts are built to fail: If tenants fall behind on these unregulated,
high-interest loans, predatory lenders can seize the property — and keep would-be buyers’ money
— so they make it hard for families to keep up with payments by inflating
the prices, disguising debts, and hiding unfair terms in the fine print of
their land contracts. Predatory lenders target communities of color for land
contracts, including the same families displaced by rising rents. I’ll choose a
CFPB Director committed to reigning in land contracts.
Next, I’ll require large corporate landlords to publicly disclose data. I’ll
create a national public database of information about large corporate
landlords, by requiring them to report key data to HUD. The database will
include information like corporate landlords’ median rent, the number and
percentage of tenants they evicted, building code violations, the most recent
standard lease agreement used, and the identity of any individuals with an
ownership interest of 25% or more, either directly or indirectly, in large
landlords’ corporations, LLCs, or similar legal entities. And I’ll direct HUD
to study the impact that these kinds of landlords have on local rental markets.
The vigorous contest of
Democrats seeking the 2020 presidential nomination has produced excellent
policy proposals to address major issues. Clearly
responding to the backlash against her radical plan to finance Medicare for
All, Senator Elizabeth Warren released details of how she would reduce health
care costs in America, eliminate profiteering from the health care system, and
complete a full transition to Medicare for All in her first term. Warren has
already released her plan to fully finance Medicare
for All when it’s up and running without raising taxes on the middle class by
“Medicare for All is
the best way to guarantee health care to all Americans at the lowest cost. I
have a plan to pay for it without
raising taxes on middle class families, and the transition I’ve outlined here
will get us there within my first term as president. Together, along with
additional reforms like my plans to reduce black maternal mortality rates,
ensure rural health care,
protect reproductive rights,
support the Indian Health Service,
take care of our veterans, and
secure LGBTQ+ equality, we will
ensure that no family will ever go broke again from a medical diagnosis – and
that every American gets the excellent health care they deserve. “
This is from the Warren campaign:
On Day One, Elizabeth will use her executive authority
Reverse Donald Trump’s sabotage of Obamacare
Improve the Affordable Care Act, Medicare, and Medicaid.
Protect people with pre-existing conditions
Drastically lower pharmaceutical costs for millions of
families for drugs including Insulin, EpiPens, and drugs that save people from
The first bill Elizabeth will pass is her comprehensive set
of anti-corruption reforms which include ending lobbying as we know it and
knocking back the influence of Big Pharma and insurance companies.
And in her first 100 days, Elizabeth will use a
fast-track legislative process called budget reconciliation to create a true
Medicare for All option that will:
Include all the health care benefits of Medicare for All
described in the Medicare for All Act.
Be immediately free for nearly half of all Americans,
Children under the age of 18
Families making at or below 200% of the federal poverty
level (about $51,000 for a family of four)
Give every American over the age of 50 the choice to enter a
substantially improved Medicare program.
Consumer costs will automatically decline, so eventually
coverage under this plan will be free to everyone
Throughout her first term, she will fight for additional
health system reforms to save money and save lives–including a boost of
$100 billion in guaranteed, mandatory spending for new NIH
And no later than her third year in office, she will pass
legislation to complete the transition to Medicare for All: guaranteed
comprehensive health care for every American, long-term care, vision, dental,
and hearing, with a single payer to reduce costs and produce better health
Elizabeth’s plan can deliver an $11 trillion boost to
families who will never pay another premium, deductible, or co-pay.
And her plan will protect unions and make sure that there’s
support for workers affected by these changes.
My First Term Plan for Reducing Health Care Costs in
America and Transitioning to Medicare for All
I spent my career studying why families went broke. I rang
the alarm bells as the costs for necessities skyrocketed while wages remained
basically flat. And instead of helping, our government has become more tilted
in favor of the wealthy and the well-connected.
The squeeze on America’s families started long before the
election of Donald Trump, and I’m not running for president just to beat him.
I’m running for president to fix what’s broken in our economy and our
democracy. I have serious plans to raise wages for Americans.
And I have serious plans to reduce costs that are crushing our families, costs
like child care, education, housing – and health care.
The Affordable Care Act made massive strides in expanding
access to health insurance coverage, and we must defend Medicaid and the
Affordable Care Act against Republican attempts to rip health coverage away
from people. But it’s time for the next step.
The need is clear. Last year, 37 million American
adults didn’t fill a prescription because of costs. 36 million people
skipped a recommended test, treatment, or follow-up because of costs. 40 million people
didn’t go to a doctor to check out a health problem because of costs. 57 million people
had trouble covering their medical bills. An average family of four with
employer-sponsored insurance spent $12,378 on
employee premium contributions and out-of-pocket costs in 2018. And 87 million Americans
are either uninsured or underinsured.
Meanwhile, America spends about twice as much per
person on health care than the average among our peer countries while
delivering worse health outcomes than many of them. America is home to the best
health care providers in the world, and yet tens of millions of people can’t
get care because of cost, forcing families into impossible decisions. Whether
to sell the house or skip a round of chemo. Whether to cut up pills to save
money or buy groceries for the week. The way we pay for health care in the
United States is broken – and America’s families bear the burden.
We can fix this system. Medicare for All is the best way to
cover every person in America at the lowest possible cost because it eliminates
profiteering from our health care and leverages the power of the federal
government to rein in spending. Medicare for All will finally ensure that
Americans have access to all of the coverage they need – not just what
for-profit insurance companies are willing to cover – including vision, dental,
coverage for mental health and addiction services, physical therapy, and
long-term care for themselves and their loved ones. Medicare for All will mean
that health care is once again between patients and the doctors and nurses they
trust–without an insurance company in the middle to say “no” to access to the
care they need. I have put out a plan to fully
finance Medicare for All when it’s up and running without raising taxes on the
middle class by one penny.
But how do we get there?
Every serious proposal for Medicare for All contemplates
a significant transition period. Today, I’m announcing my plan to expand public
health care coverage, reduce costs, and improve the quality of care for every
family in America. My plan will be completed in my first term. It includes
dramatic actions to lower drug prices, a Medicare for All option available to
everyone that is more generous than any plan proposed by any other presidential
candidate, critical health system reforms to save money and save lives, and a
full transition to Medicare for All.
Here’s what I’ll do in my first 100 days:
I’ll pursue comprehensive anti-corruption reforms to
rein in health insurers and drug companies – reforms that are essential to make
any meaningful health care changes in Washington.
I’ll use the tools of the presidency to start improving
coverage and lowering costs – immediately. I’ll reverse Donald Trump’s
sabotage of health care, protect individuals with pre-existing conditions, take
on the big pharmaceutical companies to lower costs of key drugs for millions of
Americans, and improve the Affordable Care Act, Medicare, and Medicaid.
I will fight to pass fast-track budget reconciliation
legislation to create a true Medicare for All option that’s free for tens of
millions. I won’t hand Mitch McConnell a veto over my health care
agenda. Instead, I’ll give every American over the age of 50 the choice to
enter an improved Medicare program, and I’ll give every person in America the
choice to get coverage through a true Medicare for All option. Coverage under the
new Medicare for All option will be immediately free for children under the age
of 18 and for families making at or below 200% of the federal poverty level
(about $51,000 for a family of four). For all others, the cost will be modest,
and eventually, coverage under this plan will be free for everyone.
By the end of my first 100 days, we will have opened the
door for tens of millions of Americans to get high-quality Medicare for All
coverage at little or no cost. But I won’t stop there. Throughout my
term, I’ll fight for additional health system reforms to save money and save
lives – including a boost of $100 billion in guaranteed, mandatory spending for
new NIH research over the next ten years to radically improve basic
medical science and the development of new medical miracles for patients.
And finally, no later than my third year in office, I
will fight to pass legislation that would complete the transition to full
Medicare for All. By this point, the American people will have
experienced the full benefits of a true Medicare for All option, and they can
see for themselves how that experience stacks up against high-priced care that
requires them to fight tooth-and-nail against their insurance company. Per the
terms of the Medicare for All Act, supplemental private insurance that doesn’t
duplicate the benefits of Medicare for All would still be available. But by
avoiding duplicative insurance and integrating every American into the new
program, the American people would save trillions of dollars on health costs.
I will pursue each of these efforts in consultation with key
stakeholders, including patients, health care professionals, unions,
individuals with private insurance, hospitals, seniors currently on Medicare,
individuals with disabilities and other patients who use Medicaid, Tribal
Nations, and private insurance employees.
And at each step of my plan, millions more Americans will
pay less for health care. Millions more Americans will see the quality of their
current health coverage improve. And millions more Americans will have the
choice to ditch their private insurance and enter a high-quality public plan.
And, at each step, the changes in our health care system will be fully paid for
without raising taxes one penny on middle class families.
Every step in the coming fight to improve American health
care – like every other fight to improve
American health care – will be opposed by those powerful industries who profit
from our broken system.
But I’ll fight my heart out at each step of this process,
for one simple reason: I spent a lifetime learning about families going broke
from the high cost of health care. I’ve seen up close and personal how the
impact of a medical diagnosis can be devastating and how the resulting medical
bills can turn people’s lives upside down. When I’m President of the United
States, I’m going to do everything in my power to make sure that never happens
to another person again.
The First 100 Days of a Warren Administration
Donald Trump has spent nearly every day of his
administration trying to rip health coverage away from tens of millions of
Americans – first by legislation, then by regulation, and now by lawsuit. When
I take office, I will immediately work to reverse the damage he has done.
But I’ll do much more than that.
In my first 100 days, I will pick up every tool Donald
Trump has used to undermine Americans’ health care and do the opposite. While
Republicans tried to use fast-track budget reconciliation legislation to rip
away health insurance from millions of people with just 50 votes in the Senate,
I’ll use that tool in reverse – to improve our existing public insurance
programs, including by giving everyone 50 and older the option to join the
current Medicare program, and to create a true Medicare for All option that’s
free for millions and available to everyone.
But first, we must act to rein in Washington
Anti-Corruption Reforms to Rein in Health Industry
In Washington, money talks – and nowhere is that more
obvious than when it comes to health care. The health care industry spent $4.7
billion lobbying over the last decade. And health insurance and pharmaceutical
executives have been active in fundraising and donating to
candidates in the 2020 Democratic primary campaign as well.
Today, the principal lobbying groups for the drug companies,
health insurers, and hospitals have teamed up with dozens of other
health industry groups to create the Partnership for America’s Health Care
Future – a front group whose members spent a combined $143 million on
lobbying in 2018 and aims to torpedo
Medicare for All in this election. The Partnership has made clear that “whether
it’s called Medicare for All, Medicare buy-in, or the public option,
one-size-fits-all health care will never allow us to achieve [our]
Let’s not kid ourselves: every Democratic plan for
expanding public health care coverage is a challenge to these industries’
bottom lines – and every one of these plans is already being drowned in money
to make sure it never happens. Any candidate who believes more modest reforms
will avoid the wrath of industry is not paying attention.
If the next president has any intention of winning any
health care fight, they must start by reforming Washington. That’s why I’ve
released the biggest set of anti-corruption reforms since Watergate – and why
enacting these reforms is my top priority as president. Here are some of the
ways my plan would rein in the health care industry:
Close the revolving door. My plan will close the revolving door between
health care lobbyists and government, and end the practice of large
pharmaceutical companies like Novartis, United Health, Roche, Pfizer, and
Merck vacuuming up senior
government officials to try and monopolize government expertise, relationships,
and influence during a fight for health care reform.
Tax excessive lobbying. My plan will also
implement an excessive lobbying tax on
companies that spend more than $500,000 per year peddling influence – like
Pfizer, Amgen, Eli Lilly, Novartis, and Johnson & Johnson. Money from the
tax would be used to strengthen congressional support agencies, establish an
office to help the public participate in the rule-making process, and give our
government additional resources to fight back against an avalanche of corporate
End lobbyist bribery. My campaign finance plan
will ban all lobbyists – including health insurance and pharma lobbyists – from
trying to buy off politicians by donating or fundraising for their campaigns.
This will shut down the flow of millions of dollars in
Limit corporate spending to influence elections. My
plan bans all election-related spending from big corporations with a
significant portion of ownership from foreign entities. That would block major
industry players like UnitedHealth, Anthem, Humana, CVS Health, Pfizer,Amgen, AbbVie, Eli Lilly, Gilead, and Novartis – along
with any trade associations that receive money from them – from spending to
Crowd out corporate contributions with small dollar
donations. I support a constitutional amendment to get big money out
of politics. But until we enact it, my plan would institute a public financing
program that matches every dollar from small donations with six more dollars so
that congressional candidates are answering to the people who need health care
and affordable prescription drugs, rather than health insurance and
Passing these reforms will not be easy. But we should enact
as much of this agenda as possible, as quickly as possible. I will also use my
executive authority to begin implementing them wherever possible – including
through prioritizing DOJ and FEC enforcement against the corrupt
influence-peddling game. And I will voluntarily hold my administration to the
standards that I set in my anti-corruption plan so that all our federal
agencies, including those involved in health care, serve only the interests of
Money slithers through Washington like a snake. Any
candidate that cannot or will not identify this problem, call it out, and
pledge to make fixing it a top priority will not succeed in delivering any
public expansion of health care coverage – or any other major priority.
Immediate Executive Actions to Reduce Costs and Expand
Public Health Coverage.
There are a number of immediate steps a president can take
entirely by herself to lower drug prices, reduce costs, and improve Medicare,
Medicaid, and ACA access and affordability. I intend to take these steps within
my first 100 days.
Dramatically Lower Key Drug Prices
As drug companies benefit from taxpayer-funded R&D and
rake in billions of dollars in
profits, Americans are stuck footing the bill. The average American spends
roughly $1,220 per year on
pharmaceuticals – more than any comparable country. As president, I
will act immediately to lower the cost of prescription drugs, using every
available tool to bring pressure on the big drug companies. I’ll start by
taking immediate advantage of existing legal authorities to lower the cost of
several specific drugs that tens of millions of Americans rely on.
Some drug prices are high because pharmaceutical companies
jack up prices on single-source brand-name drugs, taking advantage of
government-granted patents and exclusivity periods to generate eye-popping
profits. Pharma giant Gilead, for example, launched its
Hepatitis C treatment Harvoni at $94,500-per-twelve week treatment – leaving as many as 85 percent of more than 3 million Americans with
Hepatitis C struggling to afford life-saving treatments.
The government has two
existing tools to combat price-gouging by brand-name drug companies, in
addition to tough antitrust enforcement against companies that abuse our patent
system and use every trick in the book to avoid competition. First, the
government can bypass patents (while providing “reasonable and entire
compensation” to patent holders) using “compulsory licensing authority.” The
Defense Department has used this authority as recently as 2014.
Second, under the march-in provisions of the Bayh-Dole Act, the
government can require re-licensing of certain patents developed with
government involvement when the contractor was not alleviating health or safety
needs. Just in this decade, federal research investments have contributed to
the development of hundreds of drugs –
all of which could be subject to this authority.
But new drugs aren’t the only unaffordable drugs on the
market. Even older, off-patent drugs can be expensive and inaccessible. Lack of
generic competition allows bad actors like Martin Shkreli to
boost the prices of decades-old drugs. Some of the biggest generic drug
companies in the country are now being sued by forty-four states for
price-fixing to keep profits high. Limited competition and other market
failures can also lead to drug shortages. Fortunately, the government can also
act to fix our broken generic drug market by stepping in to publicly
manufacture generic drugs, stopping price gouging in its tracks and bringing
On the first day of my presidency, I will use these tools
to drastically lower drug costs for essential medications – drugs with high
costs or limited supply that address critical public health needs. And
during my administration, we will use these tools to make other drugs
affordable as well.
Insulin was discovered nearly 100 years ago as
a treatment for diabetes – but today the drug is still unaffordable for too
many Americans. Eli Lilly’s brand-name insulin prices increased over 1,200% since the 1990s.
Insulin costs are too high because three drug companies –
Novo Nordisk, Sanofi, and Eli Lilly – dominate the market, jacking up prices.
Americans with diabetes are rationing insulin, and
taxpayers are spending billions on it
through Medicare and Medicaid. It’s obscene.
No American should die because they can’t afford a century-old drug that can
be profitably developed for
$72 a year. I will use existing authorities to contract for manufacture of
affordable insulin for all Americans.
EpiPens deliver life-saving doses of
epinephrine, a drug that reverses severe allergic reactions to things like
peanuts and bee stings. Though epinephrine has been around for over a century, the pens
that deliver it are protected by a patent that
limits competition. In 2016, this lack of competition allowed Mylan, EpiPen’s
manufacturer, to jack up EpiPen prices by 400%, leaving
families unable to afford this life-saving medication. Though cheaper versions
have recently entered
the market, prices remain out of reach for
many American families. As president, I will use existing authorities to
produce affordable epinephrine injectors for Americans (and especially
children) who need it.
Humira is a drug with anti-inflammatory effects used
to treat diseases like arthritis, psoriasis, and Crohn’s disease. It
is the best-selling prescription
drug in the world, treating millions. AbbVie, Humira’s manufacturer, has doubled the price
of Humira to more than $38,000 a year. In 2017, Medicaid and Medicare spent over
$4.2 billion on it – while AbbVie, its manufacturer, developed a “patent thicket” to
shield itself from biosimilar competition. In May 2019, the company
entered into a legal settlement preventing a competitor from entering the U.S.
market until 2023 – probably because prices went down by up to 80% once
biosimilars entered in Europe. My administration will pursue antitrust action
against AbbVie and other drug companies that pursue blatantly anti-competitive
behavior, and, if necessary, use compulsory licensing authority to facilitate
production, saving taxpayers billions.
Hepatitis C drugs like Harvoni are part of
a class described as
“miracle” drugs. Harvoni’s price tag – $94,500-per-treatment – left 85% of the more than 3 million Americans living
with Hepatitis C without a lifesaving medication, while taxpayers foot a $3.8billion bill. Although
the price has come down in recent years, it is still expensive for
too many. One estimate suggests that by
using compulsory licensing, the federal government could treat all Americans
with Hepatitis C for $4.5 billion – just 2% of the $234 billion it would
otherwise cost. That is exactly what I will do.
Truvada is a drug that – until recently –
was the only FDA-approved form
of pre-exposure prophylaxis, which can reduce the risk of HIV from sexual
activity by up to 99%. Truvada’s
manufacturer, Gilead, relied on $50 million in federal grants to
develop it, but today they rake in multi-billion dollar profits while Americans
struggle to afford it. The CDC estimates a million Americans could benefit from
Truvada, though only a fraction do today – largely due to to its $2,000-a-month price tag, which is nearly thirty times what
it costs in other countries. My administration will facilitate the production
of an affordable version – reducing HIV infections and saving taxpayers billions of dollars each
Antibiotics provide critical protection from
bacterial and fungal infections, and we are in desperate need of new
antibiotics to combat resistant infections. Every year, nearly
three million Americans contract antibiotic-resistant infections – and more
than 35,000 people die. But antibiotics don’t generate much money,
discouraging pharmaceutical investment, causing shortages, and contributing to price hikes.
Earlier this year, one biotech firm filed for bankruptcy after
marketing a new antibiotic, Zemdri, for less than a year. My administration
will identify antibiotics with high prices or limited supply and help produce
them to combat resistance and provide patients with the treatments they need.
Drug shortages leave doctors and patients
scrambling to access the treatments they need, forcing many to ration
medications and use inferior substitutes. Our nation’s hospitals, for example,
are currently experiencing a shortage of
vincristine – an off-patent drug that is the “backbone” of childhood cancer
treatment. The vincristine shortage began when Teva, one of its two suppliers,
made the “business decision” to stop manufacturing the drug. When I am
president, the government will track drugs in consistent shortage, like
vincristine, and I will use our administrative authority to ensure we have
Finally, I will also direct the government to study whether
other essential medicines, including breakthrough drugs for cancer or high-cost
drugs for rare diseases, might also be subject to these interventions because
they are being sold at prices that inappropriately limit patient
Make Mental Health and Substance Use Treatment A
The law currently requires health insurers to provide mental
health and substance use disorder benefits in parity with physical health benefits.
But in 2018, less than half of
people with mental illness received treatment and less than a fifth of people
who needed substance use treatment actually received it. As
president, I will launch a full-scale effort to enforce these requirements –
with coordinated actions by the IRS, Centers for Medicare and Medicaid
Services, and Department of Labor to make sure health plans actually provide
mental health treatment in the same way they provide other treatment.
Reverse Trump’s Sabotage
I will reverse the Trump administration’s actions that have
undermined health care in America. Key steps include:
Protecting coverage for people with pre-existing
conditions. The Trump administration has abandoned its duty
to defend current laws in court, cheering on efforts to destroy protections for
pre-existing conditions, insurance coverage for dependents until they’re 26,
and the other critical Affordable Care Act benefits. In a Warren
administration, the Department of Justice will defend this law. And we will
close the loopholes created by the Trump administration, using 1332 waivers,
that could allow states to steer healthy people toward parallel, unregulated
markets for junk health plans. This will shut down a stealth attack on people
with pre-existing conditions who would see their premiums substantially
increase as healthier people leave the marketplace.
Banning junk health plans. The Trump
administration has expanded the use of
junk health insurance plans as an alternative to comprehensive health plans
that meet the standards of the ACA. These plans cover few benefits,
discriminate against people with pre-existing conditions, and increase costs
for everyone else. And in some cases they direct as much as 50 percent of
patient premiums to administrative expenses or profit. I will ban junk plans.
Expanding ACA enrollment. I’ll re-fund the
Affordable Care Act programs that help people enroll in ACA coverage, programs
that have been gutted by the Trump administration.
Expanding premium tax credits. I will reverse
the Trump administration rule that artificially reduced premium tax credits for
many people, making coverage less affordable –
and instead will expand these credits.
Rolling back Trump’s sabotage of Medicaid. I’ll
reverse the Trump administration’s harmful Medicaid policies that take coverage
away from low-income individuals and families. I’ll prohibit restrictive and
ineffective policies like work requirements – which have already booted 18,000 people in
Arkansas out of the program – as well as enrollment caps, premiums, drug
testing, and limits on retroactive eligibility that can prevent bankruptcy.
Restoring non-discrimination protections in health
care. I will immediately reverse the Trump administration’s
terrible proposed rule permitting
health plans and health providers to discriminate against women, LGBTQ+ people,
individuals with limited English proficiency, and others.
Ending the Trump administration’s assault on reproductive
care. I’ll roll back the Trump administration’s domestic and global
gag rules, which deny Title X and USAID funding to health care providers who
provide abortion care or even explain where and how patients can access safe,
legal abortions. And I will overturn the Trump administration’s embattled proposed rule to
roll back mandatory contraceptive coverage.
Strengthen the Affordable Care Act
As president I will use administrative tools to strengthen
the ACA to reduce costs for families and expand eligibility. Key steps include:
Stop families from being kicked out of affordable
coverage. Because of something called the “family glitch,” an
entire family can lose access to tax credits that would help them buy health
coverage if one parent is offered individual coverage with a premium less than
9.86% of their family income. I’ll work to make sure that a family’s access to
tax credits is based on the affordability of coverage for the whole family –
not just one individual – so families who don’t actually have access to
affordable alternatives don’t lose their ACA tax credits.
Expand eligibility to all legally present
individuals. I’ll also work to extend eligibility for ACA tax credits
to all people who are legally present, including those eligible for the
Deferred Action for Childhood Arrivals program.
Put money back in workers’ pockets. The
Affordable Care Act requires insurance
companies to spend at least 80 percent of total premium contributions on health
care claims (and, in many cases, at least 85 percent), leaving the rest to be
spent on plan administration, marketing, and profit. Insurers who waste money
must issue rebates – but too often, these are returned to employers who don’t pass
on the savings to their employees. Insurance companies are expected to pay
out $1.3 billion in
rebates in 2019, with employers in the small-group market receiving an average
rebate of $1,190 and employers in the large-group market receiving an average
rebate of $10,660. My plan will require employers to pass along the full value
of the rebate directly to employees.
As president I will use administrative tools to strengthen
Expand Dental Benefits. The Medicare statute
prohibits coverage of dental care that is unrelated to other medical care,
unless it is medically necessary. This has been interpreted to largely exclude
any oral health care. As a result, almost two-thirds of
Medicare beneficiaries, or nearly 37 million people, lack access to dental
benefits. I will use my administrative authority to clearly expand the
medically necessary dental services Medicare can provide, improving the health
of millions of Medicare beneficiaries.
Stop private Medicare Advantage plans from bilking
taxpayers. Roughly one-third of Medicare beneficiaries get coverage
through a private Medicare Advantage plan. Medicare payments to these plans for
each enrollee are supposed to reflect the cost of covering that person through
traditional Medicare, but overwhelmingevidence shows that
these private plans make their enrollees appear sicker on paper than they
actually are to earn inflated payments at the expense of taxpayers. Some suggest that this
adds $100 billion or more to Medicare spending over ten years. My
administration will put an end to this fraud.
As president I will use administrative tools to strengthen
Medicaid and potentially allow millions more to access the program.
Use waiver authority to increase Medicaid eligibility. With
the approval of the federal government, states can use Section 1115
demonstration waivers to expand coverage to people who aren’t otherwise
eligible for Medicaid. Currently, however, states can only obtain these waivers
if projected federal spending under the new program will not be higher than without the
waiver. While I pursue legislative reforms to expand coverage, I’ll
also change this administrative restriction to allow these demonstrations to
fulfill their promise of providing affordable health coverage, including
working with states that want to expand Medicaid to uninsured individuals and
families above the statutory upper limit of Medicaid (138% of the poverty
level). Any state that chooses to expand in this way will not be penalized for
doing so when full Medicare for All comes online.
Streamlining eligibility and enrollment. Far too
many people miss out on Medicaid coverage because of red tape. Some states take
coverage away if someone misses just one piece of mail or forgets to notify the
state within 10 days of a change in income. These kinds of harsh policies help
explain why more than a million children “disappeared” from the
Medicaid and CHIP programs in the past year. I will eliminate these kinds of
unfair practices, and instead work with states to make it easier for everyone –
families, children, and people with disabilities – to maintain this essential
Ensuring access to care for beneficiaries in managed care
plans. I’ll roll back the Trump administration’s proposed changes to
rules regulating Medicaid managed care plans, which would dilute important
standards, such as requiring health plans to maintain adequate provider
networks guaranteeing access to care for Medicaid enrollees.
Antitrust Enforcement for Hospitals and Health
For years, both horizontal
mergers (where hospitals purchase other hospitals) and vertical mergers (where
hospitals acquire physician practices) have produced greater hospital and
health system consolidation, contributing to the skyrocketing costs of health
care. Today, “not a single
highly competitive hospital market remains in any region of the United
States.” Study after studyshowsthat mergers mean higher prices, lower quality,
and increased inequality due to the growing wage gap between
hospital CEOs and everyone else. Bringing down the cost of health care means
enforcing competition in these markets.
As president, I will appoint aggressive antitrust enforcers
who recognize the problems with hospital and health system consolidation to the
Department of Justice and Federal Trade Commission. My administration will also
conduct retrospective reviews of significant new mergers, and break up mergers
that should never have taken place.
Bringing Health Records into the 21st Century
Congress spent $36 billion to get
every doctor in America using electronic health records, but we still do not have adequate digital
information flow in health care – in part because two big
companies make up about 85% of the market for
medical records at big hospitals. As they attempt to capture more of the
market, these companies are making it harder for systems to communicate with each other. My
administration will ramp up the enforcement against information blocking by big
hospital systems and health IT companies, and I will appoint leaders to the FTC
and DOJ who will conduct a rigorous antitrust investigation of the health
records market, especially in the hospital space.
Elevating the Voices of Workers in the Transition to
Medicare for All
The fundamental goal of my presidency will be returning
power to working people. Medicare for All accomplishes that by giving every
American high-quality coverage and freeing them from relying on the whims of
their employers or private insurance companies for the health care they need.
My plan to transition to Medicare for All will also put working people first,
and elevate their voices at each stage of the process.
My plan seeks to build on the achievements of generations of
working people and their unions who have fought for and won health care. I view
good health plans negotiated through collective bargaining as a positive
achievement for working people, and I will seek as part of the first phase of
my plan the elimination of the excise tax on those plans.
In my first weeks in office, I will issue an Executive Order
creating a commission of workers (including health care workers), union
representatives, and union benefit managers that I will consult at every stage
of the transition process. The commission will be responsible for providing
advice on each element of the transition to Medicare for All, including, at a
Ensuring workforce readiness and adequate access to care
across all provider types.
Determining national standards of coverage and benefits,
including long-term care.
Learning from successful existing non-profit health care
administrators and integrating them into the new Medicare for All system.
Ensuring a living wage for all health care workers and that
savings generated within the new system by hospitals and other health care
employers are shared fairly with all of the workers in the health care system.
Ensuring that workers are able to use the collective
bargaining process during the transition period and under the new Medicare for
All system to ensure both effective health outcomes and to ensure that savings
generated by the new system are fairly shared with workers.
In administering the Medicare for All system, my
administration will also rely on unions’ expertise on designing good benefits
for workers and helping workers navigate our health care system. During the
transition to Medicare for All – and even when we ultimately reach a full
Medicare for All system – my administration will seek to partner with
collectively bargained non-profit health care administrators. For example, we
will draw upon their expertise in helping workers choose providers, and look
for opportunities to enter into contracts with the administrators of unions’ collectively
bargained health plans to provide these services. And my plan will guarantee
that union-sponsored clinics are included within the Medicare for All system
and will continue serving their members.
Finally, Medicare for All will be an enormous boost to
the economy, lifting a weight off of both workers and businesses and creating
good new jobs, including in administering health care benefits. Still, the
Medicare for All legislation includes billions of dollars to provide assistance
to workers who may be affected by the transition to Medicare for All, and I
plan on consulting with the new worker commission and other affected parties to
ensure that money is spent as effectively as possible. In the past, transition
assistance programs have been underfunded and have not been as responsive as
they should have been to the actual needs of workers. That will not be the case
in my administration. No worker will be left behind.
Legislation to Expand Medicare and Create a True Medicare
for All Option
In 2017, Senate Republicans came within one vote of
shredding the Affordable Care Act and taking health care coverage away from
more than 20 million people. How did they get so close? By using a fast-track
legislative process called budget reconciliation, which only requires 50 votes
in the Senate to pass laws with major budgetary impacts. President Obama also
used this process to secure final passage of the Affordable Care Act.
I am a strong supporter of eliminating the filibuster, which
I believe is essential to preventing right-wing Senators who function as wholly
owned subsidiaries of major American industries from blocking real legislative
change in America. Any candidate for president who does not support this change
should acknowledge the extreme difficulty of enacting their preferred
legislative agenda. But I’m not going to wait for this to happen to start
improving health care – and I’m not going to give Mitch McConnell or the
Republicans a veto over my entire health care agenda.
That’s why, within my first 100 days, I will pass my own
fast-track budget reconciliation legislation to enact a substantial portion of
my Medicare for All agenda – including establishing a true Medicare for All
option that’s free for millions and affordable for everyone.
A True Medicare for All Option. There are many
proposals that call themselves a Medicare for All “public option” – but most of
them lack the financing to actually allow everyone in America to choose true
Medicare for All coverage. As a result, these proposals create the illusion of
choice, when in reality they offer tens of millions of Americans the decision
between unaffordable private insurance and unaffordable public insurance. A
choice between two bad options isn’t a choice at all.
My approach is different.
Because I have identified trillions in revenue to finance a
fully functioning Medicare for All system – without raising taxes on the middle
class by one penny – I can also fund a true Medicare for All option. The plan
will be administered by Medicare and offered on ACA exchanges. Here are its key
Benefits. Unlike public option plans, the
benefits of the true Medicare for All option will match those in the Medicare
for All Act. This includes truly comprehensive coverage for primary and
preventive services, pediatric care, emergency services and transportation,
vision, dental, audio, long-term care, mental health and substance use, and
Immediate Free Coverage for Millions. This plan
will immediately offer coverage at no cost to every kid under the age of 18 and
anybody making at or below 200% of the federal poverty level (about $51,000 for
a family of four) – including individuals who would currently be on Medicaid,
but live in states that refused to expand their programs.
Free, Identical Coverage for Medicaid
Beneficiaries. States will be encouraged to begin paying a
maintenance-of-effort to the Medicare for All option in exchange for moving
their Medicaid populations into this plan and getting out of the business of
administering health insurance. For states that elect to maintain their
Medicaid programs, Medicaid premiums and cost sharing will be eliminated, and
we will provide wraparound benefits for any Medicare for All option benefits
not covered by a state’s program to ensure that these individuals have the same
free coverage as Medicaid-eligible people in the Medicare for All option.
Eventual Free Coverage for Everyone. This plan
will begin as high-quality public insurance that covers 90% of costs and allows
people to utilize improved ACA subsidies to purchase coverage and reduce cost
sharing. There will be no premiums for kids under 18 and people at or below
200% of the federal poverty level. For individuals above 200% FPL, premiums
will gradually scale as a percentage of income and are capped at 5.0% of their
income. Starting in year one, the plan will not have a deductible — meaning
everyone gets first dollar coverage, and cost sharing will be zero for people
at or below 200% FPL. Cost sharing will scale modestly for individuals at or
above that level, with caps on out-of-pocket costs. In subsequent years,
premiums and cost sharing for all participants in this plan will gradually
decrease to zero.
Reducing Drug Prices. The Medicare for All
option will have the ability to negotiate for prescription drugs using the
mechanisms I’ve previously outlined,
helping to drive down costs for patients.
Automatic Enrollment. Anyone who is uninsured or
eligible for free insurance on day one, excluding individuals who are over 50
and eligible for expanded coverage under existing Medicare, will be
automatically enrolled in the Medicare for All option. Individuals who prefer
other coverage can decline enrollment.
Employee Choice. Workers with employer coverage
can opt into the Medicare for All option, at which point their employer will
pay an appropriate fee to the government to maintain their responsibility for
providing employee coverage. In addition, unions can negotiate to include a
move to the Medicare for All option via collective bargaining during the
transition period, with unionized employers paying a discounted contribution to
the extent that they pass the savings on to workers in the form of increased
wages, pensions, or other collectively-bargained benefits. This will support
unions and ensure that the savings from Medicare for All are passed on to
workers in full, not pocketed by the employer.
Provider Reimbursement and Cost Control. I
have identified cost
reforms that would save our health system trillions of dollars when implemented
in a full Medicare for All system. The more limited leverage of a Medicare for
All option plan will accordingly limit its ability to achieve these savings –
but as more individuals join, this leverage will increase and costs will go
down. Provider reimbursement for this plan will start above current Medicare
rates for all providers, and be reduced every year as providers’ administrative
and delivery costs decrease until they begin to approach the targets in my
Medicare for All plan. The size of these adjustments will be governed by
overall plan size and the progress of provider adjustment to new, lower
Expand and Improve Existing Medicare for Everyone Over
50. In addition to the Medicare for All option, any person over the
age of 50 will be eligible for expanded coverage under the existing Medicare
program, whose infrastructure will allow it to absorb new beneficiaries more
quickly. The expanded Medicare program will be improved in the following
Benefits. To the greatest extent possible,
critical benefits like audio, vision, full dental coverage, and long-term care
benefits will be added to Medicare, and we will legislate full parity for
mental health and substance use services.
Eventual Free Coverage for Everyone. Identical
to the Medicare program, enrollees will pay premiums in Part B and D, with a
$300 cap on drug costs in Part D. Plugging a huge hole in the current Medicare
program, out-of-pocket costs will be capped at $1,500 per year across Parts A,
B, and D, eliminating deductibles and reducing cost sharing. In subsequent
years, premiums and cost sharing will gradually decrease to zero.
Employee Choice. Identical to the Medicare for
All option, workers 50-64 can opt into expanded Medicare, at which point their
employer will pay an appropriate fee to the government to maintain their
responsibility for providing employee coverage.
Reducing Drug Prices. The expanded Medicare
program will receive the ability to negotiate for prescription drugs using the
mechanisms I’ve previously outlined,
helping to drive down costs for patients. And we will create a publicly run
prescription drug plan that is benchmarked off the best current Part D
Automatic Enrollment. Every person without
health insurance over the age of 50 will be automatically enrolled in the
expanded existing Medicare program.
Provider Reimbursement and Cost Control. Provider
reimbursement for new beneficiaries will start above current Medicare rates for
all providers, and be reduced every year as providers’ administrative and
delivery costs decrease until they begin to approach the targets in my Medicare
for All plan. It will be a new condition of participation that providers who
take Medicare or other federally subsidized insurance also take the Medicare
for All option. We will also adopt common sense reforms to bring down bloated
reimbursement rates, including reforms around post-acute care, bundled
payments, and site neutral payments.
Improving the Affordable Care Act. My reforms
will also strengthen Affordable Care Act plans – including the new Medicare for
All option – by making the following changes:
Expand Tax Credit Eligibility. We will lift the
upper limit on eligibility for Premium Tax Credits, allowing people over 400%
of the federal poverty level to purchase subsidized coverage and greatly
increasing the number of people who receive subsidies.
Employee Choice. We will allow any person or
family to receive ACA tax credits and opt into ACA coverage, regardless of
whether they have an offer of employer coverage. If an individual currently
enrolled in qualifying employer coverage moves into an ACA plan, their employer
will pay an appropriate fee to the government to maintain their responsibility
for providing employee coverage.
Lower Costs. Right now, people may pay up to 9.86% of their
income before they get subsidies. Under my plan, this cap would be lowered –
and to make sure those tax credits cover more, we will benchmark them to more
generous “gold” plans in the Marketplace. And we will increase eligibility for
cost sharing reductions, ensuring that more individuals can get into an
affordable exchange plan immediately.
Eliminate the Penalty for Getting a Raise. Right
now, if someone’s income goes up, they can be forced to repay thousands of
dollars in back premiums. We will change this and base tax credits on the
previous year’s income. And if someone’s income goes down, they will get the
higher subsidy for that year.
State Single-Payer Innovation Waivers. To help
states try out different payer arrangements and pilot programs, we will allow
states to receive passthrough funding to expand or improve coverage via the
ACA’s Section 1332 waivers. Combined with Medicaid waivers, these changes will
allow interested states to start experimenting immediately with consolidating
public payers and move towards a single-payer system.
Additional Financing. My plan to pay for
Medicare for All identifies $20.5 trillion in new revenue, including an
Employer Medicare Contribution, which will cover the long-term, steady-state
cost of a fully functioning Medicare for All system. The cost of this
intermediate proposal will be lower. Any revenue needed to meet the
requirements of fast-track budget reconciliation will be enacted as part of
this legislation from the financing options that I have already proposed.
Additional Health System Reforms to Save Money and Lives
After pursuing administrative changes, expanding existing
Medicare, and creating a true Medicare for All option, every person in the
United States will be able to choose free or low-cost public insurance. Tens of
millions will likely do so. But we can’t stop there. We must pursue additional
reforms to our health system to save money and save lives. Some of my
Investing in Medical Miracles. Many medical
breakthroughs stem from federal investments in
science – but in 2018, 43,763 out of 54,834 research
project grant applications to the National Institutes of Health (NIH) were
rejected. We will boost medical research by investing an additional $100
billion in guaranteed, mandatory spending in the NIH over ten years, split
between basic science and the creation of a new National Institute for Drug
Development that will help take the basic research from the other parts of NIH
and turn it into real drugs that patients can use. We will prioritize
treatments that are uninteresting to big pharmaceutical companies but could
save millions of American dollars and lives. Any drugs that come out of this
research and to American consumers can be sold abroad, with the proceeds
reinvested to fund future breakthrough drug development. And by enacting my
Affordable Drug Manufacturing Act, the government can manufacture generic drugs
that are not available due to cost or shortage.
Ending the Opioid Epidemic. The opioid epidemic
is a public health emergency. In 2017, life expectancy in the United States
dropped for the third year in a row, driven in large part by deaths from drug
overdoses. We will enact my legislation, the CARE Act, to invest $100 billion
in federal funding over the next ten years in states and communities to fight
this crisis – providing resources directly to first responders, public health
departments, and communities on the front lines of this crisis.
Improved Administration. To cut down on time
wasted on paperwork, we will create single standardized forms for things like
prior authorizations and appeals processes to be used by all insurers (private
and public), and we will establish uniform medical billing for insurers and
All-Payer Claims Database. Right now, there are so
many middlemen in health care that no one knows for certain how much we pay for
different services across the whole system. A centralized repository of
de-identified claims data will help the government, researchers, and the market
better understand exactly what we pay for health care and what kind of quality
it gets us. Demystifying what we pay for what we get will be a critical part of
ensuring fair reimbursement under Medicare for All.
Antitrust Enforcement. In addition to
administrative actions to rein in anti-competitive hospital and electronic
medical record practices, we’ll also ban non-compete and no-poach agreements
and class action waivers across the board, while making it easier for private
parties to sue to prevent anti-competitive actions. I’ll work with states to
repeal Certificate of Public Advantage, or COPA, statutes
that shield health care
organizations from federal antitrust review and can lead to the
creation of large monopolies with little to no oversight. And I’ll also push to
ensure our antitrust laws apply to all health care mergers.
Ending Surprise Billing. Imagine being a woman
who schedules her baby’s delivery with her obstetrician at an in-network
hospital, but it turns out that the anesthesiologist administering the epidural
isn’t in-network. Even though she had no choice – and probably had no idea that
doctor was out-of-network – under the current system she gets hit with a huge
bill. We will end the practice of surprise billing by requiring that
services from out-of-network doctors within in-network hospitals, in addition
to ambulances or out-of-network hospitals during emergency care, be treated as
in-network and paid either prevailing in-network rates or 125% of the Medicare
reimbursement rate, whichever is lower.
Preventing Provider Shortages. With more people
seeking the care they need, it will be essential to increase the number of
providers. I will make these
critical investments in our clinicians, including by dramatically scaling up
apprenticeship programs to build a health care workforce rooted in the
community. I will lift the cap on residency placements, allowing 15,000 new
clinicians to enter the workforce. I will expand the National Health Service
Corps and Indian Health Service loan repayment program to allow more health
professionals – including physicians, physician assistants, registered nurses,
nurse practitioners, and other licensed practitioners – to practice in
underserved communities. I will also provide grants to states that expand
scope-of-practice to allow more non-physicians to practice primary care. And I
will push to close the
mental health provider gap in schools.
Completing the Transition to Medicare For All
By pursuing these changes, we will provide every person in
America with the option of choosing public coverage that matches the full
benefits of Medicare for All. Given the quality of the public alternatives,
millions are likely to move out of private insurance as quickly as
No later than my third year in office, at which point the
number of individuals voluntarily remaining in private insurance would likely
be quite low, I will fight to pass legislation to complete the transition to
the Medicare for All system defined by the Medicare for All Act by the end of
my first term in office.
Moving to this system would mean integrating everyone into a
unified system with zero premiums, copays, and deductibles. Senator Sanders’s
Medicare for All Act allows for supplemental private insurance to cover
services that are not duplicative of the coverage in Medicare for All; for
unions that seek specialized wraparound coverage and individuals with
specialized needs, a private market could still exist. In addition, we can
allow private employer coverage that reflects the outcome of a collective
bargaining agreement to be grandfathered into the new system to ensure that
these workers receive the full benefit of their bargain before moving to the
new system. But the point of Medicare for All is to cut out the middleman.
Every successful effort to move the United States to create
and expand new social programs – like Social Security and Medicare and Medicaid –
has required multiple steps. In fact, every credible Medicare for All proposal
has a significant, multi-step transition built in. That’s why it’s important to
have both short-term goals and long-term goals to guide the process and to
deliver concrete improvements to people’s lives at every stage.
I believe the next president must do everything she can
within one presidential term to complete the transition to Medicare for All. My
plan will reduce the financial and political power of the insurance companies –
as well as their ability to frighten the American people – by implementing
reforms immediately and demonstrating at each phase that true Medicare for All
coverage is better than their private options. I believe this approach gives us
our best chance to succeed.
Why do we need to transition to Medicare for All if a robust
Medicare for All option is available to everyone? The answer is simple and
blunt: cost and outcomes. Today, up to 30% of
current health spending is driven by the costs of filling out different
insurance forms and following different claims processes and fighting with
insurance companies over what is and is not covered. I have demonstrated how a
full Medicare for All system can use its leverage to wring trillions of dollars
in waste out of our system while delivering smarter care – and I’ve made clear exactly
how I would do it. The experience of other countries shows that this system is
the cheapest and most efficient way to deliver high-quality health care. As
long as duplicative private coverage exists, we will limit our ability to make
health care delivery more effective and affordable – and the ability of private
middlemen to abuse patients will remain.
Medicare for All will deliver an $11 trillion boost to
American families who will never pay another premium, co-pay, or deductible.
That’s like giving the average working family in America a $12,000 raise. This
final legislation will put a choice before Congress – maintain a two-tiered
system where private insurers can continue to profit from being the middlemen
between patients and doctors, getting rich by denying care – or give everybody
Medicare for All to capture the full value of trillions of dollars in savings
in health care spending. I believe that the American people will demand
Congress make the right choice.