Feature

Health care gets heated on Night 2 of the Democratic presidential debate


 


On Thursday, the second night of the first Democratic primary debate, 10 presidential hopefuls took the stage and health issues became an early flashpoint.

erinrb/iStock/Getty Images Plus

Sen. Bernie Sanders (I-Vt.) opened the debate calling health care a “human right” – which was echoed by several other candidates on stage – and saying “we have to pass a ‘Medicare for All,’ single-payer system” – which was not.

Just as on Wednesday night, moderators asked candidates who would support abolishing private insurance under a single-payer system. Again, only two candidates — this time Sen. Sanders and Sen. Kamala Harris of California— raised their hands.

Former Vice President Joe Biden also jumped on health care, saying Americans “need to have insurance that is covered, and that they can afford.”

But he offered a different view of how to achieve the goal, saying the fastest way would be to “build on Obamacare. To build on what we did.” He also drew a line in the sand, promising to oppose any Democrat or Republican who tried to take down Obamacare.

Candidates including South Bend, Ind., Mayor Pete Buttigieg, New York Sen. Kristen Gillibrand and Colorado Sen. Michael Bennet offered their takes on universal coverage, each underscoring the importance of a transition from the current system and suggesting that a public option approach, something that would allow people to buy into a program like Medicare, would offer a “glide path” to the ultimate goal of universal coverage. Sen. Gillibrand noted that she ran on such a proposal in 2005. (This is true.)

Meanwhile, former Colorado Gov. John Hickenlooper used the issue of Medicare for All to say that it is important to not allow Republicans to paint the Democratic Party as socialist but also to claim his own successes in implementing coverage expansions to reach “near universal coverage” Colorado. PolitiFact examined this claim and found it Mostly True.

“You don’t need big government to do big things. I know that because I’m the one person up here who’s actually done the big progressive things everyone else is talking about,” he said.

But still, while candidates were quick to make their differences clear, not all of their claims fully stood up to scrutiny.

We fact-checked some of those remarks.

Sen. Sanders: “President Trump, you’re not standing up for working families when you try to throw 32 million people off the health care that they have.”

This is one of Sanders’ favorite lines, but it falls short of giving the full story of the Republican effort to repeal and replace Obamacare. We rated a similar claim Half True.

Scrapping the Affordable Care Act was a key campaign promise for President Donald Trump. In 2017, as the Republican-led Congress struggled to deliver, Trump tweeted “Republicans should just REPEAL failing Obamacare now and work on a new health care plan that will start from a clean slate.”

The Congressional Budget Office estimated that would lead to 32 million more people without insurance by 2026. But some portion of that 32 million would have chosen not to buy insurance due to the end of the individual mandate, which would happen under repeal. (It happened anyway, when the 2017 tax law repealed the fine for the individual mandate.)

In the end, full repeal didn’t happen. Instead, Trump was only able to zero out the fines for people who didn’t have insurance. Coverage has eroded. The latest survey shows about 1.3 million people have lost insurance since Trump took office.

Sen. Bennet, meanwhile, used his time to attack Medicare for All on a feasibility standpoint.

Pages

Recommended Reading

Lack of CBD oil regulations hearkens back to patent medicines
MDedge Neurology
Good health goes beyond having a doctor and insurance, says AMA’s equity chief
MDedge Neurology
Many doubt Medicare-for-all would bring universal coverage
MDedge Neurology
Patients concerned about clinician burnout
MDedge Neurology
Trump administration seeks more health care cost details for consumers
MDedge Neurology
Medicare may best Medicare Advantage at reducing readmissions
MDedge Neurology
MedPAC to Congress: End “incident-to” billing
MDedge Neurology
The 21st Century Cures Act: Tearing down fortresses to put patients first
MDedge Neurology
Surprise billing legislation passes Senate committee
MDedge Neurology
‘Medicare for All’ emerges as early divide in first Democratic debate
MDedge Neurology