This election has come down to two, polar opposite, candidates. Both seem to vehemently attack each other in a battle of wits, without really describing their own policies and views. This weeks lecture really allowed me to see what both candidates have to offer in terms of health care.
First lets look at Hilary’s plan for the future of U.S. health care. She hopes to keep the ACA in place, while expanding some of it where applicable. A big point in her plan is to make a “public option” available. She is going to push for lower health care costs, especially when it comes to prescription drugs, copays, and deductibles. She also wants to expand access of healthcare for those incapable of affording rising costs. Lastly she is really pushing for more funding for community health centers to boost the availability and quality of primary care services. These are all great things to strive for but personally I feel like they’re a bit unreasonable. First, opening foreign drug companies to sell their products in the U.S. is not as easy as it sounds. The FDA takes quite a while to do full reports on products, for example, the FDA still has took multiple years come out with a formal report on E-cigarettes or Vape pens, think how long it will take drugs to get approved, the standards of other countries differ greatly from ours. Also I feel like that once drugs are allowed to be sold within the U.S., it will drive U.S. based drug companies to compete and possibly lose profits against lower priced foreign drugs. The major issue and weakness of her plan is regarding the sustainability. She wants to increase funding in some areas while providing free care in others. How will her plan sustain itself and how long will it last a system where funds are going to spent more than created? I understand she plans to raise taxes, but will that be enough? Healthcare isn’t going to be the only place tax money is going to used, if anything it’s just a small part. Hilary has some great plans for this country but how will she follow through with it, and seeing the ACA already starting to have some issues (i.e. the rise in health care costs this coming year, drastic increase), will she be able to keep her plan afloat?
Now on to Mr. Trump and his plan for health care. The biggest part of his plan is the fact that he plans to completely repeal the ACA. Also he wants to allow insurance companies to pay across state lines to increase competition. He is also am avid supporter of having people get HSA’s, especially younger, healthy, people. Like Hilary, he wants price transparency so consumers can “shop around” for the best deal. Also similar to Hilary, he wants to allow the import of foreign drugs to drive competition up. Trump, however, does not want to give healthcare to immigrants. Regarding medicaid, he would block-grant medicaid for each state as he feels each states knows their people best. Trump has a much weaker plan in the sense that it really isn’t a fully formed package. Not to say he wouldn’t have a better game plan later on, but currently this is more a skeleton plan than anything, so there is not as much to work with compared to Hilary. He shares some similar ideas with her, like opening the export of drugs and price transparency. The price transparency is something I can agree with, as some insurance companies will charge much more for the same procedure than others and consumers should be able to weigh their options. When it comes to the complete dissolution of the ACA (please be aware this is my opinion) I see that as a strength. The current ACA tried to accomplish too much in such a short period of time. People want things as quick as possible in today’s society and the ACA promised so much but is becoming a bigger problem than solution. It has some good parts that I seriously think are awesome, but as a whole it cannot function. By dissolving the ACA we would have the opportunity to take it slow and work on things piece by piece, not rush into something problematic. However I think his ideas on open drug import is a weakness for the same reason as stated with Hilary. The weakness of his plan overall is the fact that it centers completely around getting rid of the ACA, but what happens after that? He really hasn’t created a major plan to replace it. Trump is using shock and awe by talking about removing the ACA but really does not talk about where we go from there, and for that reason I really question what health care would really look like under him.
Which candidate has the better plan for the future of American Health care? Is one plan completely perfect, without flaw? What is something that these plans are missing in your opinion?