The Contenders

Cedric Dark, MD, MPHFounder and Executive Editor, Policy Prescriptions®

Rosalia Guerrero-LueraUniversity of Texas School of Public Health

Source: CNN.com

Objectives

• Learners will list three key components to each candidates healthcare plan

The Following Presenters Have Disclosed Relevant Financial Relationships:Cedric Dark, MD MPH FAAEM FACEPCommunity Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship Seth Trueger, MD MPHEmergency Physicians Monthly, Employee, Salary The Following Presenters Have Disclosed No Financial Relationships:Megan Douglas, JDElena M. Marks, JD MPHLaura Medford-Davis, MDBich-May Nguyen, MD MPH The Following Planners Have Disclosed Relevant Financial Relationships:Cedric Dark, MD MPH FAAEM FACEPCommunity Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship The Following Planning Committee Members and Staff Have Disclosed No Relevant Financial Relationships:Emily DeVillers, CAEKay Whalen, MBA CAEJanet Wilson, CAE

The 2016 Presidential Contenders

Democrat• Hillary Clinton• Bernie Sanders

Republican• Donald Trump

The 2016 Presidential Contenders

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

✓ ✗

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

✓ ✓

All else being equal……the candidates’ approach to the gun violence epidemic is a major distinguishing factor

Source: Pixabay

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

HEALTHCARE PLANS2016 Presidential Candidates

Source: HillaryClinton.com

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.

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.

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.

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.

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.

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.

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.

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.

Source: HillaryClinton.com

Source: BernieSanders.com

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

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

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

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

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

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

Source: BernieSanders.com

Source: DonaldJTrump.com

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

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

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

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

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

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

Donald Trump

Committee for a Responsible Federal Budget

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

Donald Trump

Committee for a Responsible Federal Budget

Source: DonaldJTrump.com

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

Questions?

Source: CNN.com