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The Contenders
- 1. The Contenders Cedric Dark, MD, MPH Founder and Executive Editor, Policy Prescriptions® Rosalia Guerrero-Luera University of Texas School of Public Health
- 3. Objectives • Learners will list three key components to each candidates healthcare plan
- 4. The Following Presenters Have Disclosed Relevant Financial Relationships: Cedric Dark, MD MPH FAAEM FACEP Community Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship Seth Trueger, MD MPH Emergency Physicians Monthly, Employee, Salary The Following Presenters Have Disclosed No Financial Relationships: Megan Douglas, JD Elena M. Marks, JD MPH Laura Medford-Davis, MD Bich-May Nguyen, MD MPH The Following Planners Have Disclosed Relevant Financial Relationships: Cedric Dark, MD MPH FAAEM FACEP Community Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship The Following Planning Committee Members and Staff Have Disclosed No Relevant Financial Relationships: Emily DeVillers, CAE Kay Whalen, MBA CAE Janet Wilson, CAE
- 5. The 2016 Presidential Contenders Democrat • Hillary Clinton • Bernie Sanders Republican • Donald Trump
- 6. The 2016 Presidential Contenders The 2 016 Pr esident ial Candidat es Po l ic y Pr esc r ipt io n s® Heal t hc ar e Sc o r ec ar d On the Issues: Drug Prices The Cadillac Tax Gun Violence & Mental Health Value in Healthcare Consumer Insurance Issues Medicare Part D Negotiation Don’t Repeal it Replace with Cap on ESHI Permit to Purchase Universal Background Checks Firearm Registration Price Transparency Quality Transparency High Deductible Health Plans are too costly for consumers Insurance Networks Too Narrow Out of pocket costs Too high for patients Democrat Hillary Clinton Bernie Sanders Republican Donald Trump ^ A check mark indicates a candidate has expressed agreement with the issue, and ‘x’ indicates opposition. ^Donald Trump initially endorsed this idea but it is no longer listed in his healthcare strategy.
- 7. On the Issues that matter to Policy Wonks Medicare Part D Negotiation • All three candidates want Medicare to negotiate prices with drug companies Cadillac Tax • All three candidates want to repeal the Cadillac Tax ✓ ✗
- 8. On the Issues that matter to Patients Price Transparency • All three candidates want better price transparency in healthcare HDHPs • All three candidates think they are too costly to patients ✓ ✓
- 9. All else being equal… …the candidates’ approach to the gun violence epidemic is a major distinguishing factor Source: Pixabay
- 10. On the Gun Violence Epidemic Universal Background Checks • Both Democrats want universal background checks • Trump does not Firearm Registration • Hillary Clinton wants firearm registration • Bernie Sanders does not • Don’t know about Trump Permits-to-Purchase • Unknown positions
- 11. HEALTHCARE PLANS 2016 Presidential Candidates
- 13. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 14. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 15. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 16. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 17. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 18. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 19. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 20. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
- 23. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 24. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 25. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 26. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 27. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 28. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
- 31. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 32. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 33. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 34. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 35. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 36. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 37. Donald Trump Committee for a Responsible Federal Budget
- 38. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
- 39. Donald Trump Committee for a Responsible Federal Budget
- 41. Summary Hillary Clinton • Framework of ACA stays intact • Requires significant money for subsidies • Expand coverage to immigrants Bernie Sanders • Change to Medicare-for-All • Most likely to become ‘universal health care’ • Requires price regulation to lower costs Donald Trump • 18 million lose coverage • Insurance across state lines & HSAs already law • Medicaid block grant structure is key