Morning Briefing
Summaries of health policy coverage from major news organizations
Different Takes: Let's Take The Debate About Health Care Back To Affordability; Repealing The ACA Would Hurt Millions On Medicaid In Rural Areas
The New York Times: Democrats Are Having The Wrong Health Care Debate
As this week’s Democratic debates made clear, the party is divided on how to improve health care for Americans. Bernie Sanders, Elizabeth Warren and others are for a single-payer Medicare for All system. Joe Biden, Pete Buttigieg, Amy Klobuchar and others want an incremental approach building on the Affordable Care Act. But candidates who are battling over plans like Medicare for All (Mr. Sanders) versus Medicare for All Who Want It (Pete Buttigieg) versus Medicare for America (Beto O’Rourke) versus BetterCare (John Delaney) — and many others — are having the wrong debate. Instead, they should be competing to find the best ways to tackle affordability — an issue they can all agree on and President Trump has done nothing about. (Ezekiel J. Emanuel, 8/2)
Stat: Repealing The ACA Will Contribute To Deaths Of Despair In Rural U.S.
Repealing the ACA would deny insurance to 4 million people with behavioral health disorders. The Medicaid expansion provision of the ACA alone has resulted in significant improvements in access to lifesaving treatment for opioid use disorder, such as buprenorphine. In Ohio, Kentucky, and West Virginia, for example, Medicaid covers between 40% and 50% of all prescriptions for buprenorphine, a medication that helps individuals recover from addictions to opioids. Each of these states allowed Medicaid expansion under the ACA. While these states have the highest death rates due to drug overdoses in the U.S., their federal legislators have consistently voted to repeal the ACA and the Medicaid expansion that comes with it. (Nickolas D. Zaller, 8/2)
The Wall Street Journal: Kamala’s Medicare-For-All Straddle
Even liberals say Kamala Harris had a bad second debate Wednesday as she struggled to defend her record as a prosecutor and her new health-care plan. The latter is especially revealing about the Democratic debate on health care and is worth explaining in more detail. Ms. Harris in the June debate raised her hand when the moderators asked who would eliminate private health insurance. Then she backtracked. Ahead of the debates this week in a post on Medium, Ms. Harris tried to clarify how she’d “make transformative change for the better” on health care. It’s transformative all right. (8/1)
The Washington Post: Pramila Jayapal: It’s Time For Democrats To Get Their Facts Right On Medicare-For-All
In the wake of the second Democratic presidential debate, it is clear that Medicare-for-all has become a defining issue of the 2020 election. Earlier this year, when I introduced our comprehensive, 120-page “Medicare for All Act of 2019,” I expected attacks from big pharma and for-profit insurance companies. But I did not expect misrepresentations from Democratic presidential candidates about what the bill is and is not. Let’s be clear about the scale of this crisis. The United States currently spends an astronomical $3.6 trillion per year on health care — almost double what peer countries spend — and it is set to increase within 10 years to $6 trillion annually. (Pramila Jayapal, 8/1)
USA Today: Forget Medicare For All. Democrats Should Focus On Saving Obamacare.
Suppose you have an unhinged neighbor who wants to burn down your house. You’d probably spend much of your time making sure that that doesn’t happen. Drafting plans for a megamansion you hope to build where your house once stood probably wouldn’t be a priority. But that seems to be the approach of some Democratic aspirants for the presidency, who spent big chunks of their recent debates arguing about details of costly "Medicare for All" plans that have no chance of becoming law. Let's get real here. (8/1)
The Washington Post: Why Go To The Trouble Of Running For President To Promote Ideas That Can’t Work?
"I don't understand why anybody goes to all the trouble of running for president of the United States just to talk about what we really can’t do and shouldn’t fight for,” Sen. Elizabeth Warren (D-Mass.) said Tuesday night, in the most notable zinger of July’s Democratic presidential primary debate. “I get a little bit tired of Democrats afraid of big ideas,” Sen. Bernie Sanders (I-Vt.), the other major candidate on the field’s left wing, piled on. This got us thinking about some big ideas in U.S history. Like, say, amending the Constitution to outlaw liquor. Or sending half a million troops into Vietnam. Or passing a $1.5 trillion tax cut for the wealthy in a time of massive deficits. (8/1)
The Hill: The Myth Of Health Insurance Choice
“Choice” has taken center stage as Democratic candidates spar over “Medicare for all” versus fixing the Affordable Care Act (ACA) and keeping private insurance. There are compelling arguments in favor of each. But the argument that preserving private insurance promotes choice is not one of them. (Allison Hoffman, 8/1)
San Francisco Chronicle: Health Care Moves To The Fore In 2020 Election — While Legal Uncertainty Looms
As a political matter, the challenge will be to assure Americans who, time and again, have proved apprehensive about any change to their health care coverage — however flawed or expensive. A recent Kaiser Family Foundation Health Tracking Poll found that just 51% of the public now say they favor Medicare for All. What is telling about that number is it is down from 56% in April. (8/1)
The Washington Post: A Question Missing From The Health-Care Debate: Will Doctors Make Less Money?
Won’t single-payer health care require higher taxes? (Yes, obviously.) And won’t abolishing employer-sponsored insurance face opposition from some of the 160 million people happily on those plans now? (Almost certainly.) At the debates, in post-debate spin rooms and on Sunday TV show interviews, the Democratic presidential candidates are asked these questions repeatedly as if they are “gotcha” questions. Then they duck and weave to avoid providing the honest but damning (affirmative) sound bite, instead offering some version of: I can convince voters they’d still come out ahead. (Catherine Rampell, 8/1)
