How the Democrats want to fix your healthcare- a review of the party platform

“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

If you consider health care an important issue for the upcoming presidential election this year, you are in good company. In a Gallup poll December 2019, 81% of those surveyed considered it very or extremely important. Following closely in importance were terrorism/national security , gun policy, and education.

As of March 5, two candidates have survived the caucuses and primaries- former Vice President Joe Biden and Senator Bernie Sanders. They both have health care plans which reflect the basic position of the Democratic party.

What do the political parties say about healthcare?

So we’ll focus on the two major party platforms and see what they say about health care. 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

Since they are the challengers this year, I will start with the Democratic party platform; the Republican position will be in a separate post.

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 will be updated and 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.

Where we stand

exploring the HEART of healthcare change

I appreciate your interest in the politics of healthcare, an issue that is vital to all of us every day. These proposals will become more focussed and debated as election day approaches; the national election is Tuesday November 3, 2020. Please exercise your right to vote, I intend to.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

I would love for you to start following Watercress Words : use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

                              Dr. Aletha 

Welcome new citizens to Life, Liberty and the Pursuit of Health Care

Recently I attended a Naturalization Ceremony, my first ever. Forty people from 15 different countries met all the requirements to become citizens of the United States.In honor of my new fellow citizens, I’m sharing a post I wrote about the American healthcare system-not perfect, but one we can “support and defend” with pride. 

Recently I attended a Naturalization Ceremony, my first ever. Forty people from 15 different countries met all the requirements to become citizens of the United States.

The ceremony was solemn but joyful with a local high school choir singing “Music to My Soul” as the whole audience clapped along. The Oath of Allegiance that I’m sharing with you here is sobering . Judge Michael said that we natural born citizens should take it to heart also.

Naturalization Ceremony
front page of the program
Oath of Allegiance
the oath of allegiance

In honor of my new fellow citizens, I’m sharing a post I wrote about the American healthcare system-not perfect, but one we can “support and defend” with pride.

Every year on July 4th we celebrate Independence Day- the day the original 13 American colonies established an independent country.

They subsequently established a government, military, educational system, highway system, public works, and a healthcare system.

We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have  a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

Statue of Liberty
Lady Liberty lifting her torch in New York harbor, from my vacation there 

According to recent statistics, the United States government accounts for-

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

Healthcare for active duty military and veterans

During the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic
American soldiers serving in Afghanistan

Healthcare for civilians

Under President Barack Obama, Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens. Newly elected President Donald Trump vowed to “repeal and replace” this law while some changes have been made, it is still in force.

Two other government healthcare programs- Medicare and Medicaid are over 50 years old.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

(Cubanski J, Lyons B, Neuman T, et al. Medicaid and Medicare at 50. JAMA. 2015;314(4):328. doi:10.1001/jama.2015.8129)

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
ELDERLY COUPLE -189282_1280
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an  easy to understand book.  

Government healthcare administration –The United States Department of Health and Human Services (HHS)

Several government agencies regulate, monitor,  promote and/or support both public and private healthcare (most but not all of these are under HHS.) 

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

medication capsules
The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Important Federal Healthcare Laws

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

Liberty Bell -replica
replica of the Liberty Bell at Disney World, Florida, photographed when I visited with my grandchildren

The origin of United States healthcare

In the Declaration of Independence, the founders of the United States created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the Pursuit of Happiness” and to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

I wonder if they envisioned their new government would spend so much time and money providing and regulating health care –

most of which was not available or even imagined at that time? 

Let’s celebrate!

woman holding a sprakler
Let’s celebrate ! This photo and featured image from stock photo site- Lightstock.com (affiliate)

Dr. Aletha 

a woman in a red, white, and blue shirt
Me, a few years ago, showing my patriotic spirit by posing in red, white, and blue

Let’s celebrate Life, Liberty and the Pursuit of Health Care

We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.

Every year on July 4th we celebrate Independence Day- the day the original 13 American colonies established an independent country.

They subsequently established a government, military, educational system, highway system, public works, and a healthcare system.

We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have  a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.

Celebrate healthcare professionals

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

Statue of Liberty
Lady Liberty lifting her torch in New York harbor

According to recent statistics, the United States government accounts for-

40% of healthcare  spending , totalling $1.3 trillion yearly

United States government healthcare covers 100 million individuals through 4 federal agencies

  • Department of Health and Human Services
  • Department of Defense
  • Veterans Administration
  • Department of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

Government sponsored health care programs

The Affordable Care Act, aka Obamacare

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  During the last presidential campaign, President Trump vowed to “repeal and replace” this law but although it has been modified, it is still active

Healthcare for military service member, veterans ,and their families

During the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic
a Veterans Administration clinic (photo by Dr. Aletha)
American soldiers serving in Afghanistan
American soldiers serving in Afghanistan

Medicare and Medicaid

Two other government healthcare programs- Medicare and Medicaid are over 50 years old. 

Medicaid provides insurance coverage for adults and children who are unemployed or low income.  

Medicare covers disabled children and adults  and persons 65 years and older.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
ELDERLY COUPLE -189282_1280
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

Several government agencies regulate, monitor,  promote and/or support both public and private healthcare including-

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

medication capsules
The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

LIFE, LIBERTY AND THE PURSUIT OF HEALTHCARE

Congress enacted several important laws that administer and regulate both private and public healthcare.

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

Liberty Bell -replica
replica of the Liberty Bell at Disney World, Florida

Let Freedom Ring

In the Declaration of Independence, the founders of the United States created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” and to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

I wonder if they envisioned their new government would spend so much time and money providing and regulating health care –

most of which was not available or even imagined at that time? 

Let’s celebrate!

woman holding a sprakler
Let’s celebrate ! This photo and featured image from stock photo site- Lightstock.com (affiliate)

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

Dr. Aletha 

a woman in a red, white, and blue shirt
Me, a few years ago, showing my patriotic spirit by posing in red, white, and blue

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Voting on Life, Liberty and the Pursuit of Health Care

 

Tuesday November 8th, we in the United States will elect a new president. It’s been a contentious , bitter campaign and we are all glad it’s almost over. But we should also be glad that we have the privilege of open discussion and disagreement and settling our differences by voting for our leaders. 

 

I hope you will review my previous post about the presidential candidates’ views and proposals concerning health care.  Here I am repeating a previous post that outlines the U.S. healthcare system.

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

 

 

 

Statue of Liberty
Lady Liberty lifting her torch in New York harbor

 

Even though the United States does not officially have “socialized” health care, a large proportion of our medical care is funded by the federal government. Even though I know that, I was still surprised by statistics in a recent article, which stated that  the federal government accounts for

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

 

 

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  People who oppose the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic
a Veterans Administration clinic (photo by blogger)

American soldiers serving in Afghanistan
American soldiers serving in Afghanistan

This year marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.  

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

Disabled children and adults may qualify for Medicare.
Disabled children and adults may qualify for Medicare.

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.
Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.

Senior adults age 65 and older use Medicare.
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

 

Several government agencies regulate, monitor,  promote and/or support  both public and private healthcare including-

 

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

 

medication capsules
The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Congress has enacted several important laws that  concern health care such as

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

 

 

 

 

 

air ambulance landing at a hospital
EMTALA requires all hospitals to offer emergency treatment to any patient who arrives, regardless of ability to pay for that care

 

 

 

 

 

 

In the Declaration of Independence, the founders of the United States  created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” as well as  to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

 

I wonder if they envisioned that would eventually include so much effort and money providing and regulating health care, most of which was not available or even imagined at that time? 

 

Comments welcome and encouraged!

 

Before you vote, you may want to review this related post.

 

How your vote may affect your health care next year.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Life, Liberty and the Pursuit of Health Care

As Congress tries to repeal the ACA, here is a brief look at other parts of the U.S. health system#Medicare#Medicaid#VeteransHealth

Even though the United States does not officially have “socialized” health care, a large proportion of our medical care is funded by the federal government. Even though I know that, I was still surprised by statistics in a recent article, which stated that  the federal government accounts for

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  People who oppose the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

a Veterans Administration clinic
a Veterans Administration clinic (photo by Dr. Aletha)

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

American soldiers serving in Afghanistan
American soldiers serving in Afghanistan

2015 marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

wheelchair-749985_1280
Disabled children and adults may qualify for Medicare.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

hospital-79605_1280
Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
Senior adults age 65 and older use Medicare.
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

Several government agencies regulate, monitor,  promote and/or support  both public and private healthcare including-

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

medication capsules
The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Congress has enacted several important laws that  concern health care such as

 The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

air ambulance landing at a hospital
EMTALA requires all hospitals to offer emergency treatment to any patient who arrives, regardless of ability to pay for that care

In the Declaration of Independence, the founders of the United States  created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” as well as  to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

I wonder if they envisioned that would eventually include so much effort and money providing and regulating health care, most of which was not  even imagined at that time? 

Life, Liberty and the Pursuit of Health Care

As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system has evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

You may continue reading here, or follow this link to an updated version of this post.

The Patient Protection and Affordable Care Act (ACA) was enacted by the United States Congress in 2010 to guarantee basic health insurance to all citizens.  People who object to the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system has evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic
a Veterans Administration clinic (photo by Dr. Aletha )
American soldiers serving in Afghanistan
American soldiers serving in Afghanistan

The year 2015 marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid. The Journal of the American Medical Association, (JAMA), devoted an  entire issue  to them,the ACA and the implications for the future of healthcare in the United States.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

Disabled children and adults may qualify for Medicare.
Disabled children and adults may qualify for Medicare.
Children may be eligible for Medicaid if their families cannot obtain health insurance for them.
Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
Senior adults age 65 and older use Medicare.
Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

photos courtesy of volunteer photographers at Pixabay