Over the past few months, a number of candidates have announced they are seeking the Democratic nomination for president in 2020—and most have indicated health care will be one of their major priorities.
Sen. Michael Bennet
| Former VP Joe Biden
| Sen. Cory Booker
| Gov. Steve Bullock
| Pete Buttigieg
| Julian Castro
| Bill de Blasio
| Rep. John Delaney
| Rep. Tulsi Gabbard
| Sen. Kamala Harris
| Sen. Amy Klobuchar
| Wayne Messam
| Rep. Beto O'Rourke
| Rep. Tim Ryan
| Sen. Bernie Sanders
| Tom Steyer
| Sen. Elizabeth Warren
| Marianne Williamson
| Andrew Yang
Sen. Michael Bennet
Sen. Michael Bennet (D-Colo.) on May 2 announced he is seeking the 2020 Democratic nomination for president. Bennet was appointed to the Senate in 2009 to replace then-Sen. Ken Salazar (D-Colo.), who had been appointed as secretary of the Department of Interior. Bennet has held the Senate seat since his appointment. Bennet has said his campaign will focus on health care and the economy, and his time in the Senate has given insight into his health care positions.
- Abortion rights: According to the Associated Press, Bennet during his 2010 Senate race criticized his Republican opponent for opposing abortion rights.
- Prescription drug prices: Bennet has called for increased transparency in the prescription drug market as a way to lower U.S. drug prices. Bennet last month was among a bipartisan group of senators who introduced legislation aimed at lowering prescription drug prices by bolstering oversight of FDA's citizen petition process, which the senators said could help increase competition in the prescription drug market.
- Health care reform: Bennet has said he thinks Sen. Bernie Sanders' (I-Vt.) so-called "Medicare-for-All" proposal—which largely would eliminate private health insurance and, over a four-year period, would expand Medicare to cover all U.S. residents—is "a bad opening offer" for health reform, Vox reports. Instead, Bennet and Sen. Tim Kaine (D-Va.) last month introduced the Medicare-X Choice Act of 2019, which would create a public option health plan that would use Medicare payment rates and networks.
- Marijuana legalization: Bennet in February co-sponsored a bill to legalize marijuana at the federal level, Axios reports.
- Rural health care: Bennet in July released a rural health plan that aims to reduce racial disparities in maternal mortality and calls for expanding Medicaid coverage for new mothers, bolstering resources for home health and telehealth services in Medicare, adding certain non-medical benefits to Medicare and Medicaid coverage, and loan forgiveness programs for doctors and nurses who practice in rural areas. Bennet's plan also calls from increasing funding for community and disproportionate-share hospitals.
- Substance misuse: According to Axios, Bennet co-sponsored the First Step Act bill (S 3629) in 2016, which "reduced minimum sentences for some repeat non-violent drug crimes." Bennet also has co-sponsored legislation intended to expedite approval of non-opioid pain treatments, as well as treatments for substance use disorders.
Former Vice President Joe Biden
Former Vice President Joe Biden on April 25 announced that he is seeking the Democratic nomination for president in 2020. Biden served in the U.S. Senate for about 40 years, and served as vice president under former President Barack Obama. His time in both positions offers insight into where he stands on various health care issues.
- Abortion rights: Biden generally supports abortion rights and has said he backs the Supreme Court's Roe v. Wade decision, which guaranteed U.S. women's right to abortion care. However, Biden "has gone back and forth on abortion in the past and has publicly struggled to reconcile his political positions with his Catholic faith," the New York Times reports. According to the Times "As recently as 2008, [Biden] said he believed life began at conception, though he emphasized that this was a personal view and that he did not think it was appropriate to impose it on others through abortion restrictions." Still, Biden has voted against federal funding for abortion and supported the so-called "Mexico City Policy" when former President Ronald Reagan enacted it, the Times reports. In addition, Biden in 1981 authored an amendment to prohibit federal "foreign aid for abortion-related biomedical research," according to the Times. The Times reports that aides for Biden earlier this year "would not say whether he still supported those policies."
- Health care funding: Biden has criticized proposals included in Trump's budget proposal that would cut funding for Medicare and Medicaid. Biden also has also advocated for increased federal funding for medical research, and led the Obama administration's cancer "moonshot" initiative.
- Health care reform: Biden on Monday unveiled a health reform plan that aims to build and protect the Affordable Care Act. Biden's plan would create a so called "public option" health plan that would be available to all Americans, including those with employer-sponsored coverage. Biden's proposal also would eliminate the current income cap for receiving federal subsidies to offset the cost of exchange plans and would increase the amount of subsidies enrollees could receive.
- Marijuana legalization: Biden has long opposed legalizing marijuana, and has called the substance a "gateway drug," Axios reports. While serving as vice president, Biden said he supports decriminalizing marijuana instead of legalizing the drug.
- Prescription drug prices: Biden in his health reform plan proposed reducing the cost of prescription drugs by repealing current federal law that prohibits Medicare from negotiating lower drug prices with drug manufacturers. In addition, his plan would allow patients to purchase drugs from foreign countries, eliminate tax breaks on pharma's ad spending, create a system to link prices for new specialty drugs to those in foreign countries, and tie price increases the general inflation rate.
- Rural health care: Biden in July released a plan focused on bolstering rural parts of the United States through economic initiatives and investments and by expanding access to health care, CNN reports. Under the plan, Biden calls for building on the Affordable Care Act as a way to ensure rural U.S. residents can access health coverage and care. Biden's plan also calls for increasing funding for community health centers, medical residencies in rural areas, rural hospitals, and telehealth services.
- Substance misuse: According to the Washington Post's "The Fix," Biden in 1988 supported legislation that lengthened criminal sentences for drug charges. However, Biden earlier this year called the legislation a "mistake." He said, "It was a big mistake when it was made," adding, "It's trapped an entire generation."
- Vaccines: According to BuzzFeed News, Biden in the past has expressed support for vaccines. In 2016, he said, "I look forward to the day when your grandchildren and my grandchildren and their children show up at the office to get their physical to start school and get a shot for measles and they get a vaccine that affects significant causes of cancer."
Sen. Cory Booker
Sen. Cory Booker (D-N.J.) on Feb. 1 announced he is running for the Democratic presidential nomination—and health care is expected to play a role in his campaign.
Booker in the past has taken a number of actions that shed light on where he stands on various health care issues.
- Health care reform: Booker in September 2018 voiced his support for Sanders' Medicare-for-All proposal. Booker co-sponsored Sanders' 2017 Medicare-for-All legislation. However, Booker in May said he would take incremental steps to reform the U.S. health system if he is elected president. "I stand by supporting Medicare for All," Booker told CNN, adding, "But I'm also that pragmatist that when I'm chief executive of the country ... I'm going to find the immediate things that we can do." Booker said, "I'm telling you right now, we're not going to pull health insurance from 150 million Americans who have private insurance who like their insurance."
- Long-term care costs: Booker in July unveiled a plan to address the cost of long-term health care for seniors by allowing individuals who exceed the asset and/or income limits for Medicaid assistance for long-term care services to buy into the program, implementing a tax credit that would provide a credit of up to $4,000 to qualifying caregivers, mandating that long-term care service and support staff be paid at least $15 per hour and be offered certain benefits, raising asset limits for Medicaid assistance for long-term care services and supports, and requiring all states to offer home-based and community-based services.
- Maternal mortality: Booker and Rep. Ayanna Pressley (D-Mass.) in May introduced legislation that would expand Medicaid coverage for comprehensive prenatal, labor and postpartum care in an effort to lower maternal mortality rates, particularly among black women.
- Marijuana legalization: Booker in February introduced a bill that would remove the federal ban on marijuana. Booker said the bill, called the Marijuana Justice Act, "seeks to reverse decades of ... unfair, unjust, and failed policy by removing marijuana from the list of controlled substances and making it legal at the federal level."
- Prescription drug prices: Booker, who has agreed to no longer accept campaign donations from pharmaceutical companies, has co-sponsored legislation aimed at lowering prescription drug prices by allowing prescription drug imports from Canada into the United States.
- Vaccines: Booker in May told BuzzFeed News, "First and foremost, vaccines are proven to reduce the incidence of terrible disease. Vaccines keep people safe and healthy. We need to trust the scientists who work to develop vaccines and the medical professionals who administer them."
Montana Gov. Steve Bullock
Montana Gov. Steve Bullock (D) in May announced that he is seeking the 2020 Democratic nomination for president. Bullock, who formerly chaired the Democratic Governors Association, is a Democratic governor in a state with a Republican-led legislature. As Montana's governor, Bullock has signed and vetoed a number of health care bills, which give insight into his health care positions.
- Abortion rights and reproductive health: Bullock has vetoed dozens of bills that sought to impose new restrictions on abortion care in Montana, the Washington Post reports. To protect reproductive rights, Bullock has approved permanent funding for Title X family planning programs, according to Axios.
- Health care reform: Bullock has been a proponent of the Affordable Care Act (ACA), and worked to expand the state's Medicaid program under the ACA. Bullock this year signed into law a bill that reauthorized Montana's Medicaid expansion for an additional six years. According to the New York Times, Bullock did not provide a direct response last year when he was asked whether he supported Medicare-for-All proposals. Bullock instead said there are "any number of different paths" that could make health care "affordable, accessible, and of quality." For instance, Bullock this year signed into law a bill to establish a public reinsurance program in Montana, which is projected to lower premiums on the state's exchange market by up to 20%. Bullock also has expressed support for implementing a public option health plan in the United States, saying such a plan would help the country achieve universal health coverage without "upending the whole system," HuffPost reports.
- Mental health care and substance use disorders: Bullock this year signed into law a number of bills intended to increase access to mental health care and substance use disorder services in Montana. For example, Bullock signed a bill (HB 660) to establish mobile crisis team units across rural communities to respond to mental health crises. He also signed into law HB 30, which allows the state to cover peer support under Medicaid, and HB 599, which allows tribal communities in the state to license and use community health workers in Indian Health Service facilities.
- Prescription drug prices: Bullock this year signed into law three bills that aim to address rising prescription drug costs. One of the bills, called the Prescription Price Protection Act, prevents pharmacy benefit managers (PBMs) from requiring pharmacies to charge patients copayments higher than the cost of making a drug. The second bill provides protections so that federally qualified health centers do not face discrimination in prescription drug pricing, and the third bill aims to hold PBMs accountable by preventing them from issuing surprise fees.
Pete Buttigieg, mayor of South Bend, Indiana
South Bend, Indiana, Mayor Pete Buttigieg announced his campaign in January. Buttigieg has not talked in great detail about his health care priorities but he has spoken in depth about one policy issue.
- Health care reform: Buttigieg has said while he feels a transition toward a Medicare-for-All program is "the right place for us to head as a country," he doesn't think such a proposal has to eliminate private health plans. During an interview with ABC's George Stephanopoulos, Buttigieg said, "If the framework we're using is Medicare, a lot of people who have Medicare also have Medicare supplements, Medicare Advantage, something like that." He continued, "So if we want to make Medicare available to everybody, whether it's as a public option to buy in or simply establishing that as how the payer structure works in this country, that's going to be the center of gravity." Buttigieg said, "The bottom line is, we need to make sure that every American is able to get health care."
- Marijuana legalization: Buttigieg's campaign website states that legalizing marijuana would be a key part of his plans to reform the United States' criminal justice system.
- Mental health and substance use disorders: Buttigieg in August unveiled a proposal aimed at bolstering mental health and addressing substance use disorders. The proposal calls for penalizing health plans if they do not cover treatment for mental health conditions and substance use disorders, expanding access to treatment for opioid-related substance use disorders, supporting re-entry programs for individuals with mental health conditions and substance use disorders, expanding community resources to improve mental health and substance use disorder services.
- Rural health care: Buttigieg in August unveiled a proposal intended to improve access to care for Americans living in rural parts of the country and Native American tribes. The proposal calls for implementing a public option health plan to ensure all American have health coverage and bolstering telehealth and other technologies. The proposal also aims to attract and train more providers to practice in rural areas and stop hospitals closures, as well as strengthen the Indian Health Service. The proposal calls for a particular focus on improving maternal, mental health, primary, and substance use disorder care.
- Vaccines: A spokesperson for Buttigieg in May told Buzzfeed News, "The law of the land for more than a century has been that states may enforce mandatory vaccination for public safety to prevent the spread of a dangerous disease. Pete does support some exceptions, except during a public health emergency to prevent an outbreak."
Former HUD Secretary Julian Castro
Julian Castro, who served as secretary of the Department of Housing and Urban Development under former President Barack Obama's administration, in Jaunary announced he is running for the Democratic presidential nomination. Since the announcement, Castro has indicated his stance on a number of health care issues, including support for a universal health care system and efforts to lower prescription drug prices.
- Abortion rights: Castro has said he supports legal access to abortion care, and has opposed a Texas law that bans abortions after 20 weeks of pregnancy and limits abortion access.
- Health care reform: Castro during a recent event with Iowa Democrats said, "What you're going to hear from me is that … I support universal health care." Castro has expressed his support for Sanders' Medicare-for-All proposal, which largely would eliminate private health insurance and, over a four-year period, would expand Medicare to cover all U.S. residents. He said, "Medicare should be there for everybody in this country. It's time for Medicare for all, universal health care for every single American." Castro has said he would consider funding Medicare's expansion by raising taxes on U.S. corporations and the wealthiest "0.05, 0.5, or 1%" of U.S. residents.
- Prescription drug prices: Castro also has criticized the effect drugmakers have had on health care costs and called for efforts to lower prescription drug prices. Though so far he has not indicated how he would seek to lower prices.
Bill de Blasio, mayor of New York City
New York City Mayor Bill de Blasio (D) in May announced he is seeking the 2020 Democratic nomination for president. According to Axios, de Blasio "has gained some national recognition over the years for his progressive policies," and his time serving as New York City's mayor offers insight on where he stands on health care issues.
- Abortion rights and reproductive health care: de Blasio supports abortion rights and women's access to reproductive health care, and has lambasted proposals to restrict women's access to this care.
- Health care reform: de Blasio earlier this year announced a plan to create a new public coverage option to provide comprehensive health coverage for undocumented immigrants and other New York City residents who do not qualify for health insurance. The plan, called NYC Care, seeks to expand the city's existing public coverage option, MetroPlus, which is a safety-net public health insurance plan run by city hospitals, to more residents. According to Politico, de Blasio has said health care, including mental health care, should be "available to all."
- Marijuana legalization: de Blasio in December 2018 said he supports legalizing marijuana in New York City and outlined a plan to do so. As part of that plan, de Blasio said the city will work to regulate the substance to ensure it "is clean and safe," and educate the community "about the real public health risks that legalization may pose, including dependence, traffic collisions, and impaired cognitive capacity," NBC New York reports.
- Maternal mortality: de Blasio's administration last year launched a five-year plan intended to reduce maternal mortality and life-threatening childbirth complications among women of color, noting a disparity in maternal mortality between white and black women.
- Opioid misuse epidemic: de Blasio in January announced that New York City had filed a lawsuit against opioid drug distributors and manufacturers that claims the companies contributed to the U.S. opioid epidemic, and seeks damages for the money the city has spent to combat the epidemic.
- Paid sick leave: de Blasio has signed into law legislation that expanded paid sick leave requirements for workers in New York City.
- Vaccines: de Blasio in April declared the measles outbreak affecting the city a public health emergency and is requiring all residents of certain ZIP codes to receive the measles, mumps, and rubella vaccine or face a fine. de Blasio at the time said, "Every hour, every day matters here. If people would just go and get vaccinated, there's no cause for a fine." However, de Blasio has been skeptical of measures to end religious and other non-medical exemptions to vaccines, Politico reports.
Former Rep. John Delaney
Former Rep. John Delaney (D-Md.) announced his bid for the Democratic presidential nomination in July 2017, and has discussed his proposal for implementing a universal health care system in the United States.
- Health care reform: Delaney has said he does not support Sanders' Medicare-for-All proposal, calling it a "plan that will be very bad for [health care] quality and cost, and then ultimately be bad for access." Instead, Delaney has proposed a new public health plan that would cover all U.S. residents under age 65, including those currently enrolled in Medicaid. The plan would cover basic medical services comparable to those covered under the Affordable Care Act's essential health benefits. Employers would be allowed to offer and U.S. residents would be allowed to purchase supplemental health insurance that would cover additional services. Delaney said the cost of the new health plan would be covered by a shared federal-and-state payment system and by terminating tax breaks for employer health benefits.
- Vaccines: Delaney in May told BuzzFeed News he thinks vaccines are "necessary," but that exemptions to vaccines should be considered on the basis of a diseases' particular nature.
Rep. Tulsi Gabbard
Rep. Tulsi Gabbard (D-Hawaii) in January announced her candidacy for president, and has said bolstering U.S. residents' access to health care is one of her main priorities.
- Abortion rights: Gabbard has expressed support for abortion rights and has voted against legislation to ban abortion after 20 weeks of pregnancy.
- Health care reform: Gabbard co-sponsored legislation in the House that would expand health coverage to all U.S. residents. The expansion would be funded by increasing taxes on the 5% of U.S. residents with the highest incomes, establishing a progressive excise payroll and self-employment tax, creating a tax on income that does not come from employers, and taxing stock and bond transactions.
Sen. Kamala Harris
Sen. Kamala Harris (D-Calif.) in January announced her candidacy for president, and has voiced her support for universal health care, Planned Parenthood, and access to mental health care.
- Abortion rights: Harris is one of Planned Parenthood's most vocal supporters, and she has voted against legislation to ban abortions after 20 weeks of pregnancy.
- Gender reassignment surgery: Harris has indicated she does not support requiring states to cover the cost of gender reassignment surgery for transgender inmates. She once filed a court motion to block California from covering the procedure for a transgender inmate.
- Health care reform: Harris in July unveiled her own Medicare-for-All proposal that would allow private health insurers to offer Americans coverage modeled after Medicare Advantage plans. Harris' proposal would gradually expand Medicare coverage to all Americans over a 10-year transition period.
- Marijuana legalization: Harris has said she supports full legalization of marijuana, and is co-sponsoring Booker's Marijuana Justice Act.
- Maternal health care: Harris has introduced legislation intended to reduce the United States' maternal mortality rate, particularly among black women.
- Prescription drug prices: Harris in July announced a plan to lower prescription drug prices that focuses on establishing a "fair price" for certain U.S. drugs that is tied to the prices paid in other developed nations. Harris said she would implement a 100% tax rate on all of the profits that drugmakers make from selling drugs above the "fair price" in the United States, and would use funds collected from the tax to provide consumers with rebates. Harris' proposal also calls for allowing HHS to import high-priced drugs from countries, among other measures.
- Mental health care: Harris has introduced legislation that seeks to increase U.S. residents' access to mental health care.
- Vaccines: A spokesperson for Harris in May told Buzzfeed News that Harris "thinks people should get vaccines."
- Veterans' health care: Harris in September introduced a plan intended to expand veterans' access to health care and other services. Specifically, Harris said the plan would extend health care and housing assistance services to at least 500,000 veterans with other-than-honorable discharges, noting that government research has found a majority of such veterans who were discharged between 2001 and 2015 have been diagnosed with post-traumatic stress disorder, traumatic brain injury, and other conditions. "The bottom line is that if we are to get serious about addressing the veterans homelessness and suicide crises, getting at-risk veterans the health care and housing services they need is critical. This isn't just a matter of what's right, it's a matter of public health," Harris said.
- Other: Harris on July 15 unveiled legislation that would extend labor protections and other "rights"—such as affordable health care, retirement benefits, and more—to domestic workers, including home care workers.
Sen. Amy Klobuchar
Sen. Amy Klobuchar (D-Minn.) in February announced she was joining the swath of Democrats seeking the party's nomination for president, and she indicated health care will be one of her major priorities. Klobuchar has spoken about proposals to implement a universal health care system in the United States, among other health care issues.
- Abortion rights: Klobuchar has said she believes abortion is a decision that should remain between a woman and her physician. Klobuchar co-sponsored the Women’s Health Protection Act, which bars states from establishing restrictions on abortions.
- Health care reform: Unlike many other Democrats currently running for president, Klobuchar has not indicated her support for Sanders' Medicare-for-All proposal. Klobuchar has said she supports taking a more gradual approach toward implementing universal health coverage in the United States, noting about 50% of U.S. residents have private health insurance.
- Marijuana legalization: Klobuchar in February said she "support[s] the legalization of marijuana and believe[s] that states should have the right to determine the best approach to marijuana within their borders."
- Mental health and substance use disorders: Klobuchar on May 3 introduced a $100 billion plan aimed at improving access to mental health care and services to address substance use disorders. In addition, Klobuchar in July proposed increasing U.S. suicide prevention efforts and expanding access to depression treatments.
- Prescription drug prices: Klobuchar in July announced a plan to address prescription drug costs by allowing the federal government to negotiate Medicare Part D drug prices, allowing U.S. residents to order prescription drugs from Canada and other countries, and cracking down on so-called "pay-for-delay" agreements.
- Seniors' health care costs: Klobuchar in July also announced proposals intended to lower health care costs for seniors. Klobuchar proposed creating a new senior fraud prevention office to prevent elder abuse; expanding Medicare-covered services for Alzheimer's disease; expanding Medicare coverage for dental, hearing, and vision services; investing in research to develop a cure for Alzheimer's by 2025; and providing additional resources for the caregivers.
- Vaccines: According to BuzzFeed News, Klobuchar in April signed a Senate resolution touting the importance of vaccines.
Messam, 44, the Democratic mayor of Miramar, Florida, officially entered the race in late March. Messam said he will focus his campaign on climate change, gun safety, health care costs, and student loan debt.
- Health care reform: NBC News reports Messam favors "universal health care." But it's not clear which, if any, of the universal health plans floating around he might support. Messam's campaign website cites access to quality health care as a "top barrier to economic opportunity, mobility, and stability," and in interviews he's notedthe high cost of care can "cut off many Americans from the possibility of their American Dream."
- Prescription drug prices: Messam has criticized the "high cost of prescriptions," and his campaign video characterizes prescription drug costs as one of the "high stakes problems" Washington has failed to address. He campaign website states, "We must reform the system from the top down and drive down costs for patients, including giving the government more authority to negotiate prescription prices for seniors."
- Opioid epidemic: In a telephone interview with WMUR, Messam said he'd continue to address the opioid epidemic, which he views primarily as a health care issue. "As president, I'll continue to press the issue for access to health care," he said. "I'll continue to press the issue of being that champion to fight big industry, especially the pharmaceutical industry, that tends to take advantage of these types of situations."
Rep. Beto O'Rourke
Former Rep. Beto O'Rourke (D-Texas) in March announced that he is seeking the 2020 Democratic nomination for president, and indicted health care will be a priority in his campaign. O'Rourke served three terms in the House, representing Texas' 16th congressional district. Last year, he unsuccessfully sought to unseat Sen. Ted Cruz (R-Texas). O'Rourke's time in Congress and on the campaign trail has provided insight into his positions on various health care topics.
- Abortion rights: O'Rourke has long supported abortion-rights. His campaign website during his unsuccessful 2018 Senate bid stated policymakers should "ensur[e] that a woman's right to choose is not compromised by limited access to safe and legal abortion services or family planning help."
- Health care reform: O'Rourke during his time in Congress helped pass legislation related to temporary health benefits, and has urged Texas lawmakers to expand Medicaid under the ACA. However, O'Rourke has criticized the ACA for not going far enough to ensure all U.S. residents have access to affordable health coverage, and has said policymakers should create incentives to encourage health insurers to participate in the ACA's exchanges. In addition, O'Rourke has said he wants the United States to achieve universal health coverage, "whether it be through a single-payer system, a dual system, or otherwise." When asked directly about his stance on single-payer options during a March campaign stop in Iowa, O'Rourke said, "No, my goal is to get to guaranteed, high-quality universal health care for all, and I think there are many ways to get there." He later added that he's "no longer sure" that Medicare-for-All or a single-payer system would be "the fastest way for us to get there."
- Marijuana legalization: O'Rourke has called for legalizing marijuana nationwide and expunging the records of individuals who have been jailed for possessing marijuana.
- Prescription drug prices: O'Rourke during his 2018 Senate campaign called for allowing the federal government to negotiate prescription drug prices.
- Vaccines: A campaign spokesperson in May told Buzzfeed News, "The evidence is clear and there is wide agreement among doctors and scientists that vaccination is the best course for our kids and our communities. Beto and [his wife] have chosen to vaccinate their three children because they believe it is important to ensuring our country’s children are healthy, safe, and secure."
Rep. Tim Ryan
Tim Ryan (D-Ohio), a nine-term Democratic congressional member from Ohio, entered the Democratic presidential candidate race in early April. He's said climate change, the economy, education, health care, and gun control will be key issues in his campaign.
- Abortion rights: Ryan has supported abortion rights since 2015, when he concluded the "heavy hand of government must not make this decision for women and families." He's been outspoken against actions to restrict a woman's access to abortion care, including Ohio's 20-week abortion ban and the state Legislature's attempts to defund Planned Parenthood. Ryan has co-sponsored the Equal Access to Abortion Coverage in Health Insurance Act.
- Health care reform: Ryan in an interview April 7 on CBS News' "Face The Nation" said he supports the ACA's health care model, but also favors adding a government-run "public option" for the general public. In 2017, Ryan introduced a bill that would create a Medicare buy-in for U.S. residents ages 50 to 64. "I want more people to have more affordable coverage," Ryan said. "I want there to be some kind of public option where middle class people who work hard and play by the rules can get some help so they're not getting squeezed by the pharmaceutical companies and the health care companies."
- Mental health: Ryan in July called for assigning metal health counselors to all public schools as part of his broader proposal for improving public education.
- Vaccines: Ryan in May told BuzzFeed News, "I believe mandatory immunizations and vaccinations are critical to keeping our families, our kids, and our communities safe." He added that he supports eliminating religious and personal belief exemptions to vaccines.
Sen. Bernie Sanders
Sanders (I-Vt.) in February announced he is seeking the Democratic nomination for president in 2020, and said his campaign will focus on various health-related initiatives.
Aides to Sanders said his presidential campaign will focus on a number of his health-related proposals, including promoting his Medicare-for-All proposal, lowering U.S. drug prices, legalizing marijuana, and ensuring workers have access to paid medical leave.
Sanders' recent proposals and past campaigns can offer insight into the proposals he might put forth during his campaign, as well as into where he stands on other major health care issues.
- Abortion rights: Sanders, during his 2016 presidential primary race against former Secretary of State Hilary Clinton, implied that he would not support any restrictions on abortion care.
- Health care reform: Sanders in 2017 first introduced legislation that would implement his Medicare-for-All proposal, which would largely eliminate private health insurance and, over a four-year period, would expand Medicare to cover all U.S. residents. Sanders in 2019 unveiled a new version of the legislation that also includes long-term care coverage. In addition, Sanders in July proposed a plan intended as a supplement to his Medicare-for-All proposal that aims to increase the number of black health care providers, The Hill reports. Further, Sanders in August said, if his proposal becomes law, he would require companies with union-negotiated health plans to renegotiate contracts, and any savings the companies generate by moving workers to Medicare for All's new government-run plan must be passed back to workers "in the form of increased wages or other benefits."
- Hospital closures: Sanders in July announced that he plans to "very soon" introduce legislation to "establish a $20 billion emergency trust fund to help states and local communities purchase hospitals that are in financial distress." Sanders said, "In my view, any time a hospital is put up for sale in America, the local community or the state must have the right to buy it first with emergency financial assistance."
- Marijuana legalization: Sanders has said he supports full legalization of marijuana, and is co-sponsoring Booker's Marijuana Justice Act.
- Prescription drug prices: Sanders has proposed the federal government take aggressive action to address high U.S. drug prices. Sanders in January introduced a legislative package intended to lower prescription drug costs that includes three bills:
- The Affordable and Safe Prescription Drug Importation Act (HR 2228), which would allow U.S. residents, pharmacists, and wholesalers to import lower-cost drugs from Canada and other developed countries;
- The Medicare Prescription Drug Price Negotiation Act (S 41), which would allow the HHS Secretary to negotiate prices for drugs covered under Medicare Part D; and
- The Prescription Drug Relief Act, which would set U.S. drug prices based on the median prices in Canada, France, Germany, Japan, and the United Kingdom, and require FDA to approve generic versions of the drugs—regardless of whether the drugs are protected by patents—if drugmakers refuse to lower prices to meet the new target
- Substance use disorders: Sanders in 2018 introduced a bill that would impose penalties on drug manufacturers and pharmaceutical executives in cases of deceptive marketing or illegal distribution of prescription opioids. According to a summary of the bill, the measure would prohibit pharmaceutical companies and their employees from disseminating direct-to-consumer advertising that falsely suggests opioids have no addictive qualities or risks. Pharmaceutical companies that violate that policy would be fined 25% of the profits derived from their opioid products. In addition, executives would face criminal liability and could face fines equal to the executive's compensation package or a minimum of 10 years in prison. Sanders also has endorsed supervised injection sites, also known as "safe injection sites," which allow individuals who misuse drugs to do so under the care of health care professionals and without risk of arrest.
- Vaccines: A spokesperson for Sanders in May told Buzzfeed News that the senator "believes that vaccinations work and are crucial to overall public health. Instances of serious but preventable diseases have been significantly reduced and many have been eliminated altogether as a result of vaccines."
Tom Steyer, billionaire and environmentalist
Tom Steyer, a billionaire and environmentalist who has supported campaigns to impeach Trump, in July announced that he is seeking the 2020 Democratic nomination for president. According to Vox, Steyer—who has never before run for a public office—has been weighing a presidential run since last year, when he unveiled his so-called "5 Rights" campaign platform. The platform, as well as other proposals Steyer has supported, lend some insight into his health care views.
- Abortion rights: Steyer in 2017 announced that he would only support candidates who support abortion rights, Politico reports.
- Health care funding: According to Politico, Steyer has supported proposals to raise California's tobacco tax in order to help fund the state's Medicaid program.
- Prescription drug prices: According to Politico, Steyer in June 2017 backed a California proposal (SB 17) to require drug manufactures to give state officials notice of planned price increases.
- Universal health coverage: Steyer's "5 Rights" campaign platform included a call for universal health coverage in the United States. Steyer has expressed support for transitioning the United States to a single-payer health system, Vox reports.
Sen. Elizabeth Warren
Sen. Elizabeth Warren (D-Mass.) in late December announced she had launched an exploratory committee to fill key staff positions for a campaign to run for president in 2020. Media reports have indicated Warren's bid for president would focus on health care issues such as prescription drug prices, health care reform, and the opioid epidemic.
- Abortion rights: Warren in May said Congress should pass legislation to protect abortion rights by codifying the protections granted under the Supreme Court's Roe v. Wade decision and barring states from implementing abortion restrictions. Warren also said Congress should repeal the so-called "Hyde Amendment," which prohibits federal funding for abortion services, and overturn efforts by the Trump administration to exclude Planned Parenthood from receiving Title X family planning funds.
- Health care reform: In March 2018, Warren backed a bill intended to bolster consumer protections in the private health insurance market. Warren has said she supports Sander's Medicare-for-All proposal and co-sponsored Sanders' 2017 Medicare-for-All bill.
- Maternal mortality: Warren on April 24 proposed a plan intended to address maternal mortality rates among black women that would give hospitals that lower their maternal mortality rates bonus payments and levy financial penalties on hospitals that don’t lower their maternal mortality rates.
- Marijuana legalization: Warren has said she supports full legalization of marijuana, and is co-sponsoring Booker's Marijuana Justice Act.
- Prescription drug prices: Warren's campaign website in September was updated with proposals to control prescription drug prices, which largely reflected policies included in a bill Warren introduced in December 2018 aimed at bolstering competition in the generic drug market. The bill, called the Affordable Drug Manufacturing Act, would create a government-run pharmaceutical company that would manufacture generic drugs and allow Medicare to negotiate prices with drugmakers.
- Rural health care: Warren in August unveiled a proposal intended to bolster access to care in rural parts of the United States by bolstering the Federal Trade Commission's oversight of mergers and anti-competitive practices in the health care industry, expanding broadband access in rural areas for telemedicine, increasing funding for community health centers by 15% over five years, investing additional funding in the National Health Service Corps and Indian Health Service repayment programs, increasing funding to combat the raising Medicare reimbursements rates for rural hospitals opioid epidemic, and raising Medicare reimbursements for rural hospitals.
- Substance use disorders: Warren in May unveiled a $100 billion proposal to combat the U.S. opioid epidemic that would emphasize employment and evidenced-based treatment for those struggling with substance use disorders, as well as provider training on treatment methods. According to Vox, the $100 billion proposal "matches the level of spending experts have long said is necessary to make a serious dent in the crisis and reverse it." Warren also has endorsed supervised injection sites.
- Vaccines: Warren in May told Buzzfeed News, "The more we do on the front end to ensure that everyone gets access to vaccines, the less we'll see individuals contracting hepatitis A, measles, whooping cough, and all of the other vaccine-preventable diseases. We must make sure there is robust public health funding so people have access to vaccines."
Marianne Williamson, an author and lecturer
- Health care reform: Marianne Williamson in 2017 called Sanders' Medicare-for-All proposal "an idea whose time has come."
- Marijuana legalization: Williamson in a tweet posted in April wrote that she supports legalizing marijuana and that non-violent offenders imprisoned because of marijuana possession should be released.
- Vaccines: Williamson during an interview with The Hollywood Reporter in July said she is "pro-vaccine" and "pro-medicine," and the "government" ultimately "must come down on the side of public health." But Williamson added, "Any time there is a medical intervention, there is both benefit and risk." She said, "I understand that many areas having to do with food, health, and safety are places where Americans have questions," adding, "And I don't believe that questioning should be squashed."
Andrew Yang, an author and entrepreneur
- Health care reform: Andrew Yang has called for a transition to Medicare-for-All—though it's not clear whether he supports Sanders' proposal.
- Vaccines: Yang in May told BuzzFeed News, "I believe the science. Numerous studies indicate no connection between vaccines and autism." He said he supports California's requirements that children must be vaccinated to attend school or day care unless they have a medical exemption.
- Veterans' health care: Yang in July unveiled a plan intended to bolster health care services for U.S. veterans by ensuring VA would continue to offer veteran-specific health services under a Medicare-for-All system; increasing funding for research on battlefield injuries, post-traumatic stress disorder, and suicide prevention; expand mental health and substance use disorder services for veterans; increase benefits and salaries for VA health care providers; and allow veterans to seek waivers for medical marijuana treatments.
We updated our most popular slides depicting the important market forces affecting your business in 2019, so you're ready for your next strategy presentation.
Whether you're speaking to your board, C-suite, or community, you'll have access to the latest data, pre-formatted and ready to present. In collaboration with the Health Care Advisory Board, we collected everything you need to know about payment reform, the provider market, purchaser behavior, and provider selection trends. Download the entire 58 slides, or jump right to the trends that are most interesting to you.