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Tim Kaine on Health Care
Democratic Senate Challenger; previously Governor
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Praised Virginia's Medicaid expansion
Q: Support or Repeal Affordable Care Act (ACA), known as ObamaCare? Support Medicaid expansion to subsidize low-income participants?Tim Kaine (D): Supports ACA; has voted against all efforts for full or partial repeal.
Praised Virginia's Medicaid expansion.
Corey Stewart (R): Full repeal. "ObamaCare has failed." Called Virginia Medicaid expansion "a major disaster for our party." Replace Medicaid with state block grants.
Source: 2018 CampusElect.org Issue Guide on Virginia Senate race
, Oct 9, 2018
Increase Medicaid funding for low-income individuals
Q: Do you support the Patient Protection and Affordable Care Act (ObamaCare)?Evan McMullin's answer: No
Tim Kaine's answer: Yes
Mike Pence's answer: Yes, I support a majority of the plan but not all aspects
Donald Trump's answer:
No, open the markets so insurers can compete across state lines and reduce costsGary Johnson's answer (Libertarian Party): No, government should not be involved in healthcare
Darrell Castle's answer (Constitution Party):
No, government should not be involved in healthcare
Q: Should the federal government increase funding of health care for low income individuals (Medicaid)?
Evan McMullin's answer: No
Tim Kaine's answer: Yes
Mike Pence's answer: Yes
Donald Trump's answer: Yes
Gary Johnson's answer (Libertarian Party): No, and each state should decide their own level of coverage
Darrell Castle's answer (Constitution Party): No
Source: iSideWith.com analysis of 2016 presidential hopefuls
, Nov 1, 2016
Regulate the prices of life-saving drugs
Q: Should the government regulate the prices of life-saving drugs?Tim Kaine's answer: Yes and the government should invest in researching new life-saving drugs
Mike Pence's answer:
No, and the government should never regulate prices of private businesses
Evan McMullin's answer: No, and the government should never regulate prices of private businesses
Source: iSideWith.com analysis of 2016 presidential hopefuls
, Nov 1, 2016
Supports federal requirement that children get vaccinated
Q: Should the federal government require children to be vaccinated for preventable diseases?Tim Kaine's answer: Yes
Mike Pence's answer: Yes
Evan McMullin's answer: Yes
Darrell Castle's answer (Constitution Party): No
Gary Johnson's answer (Libertarian Party): No
Donald Trump's answer: Yes
Source: iSideWith.com analysis of 2016 presidential hopefuls
, Nov 1, 2016
With consensus on wars, we'll take better care of vets
When Congress and the President agree [about the need for military action] after a debate, the chances that the American public is going to be supportive, they're very high. If the public is supportive, we'll pay for the
VA bill for these folks for the next 50 or 60 years of their life. Because we got on board and said we wanted to do this, the chances that we'll honor our commitments is higher.
Source: Coursera Lecture #57, "UVa student Q&A Part 2"
, Jan 29, 2015
Let Medicare negotiate rates for prescription drug prices
Kaine noted both Medicare and Social Security are critically important. He said the Medicare budget is growing partially for the good reason that people are living longer. However, Kaine added that the government needs to get costs under control.
Kaine proposed allowing the government to negotiate rates for prescription drug prices. He argues this will save about $250 billion over ten years. Kaine argued that Congress failed to include that provision while Allen was in the Senate for Medicare
Part D. Kaine also promoted examining pilot projects for healthy outcomes, instead of just medical procedures. Allen on Medicare, said Part D has helped seniors pay for their medications.
Allen claims the $700 billion that "ObamaCare" takes out would hurt seniors. Kaine countered that money would be moved to programs that help seniors live healthier and prevent some medical procedures.
Source: WSLS-TV-10 on 2012 Virginia Senate debate
, Oct 18, 2012
Inaction was not a solution for healthcare
Their differences kicked in as they reacted to the Supreme Court's decision to uphold the individual mandate at the heart of President Barack Obama's health care reform law. Allen watched news reports about the decision. "I'm disappointed that they had
to use all this judicial creativity to call the mandate a tax," Allen said of the majority justices. "Unlike Tim Kaine, who thinks this is a great achievement, I want to be the deciding vote to repeal it."
Kaine said in a statement that insurance premiums and the number of uninsured both rose dramatically during Allen's term in the
Senate. "Clearly, inaction was not a solution, and neither are continued calls for repeal. Instead, we must work together to strengthen this existing program and improve cost controls," Kaine said.
Source: Washington Post coverage of 2012 Virginia Senate Debates
, Jun 28, 2012
Public option puts some real competition into the system
Q: Who's the other side in this ObamaCare debate?KAINE: Primarily insurance companies. They do better if they can kick people off insurance or not cover people who they say have preexisting conditions. They fought against it hard in the 1990s & are
fighting against it now. But the overwhelming majority of the American public think the system is broken and they want health insurance reform. They want a public option to put some real competition into the system.
Q: We're seeing some opposition,
even from conservative Democrats, because of pressure from industry.
KAINE: This is a heavy lift. Every president since President Truman has said, we need to find a health care future where we have a competitive insurance market and all Americans
receive coverage. But all the polling I've seen says the overwhelming majority of the American public support the basic principles of lowering costs for families and businesses, preserving choices, and actually expanding choice with a public option.
Source: MSNBC "The Rachel Maddow Show" on 2010 election
, Jul 29, 2009
Invest in community-based mental health care
My budget proposal preserves care for the mentally ill. In the wake of the Virginia Tech tragedy, we made significant investments last session in community-based mental health care. This budget protects the investments we made together.
And, the budget continues our transformation from a state that over-relies on institutional care of the mentally disabled to the more effective and humane strategy of expanding services that people can receive in their own communities.
Source: Virginia 2009 State of the State address
, Jan 14, 2009
Expand pre-natal care to reduce infant mortality rate
My proposed budget protects the advances we made in this biennial budget in funding our health care safety net. There are no cuts to free clinics and community health centers in my budget.
And, we continue our expansion of pre-natal care to low-income mothers so that we can fight an unacceptable infant mortality rate.
Source: Virginia 2009 State of the State address
, Jan 14, 2009
Mental health system is chronically under-funded
We have not forgotten the example of the Virginia Tech students. Together, all three branches of government have studied the challenge of delivering mental health services more effectively.Six percent of Virginians have a serious mental illness, and
one of every four citizens of the Commonwealth has a diagnosable mental illness of some type. Most of us have been directly impacted by mental illness among friends, families, or co-workers, and we know firsthand the magnitude of this problem.
But due to chronic under-funding and an insufficient focus on the quality of care, our mental health system has not been measuring up to the needs of Virginia's mentally ill.
The strain on our overloaded case managers mean that thousands of
Virginians with mental health needs are not getting treatment when they need it. Many are not being treated at all. If we identify people with mental illnesses and provide them with proper treatment and support, we serve them and our communities better.
Source: 2008 State of the State address to Virginia Assembly
, Jan 9, 2008
1 million Virginians do not have health insurance
Virginia is a leader in many areas, but health care is not one of them. Like every state in the nation, we face a health care crisis. In 2004, Virginians spent $5,000 annually on healthcare for every man, woman, and child in the Commonwealth.
The cost of these services has significantly increased the cost of health insurance, moving it beyond the reach of many small employers and the self-employed. An estimated 1 million Virginians do not have health insurance.
As a result, many of our citizens often do not receive the preventive care that is so important in reducing the onset of more serious health problems.
We must continue to work together to strengthen health and health care in Virginia.
And there is so much that we can do to improve. The first step is helping Virginians take better care of themselves. While there are a growing number of exceptions, our health care system does not consistently encourage healthy living in a meaningful way
Source: 2007 State of the State address to Virginia Assembly
, Jan 10, 2007
Bush fights states getting cheap Rx for seniors
Many states, following the lead of Illinois, have set up simple ways to help seniors purchase safe, American-made prescription drugs from other countries at a fraction of the price they would pay here. The administration actually fought against that
Democratic effort. In Virginia, we've worked to provide health insurance coverage for nearly 140,000 more children. Republicans & Democrats alike have come together to fight the administration's efforts to slash Medicaid & push more costs onto the states
Source: Democratic Response to 2006 State of the Union address
, Jan 31, 2006
Our seniors were promised medications but got poor planning
Skyrocketing health care costs are hurting small businesses and pushing millions of working Americans into the ranks of the uninsured. The White House has made efforts to cut Medicaid funds for our most vulnerable citizens. Our seniors were promised that
the new federal Medicare drug plan would make it easier and cheaper to obtain their medication. Instead, many have fallen victim to the program's poor planning. They find getting their medicine to be more complex, more expensive and less reliable.
Source: Democratic Response to 2006 State of the Union address
, Jan 31, 2006
One out of 7 Virginians lack health insurance
In Virginia, one out of every seven people lacks health insurance. You probably talked to an uninsured person today.
It may have been the person who handed you your clothes at the dry cleaners, or the server who brought you lunch, or the technician who changed the oil in your car.
Source: 2005 Gubernatorial campaign website kaine2005.org, "Issues"
, Nov 8, 2005
Adopt national health reform legislation before the end of the year.
Kaine signed a letter from 22 Governors to Congressional leaders:
In a letter to congressional leadership, 22 governors are urging federal lawmakers to adopt national health reform legislation before the end of the year to provide families and businesses with much-needed security and stability.
`We commend you and your colleagues for provisions included in your bills that will help states,` the governors wrote. `Many of the provisions will allow states to achieve long term savings and help cover those who currently go without health coverage. We recognize that health reform is a shared responsibility and everyone, including state governments, needs to partner to reform our broken health care system.`
`Efforts at the federal level, like the recent and critical investments that support states` HIV and prevention initiatives, are beginning the work to lower health care costs. Our citizens and our states, however, will only achieve the health care security and stability they need if we succeed in working together to achieve health care reform.`
Source: Letter from CO Gov. Bill Ritter and 21 other Governors 10-GOV1 on Oct 1, 2009
Opposes repealing ObamaCare.
Kaine opposes the CC Voters Guide question on ObamaCare
Christian Coalition publishes a number of special voter educational materials including the Christian Coalition Voter Guides, which provide voters with critical information about where candidates stand on important faith and family issues.
The Christian Coalition Voters Guide summarizes candidate stances on the following topic: "Repealing "Obamacare" that forces citizens to buy insurance or pay a tax"
Source: Christian Coalition Voter Guide 12-CC-q5a on Oct 31, 2012
Religious exemption from ObamaCare individual mandate.
Kaine co-sponsored H.R.631 & S.352
Congressional Summary: To provide an additional religious exemption from the individual health coverage mandate. This Act may be cited as the `Equitable Access to Care and Health Act` or the `EACH Act`. The `Religious Conscience Exemption` exempts individuals who are members of a recognized religious sect which relies solely on a religious method of healing, and for whom the acceptance of medical health services would be inconsistent with their religious beliefs.
Supporters reasons for voting YEA: (TheHill.com weblog, April 29, 2013): `We believe the EACH Act balances a respect for religious diversity against the need to prevent fraud and abuse,` wrote Reps. Aaron Schock (R-IL) and William Keating (D-MA). `It is imperative we expand the religious conscience exemption now as the Administration is verifying the various exemptions to the individual mandate,` they wrote. Religious exemption from ObamaCare has come up before, including contraception.
The EACH Act, however, deals only with exemptions from the insurance mandate.
Opponents reasons for voting NAY: (CHILD, Inc. `Children`s Healthcare Is a Legal Duty`, Dec. 2014): The Christian Science church is pushing hard to get another religious exemption through Congress. The EACH Act exempts everyone with `sincerely held religious beliefs` from the mandate to buy health insurance. We are particularly concerned about uninsured children: hundreds of American children have died because of their family`s religious objections to medical care. The EACH Act increases the risk to children in faith-healing sects and the cost to the state if the children do get medical care. Some complain that their church members should not have to pay for health care that they won`t use. But insurance works on the assumption that many in the pool of policyholders will not draw from it. Most people with fire insurance don`t have their homes burn, for example.
Source: EACH Act 15_S352 on Feb 3, 2015
Keep ObamaCare's prevention, treatment, & recovery services.
Kaine signed keeping ObamaCare's prevention, treatment, & recovery services
Excerpts from Letter from 20 Senators to President Trump: Repealing the Affordable Care Act (ACA) with no clear plan for replacement will substantially worsen the opioid epidemic. Last year, Congress took important steps to address this national public health crisis, enacting two bipartisan laws to address the opioid epidemic and reform the way our health system treats mental health and substance use disorders.
The Comprehensive Addiction and Recovery Act improved access to substance use disorder prevention, treatment, and recovery services. It promoted the use of best practices when prescribing opioid pain-killers, strengthening state prescription drug monitoring programs, and expanding access to the life-saving drug naloxone.
The 21st Century Cures Act also included critical mental health and substance use disorder reforms, strengthening enforcement of mental health parity laws, promoting the integration of physical and mental health care. Most importantly,
the 21st Century Cures Act dedicated $1 billion in new grant funding, which will be essential to helping states provide prevention, treatment, and recovery services to patients These bipartisan advances will be fundamentally undermined by repeal of the ACA.
Opposing argument: (Warren, D-MA, in StatNews.com, 11/28/2016): Senator Elizabeth Warren railed against the 21st Century Cures, saying the bill had been `hijacked` by the pharmaceutical industry. `I cannot vote for this bill,`` Warren said. `I will fight it because I know the difference between compromise and extortion.` The current legislation includes $500 million for the FDA, well below the amount Democrats had sought. Warren and Washington Senator Patty Murray have long argued that they would only support Cures legislation that included significant investment in basic medical research. While Warren said she supported many of the provisions, she called others `huge giveaways` to the drug industry.
Source: Letter Regarding Fighting the Opioid Crisis 17LTR-ACA on Feb 3, 2017
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Other candidates on Health Care: |
Tim Kaine on other issues: |
VA Gubernatorial: Abigail Spanberger Amanda Chase Glenn Youngkin Jennifer Carroll Foy Jennifer McClellan Justin Fairfax Kirk Cox Lee Carter Mark Herring Pete Snyder Ralph Northam Terry McAuliffe VA Senatorial: Amanda Chase Daniel Gade Hung Cao Mark Warner Nick Freitas Scott Parkinson Scott Taylor
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