Protect Our Care Blasts Consideration of Medicaid Lifetime Limits

Washington, D.C. – In response to the news that the Trump Administration may allow states to impose arbitrary lifetime limits on Medicaid coverage, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“The appalling concept of lifetime Medicaid limits represents a new low for the Trump Administration, and it threatens the health and well-being of the millions of Americans who get their coverage through Medicaid. Allowing states to impose arbitrary time limits on access to health care would leave innocent Americans with nowhere to turn and fundamentally change and weaken the popular Medicaid program, which serves millions of American seniors, children, and people with disabilities.  

“The Affordable Care Act stopped insurance companies from imposing dollar lifetime limits on coverage, and as a result, 105 million Americans are now free from arbitrary limits on care. But the Trump Administration wants to take us back to the days of lifetime coverage caps, and they’re targeting our most vulnerable citizens as guinea pigs. The majority of Americans with Medicaid coverage live in working households, but the Trump Administration is now considering punishing people just because their longtime employer doesn’t offer insurance or because they got sick or have a disability and lost their job.

“Today’s news makes it clear that threats to the Affordable Care Act, Medicaid, and the health of millions of Americans will remain very much alive for as long as the Trump Administration and Congressional Republicans continue their war on Americans’ health care. The idea of arbitrary time limits on Medicaid eligibility is not only illegal, it is immoral, and the Trump Administration should be ashamed. Enough is enough – it’s time for the GOP to stop trying to kick Americans off their coverage and end its war on our health care once and for all.”

Trump’s Opioid Mess Keeps Getting Worse

New Report: Congressional Republicans Fed Up With Inaction

After new POLITICO reporting reveals mounting frustration among even Congressional Republicans about the Trump Administration’s failure to confront the national opioid crisis, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“When Republican Members of Congress are willing to go on record about your Administration’s continuing failure to confront a massive public health crisis, you have a problem. President Trump needs to wake up to reality and get serious about this out-of-control crisis instead of continuing his harmful efforts to gut the agency charged with fighting it and to sabotage Medicaid, which funds one-fifth of all substance abuse treatment nationwide.”

Kellyanne Conway’s ‘opioid cabinet’ sidelines drug czar’s experts


President Donald Trump’s war on opioids is beginning to look more like a war on his drug policy office.

White House counselor Kellyanne Conway has taken control of the opioids agenda, quietly freezing out drug policy professionals and relying instead on political staff to address a lethal crisis claiming about 175 lives a day. The main response so far has been to call for a border wall and to promise a “just say no” campaign.

Trump is expected to propose massive cuts this month to the “drug czar” office, just as he attempted in last year’s budget before backing off. He hasn’t named a permanent director for the office, and the chief of staff was sacked in December. For months, the office’s top political appointee was a 24-year-old Trump campaign staffer with no relevant qualifications. Its senior leadership consists of a skeleton crew of three political appointees, down from nine a year ago.

“It’s fair to say the ONDCP has pretty much been systematically excluded from key decisions about opioids and the strategy moving forward,” said a former Trump administration staffer, using shorthand for the Office of National Drug Control Policy, which has steered federal drug policy since the Reagan years.

The office’s acting director, Rich Baum, who had served in the office for decades before Trump tapped him as the temporary leader, has not been invited to Conway’s opioid cabinet meetings, according to his close associates. His schedule, obtained under a Freedom of Information Act request, included no mention of the meetings. Two political appointees from Baum’s office, neither of whom are drug policy experts, attend on the office’s behalf, alongside officials from across the federal government, from HHS to Defense. A White House spokesperson declined to disclose who attends the meetings, and Baum did not respond to a request for comment, although the White House later forwarded an email in which Baum stressed the office’s central role in developing national drug strategy.

The upheaval in the drug policy office illustrates the Trump administration’s inconsistency in creating a real vision on the opioids crisis. Trump declared a public health emergency at a televised White House event and talked frequently about the devastating human toll of overdoses and addiction. But critics say he hasn’t followed through with a consistent, comprehensive response.

He has endorsed anti-drug messaging and tougher law enforcement. But he ignored many of the recommendations from former New Jersey Gov. Chris Christie’s presidential commission about public health approaches to addiction, access to treatment, and education for doctors who prescribe opioids. And he hasn’t maintained a public focus. In Ohio just this week, it was first lady Melania Trump who attended an opioid event at a children’s hospital. The president toured a manufacturing plant and gave a speech on tax cuts.

Much of the White House messaging bolsters the president’s call for a border wall, depicting the opioid epidemic as an imported crisis, not one that is largely home-grown and complex, fueled by both legal but addictive painkillers and lethal street drugs like heroin and fentanyl.

“I don’t know what the agency is doing. I really don’t,” said Regina LaBelle, who was the drug office’s chief of staff in the Obama administration. “They aren’t at the level of visibility you’d think they’d be at by now.”

Conway touts her opioids effort as policy-driven, telling POLITICO recently that her circle of advisers help “formalize and centralize strategy, coordinate policy, scheduling and public awareness” across government agencies.

That’s exactly what the drug czar has traditionally done.

Conway’s role has also caused confusion on the Hill. For instance, the Senate HELP Committee’s staff has been in touch with both Conway and the White House domestic policy officials, according to chairman Lamar Alexander’s office. But lawmakers who have been leaders on opioid policy and who are accustomed to working with the drug czar office, haven’t seen outreach from Conway or her cabinet.

“I haven’t talked to Kellyanne at all and I’m from the worst state for this,” said Sen. Shelley Moore Capito, a Republican from West Virginia, which has the country’s highest overdose death rate. “I’m uncertain of her role.” The office of Sen. Rob Portman (R-Ohio,) another leader on opioid policy, echoed that – although Portman’s wife, Jane, and Conway were both at the event with Melania Trump this week.

Some drug abuse experts and Hill allies find a silver lining, noting that Conway’s high-rank brings White House muscle and attention.

“If I want technical advice, I’m going to work with Baum,” said Rep. Tom MacArthur (R-NJ), a co-chair of the Bipartisan Heroin Task Force. “If I want to get a message to the president, Kellyanne is somebody that I know I can talk to.”

“It’s a really good sign that one of the president’s top advisers has been assigned to such an important topic,” said Jessica Hulsey Nickel, president and CEO of the Addiction Policy Forum.

Baum’s email called the drug office the “lead Federal entity in charge of crafting, publishing and overseeing the implementation of President Trump’s National Drug Control Strategy,” which multiple agencies review. He called Conway’s opioids cabinet an “interagency coordinating apparatus for public-facing opioids-related initiatives” and said that it was not overseeing national policy. But several administration officials did say her cabinet was indeed focused on a variety of policies.

Whatever Conway’s ties to the president, her career has been in polling and politics, not public health, substance abuse, or law enforcement.

Some of her “cabinet” participants do have a broad, general health policy background. But they don’t match the experience and expertise of the drug office’s professional staff. In her circle is Lance Leggitt, the deputy director of the White House’s Domestic Policy Council who was also chief of staff to former HHS Secretary Tom Price. Another top Price aide, Nina Schaefer, recently returned to the Heritage Foundation. The conservative think tank then touted her as having managed “the development of the HHS response to the opioid abuse crisis,” but when POLITICO recently tried to contact her, she said through a spokesperson she was not an expert on the topic.

Among the people working on the public education campaign that Trump promised is Andrew Giuliani, Rudy Giuliani’s 32-year-old son, who is a White House public liaison and has no background in drug policy, multiple administration sources told POLITICO. Nor has Conway spent her career in the anti-opioid trenches.

“Kellyanne Conway is not an expert in this field,” said Andrew Kessler, the founder of Slingshot Solutions, a consulting group that’s worked on substance abuse with many federal agencies.“She may be a political operative and a good political operative,” he added. “But look. When you appoint a secretary of Labor, you want someone with a labor background. When you appoint a secretary of Defense, you want someone with a defense background. The opioid epidemic needs leadership that ‘speaks’ the language of drug policy.”

The set-up befuddles other experts who’ve worked on substance abuse for prior administrations. Fresh ideas are fine, they say. But the drug office has a purpose.

“The whole reason we created ONDCP in 1988 was to be a coordinating force with power in the government and to bring together 20 agencies, many reluctant to be involved in drug control,” said Bob Weiner, who served in that office in both the George W. Bush and Clinton White Houses. “This is exactly when the agency should get maximum support from the White House,” he added.

An ONDCP spokesperson told POLITICO the office “works closely with other federal agencies and White House offices, including Kellyanne Conway’s office, to combat the opioid crisis” but declined to say whether the office’s career experts have attended any of her “opioids cabinet” sessions. The drug office is still crafting the annual drug control strategy, outside the Conway group, administration officials said.

A senior White House official confirmed that officials considered kicking off the media campaign with a big splash during the Super Bowl, but that fell through. Beyond that, many experts on drug policy and substance abuse say messaging alone won’t solve the problem anyway. People with addiction need treatment, and many people get addicted in the first place to painkillers their doctors have prescribed. An ad campaign won’t solve that.

One big test for the drug office will come when Trump releases his budget Monday, which is expected to slash the office’s budget, turning much of its work over to HHS and the Department of Justice. Both departments are developing their own opioid approaches; in past administrations, the drug czar would have coordinated. Lawmakers are already sounding the alarms over the budget plan.

A bipartisan group of senators last week wrote a letter to White House budget director Mick Mulvaney, urging him to reconsider and maintain the office’s programs that “prevent and fight against the scourge of drug abuse.”

Pushback to a similar proposal last year led the Trump administration to reverse the decision and maintain the office’s budget. Lawmakers hope that there will be a similar outcome this time — along with a smarter utilization of the drug policy office.

“What we haven’t seen is the kind of coordination of critical programs that ONDCP has traditionally done,” said Sen. Maggie Hassan, a Democrat from New Hampshire, another state with one of the highest overdose death rates in the country.

Trump officials say it was the Obama administration that began undermining the drug policy office, demoting the director from the Cabinet, shrinking the staff and stressing the health aspects more than a law enforcement-focused “war on drugs.” They say the emergency requires a new approach.

Bob Dupont, who served as the second White House drug czar under President Gerald Ford, before the formal drug policy office was created, and still informally advises the Justice Department on drug policy, believes the White House will eventually realize it needs the expertise that ONDCP has to offer.

The West Wing doesn’t “have the staff or capability” to carry out drug policy work like ONDCP does, Dupont told POLITICO. “I don’t think swashbuckling your approach is going to last very long.”


Protect Our Care Statement on World Cancer Day

Today the world unites to recognize World Cancer Day, raise awareness, and call for governmental actions to combat this terrible disease. Unfortunately, here at home the Trump Administration has taken numerous steps which could make life even more difficult for Americans with cancer. On World Cancer Day, Protect Our Care Campaign Director Brad Woodhouse released the following the statement:

“On World Cancer Day, we pause and reflect. For too long this devastating disease has caused untold pain and suffering without regard for circumstance. One of today’s main goals is to encourage further governmental action to fight cancer; sadly, we know our country could be doing more.

“Over the past year, President Trump unveiled a budget which cut $1 billion from the National Cancer Institute, as well as a twenty percent cut for the National Institutes of Health; he hosted a White House celebration for a GOP bill the American Cancer Society-Cancer Action Network said contained ‘numerous provisions [which] would adversely impact access to adequate and affordable health insurance coverage for cancer patients and survivors,’ including the re-implementation of lifetime caps, increased costs tied to pre-existing conditions, and penalties for those with coverage gaps; and he signed legislation repealing the individual mandate, which ACS-CAN explained ‘leaves cancer patients, survivors and all those with serious illnesses at risk of being priced out of the individual health insurance market.’

“On this World Cancer Day, let us unite as a nation to affirm our support for a health care system that provides the best care possible for those with cancer and bans discrimination against cancer survivors, and keep working toward a cure.”

PHOTOS: Health Care Protests at GOP Retreat in West Virginia

As Congressional Republicans retreated to West Virginia to discuss their plans for 2018, they were greeted by protesters who are furious about the GOP’s ongoing war on health care. Hundreds of protesters greeted Vice President Pence at the airport, lined up along the President’s motorcade route, and made sure every Member of Congress in attendance knew just how furious voters are about their party’s health care sabotage:

[Beckley Register-Herald]

The protesters made clear just how devastating the GOP’s health care attacks would be to West Virginia:

“An issue on the minds — and signs — of many of the protesters was health care. Hanno Kirk, 78, of Lewisburg, said his main concern as a health care provider is the 230,000 people in West Virginia who are in danger of losing health insurance if the GOP succeeds in dismantling the Affordable Care Act. ‘It’s totally misguided to attempt to do away with the ACA simply because it’s called ‘Obamacare,’ Kirk said, noting he used to be a ‘liberal Republican in Washington, D.C., back when there was such a thing as a liberal Republican.’ Stephen Josephine Fritsch of Harrisburg, Pa., the daughter of a combat veteran, said it appears the values her father fought for are slipping away. ‘This is America,’ she said. ‘It should be we the America, not me the America.’ Fritsch expressed concern about the state of U.S. health care under GOP leadership.”

“‘Well, we have a lot of issues in West Virginia,’ said psychotherapist and protester Hanno Kirk. ‘As a healthcare provider, I am acutely aware how many of my patients are reliant on Medicaid and Medicare and CHIPS. And if those two are eliminated, as there is a threat to that, we would have a huge number of uninsured people.’” [WVVA, 1/31]

[Beckley Register-Herald]

Protesters gathered at Senator Moore-Capito’s office ahead of Congressional Republicans’ arrival:

Protesters are hitting the streets in Charleston, a day ahead of the GOP retreat at The Greenbrier, to voice their concerns about cuts to health care and Medicaid. A rally Wednesday evening included people from all over the eastern U.S. gathering in Charleston, including one woman from as far away as Vermont. It is a test run for a bigger demonstration on Thursday in Greenbrier County. By the end of the night Wednesday, the group is expecting about 500 advocates in town — standing together against Medicaid and health care cuts. [WSAZ, 1/31]

They met Vice President Pence at the Charleston airport:

“‘We’re just ready for that change,’ Debbie Naeter says. She’s right outside the Greenbrier Valley Airport gates with protestors prepared to welcome Vice President Pence with their concerns. ‘It’s health care, and fracking, and equality, and being nice again,’ she says.” [WDBJ, 1/31]

Engaged activists traveled from all over the country to make their voices heard:

“Protesters came from all over the United States. WDBJ7’s Sara Machi spoke with protesters from West Virginia, New York City, Charlotte, and Arkansas. Many protesters present Thursday said they have decided to protest because of issues important to them. These issues include immigration, healthcare, the recent tax bill, clean water, and other issues.” [WDBJ, 2/1]

[Beckley Register-Herald]

As Paul Ryan raised the specter of “entitlement reform” inside, protesters at the gates of the five-star resort raised awareness about the GOP’s proposed cuts to Medicare and Medicaid:

“President Donald Trump’s address to Republican congressmen at The Greenbrier resort in southern West Virginia has drawn several hundred protesters with signs and chants criticizing him and calling for living wages, protecting Medicaid and Medicare, defending immigrants and decrying hate speech.” [AP, 2/1]


The bottom line from protesters: Enough is enough. It’s time to stop the Republican war on our care.

“While President Donald Trump and Vice President Mike Pence plan to attend a GOP congressional retreat in West Virginia, some health care advocates plan to attend rallies to protest Medicaid and health care cuts… Organizers said in a news release that West Virginia health care advocates would join more than 500 people gathering to protest and send a message ‘that any cuts to health care — the issue expected to top the GOP’s agenda — will be met with a fierce nationwide fight.’” [WCHS, 1/31]

[Beckley Register-Herald]

Lest anyone be confused, they made clear what the protests were really about:

“Sammi Brown, the federal campaigns director for Our Children, Our Future, said this started after activists in Greenbrier County reached out to individual groups, and word of the action reached organizations in West Virginia and other states shortly afterward. ‘It is folks all along the East Coast that are standing in solidarity with West Virginia. We are expecting upwards of 600 people tomorrow to march with us,’ she said. Brown said the protest was not about Trump but rather the agenda of what she called ‘attacking health care.’” [West Virginia Metro News, 1/31]

And Vice President Pence found one special health care protester – West Virginia Senator Joe Manchin. After Pence chided him for not voting for the GOP tax scam, which kicked millions of Americans off of their coverage, Manchin hit back:


As President Trump, Vice President Pence and GOP Members of Congress were shown upon their arrival in West Virginia, Americans, from local organizers to United States senators are furious about their repeal and sabotage memo. They’re furious over their weakening of the Affordable Care Act; they’re furious over their attempts to gut Medicare and Medicaid; and they’re furious over their unnecessary attacks on America’s health care system. And if they don’t stop, it’s only going to get worse.

Enough is enough – it’s time for the GOP to end their war on health care.

Indiana Waiver Approval Accelerates Trump Administration’s War on Medicaid

Washington, DC – As the Trump Administration accelerates its war on Medicaid today by approving Indiana’s waiver proposal, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“By announcing today’s approval, Secretary Azar is escalating the Republican war on health care and its effort to demolish Medicaid from the inside out. The Trump Administration is choosing to cause real pain in Indiana by letting the state make Mike Pence and Seema Verma’s cruel, failing Medicaid ‘experiment’ even worse. Hoosiers with Medicaid will face a 6-month lockout for a simple paperwork mistake, reversing Obama-era progress to streamline enrollment and reduce administrative hurdles. A person caring for a sick child or parent, someone working to control their opioid addiction, or someone who has chronic health conditions that make it impossible to work will now have the added worry of losing their health insurance. This is just cruel. The truth is that imposing work requirements will do nothing to help Hoosiers find or keep jobs. In fact, it most likely will have the opposite effect.

“With today’s announcement, Secretary Azar is also showing that he is a Trump foot soldier who’s happy to help distract from CMS Administrator Verma’s conflicts of interest in Indiana: the agency she leads has just signed off on an even worse version of a badly failing program she personally made millions of taxpayer money off of thanks to Vice President Pence while he was Governor.

“Today’s announcement is a direct affront to Medicaid’s stated mission of improving people’s health.  This is not about work. It’s about taking away people’s health care. All it does is kick people while they’re down.”


In 2015, in order to expand Medicaid to over 350,000 Hoosiers, the Obama administration approved then-Indiana Governor Mike Pence’s experimental proposal to impose nominal “show” premiums (often $1) for people with Medicaid, and then take away their coverage with a “lockout” of at least 6 months if they missed a payment. Since then, 25,000 Hoosiers have been kicked off their coverage by lockouts.

CMS Administrator Verma’s Checkered Anti-Medicaid Past in Indiana & Beyond

Verma Created The “Healthy Indiana Plan 2.0” Under Pence, Which Put Restrictions On Medicaid Recipients That “Warranted A Six-Month Lockout From Coverage” If They Missed A Single Monthly Payment. According to the International Business Times, “Verma has an extensive history in the healthcare industry. Her consulting firm, SVC Inc., worked alongside Pence to reform Indiana’s Medicaid program following the induction of President Barack Obama’s Affordable Care Act (ACA). […]While Pence was governor of Indiana, Verma helped create Healthy Indiana Plan 2.0, which required users, including low-income recipients, to make monthly payments for their health insurance services with restrictions that warranted a six-month lockout from coverage if even a single payment was missed.” [International Business Times, 11/30/16]

A Mother Of Three In Indianapolis Was Kicked Out Of The Program For A Misplaced $1 Payment. According to NPR, “So how does it work in practice? For Amber Thayer, a mom of three who lives in a Volunteers of America family shelter in Indianapolis, it’s been a bit of a nightmare. Thayer is a recovering addict who has been clean for six months with the help of the medication Suboxone. And she’s training to be a nursing assistant. ‘It’s been quite, quite the struggle, but we’ve gotten there and we’re doing great, and we’re getting ready to get into our own home,’ she says. She pays $1 a month for her Medicaid insurance. In October, she got a bill for that $1 from a different company than the one she had been dealing with. She assumed the state had switched her. ‘It is only a dollar,’ she says. ‘I could pay a dollar a month, or I could pay $12 and that will cover me for the year. Unfortunately, at that time, I only had I believe it was like $2.38 on my card.’ So she called the company and used her bank card to pay the dollar. But the company, or perhaps the state, lost track of her dollar, and her insurance was cut off. She had her bank statement and a receipt from the insurer that proved she had paid. But she still spent six weeks, with multiple phone calls and visits to state health offices, trying to get her coverage restored.” [NPR via Houston Public Chronicle, 1/3/17]

Indiana Medicaid Recipients Could Be “Locked Out Of The Program” For Not Paying Their Premiums, “A Provision Even Commercial Insurance Does Not Impose.” According to The Guardian, “In Indiana, if people on Medicaid earning between $11,000 and $16,000 don’t pay their ‘premiums’, they can be locked out of the program for up to six months, a provision even commercial insurance does not impose. ‘If someone can’t scrape up the money for premiums for two months, they get dis-enrolled, and they get locked out for six months,’ said Kallow. ‘Then say they get cancer, they get hit by a truck, they have an accident. They have absolutely no place to turn for health coverage.’” [The Guardian, 12/4/16]

While Kicking People Off Of Medicaid, Verma’s Firm SVC, Inc. Was Contracted To Receive More Than $4.8 Million From The State Of Indiana Between 2014 And 2017. According to SVC’s contract with the Indiana Family and Social Services Administration, SVC Inc. was contracted to receive $4,851,400 between May 2014 and June 2017. [SVC Inc. Contract – Indiana Family and Social Services Administration, 6/17/16]

At The Same Time Verma Worked On The Redesign Of Indiana’s Medicaid Program Under A $3.5 Million State Contract She Was Working For “One Of The State’s Largest Medicaid Vendors,” Receiving More Than $1 Million.” According to the Indy Star, “Largely invisible to the public, Verma’s work has included the design of the Healthy Indiana Plan, a consumer-driven insurance program for low-income Hoosiers now being touted nationally as an alternative to Obamacare. In all, Verma and her small consulting firm, SVC Inc., have received more than $3.5 million in state contracts. At the same time, Verma has worked for one of the state’s largest Medicaid vendors — a division of Silicon Valley tech giant Hewlett-Packard. That company agreed to pay Verma more than $1 million and has landed more than $500 million in state contracts during her tenure as Indiana’s go-to health-care consultant, according to documents obtained by The Indianapolis Star. Verma’s dual roles raise an important question: Who is she working for when she advises the state on how to spend billions of dollars in Medicaid funds — Hoosier taxpayers or one of the state’s largest contractors?” [Indy Star, 8/26/14]

  • Indiana Lawmakers Were Unaware That Verma Was Working For The State And For HP Simultaneously. According to the Indy Star, “If Verma was a federal contractor, her dual roles ‘would certainly raise tremendous concern for regulators and purchasing officials,’ he said. ‘This is exactly the kind of thing that would land an agency in a hearing before a legislative oversight committee.’” [Indy Star, 8/26/14]

Verma’s Medicaid Reforms In Iowa Were “A Nightmare.” According to STAT News: “When President Donald Trump tapped policy consultant Seema Verma to run Medicaid and Medicare in his administration, he called her part of a health care ‘dream team.’ But the health policy changes she helped design in Iowa have felt more like a nightmare to providers serving poor and disabled residents across the state. Verma has helped several states revamp Medicaid, including Kentucky and Indiana. Here in Iowa, she worked on an aggressive effort to privatize the program, which provides health care to about 600,000 adults and children.” [STAT News, 1/24/17]

  • Ablekids Pediatric Therapy In Sioux Falls Reported Struggle to Keep Doors Open. According to a Des Moines Register editorial: “The Cedar Rapids Gazette has reported on billing problems experienced by outpatient rehabilitation clinics across the state. ‘We’re not even getting half of what we got with Iowa Medicaid,’ said Jessica McHugh, owner of AbleKids Pediatric Therapy in Sioux City, referring to the many years when the state administered Medicaid.” [Editorial – Des Moines Register, 7/16/16]

This Week In the War on Health Care — January 29 – February 2, 2018

While Washington focused on the State of the Union, the Trump Administration continued its unprecedented assault on the American health care system. Here’s what happened this week in Republicans’ war on health care – and why they’re losing battles to the American people:


During his State of the Union address, President Trump doubled down on the war on health care his administration and his Republican allies in Congress waged last year, saying he “repealed the core of disastrous Obamacare” — a widely debunked lie. He also failed to mention that:

The President then pivoted to the opioid crisis, attempting to take credit for addressing the epidemic. But in reality, Trump has done nothing to facilitate treatment for Americans struggling with addiction. In fact, his attacks on critical federal health care and opioid response programs stand to make the situation worse:

  • His public health emergency declaration speech freed up just $57,000, pathetically short of the billions experts say are desperately needed.
  • His Administration sabotaged Medicaid, which pays for one-fifth of all substance abuse treatment nationwide.
  • He proposed a 95% cut to the Office of National Drug Control Policy, which coordinates the federal opioid response – and he did so for the second year in a row.

Sadly, the Trump Administration is not only offering a pathetic response to the nation’s most urgent public health crisis, it’s actively sabotaging communities that are fighting to turn the tide on this deadly epidemic.


On Monday, former Big Pharma lobbyist Alex Azar was sworn in as the new secretary of Health and Human Services. Azar lied about the Trump Administration’s sabotage throughout his confirmation process, choosing to embrace the Republican agenda that takes coverage from millions of Americans, raises costs for millions more, and protections for people with pre-existing conditions.

Whether Azar upholds the oath he swore will soon be tested because of…


Negative reactions continued as experts digested Idaho Governor Butch Otter’s illegal proposed assault on the Affordable Care Act. University of Michigan law professor and former Department of Justice attorney Nicholas Bagley called such an action “crazypants illegal,” noting that Idaho, “appears to be claiming they do not have to adhere to federal law.”

What Secretary Azar does with this will be an excellent indicator of whether he plans to truly support the health of the American people, like he claimed, of if he will merely be another foot soldier in the Administration’s war on health care.


A new report from the Kaiser Family Foundation highlights massive increases in out-of-pocket medical costs for Medicare beneficiaries – costs that are projected to keep skyrocketing.

While President Trump has claimed he wants to lower costs, the reality is the opposite: he has consistently supported proposals making health care more expensive, from repeal legislation allowing insurance companies to charge people over 50 an ‘age tax’ with rates five times higher to the GOP tax scam set to raise premiums double digits. Seniors should rightly be furious, as are…


As GOP Members of Congress retreated to West Virginia, they were greeted by protesters furious about the ongoing war on health care:


And finally, yesterday was the scheduled final day of open enrollment. Despite the widespread attempts at sabotage by the Trump Administration, from cutting the sign-up period in half to dropping advertising by ninety percent, we have already reached 96% of last year’s enrollment total:

  • Nearly 8.8 million people signed up for coverage through
  • Demand from new consumers outpaced new enrollments every single week of last year, with 2.5 million new people signing up for coverage.
  • Almost 6.3 million returning consumers actively renewed their coverage or were automatically re-enrolled compared to 6.2 million people last year.

Protect Our Care Statement on What Should Have Been the Last Day of Open Enrollment

After the states that stuck with the original Open Enrollment schedule wrapped up strong enrollment seasons last night, Protect Our Care Executive Director Brad Woodhouse released the following statement:

“If President Trump hadn’t sabotaged Open Enrollment by cutting the signup period in half for the 36 states using HealthCare.Gov, yesterday could have marked the end of the annual sign-up season nationwide. But here’s the good news: despite the Trump Administration’s sabotage, millions of Americans again signed up for comprehensive coverage. Before the final numbers come in, we have already reached 96% of last year’s enrollment total nationwide. This year’s enrollment season succeeded thanks to thousands of enrollment assisters, community activists, and volunteers who banded together to do what the Trump Administration refused to: help their fellow Americans get covered. It’s time for Republicans to stop their war on health care, which stopped even more people from signing up by driving up unsubsidized premiums, because it’s clearer than ever that Americans want and need quality, affordable coverage.”



Seniors’ Medical Expenses Rising as GOP War on Health Care Spikes Costs Nationwide

Meta Capitol

“Lost in the State of the Union coverage was yesterday’s new report from the Kaiser Family Foundation highlighting massive increases in out-of-pocket medical costs for seniors – and they’re projected to keep skyrocketing. While President Trump has claimed he wants to lower health care costs, including the prescription drug costs that drive seniors’ medical expenses, the reality is the opposite. President Trump has consistently supported proposals that make health care more expensive, from repeal legislation which would have allowed insurance companies to charge people over 50 an ‘age tax’ with rates five times higher to the tax scam that’s set to raise premiums double digits, and he recently put a Big Pharma executive in charge of HHS. The first step toward containing costs for American seniors and families is for Trump and the GOP to end their war on Americans’ health care and stop paying allegiance to Big Pharma.”

Seniors’ out-of-pocket medical costs are rising

Axios // Sam Baker // January 30, 2018

On average, Medicare beneficiaries are spending about 41% of their Social Security income on out-of-pocket health care costs, according to new research from the Kaiser Family Foundation. And half of all Medicare beneficiaries spent roughly 14% of their total income — not just from Social Security — on health care.

Why it matters: Health care is eating up more and more of everyone’s income — but that’s an especially difficult burden for seniors, who often live on fixed incomes.

The gritty details, per KFF:

  • These percentages are expected to grow.
  • Those expenses include premiums, cost-sharing, and spending on services Medicare doesn’t cover, such as long-term care.
  • Not surprisingly, older, sicker and poorer seniors were all more likely to spend a greater share of their income on health care expenses.

Don’t forget: This is also a good reminder that while “Medicare for all” polls well as a synonym for single payer, actual Medicare for all would still leave plenty of room for out-of-pocket spending and even privately administered benefits.

Go deeper: Corporate profits have dramatically outpaced wages and health benefits since the turn of the century.

President Trump Ignores Health Care Damage Caused By Year of Sabotage in 2018 State of the Union

Trump Header Background

Washington, DC – In response to tonight’s State of the Union address, during which President Donald Trump falsely claimed to have repealed the Affordable Care Act, duplicitously claimed he is working to end the opioid crisis, and ignored the fact that under his watch, millions of Americans have lost coverage and millions more are facing skyrocketing health costs, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Tonight’s speech was a succinct summary of health care during the Trump Administration’s first year: full of lies, short on solutions and indifferent to the Americans who have been harmed by its policies. During last year’s speech, President Trump said he would lower premiums, protect those with pre-existing conditions, and protect Medicaid. Instead, he signed a bill which will raise premiums double-digits and deny coverage to millions, championed bills removing protections for pre-existing conditions and imposing an age tax, and implemented Medicaid requirements designed to deny coverage to people who need it the most. And 3.2 million Americans lost their health care in 2017 as a result of his sabotage.

“While President Trump and Republicans in Congress spent the year attempting to sabotage and repeal the Affordable Care Act, the American people refused to go along, voting out Republicans who supported sabotage and enrolling in Marketplace plans at near-record numbers. Today, the Affordable Care Act is more popular than ever. If Donald Trump truly cares about the state of the nation he leads, he will end his repeal and sabotage campaign. Enough is enough – it’s time for President Trump and Congressional Republicans to end their war on health care.”

Fact Check: President Trump Doubles Down On His War on Health Care In the State of the Union

During his State of the Union address, President Trump doubled down on the war on health care his administration and his Republican allies in Congress waged last year, saying he “repealed the core of disastrous Obamacare.” These relentless attacks and sabotage of our health care have real consequences for people across the country. Enough is enough. It it time to end partisan attempts to repeal and undermine health care.


  • 3.2 million people have lost their health coverage.
  • Trump sabotage led to higher premiums this year because of uncertainty in the market.
  • Women may face higher costs after the Trump Administration took direct aim at birth control by rolling back a rule that guaranteed women access to copay-free contraception.
  • People with pre-existing conditions face higher costs because the Trump Administration’s rules rolling back key consumer protections that will result in garbage insurance.
  • Congress passed, and President Trump signed, a tax bill that repealed a key provision of the Affordable Care Act that will result in millions more losing health coverage and raising premiums by double digits.