Jay Inslee on Health Care
Democratic WA Governor; Former Rep/ (WA-1); withdrew from Presidential primary Aug. 2019
Take initial steps towards universal health care
Inslee backed the Affordable Care Act when it was up for a vote during his time in Congress. In 2013, as governor, he expanded Medicaid under the ACA in his state. Recently he introduced a public option health care plan to help stabilize the
state's health insurance exchange. Inslee said it would be an initial step toward creating universal health care in the state.
Source: PBS News hour on 2020 Presidential hopefuls
, Mar 1, 2019
Lower eligibility for Medicare; provide public option
We will have to expand federal health care dramatically. I believe we should lower the age for Medicare. I believe we should allow people to buy into Medicare so you can have Medicare for people who want it right now.
I think we should explore potentially enrolling, you know, new folks into health care when they're born.
Source: CNN Town Hall: 2020 presidential hopefuls
, Apr 10, 2019
Declared emergency over measles anti-vaccination wave
Vaccinations: Inslee declared a state of emergency in
January after the anti-vaccination wave contributed to cases of measles, causing what he called a "public disaster."
Source: Axios.com on 2020 Democratic primary
, Apr 22, 2019
Implemented statewide public option within ObamaCare
A first-of-its-kind ObamaCare "public option" will be implemented in Washington state after Gov. Inslee signed a bill creating the new health care program. The program will be a trial run for this kind of health care expansion. Here is how the "public
option" plan actually works:
"It really is a public option in the sense that we have a public umbrella of benefit to all Washingtonians," Inslee told me. "It is a public guarantee for the first time. It's a legal benefit."
Source: Vox.com on 2020 Democratic presidential primary
, May 20, 2019
- The Washington government would contract with private health carriers to sell state-sponsored health insurance plans on its ObamaCare marketplace.
- The public option plan would be required to meet certain benefits
and out-of-pocket requirements set by the state.
- The plan would pay health care providers 160% of Medicare rates, with a few limited exceptions.
- The state will explore increasing the eligibility for insurance tax subsidies from 400% of the federal
poverty level (as set by ObamaCare) to 500%.
Medicare for all who want it: opt-in, not mandate
Q: You've endorsed the idea of Medicare-for-all; how does your state plan compare?
A: Well, I call it "Medicare for all who want it." I have not called for making all private coverage illegal. I've not called to make all private carriers illegal.
There's a little flavor difference there. We do obviously believe health care is a right; we believe in universal coverage. We believe my step is a good step forward, but it's not the only one. We've got to reduce the age of automatic entry.
I think we should reduce the age of eligibility to zero for new citizens. That will give us a full Medicare plan as more Americans come into the system.
Q: Would you be willing to let people who get insurance through their work join a government plan
if they wanted to?
A: Yes, that includes employer-sponsored plans. They're certainly eligible to come in. I believe over time, people are going to find it very, very attractive. [We hope] to give people confidence to move to a Medicare-for-all system.
Source: Vox.com on 2020 Democratic presidential primary
, May 20, 2019
Public option; more access to Medicare by lowering age
We will be the first state in the country to offer a public option. We are integrating physical and mental health, so it can be more effective and cost effective. On the federal level, we've got to have more access to Medicare on the road to universal
access. And I believe that we need to reduce the age. I think we need to allow people to opt into Medicare when they want it. This is the way to what we need and have to have, which is universal health care in the country.
Source: Meet the Press 2019 interview of 2020 presidential hopefuls
, Apr 14, 2019
COVID: Lower infections with masks, distancing, not Trump
On coronavirus: "Because Washingtonians are not listening to Donald Trump, and frankly, Chief Culp, they are wearing masks, they are social distancing, and as a result of that we have lowered our infection rate dramatically," Inslee says in a recent
debate against Culp. "We have saved lives."
Culp argues that many of these restrictions, most notably a mask mandate, shouldn't be dictated by the governor.
Wearing a mask, he says, should be a personal choice. "The problem is when we have one person sitting in the
governor's office telling everyone what they are going to wear," Culp says.
Source: Inlander.com on 2020 Washington Gubernatorial debate
, Oct 22, 2020
Community-based behavioral health care is what works
The other issue confronting families and communities across Washington is behavioral health.
We've been building a new, community-based system that helps people get the specific type of care they need closer to their homes and loved ones.
Community-based care is what works. We're still building, and my budgets contain funding to keep every part of our plan on track, including the new 350-bed forensic hospital at Western State.
Source: 2023 State of the State Address to the Wash. legislature
, Jan 10, 2023
Establish "report cards" on HMO quality of care.
Inslee adopted the manifesto, "A New Agenda for the New Decade":
Promote Universal Access and Quality in Health Care
That more than 40 million Americans lack health insurance is one of our society’s most glaring inequities. Lack of insurance jeopardizes the health of disadvantaged Americans and also imposes high costs on everyone else when the uninsured lack preventive care and get treatment from emergency rooms. Washington provides a tax subsidy for insurance for Americans who get coverage from their employers but offers nothing to workers who don’t have job-based coverage.
Markets alone cannot assure universal access to health coverage. Government should enable all low-income families to buy health insurance. Individuals must take responsibility for insuring themselves and their families whether or not they qualify for public assistance.
Finally, to help promote higher quality in health care for all Americans, we need reliable information on the quality of health care delivered by health plans and providers; a “patient’s bill of rights” that ensures access to medically necessary care; and a system in which private health plans compete on the basis of quality as well as cost.
Goals for 2010
Source: The Hyde Park Declaration 00-DLC5 on Aug 1, 2000
- Reduce the number of uninsured Americans by two-thirds through tax credits, purchasing pools, and other means.
- Create a system of reliable “report cards” on the quality of care delivered by health plans and providers.
Rated 100% by APHA, indicating a pro-public health record.
Inslee scores 100% by APHA on health issues
The American Public Health Association (APHA) is the oldest and largest organization of public health professionals in the world, representing more than 50,000 members from over 50 occupations of public health. APHA is concerned with a broad set of issues affecting personal and environmental health, including federal and state funding for health programs, pollution control, programs and policies related to chronic and infectious diseases, a smoke-free society, and professional education in public health.
The following ratings are based on the votes the organization considered most important; the numbers reflect the percentage of time the representative voted the organization`s preferred position.
Source: APHA website 03n-APHA on Dec 31, 2003
Establish a national childhood cancer database.
Inslee co-sponsored establishing a national childhood cancer database
Conquer Childhood Cancer Act of 2007 - A bill to advance medical research and treatments into pediatric cancers, ensure patients and families have access to the current treatments and information regarding pediatric cancers, establish a population-based national childhood cancer database, and promote public awareness of pediatric cancers.
Authorizes the Secretary to award grants to childhood cancer professional and direct service organizations for the expansion and widespread implementation of: Legislative Outcome: House version H.R.1553; became Public Law 110-285 on 7/29/2008.
Source: Conquer Childhood Cancer Act (S911/HR1553) 07-S911 on Mar 19, 2007
- activities that provide information on treatment protocols to ensure early access to the best available therapies and clinical trials for pediatric cancers;
- activities that provide available information on the late effects of pediatric cancer treatment to ensure access to necessary long-term medical and psychological care; and
- direct resource services such as educational outreach for parents, information on school reentry and postsecondary education, and resource directories or referral services for financial assistance, psychological counseling, and other support services.
Establish a National Diabetes Coordinator.
Inslee introduced establishing a National Diabetes Coordinator
A bill to reduce the incidence, progression, and impact of diabetes and its complications and establish the position of National Diabetes Coordinator. Establishes the position of National Diabetes Coordinator, whose duties shall be to:
- serve as the principal advisor on reducing the rates of diabetes and its complications;
- develop a measurement for the incidence of diabetes;
- develop and coordinate implementation of a national strategy to reduce the incidence, progression, and impact of diabetes and its complications;
- provide leadership and coordination to ensure that diabetes-related programs are coordinated internally and with those of relevant federal, state, and local agencies with a goal of avoiding duplication of effort, maximizing impact, and marshaling all government resources; and
- coordinate public and private resources to develop and lead a public awareness campaign regarding the prevention and control of diabetes and its complications.
In carrying out the duties described, the Coordinator shall adhere to the mission of:
Source: National Diabetes Coordinator Act (S2742/HR4836) 08-S2742 on Mar 11, 2008
- preventing diabetes in those individuals and populations at risk for the disease;
- increasing detection of diabetes;
- maximizing the return on diabetes research;
- increasing diabetes control efforts;
- improving the standard of diabetes care available; and
- supplementing, but not supplanting, existing diabetes research programs.
- Requires reports to the President on ways in which food programs and nutritional support can be better targeted at concerns specific to those at risk for diabetes or those already diagnosed whose complications could be reduced by more effective diet.
Expand the National Health Service Corps.
Inslee signed Access for All America Act
A bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs. Amends the Public Health Service Act to:
Source: S.486&HR1296 2009-S486 on Mar 4, 2009
- increase and extend the authorization of appropriations for community health centers and for the National Health Service Corps scholarship and loan repayment program for FY2010-FY2015, and provide for increased funding for such programs in FY2016 and each subsequent fiscal year; and
- revise and expand provisions allowing a community health center to provide services at different locations, adjust its operating plan and budget, enter into arrangements with other centers to purchase supplies and services at reduced cost, and correct material failures in grant compliance.
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Other governors on Health Care:
Jay Inslee on other issues:
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Lt. Gov. Justin Fairfax(D)
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Incumbent Kay Ivey(R)
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