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Have They No Shame?

Republicans are Citing a Bill that Undermines Protections for People with Pre-Existing Conditions to Say They Are Protecting Them

Faced with mounting pressure against their constant war on health care to undermine protections for people with pre-existing conditions like cancer, diabetes and heart disease, Republicans are rewriting history. In their ads and their responses to charges they undermine these key protections, Republicans falsely cast themselves as defenders of people with pre-existing conditions. Reps. David Young (R-IA), John Faso (R-NY), Dana Rohrabacher (R-CA), Kevin Cramer (R-ND), and Mike Bishop (R-MI), just to name a few, have all said they were on the side of people with pre-existing conditions.

What is even more galling is they are using, in part, their vote to repeal the Affordable Care Act to substantiate this claim.

Let’s be clear: Last year, Republicans voted for a health repeal bill – the so-called American Health Care Act – that would have gutted protections for people with pre-existing conditions.

Here are the facts:

  • The House repeal bill allowed insurance companies to charge people with pre-existing conditions more. Thanks to an amendment offered by Rep. Tom MacArthur (R-NJ) and others, the American Health Care Act allowed states to eliminate community rating, meaning insurers would be able to charge people with pre-existing conditions more. This surcharge could be in the tens of thousands of dollars and even six figures: up to $4,270 for asthma, $17,060 for pregnancy, $26,180 for rheumatoid arthritis and $140,510 for metastatic cancer.
  • The House repeal bill would have resulted in less comprehensive coverage, meaning higher costs for people with pre-existing conditions. The American Health Care Act allowed states to waive the requirement that insurance companies cover the ten essential health benefits established by the Affordable Care Act (ACA). Removing these guaranteed benefits would mean insurance companies would be less likely to offer comprehensive coverage. As a result, people with pre-existing conditions would be forced to pay more to get the coverage they need. These ten essential health benefits include ambulatory services, emergency services, hospitalization, maternity care, mental health and substance use disorder services, prescription drugs, rehabilitative and habilitative services, laboratory services, preventive services, and pediatric services.
  • The Upton Amendment did not protect people with pre-existing conditions. In an effort to win over Republicans who were holding their support of the House health repeal bill until the last minute, Rep. Fred Upton (R-MI) added an amendment to provide $8 billion for states that establish high risk pools. First, the funding included in the amendment was inadequate. Second, high risk pools do not provide the security for people with pre-existing conditions as they get under the Affordable Care Act. They often lead to higher premiums and less care. The American Medical Association said high risk pools result in “second-class health care coverage – if they are able to obtain coverage at all.”

Don’t take our word for it. Here is what patient advocacy and provider organizations said at the time about the House repeal bill:

  • American Medical Association: “The bill passed by the House today will result in millions of Americans losing access to quality, affordable health insurance and those with pre-existing health conditions face the possibility of going back to the time when insurers could charge them premiums that made access to coverage out of the question. Action is needed, however, to improve the current health care insurance system.
  • The American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, March of Dimes, And Others: Weakening protections in favor of high-risk pools would also undermine the ban on discrimination based on health status. The individuals and families we represent cannot go back to a time when people with pre-existing conditions could be denied coverage or forced to choose between purchasing basic necessities and affording their health care coverage.”
  • American Cancer Society Cancer Action Network: “Today the House of Representatives passed a health care bill that could leave cancer patients, survivors and those at risk for the disease unable to access or keep quality health insurance. The bill would create a coverage patchwork whereby patients with pre-existing conditions could be charged more for their coverage while simultaneously weakening the rules for what health services will be covered.”
  • American Association Of Family Physicians: “This legislation will harm millions of their constituents. It will destabilize our health care system, cause 24 million Americans to lose their coverage, and allow for discrimination against patients based on their gender, age, and health status. Its inadequate and temporary high-risk pool funds are simply a band aid that does nothing to provide health security to the nearly one in three Americans who have a pre-existing condition.
  • America’s Essential Hospitals: “This is not reform. This is legislation that will take us back to a time when working individuals and families were forced to choose between health care coverage and life’s other necessities. In fact, it will leave us in a worse place than before the law it seeks to replace, the Affordable Care Act.”

Of Course Trump’s First Veto Threat Would Gut Pre-existing Conditions Protections–He’s Been Attacking Health Care Since Day One

Washington, DC – Upon President Trump’s first-ever veto threat of Senator Tammy Baldwin (D-WI)’s resolution to block insurers from selling short-term, junk insurance plans, Leslie Dach, chair of Protect Our Care, issued the following statement:

Trump’s first ever act as President was about rolling back American health care and now his first ever veto threat is about ensuring his sabotage that started that day continues — go figure. By pushing junk insurance plans, and wielding veto threats when Senators stand up to them, Trump is making it clear once and for all he’s on the side of more profit for big insurance and less health care for the American people.”

Trump Has Been Falsely Claiming He Supports Pre-existing Conditions Protections on the Campaign Trail

Politifact: “Trump’s Pants on Fire Claim About Democrats, Pre-existing Conditions” [Oct 5, 2018]

Factcheck.org: “Trump Misleads on Pre-existing Conditions” [Oct 2, 2018]

Politifact: “Trump [is]…on the side of those whose lawsuit would effectively end protections…for people with pre-existing conditions” [Sept 30, 2018]

Short-term Plans Hurt People with Pre-existing Conditions

Short-Term Plans Can Exclude Coverage For Pre-Existing Conditions. “Policyholders who get sick may be investigated by the insurer to determine whether the newly-diagnosed condition could be considered pre-existing and so excluded from coverage.” [Kaiser Family Foundation, 2/9/18]

  • As Many As 130 Million Nonelderly Americans Have A Pre-Existing Condition. [Center for American Progress, 4/5/17]
  • One in 4 Children Would Be Impacted If Insurance Companies Could Deny Coverage Or Charge More Because Of A Pre-existing Condition. [Center for American Progress, 4/5/17]

Junk Plans Mean Higher Premiums For People With Pre-Existing Conditions. “By promoting short-term policies, the administration is making a trade-off: lower premiums and less coverage for healthy people, and higher premiums for people with preexisting conditions who need more comprehensive coverage.” [Washington Post, 5/1/18]

Short-Term Junk Plans Can Refuse To Cover Essential Health Benefits. “Typical short-term policies do not cover maternity care, prescription drugs, mental health care, preventive care, and other essential benefits, and may limit coverage in other ways.” [Kaiser Family Foundation, 2/9/18]

Under Many Short-Term Junk Plans, Benefits Are Capped At $1 Million Or Less. Short-term plans can impose lifetime and annual limits –  “for example, many policies cap covered benefits at $1 million or less.” [Kaiser Family Foundation, 2/9/18]

For more information, see Protect Our Care’s fact sheet on short-term junk plans.

HealthCare.Gov Sabotage, Version 2.0

Scheduled Site Maintenance During Open Enrollment Period is Latest Act of Trump-GOP Health Care Sabotage  

Washington, D.C. – The upcoming open enrollment period will share certain features of last year’s: a drastically shortened schedule, deep cuts to marketing and outreach budgets, and – according to media reports from today – the Trump administration will again be shutting down HealthCare.gov on the first day of open enrollment, as well as five out of the six Sundays during the upcoming open enrollment period (November 1, 2018 through December 15, 2018). In total, HealthCare.gov – which is used by millions of people in 38 states – will be down for more than three full days during a truncated open enrollment period. In response, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

 

“There can be no doubt that the Trump Administration literally wants to stand in between people and the health care coverage they need, since they are once again purposely shutting down the website people need to use to sign up for coverage at the very time when they need it most. This cynical move comes after the Trump Administration cut the open enrollment period in half, slashed advertising by ninety percent, exacted drastic cuts to the Navigator program all while asking them to be mouthpieces for junk insurance plans. It’s shameful.”

 

HERE ARE ALL THE WAYS THE GOP HAS SABOTAGED OPEN ENROLLMENT

 

  • In July, the Trump Administration slashed funding for non-profit health navigator groups that help people shop for coverage, from $36 million to $10 million. CMS encourages groups to use the remaining funds to push people to sign up for junk plans that skirt important consumer protections.
  • In April, the Trump Administration limited access to assistance for consumers who want to enroll in marketplace coverage. This change removed the requirement that every area has at least two “navigator” groups to provide consumer assistance and that one be local. Now, just one group could cover entire states or groups of states.
  • In October 2017, The Trump Administration dramatically cut in-person assistance to help people sign up for 2018 health coverage.
  • Last September, the Administration ordered the Department of Health and Human Services’ regional directors to stop participating in Open Enrollment events. Mississippi Health Advocacy Program Executive Director Roy Mitchell said, “I didn’t call it sabotage…But that’s what it is.”
  • Last August, the Administration cut the outreach advertising budget for Open Enrollment by 90 percent, from $100 million to just $10 million.
  • Last July,the Trump Administration used funding intended to support health insurance enrollment to launch a multimedia propaganda campaign against the Affordable Care Act.
  • In April 2017, the Trump Administration cut the number of days people could sign up for coverage during open enrollment by half, from 90 days to 45 days.
  • On Trump’s first day in office, the Department of Health and Human Services began to remove information on how to sign up for the Affordable Care Act.
  • Also in January 2017, the Trump Administration pulled funding for outreach and advertising for the final days of 2017 enrollment. This move is estimated to have reduced enrollment by nearly 500,000.

North Dakota Leaders Stand Up to Say, “It’s Time to End the Republican War on Health Care”

Local Health Care Advocates Join Protect Our Care to Call for an End to GOP Attacks on North Dakotans’ Health Care

Jennifer Westemeyer holds up a photo of her daughter, Allison, in Fargo.

NORTH DAKOTA – Today, Protect Our Care’s nationwide bus tour arrived in North Dakota to call attention to the ongoing Republican war on health care care. Headlined by State Senator Jim Dotzenrod, former State Senator Mac Schneider, and cancer survivor Laura Packard, events in Bismarck and Fargo highlighted the actions Republicans are taking to harm North Dakotans’ care and called on Attorney General Wayne Stenehjem to work instead to protect our care.

“The House has voted 65 times to take away protections for pre-existing conditions,” said State Senator Jim Dotzenrod,” who went on to voice his disagreement with Attorney General Stenehjem’s decision to join the GOP-backed lawsuit seeking to overturn the Affordable Care Act. “If that is successful, it will take about $27 million away from rural hospitals in this state, and that hit will be the end of the road for many hospitals. We cannot take a hit like that.”

Senator Dotzenrod’s anguish was shared by former State Senator Schneider.

“There’s scarcely a more personal kitchen table issue than health care,” said Schneider. “Something I see over and over again are hard-working North Dakotans who through no fault of their own are diagnosed with cancer or diabetes or another condition… The important protections for North Dakotans are threatened through this unwise lawsuit brought by a group of attorneys down in Texas.”

The consequences of such a decision were made clear by West Fargo resident Jennifer Restemeyer, whose daughter Allison was born with a rare genetic disorder.

“In 2010, she was at $1.75 million of her $2 million max that our employer-based insurance company had for her. We didn’t know what we were going to do,” Restemeyer said. “Thanks to the Affordable Care Act, she was able to stay on our health care and receive the medication that is keeping her as healthy as she is now,”

Restemeyer’s story of benefitting under the ACA was echoed by Packard, who explained why the bus tour is traveling 11,000 miles across country.

“I’m alive because of the Affordable Care Act,” said Packard. “I’m a stage four cancer survivor and I’m on this tour to defend our attacks against the GOP. President Trump may have blocked me on Twitter, but he can’t stop me and the American people from fighting to protect our care.”

State Senator Dotzenrod, former State Senator Scheider, Restemeyer, and Packard were joined by Suzy Fitterer, whose daughters were born as conjoined twins and underwent extensive care, which she worries would be jeopardized should health care be repealed, and Kristie Wolff, whose son was born with autism, a lifelong pre-existing condition, whose care could be at risk if Republicans get their way.

At today’s event, North Dakota residents, health care advocates, elected officials, and members of Protect Our Care detailed the numbers ways in which Republicans have attacked health care, and how these actions have cut coverage and increased costs for North Dakotans. Because of the Republican repeal-and-sabotage agenda:

  • North Dakotans will see their premiums rise by an average of 7.4 percent next year. It’s expected that 40 year old North Dakotans will face paying an extra $990 for marketplace coverage in 2019 because of Republican sabotage of the health care market.
  • In North Dakota, out of pocket costs for older people could have increased by as much as $11,461 by 2026 if the House-passed American Health Care Act had become law.
  • North Dakota expanded Medicaid under the ACA and the 20,000 North Dakotans who have gained coverage because of this program would find their care at risk if the law were repealed.
  • Junk insurance plans that charge money for skimpy coverage could return to North Dakota and 14,000 North Dakotans could lack comprehensive coverage in 2019 because they will either become uninsured or will be enrolled in junk plans that don’t provide key health benefits.
  • 20,000 North Dakotans who have obtained health insurance through the ACA marketplace could lose their coverage if a judge sides with North Dakota Attorney General Wayne Stenehjem, President Trump and the GOP in their lawsuit; and protections for 316,000 North Dakotans living with a pre-existing condition would be in jeopardy.
  • Hundreds of billions of dollars have been cut from Medicare.
  • Dozens of hospitals in rural areas have closed, exacerbating the care and coverage gaps that exist for families in America’s rural communities.
  • Representative Kevin Cramer voted for and passed a health care repeal bill that would cause 23 million people to lose coverage and gut protections for people with pre-existing condition; voted for a budget amendment that would cut Medicaid by $700 billion over ten years, $114 billion in a single year alone; voted for a tax scam that doubled as a sneaky repeal of the Affordable Care Act  by kicking 13 million people off of their insurance and raising premiums by double digits for millions more.

Tomorrow, “Care Force One” will head to Billings, Montana. For more information, please visit protectourcarebustour.com.

“A Threat to Many Millions”: Those Who Know Best Say Trump’s Junk Plans are the Worst

On the eve of Senate Democrats work to force a vote to overturn Trump’s junk plans expansion, America’s leading health care providers and advocates filed amicus briefs in support of the plaintiffs who sued last month to block President Trump’s short-term, limited duration insurance (STLDI) “junk insurance” rule. The rule, which went into effect last week, would permit people to stay on junk plans that, among other problems, don’t cover people with pre-existing conditions for up to a year. Here’s what the medical experts said in their briefs:

American Medical Association And Seven Physician Organizations: Junk Plans “Will Be Devastating To The Health, Well-being, And Pocketbooks Of Millions Of Americans.”

“A key part of this mission is providing as many of their members’ patients as possible with affordable, meaningful health coverage. As courts have recognized again and again, this is the same goal as underpins the Affordable Care Act itself.3 The 2018 Short-Term, Limited Duration Insurance (STLDI) Rule is antithetical to this shared goal. The Rule will be devastating to the health, well-being, and pocketbooks of millions of Americans—and disproportionately so for women, children, and the chronically ill…One need “not express any opinion on the wisdom of the Affordable Care Act” to recognize that allowing the 2018 STLDI Rule to go forward will sabotage the ACA’s crucial reforms.” [AMA et al., 10/5/18]

American Cancer Society And Other Patient Groups: “The Rule Poses A Very Real Threat To The Health Of Many Millions Of Americans.”

“As detailed below, the availability of affordable, accessible, and adequate health insurance is critical to health outcomes. The challenged rule, however, ensures that a greater number of individuals will purchase plans that deny coverage for, and thereby deny access to, critical treatments if and when they are needed, and that individuals with existing health conditions will incur greater expense in accessing the treatment they need. In so doing, the rule poses a very real threat to the health of many millions of Americans.” [American Cancer Society et al., 10/8/18]

AARP: If Not Enjoined, The STLDI Rule Will Return The Nation To A Pre-ACA Health Coverage Landscape—An Untenable Situation For Those Who Do Not Have Access To Coverage Through Their Employer Or Public Programs Such As Medicare And Medicaid.”

“If not enjoined, the STLDI rule will return the nation to a pre-ACA health coverage landscape—an untenable situation for those who do not have access to coverage through their employer or public programs such as Medicare and Medicaid…The STLDI Rule will also expand the reach of coverage that discriminates against older adults. Because STLDI issuers are not required to comply with the consumer protection provisions contained in the ACA, STLDI plans can deny coverage or charge higher premiums based on a person’s health or preexisting conditions. These insurers are also allowed to charge an older person significantly higher premiums based purely upon their age.” [AARP, 10/8/18]

Baldwin Files Discharge Petition to Protect People with Pre-existing Conditions from Trump’s Junk Plans. Will Republicans Stand Up?

Washington, D.C. – Following Senator Tammy Baldwin (D-WI) filing a discharge petition to force a vote on her resolution to block insurers from selling the Trump Administration’s short-term, junk insurance plans, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

“Now it’s time for Senate Republicans who all of the sudden claim to be protectors of people with pre-existing conditions to step up and prove it. If the GOP truly cared about protecting Americans with pre-existing conditions, they would join their Democratic colleagues on this resolution in taking concrete action to preserve the protections and essential health benefits that tens of millions of Americans depend on. Forgive us, though, if we don’t hold our breath waiting on them to do so.”

Short-term Plans Hurt People with Pre-existing Conditions

Short-Term Plans May Exclude Coverage For Pre-Existing Conditions. “Policyholders who get sick may be investigated by the insurer to determine whether the newly-diagnosed condition could be considered pre-existing and so excluded from coverage.” [Kaiser Family Foundation, 2/9/18]

  • As Many As 130 Million Nonelderly Americans Have A Pre-Existing Condition. [Center for American Progress, 4/5/17]
  • One in 4 Children Would Be Impacted If Insurance Companies Could Deny Coverage Or Charge More Because Of A Pre-existing Condition. [Center for American Progress, 4/5/17]

Junk Plans Mean Higher Premiums For People With Pre-Existing Conditions. By promoting short-term policies, the administration is making a trade-off: lower premiums and less coverage for healthy people, and higher premiums for people with preexisting conditions who need more comprehensive coverage.” [Washington Post, 5/1/18]

Short-Term Junk Plans Can Refuse To Cover Essential Health Benefits. “Typical short-term policies do not cover maternity care, prescription drugs, mental health care, preventive care, and other essential benefits, and may limit coverage in other ways.” [Kaiser Family Foundation, 2/9/18]

Under Many Short-Term Junk Plans, Benefits Are Capped At $1 Million Or Less. Short-term plans can impose lifetime and annual limits –  “for example, many policies cap covered benefits at $1 million or less.” [Kaiser Family Foundation, 2/9/18]

For more information, see Protect Our Care’s fact sheet on short-term junk plans.

Here We Go Again: Mike Braun Rewriting His Own History During Senate Debate

Washington, DC – Last night, Mike Braun continued his desperate attempt to convince Hoosiers that he would defend protections for people with pre-existing during his debate against Senator Joe Donnelly, a true leader who has worked tirelessly to protect health care for all Americans. Brad Woodhouse, executive director of Protect Our Care, issued the following statement in response to Bruan’s claims, which were called out by AP factcheckers during debate:

 

“Once again, Mike Braun isn’t being honest with the people of Indiana, who want their leaders to protect health care. Braun ought to get four-pinocchios everytime he mentions keeping protections for people with pre-existing conditions since he has consistently tried to gut protections for people with conditions like cancer, diabetes or heart disease. Let’s be clear, the facts are the facts. Braun has one goal and one goal only — to end health care for all Hoosiers, no matter the cost.”

 

ADDITIONAL BACKGROUND:

 

What Braun Said:

“I would never be for any replacement of the Affordable Care Act unless it covered pre-existing conditions.” [AP, 10/9/2018]

 

What Braun Has Done:

Braun Is Campaigning On The Repeal Of The Affordable Care Act. On the subject of the ACA, his website reads, “There is no repairing this broken law; the only option is to repeal and replace every word and regulation.” [Braun For Indiana, Accessed 8/14/18]

 

  • Braun: “We Must Repeal Obamacare, Not Repair It.”  “Government is not the driver of new job creation or economic prosperity. And too often it gets in the way with onerous regulations and sky-high taxes. President Trump’s work to remove burdensome red tape and lower taxes for families and businesses are a start, but now is the time to double down on empowering the private sector and job creators. We need a tax code that is simple and fair. We must repeal Obamacare, not repair it, to rein in costs and expand healthcare options.” [Braun for Indiana, accessed 5/15/18]

 

Braun, June 2018: I Will “Fully Repeal” Obamacare. “In the Senate, I will use my business experience and work with President Trump to fully repeal Obamacare and implement free-market solutions that will provide better healthcare for Hoosiers.” [City-County Observer, 7/26/18]

 

May 2018: The Tea Party Has Endorsed Braun, In Part Because He Supports “Repealing Obamacare.” “Our supporters were proud to endorse Mike, because he is a strong supporter of the Penny Plan, term limits, repealing Obamacare.” [Tea Party, 5/9/18]

 

Mike Braun Supports The GOP Lawsuit to Eliminate Pre-existing Conditions Protections:  “Sure, Anything That’s Going To Actually Get Rid Of It, Yes.” “‘Sure, anything that’s going to actually get rid of it, yes,’ said Indiana GOP Senate nominee Mike Braun of the GOP lawsuit to gut the law in an interview in Mishawaka. ‘And then be ready to come back and talk about what you’re ready to do about pre-existing conditions and no limits on coverage. That’s where you don’t hear much conservative talk.'” [Politico, 8/17/18]

  • 2,745,700 Hoosiers Live With A Pre-Existing Condition. About one in two Hoosiers, 50 percent, lives with a pre-existing condition. [CAP, 4/5/17]

 

  • 1,382,000 Indiana Women And Girls Have A Pre-Existing Condition. Approximately 1,382,000 women and girls in Indiana live with a pre-existing condition. [CAP & National Partnership For Women and Families, June 2018]

 

  • 377,100 Indiana Children Already Have A Pre-Existing Condition. Roughly 377,000 Hoosiers below age 18 live with a pre-existing condition. [CAP, 4/5/17]

 

  • 643,800 Older Hoosiers Live With A Pre-Existing Condition. 643,800 Indiana adults between the ages of 55 and 64 live with at least one pre-existing condition, meaning attacks on these protections significantly threaten Hoosiers approaching Medicare age. [CAP, 4/5/17]

 

 

FACT-CHECK:  Leah Vukmir Can’t Rewrite History

 

Prior to ACA Insurance Companies Routinely Denied Coverage for Pre-Existing Conditions

During last night’s debate between Senator Tammy Baldwin and Leah Vukmir,, Vukmir, a long time, rabid proponent of repealing the Affordable Care Act, including its protections for people with pre-existing conditions, claimed that people with pre-existing conditions would continue to have coverage even if the Affordable Care Act were repealed. This is false.  

 

The facts:  Prior to the Affordable Care Act (ACA), insurance companies had the ability to deny or drop coverage based on a pre-existing condition for anyone purchasing coverage in the individual market. That included women and people with any health issue like cancer, diabetes, or asthma.

Senator Baldwin is standing up for people with pre-existing conditions. She stood up against Republican efforts to repeal the Affordable Care Act last year. She is a leader trying to stop the expansion of “short-term” plans, or junk plans that allow insurance companies to deny coverage because of a pre-existing condition and has introduced a resolution to do just that.

 

Here’s what really took place before the ACA:

 

  • Before The ACA, Insurance Companies Could Retroactively Deny Someone Coverage Once They Got SIck. This foul-play impacted Robin Beaton, whose insurance company denied her coverage for a double mastectomy because she had previously received acne treatment. “Robin Beaton found out last June she had an aggressive form of breast cancer and needed surgery — immediately. Her insurance carrier precertified her for a double mastectomy and hospital stay. But three days before the operation, the insurance company called and told her they had red-flagged her chart and she would not be able to have her surgery. The reason? In May 2008, Beaton had visited a dermatologist for acne.

 

    • Before The ACA, 18 Percent Of Individual Market Applications Were Denied Because Of A Pre-Existing Condition.

 

  • Prior To The Affordable Care Act, Insurance Companies Charged Women An Estimated $1 Billion More Than Men For The Same Health Care Plans.

 

Thanks To The Affordable Care Act, Insurance Companies Can No Longer Drop Coverage Because You Get Sick. Because of the ACA, insurance companies can no longer rescind or cancel someone’s coverage arbitrarily or because they get sick.

  • Because Of The Affordable Care Act, Insurance Companies Can No Longer Impose Annual And Lifetime Limits On Coverage. Before the ACA, insurance companies could restrict the amount of dollar amount of benefits someone could use per year or over a lifetime. At the time the ACA was passed, 91 million Americans had health care through their employers that imposed lifetime limits. Many such plans capped benefits at $1 million annually, functionally locking people with complex medical needs out of coverage.

Pro-Repeal, Anti-Health Care Extremist Leah Vukmir To Debate Health Care Champion Senator Tammy Baldwin Tonight

Washington DC — Tonight in Milwaukee, Leah Vukmir, a pro-repeal Republican who supports ending protections for people with pre-existing conditions will debate Senator Tammy Baldwin. Vukmir has earned the nickname ‘Nurse Ratched’ by fellow Republicans due to her extreme positions on health care and multiple attempts to block Medicaid expansion in Wisconsin. Ahead of the debate, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

“After years of attempting roll back protections for millions of Wisconsinites, Leah Vukmir is touting her experience as a nurse to try to convince us that her record on health care isn’t as bad as it is. But the truth is, in addition to supporting a full repeal the ACA, Vukmir wants to dismantle Medicaid and even voted against protections for Wisconsin kids who need cochlear implants. Vukmir’s record on health care is as extreme – far too extreme for Wisconsin – as it is cruel.”

 

Vukmir Supports Repealing The ACA And Its Protections For 2.4 Million Wisconsinites with Pre-Existing Conditions

Vukmir “Supports Full Repeal Of Obamacare. Period.” “Leah understands why people are upset with Republicans who promised to repeal Obamacare and didn’t deliver. She supports full repeal of Obamacare. Period. And she won’t stop pushing for full repeal in Congress.” [LeahVukmir.com, accessed 6/12/18]

What would full repeal of the Affordable Care Act mean for Wisconsin? ?

    • Elimination of protections for 2.4 million Wisconsinites with pre-existing conditions, if they buy coverage on their own
    • Elimination of improvements to Medicare, including reduced costs for prescription drugs
    • Ending allowing kids to stay on their parents’ insurance until age 26
    • Elimination of ban on annual and lifetime limits
    • Elimination of ban on insurance discrimination against women
    • Elimination of a limit on out-of-pocket costs
    • Elimination of the Medicaid expansion, currently covering 15 million people
    • Elimination of rules to hold insurance companies accountable
    • Elimination of small business tax credits
    • Elimination of marketplace tax credits and coverage for up to 215,000 Wisconsinites

Vukmir Supported Scott Walker’s Plan To Convert All Health Care Programs To Block Grants: “A Successful Repeal Of Obamacare Begins With The Federal Government Handing Over The Reins To The States.” “State Sen. Leah Vukmir, R–Brookfield, Tuesday endorsed Gov. Scott Walker’s request of the White House and Congress to send states block grants, giving them full responsibility for health care programs. ‘Healthcare is very personal,’ said Vukmir, chairman of the Senate Health & Human Services Committee. ‘That’s why those closest to our constituents, not Washington bureaucrats, should be responsible for tailoring our programs to fit Wisconsin’s needs. A successful repeal of Obamacare begins with the federal government handing over the reins to the states.’” [State Senator Leah Vukmir Press Release, 8/22/17]

  • Converting health care programs to block grants was the core of what the Graham-Cassidy repeal bill would have done. Multiple independent analyses agreed that the Graham-Cassidy repeal bill would have cut federal funding to states including a $29 billion cut over two decades to Wisconsin.

Vukmir Is Hostile Towards Medicaid

Vukmir “Would Support Efforts To Send Medicaid Dollars To States In The Form Of A Block Grant.” “Finally, Leah knows from her experience dealing with Wisconsin’s Medicaid program that states truly are laboratories of innovation, which is what our founders intended. Leah supports more flexibility for states when it comes to Medicaid spending, and would support efforts to send Medicaid dollars to states in the form of a block grant – allowing states more flexibility to design their own plans and save taxpayers billions of dollars.” [LeahVukmir.com, accessed 6/12/18]

  • The Graham-Cassidy bill would have enacted Vukmir’s plan to convert Medicaid into a block grant, meaning the 1,037,795 Wisconsinites who are enrolled on Medicaid would have their care jeopardized. Medicaid disproportionately helps children, seniors in nursing home care and people with disabilities. A study by Avalere found that a Graham-Cassidy-style plan would cut funding for people with disabilities by 15-percent and 31-percent for children by 2036.

Vukmir Opposed Medicaid Expansion In Wisconsin. “State Sen. Leah Vukmir, R–Brookfield, issued the following statement Friday after seeing recent news reports from states that accepted Medicaid expansion dollars and are now facing major problems with their budgets: ‘Recent reports from states across the U.S. are confirming our prior expectations, proving what we’ve known all along: Increased expansion is not financially feasible.” [State Senator Leah Vukmir Press Release, 4/22/16]

  • Medicaid is not only a lifeline for over one million Wisconsinites, it strengthens our communities and is supported by 74 percent of Americans. By not fully expanding Medicaid, Wisconsin has restricted its Medicaid program such that only Residents earning up to 100 percent of the federal poverty line are eligible to enroll in Medicaid. If Wisconsin expanded its program, 119,000 more adults could gain coverage through Medicaid.

Vukmir Supports Drug Testing For Medicaid Recipients.  “Gov. Scott Walker wants to make Wisconsin the first state in the country to require able-bodied, childless adults applying for Medicaid health benefits to undergo drug screening, a move that could serve as a national model.  […] Republican backer, Sen. Leah Vukmir, defended the approach, saying: ‘We know what to do. We know how to take care of our own.’” [Associated Press, 5/25/17]

  • Drug-testing Medicaid recipients hurts the people who need help the most.  People with substance abuse disorders will be reluctant to disclose that they use drugs for fear of legal or medical retribution. Making it easier, rather than harder, for those who need substance abuse treatment to access that coverage through Medicaid will help combat the opioid crisis and halt the spread of conditions like HIV and Hepatitis which are spread via intravenous drug use.  Drug tests are also a waste of state resources. One study from Florida found that of 4,086 applicants tested over four months, only 2.6 percent failed a drug test. Over four months, this testing regime cost the state $45,780.

New Poll: Health Care Is A Top Issue For North Dakotans

New poll released ahead of Protect Our Care’s “Care Force One” Bus Tour Rolling Into Fargo and Bismarck

Six in 10 Voters Disapprove Of Cramer’s Vote to Repeal Health Care and Revive Age Tax

Sixty Percent of Voters Oppose Trump Administration’s Lawsuit To Gut Pre-existing Conditions Protections and Cramer’s Support for Health Repeal

 

Washington DC — Ahead of the ‘Care Force One’ bus tour stops on Tuesday, October 9, 2018 in Fargo and Bismarck, a new poll by Change Research for Protect Our Care shows sixty percent of voters strongly oppose the Trump-GOP lawsuit to eliminate protections for pre-existing conditions and fifty-two percent say health care is very important to them in the midterms. This poll shows danger ahead for Kevin Cramer, who has voted repeatedly to repeal health care for North Dakotans and served as one of the biggest cheerleaders of the Trump Administration’s lawsuit to end protections for people with pre-existing conditions. Brad Woodhouse, executive director of Protect Our Care issued the following statement upon the poll’s findings:

 

“Kevin Cramer thinks he can hide his shameful record on health care from the public, but he can’t: From his support of the Trump-GOP lawsuit that would eliminate protections for pre-existing conditions to ads that flat-out lie about his record, Cramer has done absolutely nothing to help North Dakotans have quality and affordable health care — and worse, he’s taken many steps to harm them. For years, Cramer has voted to repeal our care and give insurance companies the power to deny or drop coverage, or charge more because of a pre-existing condition or a person’s age. By putting big insurance companies ahead of working North Dakota families, Kevin Cramer has not earned a promotion to the Senate.”

 

Key Findings from the Protect Our Care-Change Research survey of North Dakota Voters:

  • Sixty percent of voters oppose the Trump Administration’s lawsuit to eliminate protections for pre-existing conditions, while only twenty-nine percent support
  • Fifty-two percent of voters say health care is very important when deciding their vote for the U.S. Senate
  • Sixty-one percent of voters have a major concern with Cramer’s vote to repeal the ACA and allow insurance companies to charge an age tax for people 50 and older.
  • Fifty-three percent of voters have a major concern with Cramer’s vote to repeal the ACA and undermine protections for people with pre-existing condition

This poll surveyed 967 registered voters online in North Dakota on October 3, 2018 using Change Research’s bias correct engine. The margin of error is +/- 3.15% and the post-stratification was done on age, gender, ethnicity, and 2016 presidential vote.

Health Care Repeal in North Dakota would mean the elimination of:

    • Protections for 316,000 North Dakotans with pre-existing conditions
    • Improvements to Medicare, including reduced costs for prescription drugs
    • Allowing kids to stay on their parents’ insurance until age 26
    • Ban on annual and lifetime limits
    • Ban on insurance discrimination against women
    • Medicaid expansion currently covering 21,400 North Dakotans
    • Marketplace tax credits and coverage for up to 20,000 North Dakotans.

 

Kevin Cramer Repeatedly Voted to Eliminate Repeal Health Care Protections for People Over Age 50 and People with Pre-existing Conditions

2013:  Cramer Voted For A Total Repeal Of The ACA.  Cramer voted for HR 45, an act “to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.” [HR 45, Roll Call Vote #154, 5/16/13]

2015:  Cramer Voted For A Total Repeal Of The ACA.  Cramer voted for HR 596, an act “to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.”  The bill also ordered House committees to develop a replacement that would “provide people with pre-existing conditions access to affordable health coverage,” but provided no specifics. [HR 596, Roll Call Vote #58, 2/3/15]

 

  • Cramer Said The Bill Would “Repeal The Affordable Care Act In Its Entirety.” “Today Congressman Kevin Cramer voted with the U.S. House of Representatives to repeal the Affordable Care Act in its entirety.” [Cramer Website, 2/3/15]

 

2017: Cramer Voted For AHCA.  Cramer voted for passage of the American Health Care Act.  [HR 1628, Roll Call Vote #256, 5/4/17]

 

Cramer supports the Trump Administration’s lawsuit to roll back coverage for people with pre-existing conditions

Kevin Cramer vigorously supports the Trump administration’s efforts to roll back coverage for people with pre-existing conditions via a lawsuit that would eliminate the protections for pre-existing conditions that exist in the ACA.  

Cramer is now doubling down on his support for the AHCA last year, a bill which would have allowed insurance companies to go back to charging people with pre-existing conditions “prohibitively high premiums.”  

Cramer’s support for these measures puts the health of the 316,000 North Dakotans living with a pre-existing condition at risk and would take us back to the days when insurers routinely denied coverage or charged unaffordable premiums to people with pre-existing conditions, including cancer, asthma and hypertension.