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Ed Case on Health Care

Former Democratic Representative (HI-2, until 2007)


Let small businesses pull together resources in health plans

I have support a bill to provide small businesses with the opportunities to pool their resources in association health plans so that they can create the same kind of critical mass that large businesses can create to be able to manage their health care costs. If small businesses can pull together in association health plans they can in fact manage those health care costs a little bit more and spread the risks more.
Source: 2006 HI Senate Debate on PBS Hawaii , Aug 31, 2006

Support drugs re-importation and bulk purchases of drugs

We can’t talk about health care without talking about the prescription drug costs, specifically. Two major initiatives that I believe we need to put forward and accomplish right away, in which I have opposed the Bush administration’s position, are first of all to allow re-importation of safe drugs from overseas that are FDA approved, and second to allow bulk purchasing of those drugs for Medicare for the 40 million plus Americans that do get Medicare. That can help.
Source: 2006 HI Senate Debate on PBS Hawaii , Aug 31, 2006

Voted NO on denying non-emergency treatment for lack of Medicare co-pay.

Vote to pass a resolution, agreeing to S. AMDT. 2691 that removes the following provisions from S 1932:
Reference: Reconciliation resolution on the FY06 budget; Bill H Res 653 on S. AMDT. 2691 ; vote number 2006-004 on Feb 1, 2006

Voted NO on limiting medical malpractice lawsuits to $250,000 damages.

Vote to pass a bill that would limit the awards that plaintiffs and their attorneys could be given in medical malpractice cases. The bill would limit non-economic damages, including physical and emotional pain to $250,000. The bill would also limit punitive damages to $250,000 or double economic damages, whichever amount is greater. Punitive damages would be banned against makers and distributors of medical products if the Food and Drug Administration approved those products. The bill would call for all states to set damage caps but would not block existing state statutory limits. The bill would cap attorneys' contingency fees to 40% of the first $50,000 in damages; 33.3% of the next $50,000; 25% of the next $500,000; and 15% of any amount in excess of $600,000.
Reference: Medical Malpractice Liability Limitation bill; Bill HR 4280 ; vote number 2004-166 on May 12, 2004

Voted NO on limited prescription drug benefit for Medicare recipients.

Medicare Prescription Drug and Modernization Act of 2003: Vote to adopt the conference report on the bill that would create a prescription drug benefit for Medicare recipients. Starting in 2006, prescription coverage would be made available through private insurers to seniors. Seniors would pay a monthly premium of an estimated $35 in 2006. Individuals enrolled in the plan would cover the first $250 of annual drug costs themselves, and 25 percent of all drug costs up to $2,250. The government would offer a fallback prescription drug plan in regions were no private plans had made a bid.Over a 10 year time period medicare payments to managed care plans would increase by $14.2 billion. A pilot project would begin in 2010 in which Medicare would compete with private insurers to provide coverage for doctors and hospitals costs in six metropolitan areas for six years. The importation of drugs from Canada would be approved only if HHS determines there is no safety risks and that consumers would be saving money.
Reference: Bill sponsored by Hastert, R-IL; Bill HR.1 ; vote number 2003-669 on Nov 22, 2003

Voted YES on allowing reimportation of prescription drugs.

Pharmaceutical Market Access Act of 2003: Vote to pass a bill that would call for the Food and Drug Administration to begin a program that would permit the importation of FDA-approved prescription drugs from Australia, Canada, the European Union, Iceland, Israel, Japan, Lichtenstein, New Zealand, Norway, Switzerland and South Africa.
Reference: Bill sponsored by Gutknecht, R-MN; Bill HR.2427 ; vote number 2003-445 on Jul 24, 2003

Voted YES on small business associations for buying health insurance.

Vote to pass a bill that would permit the creation of association health plans through which small companies could group together to buy insurance for their employees. Association health plans that cover employees in several states would be excused from many individual state insurance regulations but would be regulated by the Labor Department.
Reference: Small Business Health Fairness Act; Bill HR 660 ; vote number 2003-296 on Jun 19, 2003

Voted NO on capping damages & setting time limits in medical lawsuits.

Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2003: To improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. Limits the availability of punitive damages, and sets a 3-year limit for suing.
Reference: Bill sponsored by Greenwood, R-PA; Bill HR 5 ; vote number 2003-64 on Mar 13, 2003

Establish "report cards" on HMO quality of care.

Case 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.

Source: The Hyde Park Declaration 00-DLC5 on Aug 1, 2000

Rated 100% by APHA, indicating a pro-public health record.

Case 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

Other candidates on Health Care: Ed Case on other issues:
HI Gubernatorial:
Neil Abercrombie
HI Senatorial:
Daniel Akaka
Daniel Inouye
Linda Lingle
Mazie Hirono

HI politicians

Retiring as of Jan. 2013:
AZ:Kyl(R)
CT:Lieberman(D)
HI:Akaka(D)
ME:Snowe(R)
ND:Conrad(D)
NE:Nelson(D)
NM:Bingaman(D)
TX:Hutchison(R)
VA:Webb(D)
WI:Kohl(D)


Senate elections Nov. 2012:
AZ:Flake(R) vs.Hackbarth(R) vs.Carmona(D) vs.Ruben(D) vs.Bivens(D)
CA:Feinstein(D) vs.Emken(R) vs.Taitz(R)
CT:Bysiewicz(D) vs.Murphy(D) vs.Shays(R) vs.McMahon(R)
DE:Carper(D) vs.O`Donnell(R)
FL:Nelson(D) vs.LeMieux(R) vs.Mack(R)
HI:Hirono(D) vs.Case(D) vs.Lingle(R)
IN:Lugar(R) vs.Mourdock(R) vs.Donnelly(D)
MA:Brown(R) vs.E.Warren(D)
MD:Cardin(D) vs.Bongino(R)
ME:D`Amboise(R) vs.King(I) vs.Dunlap(D) vs.Summers(R)
MI:Stabenow(D) vs.Hekman(R) vs.Konetchy(R) vs.Hoekstra(R) vs.Boman(L)
MN:Klobuchar(D) vs.Arwood(R) vs.Hernandez(R) vs.Severson(R)
MO:McCaskill(D) vs.Akin(R) vs.Steelman(R)
MS:Wicker(R) vs.Gore(D)
MT:Tester(D) vs.Rehberg(R)
ND:Heitkamp(D) vs.Berg(R) vs.Sand(R)

NE:Kerrey(D) vs.Fischer(R) vs.Flynn(R) vs.Stenberg(R) vs.Bruning(R)
NJ:Menendez(D) vs.Kyrillos(R) vs.Diakos(D) vs.Booker(D)
NM:Balderas(D) vs.Wilson(R) vs.Heinrich(D) vs.Sanchez(R)
NV:Heller(R) vs.Berkley(D)
NY:Gillibrand(D) vs.Noren(D) vs.Maragos(R) vs.Turner(R) vs.Clark(G)
OH:Brown(D) vs.Pryce(R) vs.Mandel(R)
PA:Casey(D) vs.Scaringi(R) vs.Welch(R) vs.Smith(R) vs.Rohrer(R)
RI:Whitehouse(D) vs.Hinckley(R)
TN:Corker(R) vs.Poskevich(R)
TX:Cruz(R) vs.Leppert(R) vs.Dewhurst(R) vs.Sadler(D)
UT:Hatch(R) vs.Howell(D) vs.Liljenquist(R) vs.Ashdown(D) vs.Chaffetz(R)
VA:Kaine(D) vs.Allen(R) vs.Radtke(R)
VT:Sanders(I)
WA:Cantwell(D) vs.Baumgartner(R)
WI:Schiess(R) vs.Neumann(R) vs.Thompson(R) vs.Baldwin(D)
WV:Manchin(D) vs.Raese(R)
WY:Barrasso(R)
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Page last updated: May 26, 2012