Donald Trump’s Healthcare Achievements-a review

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.

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. I’ll give you the links to their sites and encourage you to read them for yourself.

You should also review a post I wrote 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.

 “ Making America Great Again Healthcare

President Donald J. Trump Achievements

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

Thanks for reviewing this overview of Mr. Trump’s health care achievements. I hope you will take the time to review his website for yourself. In another post I will review the views of the Democratic challenger, Joe Biden.

At this time there is still much uncertainty as to how we will be able to vote in November without getting exposed to the coronavirus. Whatever the situation is in your community, I hope you will find a way to participate in this important process, one of our most precious rights and privileges as United States citizens.

a group of lapel buttons, red, white and blue, saying VOTE

This photo and the cover photo of the White House are from the media site Lightstock.com, an affiliate which pays this blog a commission for purchases made from this link

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 

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

“We are the party of independent individuals and the institutions they create together — families, schools, congregations, neighborhoods — to advance their ideals and make real their dreams. Those institutions, standing between the citizen and the power of government, are the pillars of a free society. They create spaces where the power of government should not intrude. They allow Americans to work together to solve most of the problems facing their communities. Our society is at a crossroads. The question is whether we are going to reinvigorate the private-sector institutions under citizen control or allow their continued erosion by the forces of centralized social planning. In that divide, the Republican Party stands with the people.” quote from the Republican 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.

It’s too soon to discuss what the individual candidates propose for healthcare as there are still multiple Democratic candidates vying for the nomination and there are challengers to the Repubican incumbent.

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 Republican Platform on health

Since they are the challengers this year, I started with the Democratic party platform; this post only addresses the Republican position .

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

First, let’s read the introduction to the 2016 platform on health. The Republican platform is structured differently than the Democrats’, grouping healthcare  with education and criminal justice. I will include references to health issues that appear in the education and justice sections. There are also health issues addressed in other sections of the platform that I include as well.

Great American Families, Education, Healthcare, and Criminal Justice

“We are the party of independent individuals and the institutions they create together — families, schools, congregations, neighborhoods — to advance their ideals and make real their dreams. Those institutions, standing between the citizen and the power of government, are the pillars of a free society. They create spaces where the power of government should not intrude. They allow Americans to work together to solve most of the problems facing their communities.

Our society is at a crossroads. The question is whether we are going to reinvigorate the private-sector institutions under citizen control or allow their continued erosion by the forces of centralized social planning. In that divide, the Republican Party stands with the people.”

Family of 4 sitting at a dining table.

Marriage, Family, and Society

“Foremost among those institutions is the American family. It is the foundation of civil society, and the cornerstone of the family is natural marriage, the union of one man and one woman. That is why Republicans formulate public policy, from taxation to education, from healthcare to welfare, with attention to the needs and strengths of the family.”

Republicans

oppose policies and laws that create a financial incentive for or encourage cohabitation

do not accept the Supreme Court’s redefinition of marriage and we urge its reversal, whether through judicial reconsideration or a constitutional amendment returning control over marriage to the states

Families formed or enlarged by adoption strengthen our communities and ennoble our nation. Private entities which facilitate adoptions enrich our communities

Republicans

support measures such as the First Amendment Defense Act to ensure these entities do not face government discrimination because of their views on marriage and family

urge marriage penalties to be removed from the tax code and public assistance programs 

a little girl with a big backpack standing next to a yellow school bus

Choice in Education 

“We support options for learning, including home-schooling, career and technical education, private or parochial schools, magnet schools, charter schools, online learning, and early-college high schools. We especially support the innovative financing mechanisms that make options available to all children: education savings accounts (ESAs), vouchers, and tuition tax credits.”

Republicans

propose that the bulk of federal money through Title I for low-income children and through IDEA for children with special needs should follow the child to whatever school the family thinks will work best for them

renew our call for replacing “family planning” programs for teens with sexual risk avoidance education that sets abstinence until marriage as the responsible and respected standard of behavior

oppose school-based clinics that provide referral or counseling for abortion and contraception and believe that federal funds should not be used in mandatory or universal mental health, psychiatric, or socio-emotional screening programs

support the original, authentic meaning of Title IX of the Education Amendments of 1972. It affirmed that “no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance.”

Republicans

commend the good-faith efforts by law enforcement, educational institutions, and their partners to address (sexual assault) responsibly, and further propose

Whenever reported, it must be promptly investigated by civil authorities and prosecuted in a courtroom, not a faculty lounge

Questions of guilt or innocence must be decided by a judge and jury, with guilt determined beyond a reasonable doubt

Those convicted of sexual assault should be punished to the full extent of the law 

taking blood pressure

Restoring Patient Control and Preserving Quality in Healthcare

“Any honest agenda for improving healthcare must start with repeal of the dishonestly named Affordable Care Act of 2010: Obamacare. It must be removed and replaced with an approach based on genuine competition, patient choice, excellent care, wellness, and timely access to treatment. “

Republicans propose

The President, on the first day in office, will use legitimate waiver authority under the law to halt its advance and then, with the unanimous support of Congressional Republicans, will sign its repeal.

reduce mandates and enable insurers and providers of care to increase healthcare options and contain costs. Our goal is to ensure that all Americans have improved access to affordable, high-quality healthcare, including those struggling with mental illness

return to the states their historic role of regulating local insurance markets, limit federal requirements on both private insurance and Medicaid, and call on state officials to reconsider the costly medical mandates, imposed under their own laws, that price millions of low-income families out of the insurance market. 

block grant Medicaid and other payments and to assist all patients, including those with pre-existing conditions, to obtain coverage in a robust consumer market

affirm the dignity of women by protecting the sanctity of human life… abortion endangers the health and well-being of women, and we stand firmly against it.

To ensure vigorous competition in healthcare, and because cost-awareness is the best guard against over-utilization,

Republicans will

promote price transparency so consumers can know the cost of treatments before they agree to them

empower individuals and small businesses to form purchasing pools in order to expand coverage to the uninsured

We believe that individuals with preexisting conditions who maintain continuous coverage should be protected from discrimination. We applaud the advance of technology in electronic medical records while affirming patient privacy and ownership of personal health information.

Today’s highly mobile workforce needs portability of insurance coverage that can go with them from job to job.

Republicans  

propose to end tax discrimination against the individual purchase of insurance and allow consumers to buy insurance across state lines

propose repealing the 1945 McCarran-Ferguson Act which protects insurance companies from anti-trust litigation

look to the growth of Health Savings Accounts and Health Reimbursement Accounts that empower patients and advance choice in healthcare

make homecare (for senior adults)  a priority in public policy and will implement programs to protect against elder abuse

a large, ornate, brick church

Protecting Individual Conscience in Healthcare

“We respect the rights of conscience of healthcare professionals, doctors, nurses, pharmacists, and organizations, especially the faith-based groups which provide a major portion of care for the nation and the needy. ” 

Republicans

support the ability of all organizations to provide, purchase, or enroll in healthcare coverage consistent with their religious, moral, or ethical convictions without discrimination or penalty.  

support the right of parents to determine the proper medical treatment and therapy for their minor children

support the right of parents to consent to medical treatment for their minor children and urge enactment of legislation that would require parental consent for their daughter to be transported across state lines for abortion

Providers should not be permitted to unilaterally withhold services because a patient’s life is deemed not worth living. American taxpayers should not be forced to fund abortion.

Republicans

call for a permanent ban on federal funding and subsidies for abortion and healthcare plans that include abortion coverage

an ornate courthouse

Better Care and Lower Costs: Tort Reform

“Medical malpractice lawsuits have ballooned the cost of healthcare for everyone by forcing physicians to practice defensive medicine through tests and treatments which otherwise might be optional. “

Republicans

support state and federal legislation to cap non-economic damages in medical malpractice lawsuits, thereby relieving conscientious providers of burdens that are not rightly theirs and addressing a serious cause of higher medical bills.

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

Advancing Research and Development in Healthcare

“To continue our headway against breast and prostate cancer, diabetes, and other killers, research must consider the needs of formerly neglected demographic groups. “

Republicans

call for expanded support for the stem cell research that now offers the greatest hope for many afflictions — through adult stem cells, umbilical cord blood, and cells reprogrammed into pluripotent stem cells — without the destruction of embryonic human life

urge a ban on human cloning for research or reproduction, and a ban on the creation of, or experimentation on, human embryos for research 

support cutting federal and state funding for entities that endanger women’s health by performing abortions in a manner inconsistent with federal or state law

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

Putting Patients First: Reforming the FDA

“The continuously increasing burden of governmental regulation and red tape is taking its toll on our innovative companies, and their pipeline of new life-saving devices and drugs to our nation’s patients is slowing and diminishing.  The FDA needs to return to its traditional emphasis on hard science and approving new breakthrough medicines, rather than divert its attention and consume its resources trying to overregulate electronic health records or vaping”.

Republicans

pledge to restore the FDA to its position as the premier scientific health agency, focused on both promoting and protecting the public health in equal measure 

allowing terminally ill patients the right to try investigational medicines not yet approved by the FDA.  

urge Congress to pass federal legislation to give all Americans with terminal illnesses the right to try

a man in a wheelchair

Advancing Americans with Disabilities

Under the last two Republican presidents, landmark civil rights legislation affirmed the inherent rights of persons with disabilities. Republicans want to support those rights by guaranteeing access to education and the tools necessary to compete in the mainstream of society.”

To encourage their entrepreneurship, it makes sense to include them in the Small Business Administration’s 8(a) certification program, which opens up federal contracting for emerging businesses. Any restructuring of the tax code should consider ways in which companies can benefit from the talent and energy of their disabled employees.

The Individuals with Disabilities Education Act (IDEA) has opened up unprecedented opportunities for many students. Congressional 

Republicans will 

lead in its reauthorization, as well as renewal of the Higher Education Act, which can offer students with disabilities increased access to the general curriculum. Our TIME Act (Transition to Integrated and Meaningful Employment) will modernize the Fair Labor Standards Act to encourage competitive employment for persons with disabilities

affirm our support for its goal of minimizing the separation of children with disabilities from their peers

endorse efforts like Employment First that replace dependency with jobs in the mainstream of the American workforce.

oppose the non-consensual withholding of care or treatment from people with disabilities, including newborns, the elderly, and infirm, just as we oppose euthanasia and assisted suicide, which endanger especially those on the margins of society

urge the Drug Enforcement Administration to restore its ban on the use of controlled substances for physician-assisted suicide.

Ensuring Safe Neighborhoods: Criminal Justice and Prison Reform 

The men and women of law enforcement — whether patrolling our neighborhoods or our borders, fighting organized crime or guarding against domestic terror — deserve our gratitude and support. Their jobs are never easy, especially in crisis situations, and should not be made more difficult by politicized second-guessing from federal officials. To honor their sacrifice, we

recommit ourselves, as individuals and as a party, to the rule of law and the pursuit of justice

A new administration

must ensure the immediate dismissal and, where appropriate, prosecution of any Department officials who have violated their oath of office.

The next president

must restore the public’s trust in law enforcement and civil order by first adhering to the rule of law himself

must not sow seeds of division and distrust between the police and the people they have sworn to serve and protect.

The Republican Party

must make clear in words and action that every human life matters

Drugs and alcohol use can impair driving

Combatting Drug Abuse

“The progress made over the last three decades against drug abuse is eroding, whether for cultural reasons or for lack of national leadership.  Congress and a new administration should consider the long-range implications of these trends for public health and safety and prepare to deal with the problematic consequences.”

Republicans

look for expeditious agreement between the House and Senate on the Comprehensive Addiction and Recovery Act, which addresses the opioid epidemic from both the demand and supply sides of the problem.

.

Preserving Medicare and Medicaid

(This is in a section titled Government Reform)

“We intend to save Medicare by modernizing it, empowering its participants, and putting it on a secure financial footing. We will preserve the promise of Medicaid as well by making that program, designed for 1965 medicine, a vehicle for good health in an entirely new era.”

Republicans propose

Impose no changes for persons 55 or older.

Give others the option of traditional Medicare or transition to a premium-support model designed to strengthen patient choice, promote cost-saving competition among providers, and better guard against the fraud and abuse that now diverts billions of dollars every year away from patient care.

Guarantee to every enrollee an income-adjusted contribution toward a plan of their choice, with catastrophic protection.

Without disadvantaging present retirees or those nearing retirement, set a more realistic age for eligibility in light of today’s longer life span.

We applaud the Republican governors and state legislators who have undertaken the hard work of modernizing Medicaid. We will give them a free hand to do so by block-granting the program without strings. Using block grants would allow states to experiment with different systems to address mental health and develop successful models to be replicated in states across the nation.

We respect the states’ authority and flexibility to exclude abortion providers from federal programs such as Medicaid and other healthcare and family planning programs so long as they continue to perform or refer for elective abortions or sell the body parts of aborted children.

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

The Second Amendment:Our Right to Keep and Bear Arms

(This is in a section  titled A Rebirth of Constitutional Government)

“We uphold the right of individuals to keep and bear arms, a natural inalienable right that predates the Constitution and is secured by the Second Amendment. Lawful gun ownership enables Americans to exercise their God-given right of self-defense for the safety of their homes, their loved ones, and their communities.”

Republicans

support firearm reciprocity legislation to recognize the right of law-abiding Americans to carry firearms to protect themselves and their families in all 50 states

support constitutional carry statutes and salute the states that have passed them

oppose any effort to deprive individuals of their right to keep and bear arms without due process of law.

condemn frivolous lawsuits against gun manufacturers and the (past)Administration’s illegal harassment of firearm dealers

oppose federal licensing or registration of law-abiding gun owners, registration of ammunition, and restoration of the ill-fated Clinton gun ban.

call for a thorough investigation — by a new Republican administration — of the deadly “Fast and Furious” operation perpetrated by Department of Justice officials who approved and allowed illegal sales of guns to known violent criminals

Here is the link to the 2016 Republican Party Platform on Health

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 exericse your right to vote, I plan 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 

From Practice to Politics-Doctors who ran for President-the Senator

Dr. Rand Paul was a candidate for the Republican party nomination for President in 2016. He suspended his campaign before the party convention. He continues to serve as Senator from Kentucky.


In 2016 I wrote about the 3 physicians who ran for President of the United States that year. None of them won but one of them, Dr. Rand Paul, has tested positive for the coronavirus now spreading through the United States.

Here is the post I wrote about Dr. Paul that year. He vied for the Republican nomination.

Randall “Rand” Paul, M.D., opthalmologist

Dr. Rand Paul was a candidate for the Republican party nomination for President in 2016. He suspended his campaign before the party convention. He continues to serve as Senator from Kentucky.

About Dr. Paul

  1. Dr. Paul graduated from Duke University Medical School.
  2. He was elected Senator from Kentucky in 2010.
  3. He is married, has 3 children, and coached his children in Little League baseball, soccer and basketball.
  4. His father Dr. Ron Paul is an obstetrician/gynecologist, has served in the House of Representatives, and also ran for President.
  5. He has served as President of the Lions Club International .
  6. He provides eye surgery free of charge to people unable to pay in his home state of Kentucky.
  7. He has traveled around the world as a volunteer eye surgeon, providing care to people unable to pay; a recent trip was to Guatemala. He has received awards for his humanitarian work.
  8. Dr. Paul has written books, including Our Presidents & Their Prayers: Proclamations of Faith by America’s Leaders 

This is an affiliate link; readers who use it to purchase help fund this blog.

According to his Facebook page, Dr. Paul is


a proud Senator of Kentucky. I fight for

the Constitution, individual liberty, and the freedoms that make this country great.

In the U.S. Senate, Dr. Paul currently serves on

  • the Committee on Foreign Relations,
  • the Committee on Homeland Security and Governmental Affairs, and
  • the Committee on Health, Education, Labor and Pensions that has jurisdiction over health care-related issues.

exploring the HEART of health

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 

From Practice to Politics-Doctors who ran for President-the Activist

Dr. Jill Stein, an internist, was the Green Party candidate for president of the United States in 2016. What happened to her?

In 2016 I wrote about the 3 physicians who ran for President of the United States that year. None of them won but in observance of National Doctors’ Day this month I’m reviewing their stories with updates on what they are doing now.

Holding the office of President is our country’s highest honor but the job of president has become so thankless I wonder why anyone wants to do it. But I am grateful that people are willing to do it, as well as other government positions, both elected and appointed.

These profiles are for your “information and inspiration”, and do not imply endorsement or recommendation by me .

Jill Stein, M.D., internist

Dr. Jill Stein was the Green Party candidate for President.

About Dr. Stein

  1. Dr. Stein graduated from Harvard Medical School.
  2. Her hobbies include writing and performing music.
  3. She also ran for President in 2012, also on the Green Party ticket.
  4. She is a physician’s wife, mother, internal medicine physician/teacher and “environmental-health advocate.”
  5. She developed the “Healthy People, Healthy Planet” teaching program.
  6. She has been interviewed on the Today Show, 20/20 and Fox News network.
  7. In Massachusetts she ran for Governor, State Representative and Secretary of State.
  8. She co-founded the Massachusetts Coalition for Healthy Communities, a non-profit organization.
  9. Her personal interests include ecology, social justice, grassroots democracy, and non-violence.
  10. She has advocated for several environmental issues in her home state-
  • Mercury contamination of fish
  • The “Filthy Five” coal plants clean up
  • Mercury and dioxin contamination from burning trash

Since the election, Dr. Stein continues to speak out on national issues @DrJillStein. On her Facebook page, she is described as

medical doctor, mother on fire,

activist for people, planet, and peace over profit

Dr. Jill Stein is the recipient of several awards, including Clean Water Action’s “Not in Anyone’s Backyard” Award, the Children’s Health Hero Award, and the Toxic Action Center’s Citizen Award.

In a recent interview, Dr. Stein indicated she does not plan to run for president in 2020.

Other physician candidates

                              Dr. Aletha 

How your vote for president will affect your health care

The Presidential election is a month away. The Republican and Democratic candidates debated last week, and the political commentators  have been debating over which of them “won” the debate.

Health care was not covered in that debate so I hope it will be included in the two remaining debates.

I am re-posting this review of the candidates’ health care positions so you can compare what they may say in the debates. This time I am also including information about the two other  political parties that have presidential candidates, although they are not in the debates.

Health care was a major issue in the last 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, the first time Americans have had universal health care. This election’s candidates also make promises about health care.

The White House
The White House, home of the President (photo from the Lightstock website )

This is a summary of  what each candidate proposes and plans according to information on their official websites. In sharing this formation, I am not endorsing any of these candidates or their party.

There are affiliate links in this post, if you follow them and make a purchase, this blog may receive a commission.

Republican- Donald J. Trump, Chairman and President,

The Trump Organization

 “Healthcare Reform to Make America Great Again”

Mr. Trump believes the Affordable Care Act, which he refers to as Obamacare, is an “economic burden” to the country. He says it has caused

  • Runaway costs,
  • Websites that don’t work,
  • Greater rationing of care
  • Higher premiums
  • Less competition
  • Fewer choices

He recommends a

“series of reforms that follow free market principles and restore economic freedom and certainty” , which will

“broaden healthcare access, make healthcare more affordable and improve the quality of the care available to all Americans.”

As President, Mr. Trump will request Congress to

  1. Completely repeat Obamacare, eliminate the individual mandate to buy health insurance.
  2. Modify existing law that inhibits the sale of health insurance across state lines.
  3. Allow individuals to fully deduct health insurance premium payments from their tax returns.
  4. Allow individuals to use Health Savings Accounts (HSAs), which should be tax free, allowed to accumulate, and become part of one’s estate at death.
  5. Require price transparency from all healthcare providers.
  6. Block-grant Medicaid to the states.
  7. Remove barriers to entry into free markets for drug providers, allowing consumers access to imported, safe and dependable drugs from overseas.

Also under his health care plan, Mr. Trump includes

  • Enforcing immigration laws
  • Eliminating fraud and waste
  • Energizing our economy
  • Reform our mental health programs and institutions
Oval Office replica
replica of the Oval Office at the Reagan Presidential Library

Next, the  Democratic Party convened and nominated its candidate-

Democrat-Hillary Rodham Clinton, lawyer;

former First Lady, Senator, and Secretary of State

“Universal, quality, affordable health care for everyone in America”

  1. Maintain and expand the Affordable Care Act
  2. Bring down out-of-pocket costs for copays, deductibles and prescription drugs
  3. Expand access to care for low income groups, immigrants and rural populations.
  4. Defend access to reproductive health care.

As President, Mrs. Clinton will work with Congress to

Fight addiction and substance abuse with prevention, treatment and recovery programs and reforming the criminal justice system handling of offenders.

Set a goal to prevent, treat and cure Alzheimer’s Disease by 2025. Help those affected and their families get the care they need.

Create an AIDS/HIV policy to increase research, expand treatment options, increase health care financial options for those affected, and eliminate discriminatory laws.

Develop an “autism initiative” to expand insurance coverage, increase funding for research, early identification and intervention, employment opportunities, and school safety.

Commit to fully implement the Americans with Disabilities Act, and increase support for persons with disabilities and their families.

Under the heading of health Mrs. Clinton includes her positions and proposals for

  • Climate change
  • Women’s rights and opportunity
  • Support for veterans, the military and their families
  • Paid family and medical leave
couches in room with Presidential seal on the floor
another view of the Oval Office

Green Party – Jill Stein, M.D., physician, activist

Dr. Stein favors

“Medicare for all”, single payer health care system for everyone, with no premiums, co-pays or  deductibles.

Eliminate private health insurance.

Decrease prescription drug costs

Full access to contraceptive and reproductive care, including morning after contraception

Invest in community health infrastructure- organic food, renewable energy

Prioritize prevention by encouraging physical activity, improving nutrition and minimizing environmental pollution

Libertarian- Gary Johnson, businessman, former Governor of New Mexico

Mr. Johnson’s website had little information about his health care proposals, so I am also including items from the Libertarian party’s website.

 The party supports

a free-market healthcare system where the individual is free to choose everything related to health care- insurance, doctors, treatments, medication, end-of-life care

the ability to purchase health insurance across state lines

abortion as a private decision up to the individual’s conscience and not regulated by the government

Mr. Johnson

opposes mandatory vaccination

supports the legalization and regulation of marijuana.

Comparing the candidates’ health care promises- how Americans’ medical care may change 

In 3 months, on November 8, United States citizens will elect the 45th President.

At least, those who are registered to vote and who go to the polls and cast a ballot, will.

This graphic from USA.GOV reviews the process of electing the President.

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

I plan to vote and hope you will too if you are eligible. 

I don’t endorse a candidate on this blog because I want everyone who visits or follows to feel welcome, and politics is not the focus of this blog. But I am watching the campaign closely; I listened to the major speeches at both of the major party conventions.

I am especially interested in the candidates’ views on health care. Health care was a major issue in the last 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, the first time Americans have had universal health care.This election’s  major party candidates also make promises about health care.

In this post, I review and summarize what each candidate proposes and plans according to information on their official websites. I’ll give you the links and encourage you to read them for yourself.

The Republican party convention occurred first, so I will start with its candidate.

Republican- Donald J. Trump, Chairman and President,

The Trump Organization

“Healthcare Reform to Make America Great Again”

Mr. Trump believes the Affordable Care Act, which he refers to as Obamacare, is an “economic burden” to the country. He says it has caused

  • Runaway costs,
  • Websites that don’t work,
  • Greater rationing of care
  • Higher premiums
  • Less competition
  • Fewer choices

He recommends a

“series of reforms that follow free market principles and restore economic freedom and certainty” , which will

“broaden healthcare access, make healthcare more affordable and improve the quality of the care available to all Americans.”

As President, Mr. Trump will request Congress to

  1. Completely repeat Obamacare, eliminate the individual mandate to buy health insurance.
  2. Modify existing law that inhibits the sale of health insurance across state lines.
  3. Allow individuals to fully deduct health insurance premium payments from their tax returns.
  4. Allow individuals to use Health Savings Accounts (HSAs), which should be tax free, allowed to accumulate, and become part of one’s estate at death.
  5. Require price transparency from all healthcare providers.
  6. Block-grant Medicaid to the states.
  7. Remove barriers to entry into free markets for drug providers, allowing consumers access to imported, safe and dependable drugs from overseas.

Also under his health care plan, Mr. Trump includes

  • Enforcing immigration laws
  • Eliminating fraud and waste
  • Energizing our economy
  • Reform our mental health programs and institutions

Oval Office replica
replica of the Oval Office at the Reagan Presidential Library

Next, the  Democratic Party convened and nominated its candidate-

Democrat-Hillary Rodham Clinton, lawyer

former First Lady, Senator, and Secretary of State

“Universal, quality, affordable health care for everyone in America”

  1. Maintain and expand the Affordable Care Act
  2. Bring down out-of-pocket costs for copays, deductibles and prescription drugs
  3. Expand access to care for low income groups, immigrants and rural populations.
  4. Defend access to reproductive health care.

As President, Mrs. Clinton will work with Congress to

Fight addiction and substance abuse with prevention, treatment and recovery programs and reforming the criminal justice system handling of offenders.

Set a goal to prevent, treat and cure Alzheimer’s Disease by 2025. Help those affected and their families get the care they need.

Create an AIDS/HIV policy to increase research, expand treatment options, increase health care financial options for those affected, and eliminate discriminatory laws.

Develop an “autism initiative” to expand insurance coverage, increase funding for research, early identification and intervention, employment opportunities, and school safety.

Commit to fully implement the Americans with Disabilities Act, and increase support for persons with disabilities and their families.

Under the heading of health Mrs. Clinton includes her positions and proposals for

  • Climate change
  • Women’s rights and opportunity
  • Support for veterans, the military and their families
  • Paid family and medical leave

couches in room with Presidential seal on the floor
another view of the Oval Office

Follow this link to read about the other woman who is running for President-

From the O.R. to the Oval Office- 3 Docs Who Ran

From the O.R. to the Oval Office- 3 Docs Who Ran

Anyone who is following the United States Presidential campaign knows it has become one of the most unexpected, unpredictable and contentious races in history. And so far the candidates are only vying for their parties’ nominations.

The qualifications for President are fairly simple (at least it seemed so until the controversy over Mr. Obama’s birth certificate.)

U.S. Constitution Requirements for a Presidential Candidate:

The President must:

  • Be a natural-born citizen of the United States

  • Be at least 35 years old

  • Have been a resident of the United States for 14 years

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

 

 

The election process is anything but simple. The candidates campaign to secure delegates to their party’s convention through caucuses or primaries in each state. Then at the convention they must win the nomination to be on the ballot to win the electors in each state.

Finally, the Electoral College votes on which candidate will be President. Even that might not be final since in one recent election  the final decision ended up in the Supreme Court (Bush vs Gore).

Holding the office of the President is our country’s highest honor but the job of president has become so thankless I wonder why anyone wants to do it. But I am grateful that people volunteer for and seek the position, and this year three of the candidates are physicians. (three that I discovered; if you know of others, please tell me.)

Since March 30 is National Doctor’s Day this blog is recognizing and thanking the three physician presidential candidates in this and my next post.

These posts are meant to inform, not influence you; they do not indicate an endorsement of the candidates. I will not promote or endorse any candidate on this blog.

In medical usage, progress notes are “Records kept by health care workers to indicate the course of the patient during care”

I have written some “progress notes” about each candidate that will give you a glimpse into their professional, personal and political lives.

statue of George Washington in Manhattan
statue of General George Washington, first President of the United States of America – New York City

 

Jill Stein, M.D.- Green Party candidate 

Dr. Stein, an internist,  is running for President for the Green Party.

Here are some notes about her.

  1. Dr. Stein graduated from Harvard Medical School.
  2. Her hobbies include writing and performing music.
  3. She ran for President in 2012, also on the Green Party ticket.
  4. She is a physician’s wife, mother, internal medicine physician/teacher and “environmental-health advocate.”
  5. She developed the “Healthy People, Healthy Planet” teaching program.
  6. She has been interviewed on the Today Show, 20/20 and Fox News network.
  7. In Massachusetts she ran for Governor, State Representative and Secretary of State.
  8. She co-founded the Massachusetts Coalition for Healthy Communities, a non-profit organization.
  9. She likes to walk with her Great Dane Bandita.
  10. She has advocated for several environmental issues in her home state-
  • Mercury contamination of fish
  • The “Filthy Five” coal plants clean up
  • Mercury and dioxin contamination from burning trash

 

The Presidential Oval Office at the Reagan Library
a replica of the White House Oval Office at the Ronald Reagan Presidential Library

 

 

Next post- two Republican candidates  are doctors.

Do you know who they are?