2016 Presidential Candidates: Healthcare

Health care or healthcare is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings.

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Hillary Clinton (D)

ON FORMER PRESIDENT BILL CLINTON'S REMARKS ON AFFORDABLE CARE ACT/OBAMACARE: "I mean, he clarified what he meant. And it's very clear. Look, we are in a situation in our country where if we were to start all over again, we might come up with a different system. But we have an employer-based system. That's where the vast majority of people get their health care. And the Affordable Care Act was meant to try to fill the gap between people who were too poor and couldn't put together any resources to afford health care, namely people on Medicaid. Obviously, Medicare, which is a single-payer system, which takes care of our elderly and does a great job doing it, by the way, and then all of the people who were employed, but people who were working but didn't have the money to afford insurance and didn't have anybody, an employer or anybody else, to help them. That was the slot that the Obamacare approach was to take. And like I say, 20 million people now have health insurance. So if we just rip it up and throw it away, what Donald's not telling you is we just turn it back to the insurance companies the way it used to be, and that means the insurance companies get to do pretty much whatever they want, including saying, look, I'm sorry, you've got diabetes, you had cancer, your child has asthma et to do pretty much whatever they want, including saying, look, I'm sorry, you've got diabetes, you had cancer, your child has asthma." (Clinton; October 9, 2016)
 
AFFORDABLE CARE ACT/OBAMACARE: "Well, I think Donald was about to say he's going to solve it by repealing it and getting rid of the Affordable Care Act. And I'm going to fix it, because I agree with you. Premiums have gotten too high. Copays, deductibles, prescription drug costs, and I've laid out a series of actions that we can take to try to get those costs down. But here's what I don't want people to forget when we're talking about reining in the costs, which has to be the highest priority of the next president, when the Affordable Care Act passed, it wasn't just that 20 million got insurance who didn't have it before. But that in and of itself was a good thing. I meet these people all the time, and they tell me what a difference having that insurance meant to them and their families. But everybody else, the 170 million of us who get health insurance through our employees got big benefits. Number one, insurance companies can't deny you coverage because of a pre-existing condition. Number two, no lifetime limits, which is a big deal if you have serious health problems. Number three, women can't be charged more than men for our health insurance, which is the way it used to be before the Affordable Care Act. Number four, if you're under 26, and your parents have a policy, you can be on that policy until the age of 26, something that didn't happen before. So I want very much to save what works and is good about the Affordable Care Act. But we've got to get costs down. We've got to provide additional help to small businesses so that they can afford to provide health insurance. But if we repeal it, as Donald has proposed, and start over again, all of those benefits I just mentioned are lost to everybody, not just people who get their health insurance on the exchange. And then we would have to start all over again. Right now, we are at 90 percent health insurance coverage. That's the highest we've ever been in our country. So I want us to get to 100 percent, but get costs down and keep quality up." (Clinton; October 9, 2016)
 
AFFORDABLE CARE ACT/OBAMACARE: “The Affordable Care Act was a critically important step toward the goal of universal health care, offering coverage to 20 million more Americans, and ensuring all Americans will never be denied coverage on account of a pre-existing condition or their gender. Today, 90 percent of all Americans have health insurance, the most in the history of our country. Despite this progress, Hillary believes that we have more work to do to finish our long fight to provide universal, quality, affordable health care to everyone in America. This starts by strengthening, improving and building on the Affordable Care Act to cover more Americans” (Clinton, 2016)
 
"We have more work to do to finish our long fight to provide universal, quality, affordable health care to everyone in America. Already, the Affordable Care Act has expanded coverage to 20 million Americans. As president, I will make sure Republicans never succeed in their attempts to strip away their care and that the remaining uninsured should be able to get the affordable coverage they need to stay healthy." (CBS News, July 2016)
 
“I’m also in favor of what’s called the public option, so that people can buy into Medicare at a certain age" (Youtube Clinton Campaign in Virginia, June 2016)

"Going forward, Hillary will build on these efforts and fight to ensure that the savings from these reforms benefits families—not just insurance companies, drug companies, and large corporations. Defend the Affordable Care Act. Hillary will continue to defend the Affordable Care Act (ACA) against Republican efforts to repeal it. She'll build on it to expand affordable coverage, slow the growth of overall health care costs (including prescription drugs), and make it possible for providers to deliver the very best care to patients. Lower out-of-pocket costs like copays and deductibles. The average deductible for employer-sponsored health plans rose from $1,240 in 2002 to about $2,500 in 2013. American families are being squeezed by rising out-of-pocket health care costs. Hillary believes that workers should share in slower growth of national health care spending through lower costs. Reduce the cost of prescription drugs. Prescription drug spending accelerated from 2.5 percent in 2013 to 12.6 percent in 2014. It’s no wonder that almost three-quarters of Americans believe prescription drug costs are unreasonable. Hillary believes we need to demand lower drug costs for hardworking families and seniors. Transform our health care system to reward value and quality. Hillary is committed to building on delivery system reforms in the Affordable Care Act that improve value and quality care for Americans. Hillary will also work to expand access to rural Americans, who often have difficulty finding quality, affordable health care. She will explore cost-effective ways to broaden the scope of health care providers eligible for telehealth reimbursement under Medicare and other programs, including federally qualified health centers and rural health clinics. She will also call for states to support efforts to streamline licensing for telemedicine and examine ways to expand the types of services that qualify for reimbursement. Hillary is continuing a lifelong fight to ensure women have access to reproductive health care. As senator, she championed access to emergency contraception and voted in favor of strengthening a woman’s right to make her own health decisions. As president, she will continue defending Planned Parenthood, which provides critical health services including breast exams and cancer screenings to 2.7 million women a year." (hillaryclinton.com, 2015)

AFFORDABLE CARE ACT/OBAMACARE: "Defend the Affordable Care Act. Hillary will continue to defend the Affordable Care Act (ACA) against Republican efforts to repeal it. She'll build on it to expand affordable coverage, slow the growth of overall health care costs (including prescription drugs), and make it possible for providers to deliver the very best care to patients." (hillaryclinton.com, 2015)


 

 

Donald Trump (R)

"You're going to have plans that are so good, because we're going to have so much competition in the insurance industry. Once we break out -- once we break out the lines and allow the competition to come... President Obama, by keeping those lines, the boundary lines around each state, it was almost gone until just very toward the end of the passage of Obamacare, which, by the way, was a fraud. You know that, because Jonathan Gruber, the architect of Obamacare, was said -- he said it was a great lie, it was a big lie. President Obama said you keep your doctor, you keep your plan. The whole thing was a fraud, and it doesn't workBut when we get rid of those lines, you will have competition, and we will be able to keep pre-existing, we'll also be able to help people that can't get -- don't have money because we are going to have people protected. And Republicans feel this way, believe it or not, and strongly this way. We're going to block grant into the states. We're going to block grant into Medicaid into the states  so that we will be able to take care of people without the necessary funds to take care of themselves." (Trump; October 9, 2016)

AFFORDABLE CARE ACT/OBAMACARE: "It is such a great question and it's maybe the question I get almost more than anything else, outside of defense. Obamacare is a disaster. You know it. We all know it. It's going up at numbers that nobody's ever seen worldwide. Nobody's ever seen numbers like this for health care. It's only getting worse. In '17, it implodes by itself. Their method of fixing it is to go back and ask Congress for more money, more and more money. We have right now almost $20 trillion in debt. Obamacare will never work. It's very bad, very bad health insurance. Far too expensive. And not only expensive for the person that has it, unbelievably expensive for our country. It's going to be one of the biggest line items very shortly. We have to repeal it and replace it with something absolutely much less expensive and something that works, where your plan can actually be tailored.We have to get rid of the lines around the state, artificial lines, where we stop insurance companies from coming in and competing, because they want -- and President Obama and whoever was working on it -- they want to leave those lines, because that gives the insurance companies essentially monopolies. We want competition. You will have the finest health care plan there isShe wants to go to a single-payer plan, which would be a disaster, somewhat similar to Canada. And if you haven't noticed the Canadians, when they need a big operation, when something happens, they come into the United States in many cases because their system is so slow. It's catastrophic in certain ways. But she wants to go to single payer, which means the government basically rules everything. Hillary Clinton has been after this for years. Obamacare was the first step. Obamacare is a total disaster. And not only are your rates going up by numbers that nobody's ever believed, but your deductibles are going up, so that unless you get hit by a truck, you're never going to be able to use it." (Trump; October 9, 2016)

AFFORDABLE CARE ACT/OBAMACARE: "When I watch the deals being made, when I watch what's happening with some horrible things like Obamacare, where your health insurance and health care is going up by numbers that are astronomical, 68 percent, 59 percent, 71 percent..." (Trump; October 9, 2016)

AFFORDABLE CARE ACT/OBAMACARE: "In the coming days, we will be rolling out plans on all of these items. One of my first acts as President will be to repeal and replace disastrous Obamacare, saving another 2 million American jobs." (Trump, 2016)

AFFORDABLE CARE ACT/OBAMACARE: "We will repeal and replace disastrous Obamacare. You will be able to choose your own doctor again." (Trump, 2016)

PRE-EXISTING CONDITIONS: "I agree with that 100%, except pre-existing conditions, I would absolutely get rid of ObamaCare. I want to keep pre- existing conditions. It's a modern age, and I think we have to have it." (Trump, 2016)

INSURANCE EXCHANGES ACROSS STATELINES: "We should have gotten rid of the lines around the state so there's competition. The insurance companies are making a fortune on every single thing they do. You're going to see preexisting conditions, but the price will be down, and the insurance companies can pay. Yes, they will keep preexisting conditions, and that would be a great thing. Get rid of ObamaCare, we'll come up with new plans. But, we should keep preexisting conditions." (Trump, 2016)

"Congress must act. Our elected representatives in the House and Senate must: Completely repeal Obamacare. Our elected representatives must eliminate the individual mandate. No person should be required to buy insurance unless he or she wants to. Modify existing law that inhibits the sale of health insurance across state lines. As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up. Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system. Businesses are allowed to take these deductions so why wouldn’t Congress allow individuals the same exemptions? As we allow the free market to provide insurance coverage opportunities to companies and individuals, we must also make sure that no one slips through the cracks simply because they cannot afford insurance. We must review basic options for Medicaid and work with states to ensure that those who want healthcare coverage can have it. Allow individuals to use Health Savings Accounts (HSAs). Contributions into HSAs should be tax-free and should be allowed to accumulate. These accounts would become part of the estate of the individual and could be passed on to heirs without fear of any death penalty. These plans should be particularly attractive to young people who are healthy and can afford high-deductible insurance plans. These funds can be used by any member of a family without penalty. The flexibility and security provided by HSAs will be of great benefit to all who participate. Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals. Individuals should be able to shop to find the best prices for procedures, exams or any other medical-related procedure. Block-grant Medicaid to the states. Nearly every state already offers benefits beyond what is required i the current Medicaid structure. The state governments know their people best and can manage the administration of Medicaid far better without federal overhead. States will have the incentives to seek out and eliminate fraud, waste and abuse to preserve our precious resources. Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products. Congress will need the courage to step away from the special interests and do what is right for America. Though the pharmaceutical industry is in the private sector, drug companies provide a public service. Allowing consumers access to imported, safe and dependable drugs from overseas will bring more options to consumers. " (donaldjtrump.com, July 2016)

AFFORDABLE CARE ACT/OBAMACARE:  "As far as Obamacare is concerned, it's a disaster.  It is really kicking in in '16, it is going to be a tremendous negative for the country.  And here's the problem, it's terrible.  The rates are going up through the roof, you look at every aspect of Obamacare it's just not working.  And there are a lot of people who still don't have insurance, and the people who had good insurance now have bad insurance.  Their deductibles are through the roof, their rates are through the roof, and I hear more and more complaints.  Another thing that nobody talks about is doctors, I know so many doctors that are going to retire, they don't want to do it.  One of my friends who's a doctor said 'you know what, I have more accountants than I have nurses,' because of the complexity of it.  So it really does have to be changed, and ideally repealed and replaced...I want healthcare for everyone, and that's where I may be a little bit different than some of the people.  You can't let the people in this country that are the poor people, the people without the money or the resources, go without healthcare.  I just can't even imagine you're sick, and you can't even go to a doctor."  (Trump, 2015)


 

 

Gary Johnson (L)

"Well, if you’re talking about health care and the reforms needed for health care, the reforms needed for health care are genuine free-market approaches to healthcare. I reject the notion that we have insurance to cover ourselves for ongoing medical need. It’s really crazy. In a free-market approach to health care, we would have insurance to cover ourselves for catastrophic injury and illness, and we would pay as you go in a system that I’m going to guess would cost about one-fifth of what it costs right now. It would be cash and carry. It would be “Stitches R Us”, it would be “Gallbladders R Us”, “X-rays R Us”. It would be advertised pricing. It would be advertised outcomes. Something that today, you go to the doctor, you have no idea what it’s going to cost — you have no idea what the outcome’s going to be, and when you see the bill you know that nobody’s really going to pay the amount that’s on that bill."  (Johnson, 2016)
 
"Well, both of us having been governors of our respective states, look, there should be a safety net out there regarding health care, and in no way are we saying that the safety net should be eliminated. President Obama's health care plan - at the end of the day, I'm looking to get elected president of the United States. So I am going to sign onto any initiatives, really, that bring a free-market approach to health care. My insurance premiums currently have quadrupled. I haven't seen a doctor in three years. I'm agreeing with Chief Justice Roberts that it is a tax. And bringing free-market approach to health care, we would not have insurance to cover ourselves for ongoing medical need. We would have insurance to cover ourselves for catastrophic injury and illness. And if we could bring genuine competition to health care, health care would be one-fifth the cost of what it is right now. You would have Stitches R Us. You would have advertised pricing with outcomes that you - you'd see published outcomes. Something that right now, when any of us go to the doctor, we have no idea what it's going to cost, we have no idea what the outcome is going to be. We get a bill. We know that nobody is going to actually pay the amount of money that's on that bill. Well, if there were a free market for health care, I think you'd see dramatic savings, and it's all about savings. Look, it's all about savings, it's all about more effective delivery of health care." (Johnson, 2016)
 
AFFORDABLE CARE ACT/OBAMACARE:  "I think this is a torpedo in a sinking ship" (Johnson, 2012)