Ensure the Health and Safety of All Americans
Democrats have been fighting to secure universal health care for the American people for generations, and we are proud to be the party that passed Medicare, Medicaid, and the Affordable Care Act (ACA). Being stronger together means finally achieving that goal. We are going to fight to make sure every American has access to quality, affordable health care. We will tackle the problems that remain in our health care system, including cracking down on runaway prescription drug prices and addressing mental health with the same seriousness that we treat physical health. We will fight Republican efforts to roll back the clock on women’s health and reproductive rights, and stand up for Planned Parenthood. And we will tackle the epidemics of substance abuse and gun violence, which each claim tens of thousands of lives every year.
Securing Universal Health Care
Democrats believe that health care is a right, not a privilege, and our health care system should put people before profits. Thanks to the hard work of President Obama and Democrats in Congress, we took a critically important step toward the goal of universal health care by passing the Affordable Care Act, which has covered 20 million more Americans and ensured millions more will never be denied coverage because of a pre-existing condition. Democrats will never falter in our generations-long fight to guarantee health care as a fundamental right for every American. As part of that guarantee, Americans should be able to access public coverage through a public option, and those over 55 should be able to opt in to Medicare. Democrats will empower the states, which are the true laboratories of democracy, to use innovation waivers under the ACA to develop unique locally tailored approaches to health coverage. This will include removing barriers to states which seek to experiment with plans to ensure universal health care to every person in their state. By contrast, Donald Trump wants to repeal the ACA, leaving tens of millions of Americans without coverage.
For too many of us, health care costs are still too high, even for those with insurance. And medical debt is a problem for far too many working families, with one-quarter of Americans reporting that they or someone in their household had problems or an inability to pay medical bills in the past year. Democrats will also work to end surprise billing and other practices that lead to out-of-control medical debt that place an unconscionable economic strain on American households. We will repeal the excise tax on high-cost health insurance and find revenue to offset it because we need to contain the long-term growth of health care costs, but should not risk passing on too much of the burden to workers. Democrats will keep costs down by making premiums more affordable, reducing out-of-pocket expenses, and capping prescription drug costs. And we will fight against insurers trying to impose excessive premium increases.
Democrats will fight any attempts by Republicans in Congress to privatize, voucherize, or “phase out” Medicare as we know it. And we will oppose Republican plans to slash funding and block grant Medicaid and SNAP, which would harm millions of Americans.
We will keep fighting until the ACA’s Medicaid expansion has been adopted in every state. Nineteen states have not yet expanded Medicaid. This means that millions of low-income Americans still lack health insurance and are not getting the care they need. Additionally, health care providers, clinics, hospitals, and taxpayers are footing a higher bill when people without insurance visit expensive emergency rooms.
Democrats believe your zip code or census tract should not be a predictor of your health, which is why we will make health equity a central part of our commitment to revitalizing communities left behind. Democrats believe that all health care services should be culturally and linguistically appropriate, and that neither fear nor immigration status should be barriers that impede health care access.
Supporting Community Health Centers
We must renew and expand our commitment to Community Health Centers, as well as community mental health centers and family planning centers. These health centers provide critically important, community-based prevention and treatment in underserved communities, prevent unnecessary and expensive trips to emergency rooms, and are essential to the successful implementation of the ACA. We will fight for a comprehensive system of primary health care, including dental, mental health care, and low-cost prescription drugs by doubling of funding for federally qualified community health centers over the next decade, which currently serve 25 million people.
Democrats also know that one of the key ingredients to the success of these health centers is a well-supported and qualified workforce in community-based settings. We will fight to train and support this workforce, encourage providers to work with underserved populations through the National Health Service Corps, and create a comprehensive strategy to increase the pool of primary health care professionals.
Reducing Prescription Drug Costs
It is unacceptable that the United States pays, by far, the highest prices in the world for prescription drugs and that too many Americans between the ages of 18 and 64 cannot afford to fill their prescriptions. A lifesaving drug is no good if it is unaffordable to the very people who need it most. And many drug companies are spending more on advertising than on research. The largest pharmaceutical companies are making billions of dollars per year in profits at higher margins compared to other industries while many stash their profits in offshore tax havens. Meanwhile, they charge Americans thousands of dollars for new drugs—often at much higher costs than in other developed nations. Democrats are committed to investing in the research, development, and innovation that creates lifesaving drugs and lowers overall health costs, but the profiteering of pharmaceutical companies is simply unacceptable.
We will crack down on price gouging by drug companies and cap the amount Americans have to pay out-of-pocket every month on prescription drugs. We will prohibit anti-competitive “pay for delay” deals that keep generic drugs off the market, and we will allow individuals, pharmacists, and wholesalers to import prescription drugs from licensed pharmacies in Canada and other countries with appropriate safety protections. Democrats will also fight to make sure that Medicare will negotiate lower prices with drug manufacturers.
Enabling Cutting-Edge Medical Research
Democrats believe we must accelerate the pace of medical progress, ensuring that we invest more in our scientists and give them the resources they need to invigorate our fundamental studies in the life sciences in a growing, stable, and predictable way. We must make progress against the full range of diseases, including Alzheimer’s, HIV and AIDS, cancer, and other diseases, especially chronic ones. We recognize the critical importance of a fully-funded National Institutes of Health to accelerate the pace of medical progress.
Combating Drug and Alcohol Addiction
We must confront the epidemic of drug and alcohol addiction, specifically the opioid crisis and other drugs plaguing our communities, by vastly expanding access to prevention and treatment, supporting recovery, helping community organizations, and promoting better practices by prescribers. The Democratic Party is committed to assisting the estimated 20 million people struggling with addiction in this country to find and sustain healthy lives by encouraging full recovery and integration into society and working to remove common barriers to gainful employment, housing, and education. We will continue to fight to expand access to care for addiction services, and ensure that insurance coverage is equal to that for any other health conditions. We think it is time for the Department of Health and Human Services (HHS), the Department of Labor, and state regulatory agencies to fully implement the protections of the Mental Health Parity and Addictions Equity Act of 2008—which means that American medical insurers, including the federal government, will need to disclose how they make their medical management decisions.
We should also do more to educate our youth, as well as their families, teachers, coaches, mentors, and friends, to intervene early to prevent drug and alcohol abuse and addiction. We should help state and local leaders establish evidence-based, age-appropriate, and locally-tailored prevention programs. These programs include school-based drug education programs that have been shown to have meaningful effects on risky behavior; community-based peer mentorship and leadership programs; and after-school activities that deter drug use and encourage life skills.
Treating Mental Health
We must treat mental health issues with the same care and seriousness that we treat issues of physical health, support a robust mental health workforce, and promote better integration of the behavioral and general health care systems. Recognizing that maintaining good mental health is critical to all people, including young people’s health and development, we will work with health professionals to ensure that all children have access to mental health care. We must also expand community-based treatment for substance abuse disorders and mental health conditions and fully enforce our parity law. And we should create a national initiative around suicide prevention across the lifespan—to move toward the HHS-promoted Zero Suicide commitment.
Supporting Those Living with Autism and their Families
Democrats believe that our country must make supporting the millions of individuals with autism and those diagnosed in the future and their families a priority. We will conduct a nationwide early screening outreach campaign to ensure that all children, and in particular children from underserved backgrounds, can get screened for autism. We will expand services and support for adults and individuals transitioning into adulthood, including employment and housing assistance. And we will push states to require health insurance coverage for autism services in private insurance plans as well as state marketplaces so that people with autism are not denied care.
Securing Reproductive Health, Rights, and Justice
Democrats are committed to protecting and advancing reproductive health, rights, and justice. We believe unequivocally, like the majority of Americans, that every woman should have access to quality reproductive health care services, including safe and legal abortion—regardless of where she lives, how much money she makes, or how she is insured. We believe that reproductive health is core to women’s, men’s, and young people’s health and wellbeing. We will continue to stand up to Republican efforts to defund Planned Parenthood health centers, which provide critical health services to millions of people. We will continue to oppose—and seek to overturn—federal and state laws and policies that impede a woman’s access to abortion, including by repealing the Hyde Amendment. We condemn and will combat any acts of violence, harassment, and intimidation of reproductive health providers, patients, and staff. We will defend the ACA, which extends affordable preventive health care to women, including no-cost contraception, and prohibits discrimination in health care based on gender.
We will address the discrimination and barriers that inhibit meaningful access to reproductive health care services, including those based on gender, sexuality, race, income, disability, and other factors. We recognize that quality, affordable comprehensive health care, evidence-based sex education and a full range of family planning services help reduce the number of unintended pregnancies and thereby also reduce the need for abortions.
And we strongly and unequivocally support a woman’s decision to have a child, including by ensuring a safe and healthy pregnancy and childbirth, and by providing services during pregnancy and after the birth of a child, including adoption and social support services, as well as protections for women against pregnancy discrimination. We are committed to creating a society where children are safe and can thrive physically, emotionally, educationally, and spiritually. We recognize and support the importance of civil structures that are essential to creating this for every child.
Ensuring Long-Term Care, Services, and Supports
Our country faces a long-term care crisis that prevents too many seniors and people with disabilities from being able to live with dignity at home or in their communities. The vast majority of people who are aging or living with a disability want to do so at home, but face challenges finding and affording the support they need to do so. Programs that emphasize independence rather than institutionalization must be better structured to support them. Democrats will take steps to strengthen and expand the home care workforce, give seniors and people with disabilities access to quality, affordable long-term care, services, and supports, and ensure that all of these resources are readily available at home or in the community.
Protecting and Promoting Public Health
Investment in our nation’s crumbling public health infrastructure is critical to ensuring preparedness for emerging threats; for preventing disease, illness, and injury in communities; and for promoting good health and wellbeing. Inadequate access to public health services has a disparate impact on poor, rural, and minority communities where public health services are a significant source of health care. Democrats will fight for increased investments in public health to better address emerging threats and the needs across our country. To further that end, the Democratic Party will continue to oppose Republican attempts to cut public health services and funding. We will ensure adequate funding of public health education at the undergraduate, graduate, and medical school levels as well as adequate funding of residency training programs in public health, preventive medicine, and its subspecialties.
We must take a number of proactive steps so that all Americans—regardless of location, income or history—have the opportunity to live full, healthy lives. Democrats will fight for increased investments and coordination in public health to better address emerging threats as well as persistent needs across our country. Health equity among Americans remains elusive—higher income is strongly associated with longer life expectancy and the gap in life expectancy between the richest and poorest Americans is increasing. We continue to see unacceptable differences in health outcomes by race, ethnicity, and sexual orientation. A growing body of research demonstrates the link between social factors—such as poverty, unemployment, experience of discrimination, and housing instability—and poor health. Democrats will continue to pursue policies addressing these social factors and empowering communities to respond to their most pressing health needs.
Ending Violence Against Women
Democrats are committed to ending the scourge of violence against women wherever it occurs —whether in our homes, streets, schools, military, or elsewhere. We will continue to support the Violence Against Women Act to provide law enforcement with the tools it needs to combat this problem. We will support comprehensive services for survivors of violence and increase prevention efforts in our communities and on our campuses. Democrats will fight to bring an end to sexual assault—wherever it occurs, including on campuses— because everyone deserves a safe environment where they can learn and thrive, not live in fear. We will provide comprehensive support to survivors, and ensure a fair process for all on-campus disciplinary proceedings and in the criminal justice system. We will increase sexual violence prevention education programs that cover issues like consent and bystander intervention, not only in college, but also in secondary school.
Preventing Gun Violence
With 33,000 Americans dying every year, Democrats believe that we must finally take sensible action to address gun violence. While responsible gun ownership is part of the fabric of many communities, too many families in America have suffered from gun violence. We can respect the rights of responsible gun owners while keeping our communities safe. To build on the success of the lifesaving Brady Handgun Violence Prevention Act, we will expand and strengthen background checks and close dangerous loopholes in our current laws; repeal the Protection of Lawful Commerce in Arms Act (PLCAA) to revoke the dangerous legal immunity protections gun makers and sellers now enjoy; and keep weapons of war—such as assault weapons and large capacity ammunition magazines (LCAM's)—off our streets. We will fight back against attempts to make it harder for the Bureau of Alcohol, Tobacco, Firearms, and Explosives to revoke federal licenses from law breaking gun dealers, and ensure guns do not fall into the hands of terrorists, intimate partner abusers, other violent criminals, and those with severe mental health issues. There is insufficient research on effective gun prevention policies, which is why the U.S. Centers for Disease Control and Prevention must have the resources it needs to study gun violence as a public health issue.