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

7 more overused drugs – a book review

Learn what meds you should avoid and why #MindOverMeds#DrWeil#IntegrativeMedicine#bookreview

When I wrote the post 7 overused drugs, I knew other doctors would agree with me, but I didn’t know that a well known doctor was publishing a book that agrees with it.

MIND OVER MEDS- book cover

Published this year by Little, Brown and Company, MIND OVER MEDS teaches you to know

“When Drugs Are Necessary,

When Alternatives Are Better-and When to

Let Your Body Heal on Its Own.”

Andrew Weil, M.D. wote MIND OVER MEDS as well as  Spontaneous Happiness, Spontaneous Healing and other books on physical and emotional health and healing, nutrition, and integrative healthcare. He is the director of the University of Arizona Center for Integrative Medicine.

After the introduction, each chapter stands alone if you want to explore a particular class of medication. The book can also be useful as a reference manual. For each chapter Dr. Weil also collaborated with colleagues with expertise in those areas.

Besides 4 of the 7 drugs that I discussed in my post, Dr. Weil discusses 7 other broad categories that I will briefly review.

 general principles about drug use

  • Don’t stop taking a prescription medication suddenly, unless instructed to by a physician.
  • Wean off medications gradually, supervised by a physician.
  • Don’t attempt to stop medication without first initiating other measures to manage the condition the medication was prescribed for. (paraphrased from the introduction)

Dr. Weil reviewed four medication groups that I discussed in this post- 7 overused drugs

  • Antibiotics
  • Sleep aids
  • Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
  • Opioids and the Treatment of Chronic Pain

six-facts-graphic

Neither of us reject these drugs completely; rather we urge caution,

  • don’t rush to use them without trying non-drug treatments first or concurrently,
  • use only when absolutely necessary, and
  • be aware of potential side effects and harms.

 7 other classes of overused medication

1.Statins- medication used to lower blood cholesterol and prevent heart disease

“Current emphasis on statin therapy should be

balanced by equal emphasis on lifestyle changes.”

diagram of the human heart
Heart diseases affect any and sometimes multiple parts of the heart- the atria, ventricles, the valves, the aorta, the pulmonary artery and veins, the walls and the coronary arteries (not shown in this diagram. )

2. Medication for GERD- gastroesophageal reflux disease, commonly referred to as reflux or heartburn

“Heartburn is a warning sign of disturbed GI function that should prompt us to identify and change the habits responsible for it.”

3. Antihistamines (allergy meds) and Medications for the Common Cold and Flu

These are in two separate chapters but I group them together since the same meds can be used to treat all three conditions.

“People with allergic rhinitis and others…would be wise not to rely on antihistamines, but to try natural remedies and lifestyle change …to control symptoms.”

“Most healthy people recover from both colds and flu on their own with no need for drugs, prescription or OTC (over the counter). “

I included antihistamines on my list of drugs that are underused. I was referring to people with severe uncontrolled allergy. Dr. Weil seems to concur with their use in this case.

4. Steroids- the steroids in the cortisone family, not the anabolic steroids

“Save these powerful drugs for serious conditions and try to slowly wean off them once improvement occurs.”

5. Psychiatric Medications for Adults, Children and Adolescents and for Attention Deficit Hyperactivity Disorder (ADHD)

Dr. Weil’s discussion of these medications takes up three chapters but I’m grouping them together.

These drugs are on my list of underused drugs. I said that because severe mental illness symptoms usually needs  medication for adequate control and those people should stay on medication indefinitely, until a physician recommends stopping. Otherwise, I agree with Dr. Weil that milder illness may not need medication.

“Antidepressant drugs are indicated for major depression, not for routine management of mild to moderate depression, for which more effective and safer treatment options exist.”

“Medication treatment should always be integrated with psychotherapy and other non-pharmacological approaches and should be discontinued as soon as possible” (the chapter on children)

“ADHD is highly overdiagnosed. Children with learning or behavioral difficulties should be carefully evaluated before being labeled with the disorder.”

6. Antihypertensive (hypertension or high blood pressure) Drugs and Medications for Diabetes

I’m grouping these together because these

two conditions frequently occur together, what we in medicine call comorbidity.        complications of high blood pressure

“In treating high blood pressure, it is extremely important to take individual uniqueness into account.”

“Our health care system and our society should encourage better lifestyle choices by making these…more accessible and more affordable…by changing diet, increasing physical activity ..many will be able to keep their use of medications to a minimum..”

7. Medications for Osteopenia (thin bones) and Other Preconditions

“Most people with osteopenia have …low fracture risk. They do not need drug therapy, since the risk outweighs the benefit.”

If you need to check if any of your medications fall into any of these categories, you can check at this link, or ask a question in the comments or here.

MedLine Plus- Drugs, Herbs, and Supplements 

Last words about medication overuse

Dr. Weil offers these last words(among several others) about using meds wisely.

To consumers-

Be informed. Do not take medications (of any kind) unless you know the reason, how they work, and the potential benefits versus the potential risks.

To pharmacists-

Be knowledgeable about the dietary supplements, herbal remedies, and other natural products that consumers are taking.

To physicians, nurses, and allied health care providers-

Be informed about alternatives to medications therapy for the health conditions you see.

To all readers of his book

Contact your elected representatives to end direct-to-consumer advertising of prescription medications.

 

So what are the alternatives to using drugs for these and other conditions? I’ll tell you what Dr. Weil says, as well as other experts, in my next post. Or, you can get Dr. Weil’s book and find out now.

For your review:

7 overused medications

7 underused medications