2020 Health Care Finance Candidate Survey

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For the purposes of this survey the following definitions apply:

Single Payer Improved Medicare for All (SPIMFA) ( ) is a health care finance system in which the providers are in business for themselves, patients may choose their providers, and premiums are collected through taxes.  Improved Medicare for All means that coverage is expanded to cover more services (such as behavioral health, vision, dental, and hearing coverage), regulate drug prices and eliminate the need for supplemental or gap insurance because deductibles, co-pays and co-insurance are eliminated.  Examples include S.1129 Medicare for All ( ), sponsored by U.S. Senator Bernie Sanders, and H.R.1384 ( ), sponsored by U.S. Representative Pramila Jayapal.

Medicare for Some is a finance system that would provide consumers with a way to buy into Medicare before they turn age 65.  Examples are Medicare X ( ), Sponsored by U.S. Senators Michael Bennet and Tim Kaine or Choose Medicare ( ), sponsored by U.S. Senators Chris Murphy, Dianne Feinstein, and Jeff Merkley.

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1)  HB 1176 The Health Care Cost Savings Act of 2019 ( ) passed the Colorado Legislature with bipartisan support. It created a task force to study health care finance systems in order to determine which would be the most cost efficient and equitable way to pay for health care in Colorado.  The report is due Sep 1, 2021. How likely are you to support acting on the evidence the study finds?

a)  Very likely to support acting on the evidence reported by the task force

b)  Somewhat likely to support acting on the evidence reported by the task force

c)  Undecided

d)  Somewhat likely to oppose acting on the evidence reported by the task force

e)  Very likely to oppose acting on the evidence reported by the task force

2)  Warren Buffett said in May 2017, “Medical costs are the tapeworm of American economic competitiveness.” The high cost and complexity of health insurance is a huge burden on American business and leaves them at a competitive disadvantage in the global marketplace. How likely are you to address this economic and administrative burden on American business by supporting Single Payer Improved Medicare for All which eliminates employer-based insurance?

a)  Very likely to support SPIMFA, thereby eliminating employer-based insurance

b)  Somewhat likely to support SPIMFA, thereby eliminating employer-based insurance

c)  Undecided

d)  Somewhat likely to oppose SPIMFA, thereby eliminating employer-based insurance

e)  Very likely to oppose SPIMFA and eliminating employer-based insurance

3) “Of all of the forms of inequality, injustice in health care is the most shocking and inhumane.” – Martin Luther King, Jr.  In 2019, there were 22 hospitals in rural Colorado ( ) operating at a deficit while Denver Metro Area hospitals earned over $2 billion in profits ( ).  A SPIMFA finance system would remove the incentive for profits, which is the main driver behind this inequity between urban and rural hospitals, among other factors (e.g. due to age and race).  SPIMFA would include global budgeting for hospitals and incentives for health care professionals to work in underserved areas. How likely are you to support a SPIMFA finance system designed to address disparities in access to health care in Colorado?

a)  Very likely to support a SPIMFA health care finance system

b)  Somewhat likely to support a SPIMFA health care finance system

c)  Undecided

c)  Somewhat likely to oppose a SPIMFA health care finance system

d) Very likely to oppose SPIMFA health care finance system

4)  Would you support a Colorado state-wide version of Single Payer Improved Medicare for All health care finance system?

a)  Very likely to support

b)  Somewhat likely to support

c)  Undecided

4)  Somewhat likely to oppose

5)  Very likely to oppose

5)  Would you support a national Single Payer Improved Medicare for All health care finance system

a)  Very likely to support

b)  Somewhat likely to support

c)  Undecided

4)  Somewhat likely to oppose

5)  Very likely to oppose

6)  What actions would you take as an elected official to provide simple, affordable health care for all for life?

a)  Support legislation to create Single Payer Improved Medicare for all (SPIMFA) at the state level

b)  Support legislation to create SPIMFA at the national level

c)  Support a local resolution to urge federal officials to create SPIMFA at the national level

d)  Support a local resolution to urge state officials to create SPIMFA at the state level

e)  Support a ballot initiative to create SPIMFA at the state level

f)  Support legislation to regulate insurance companies nationally so that affordable insurance is available to everyone.