How the Democrats want to fix your healthcare

“Democrats have been fighting to secure universal health care for the American people for generations, and we are proud to be the party that passed Medicare, Medicaid, and the Affordable Care Act (ACA). Being stronger together means finally achieving that goal. We are going to fight to make sure every American has access to quality, affordable health care.” quote from the Democratic party platform

updated September 27, 2022

This post was published in 2020 when the Democratic Party updated its 2016 party platform and nominated Joe Biden to run for election as President. In 2022 I have published a series of posts reviewing the Democratic platform healthcare policies and proposals. I suggest you review them in addition to this older one. Here’s a link to one of them.

What do the political parties say about healthcare?

My intent is to present a non-partisan review since this blog does not endorse any party or candidate. If my reviews seem biased toward any specific viewpoint, that is unintentional.

I’ll summarize what I consider the highlights but encourage you to read the entire documents. I’ll include points that express the party’s positions as well as its proposals.

The Democratic Platform on health

The photos are for illustration only and are not associated with the platform or the party.

This party platform was voted on and passed by the membership at the Democratic National Convention in Philadelphia in 2016. The platform re-approved at the 2020 Democratic National Convention.

First, let’s read the introduction to the platform on health.

ENSURE THE HEALTH AND SAFETY OF ALL AMERICANS

“Democrats have been fighting to secure universal health care for the American people for generations, and we are proud to be the party that passed Medicare, Medicaid, and the Affordable Care Act (ACA). Being stronger together means finally achieving that goal. We are going to fight to make sure every American has access to quality, affordable health care.

We will tackle the problems that remain in our health care system, including cracking down on runaway prescription drug prices and addressing mental health with the same seriousness that we treat physical health. We will fight Republican efforts to roll back the clock on women’s health and reproductive rights, and stand up for Planned Parenthood. And we will tackle the epidemics of substance abuse and gun violence, which each claim tens of thousands of lives every year.”

EMERGENCY-sign
Photo by Pixabay

Securing Universal Health Care

Democrats believe that health care is a right, not a privilege, and our health care system should put people before profits.

Americans should be able to access public coverage through a public option and those over 55 should be able to opt in to Medicare.

Democrats will

empower the states to use innovation waivers under the ACA to develop unique locally tailored approaches to health coverage

work to end other practices that lead to out-of-control medical debt , repeal the excise tax on high-cost health insurance, reducing out-of-pocket expenses, and capping prescription drug costs

fight against insurers trying to impose excessive premium increases

fight any attempts by Republicans to privatize, voucherize, or phase out Medicare as we know it

oppose Republican plans to slash funding and block grant Medicaid and SNAP

keep fighting until the ACA’s Medicaid expansion has been adopted in every state

Supporting Community Health Centers

We must renew and expand our commitment to Community Health Centers, as well as community mental health centers and family planning centers.

Democrats will

double funding for federally qualified community health centers over the next decade, to include primary care, mental health care, dental care, and low cost prescription drugs

fight to train and support public health workforce

encourage providers to work with underserved populations

create a comprehensive strategy to increase the pool of primary health care professionals

white capsules in front of a prescription bottle
Photo by Julie Viken on Pexels.com

Reducing Prescription Drug Costs

Democrats are committed to investing in the research, development, and innovation that creates lifesaving drugs and lowers overall health costs, but the profiteering of pharmaceutical companies is simply unacceptable.

Democrats will

crack down on price gouging by drug companies 

cap the amount Americans have to pay out-of-pocket every month on prescription drugs

prohibit anti-competitive “pay for delay” deals that keep generic drugs off the market

allow individuals, pharmacists, and wholesalers to import prescription drugs from licensed pharmacies in Canada and other countries with appropriate safety protections. 

Chanelle Case Borden, Ph.D., a postdoctoral fellow in the National Cancer Institute’s Experimental Immunology Branch, vortexing DNA samples for further study.
Source: National Cancer Institute (NCI)Creator: Daniel Sone (photographer)
Date Created: September 2014

Cutting-Edge Medical Research

Democrats believe we must

accelerate the pace of medical progress, ensuring that we invest more in our scientists and give them the resources they need to invigorate our fundamental studies in the life sciences in a growing, stable, and predictable way

make progress against the full range of diseases, including Alzheimer’s, HIV and AIDS, cancer, and other diseases, especially chronic ones

recognize the critical importance of a fully-funded National Institutes of Health to accelerate the pace of medical progress

Combating Drug and Alcohol Addiction

Democrats want to

confront the epidemic of drug and alcohol addiction, specifically the opioid crisis and other drugs plaguing our communities

expand access to prevention and treatment, supporting recovery

help community organizations, and promoting better practices by prescribers

encourage full recovery and integration into society of those struggling with addiction  working to remove common barriers to gainful employment, housing, and education

fight to expand access to care for addiction services, and ensure that insurance coverage is equal to that for any other health conditions 

do more to educate our youth, as well as their families, teachers, coaches, mentors, and friends, to intervene early to prevent drug and alcohol abuse and addiction

help state and local leaders establish evidence-based, age-appropriate, and locally-tailored prevention programs

NIH IMAGE GALLERY

Treating Mental Health

We must treat mental health issues with the same care and seriousness that we treat issues of physical health, support a robust mental health workforce, and promote better integration of the behavioral and general health care systems. Recognizing that maintaining good mental health is critical to all people, including young people’s health and development.

Democrats will

work with health professionals to ensure that all children have access to mental health care

expand community-based treatment for substance abuse disorders and mental health conditions and fully enforce our parity law

create a national initiative around suicide prevention across the lifespan—to move toward the HHS-promoted Zero Suicide commitment

Supporting Those Living with Autism and their Families

Democrats believe that our country must make supporting the millions of individuals with autism and those diagnosed in the future and their families a priority.

Democrats will

conduct a nationwide early screening outreach campaign to ensure that all children, and in particular children from underserved backgrounds, can get screened for autism

expand services and support for adults and individuals transitioning into adulthood, including employment and housing assistance

push states to require health insurance coverage for autism services in private insurance plans as well as state marketplaces so that people with autism are not denied care

NIH IMAGE GALLERY-Credit: National Institute of Child Health and Human Development, National Institutes of Health

Securing Reproductive Health, Rights, and Justice

Democrats are committed to protecting and advancing reproductive health, rights, and justice. We believe unequivocally that every woman should have access to quality reproductive health care services, including safe and legal abortion.

.

Democrats will

stand up to Republican efforts to defund Planned Parenthood health centers, which provide critical health services to millions of people 

continue to oppose—and seek to overturn—federal and state laws and policies that impede a woman’s access to abortion, including by repealing the Hyde Amendment

combat any acts of violence, harassment, and intimidation of reproductive health providers, patients, and staff

defend the ACA, which extends affordable preventive health care to women, including no-cost contraception, and prohibits discrimination in health care based on gender

address the discrimination and barriers that inhibit meaningful access to reproductive health care services, including those based on gender, sexuality, race, income, disability, and other factors

support a woman’s decision to have a child, including by ensuring a safe and healthy pregnancy and childbirth, and by providing services during pregnancy and after the birth of a child, including adoption and social support services, as well as protections for women against pregnancy discrimination

We are committed to creating a society where children are safe and can thrive physically, emotionally, educationally, and spiritually. We recognize and support the importance of civil structures that are essential to creating this for every child

a man in a wheelchair

Ensuring Long-Term Care, Services, and Supports

Our country faces a long-term care crisis that prevents too many seniors and people with disabilities from being able to live with dignity at home or in their communities. The vast majority of people who are aging or living with a disability want to do so at home, but face challenges finding and affording the support they need to do so.

Democrats will

take steps to strengthen and expand the home care workforce

give seniors and people with disabilities access to quality, affordable long-term care, services, and supports

ensure that all of these resources are readily available at home or in the community

Entitled, “Adding Solution to an ELISA Plate”, this image was created by CDC Microbiologist, Pamela Cassiday, MS, of the Pertussis and Diphtheria Laboratory. Since 2010, members of the CDC Pertussis and Diphtheria Laboratory have conducted training courses in Latin America on laboratory diagnosis of pertussis. This photograph of pertussis serology training, was taken during a training course in Chile, and shows a student adding a solution to an Enzyme-Linked Immunosorbent Assay (ELISA) plate, causing the change in color from blue to yellow. This photo earned Pamela the Second Place award in the 2013 CDC Connects Annual Public Health in Action Photo Contest, in the category of International Programs.This image is in the public domain and thus free of any copyright restrictions. As a matter of courtesy we request that the content provider be credited and notified in any public or private usage of this image.

Protecting and Promoting Public Health

Investment in our nation’s crumbling public health infrastructure is critical to ensuring preparedness for emerging threats; for preventing disease, illness, and injury in communities; and for promoting good health and wellbeing.

Democrats will

continue to oppose Republican attempts to cut public health services and funding

ensure adequate funding of public health education at the undergraduate, graduate, and medical school levels as well as adequate funding of residency training programs in public health, preventive medicine, and its subspecialties

fight for increased investments and coordination in public health to better address emerging threats as well as persistent needs across our country

pursue policies addressing these social factors (that cause poor health)  and empowering communities to respond to their most pressing health needs

women standing with arms around each other

Ending Violence Against Women

Democrats are committed to ending the scourge of violence against women wherever it occurs —whether in our homes, streets, schools, military, or elsewhere.

Democrats will

continue to support the Violence Against Women Act to provide law enforcement with the tools it needs to combat this problem

support comprehensive services for survivors of violence and increase prevention efforts in our communities and on our campuses

provide comprehensive support to survivors, and ensure a fair process for all on-campus disciplinary proceedings and in the criminal justice system

increase sexual violence prevention education programs that cover issues like consent and bystander intervention, not only in college, but also in secondary school

black and silver semi automatic pistol on brown wooden table
Photo by Derwin Edwards on Pexels.com

Preventing Gun Violence

Democrats believe that we must finally take sensible action to address gun violence. While responsible gun ownership is part of the fabric of many communities, too many families in America have suffered from gun violence.

Democrats will

 expand and strengthen background checks and close dangerous loopholes in our current laws

repeal the Protection of Lawful Commerce in Arms Act (PLCAA) to revoke the dangerous legal immunity protections gun makers and sellers now enjoy; and 

keep weapons of war—such as assault weapons and large capacity ammunition magazines (LCAM’s)—off our streets

fight back against attempts to make it harder for the Bureau of Alcohol, Tobacco, Firearms, and Explosives to revoke federal licenses from law breaking gun dealers, and ensure guns do not fall into the hands of terrorists, intimate partner abusers, other violent criminals, and those with severe mental health issues

Here is the link to the party platform which I encourage you to read for yourself.

The Democratic Party Platform

exploring the HEART of healthcare change

Dr. Aletha

Donald Trump’s Healthcare Achievements 2016-2020

This post reviews healthcare during Donald Trump’s first presidential term, detailing his achievements from 2016 to 2020 and the political climate surrounding healthcare policies. It discusses the impact of the ACA, Trump’s various healthcare initiatives, and his reelection in 2024 against Kamala Harris after Biden dropped out.

updated November 26, 2024

This post looks back at healthcare under the first Trump administration from 2016 to 2020.

I originally wrote this post in 2020 during the Presidential campaign between incumbent Donald Trump, Republican, and Joe Biden, Democrat. Trump was not reelected.

In 2024 Trump again ran for President against the incumbent Biden, who unexpectedly dropped out of the race in the summer. His Vice President Kamala Harris became the Democratic candidate.

Donald Trump won reelection with 50% of the popular votes to 48.4% for Kamala Harris. The electoral count was 312 to 226. (per the Associated Press).

(The last President to serve two non-consecutive terms was Grover Cleveland in 1893. )

Healthcare 2008-2016

Due to the pandemic caused by the SARS-CoV2 virus, health has been a major topic in both world and national news this year and will continue to be so for months if not years. And health is a major issue in this year’s United States presidential election in November 2020.

Health care was a major issue in the 2008 election and proved to be momentous. In his campaign, the Democratic candidate, Barack Obama, promised health care reform and as President he delivered with the passage of the Affordable Care Act, (ACA) the first time Americans have had universal health care.

The ACA sparked heated debate in the 2016 election with the Democratic candidate pledging to build upon it and Republican candidate vowing to dismantle it . This year the debate continues.

Healthcare and the Presidential Campaign 2020

In this and another post, I review and list what I think are some of the most important points in the health care philosophy of each major party candidate, according to information on their official websites.

I am not endorsing either of the candidates, their party ,or their healthcare plans. My intent is to present a non-partisan look at what they have done and propose. If it sounds otherwise, that is unintentional.

You should also review a post about the Republican Party healthcare platform.

How to become President inforgraphic
The Presidential pathway from USA.gov

The incumbent candidate-Republican- Donald J. Trump

Donald J. Trump, owner and former president of The Trump Organization, was elected the 45th U.S. president in 2016. He was born June 14, 1946. Mr. Trump is married to Melania Trump and has 5 children.

Official portrait of President Donald J. Trump, Friday, October 6, 2017. (Official White House photo by Shealah Craighead)

President Donald J. Trump Achievements

This information was adapted from a Trump-affiliated site that is no longer active.

The Trump Administration

  • expanded access to Association Health Plans (AHPs) allowing small business to pool risk across states.
  • launched a program to provide the HIV prevention drug PrEP to uninsured patients for free.
  • issued guidance expanding options for individuals with chronic conditions. High deductible plans can now cover products such as insulin, inhalers and statins pre-deductible.
  • issued a rule allowing health care workers to refuse to provide services like abortion, sterilization or assisted suicide, if they cite a religious or conscientious objection.
  • announced the launch of a new COVID-19 Uninsured Program Portal in an effort to cover testing and treatment for uninsured individuals.

As part of the landmark Tax Cuts and Jobs Act President Trump repealed the individual mandate, which forced people to buy expensive insurance and taxed those who couldn’t afford it.

The mandate disproportionately hurt the poor: 80% of those affected made less than $50,000.

As President, Mr. Trump
  • took executive action to strengthen Medicare and reform the Medicare program to stop hospitals from overcharging seniors on their drugs.
  • pressured China to close dangerous loopholes that allowed Chinese fentanyl manufacturers to legally ship the compound worldwide, much of which ended up in the U.S.
  • created a bipartisan opioid commission that issued 56 recommendations to help defeat the opioid crisis.
  • invoked the Defense Production Act, giving power to allocate health care supplies and increase production of necessary products to counter COVID-19. 
  • worked with Congress to stop surprise medical billing.
As President, Mr. Trump signed
  • the bipartisan Tobacco-Free Youth Act to raise the nationwide age for purchasing tobacco and vaping products to 21 years old.
  • the Families First Coronavirus Response Act, expanding the SNAP and WIC programs by adding $500 million, helping pregnant women and those who lost their jobs due to COVID-19.
  • an executive order to modernize flu vaccines and help protect more Americans by promoting new technologies to improve vaccine manufacturing and effectiveness.
  • a bill to extend Veterans Choice Health Care Law.
  • an executive order that increased price and quality transparency in American health care.
Oval Office replica
replica of the Oval Office at the Reagan Presidential Library, photo by Dr. Aletha

Exploring the HEART of healthcare election politics

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Dr. Aletha