The Ten Commandments of Health Care by Tom Dwyer

Tom Dwyer can be contacted at tdwyerma@comcast.net

1. Preserve the coverage gains made by the Affordable Care Act (ACA) and further decrease the number of Americans without health insurance. 2. Preserve the funding for Medicaid expansion and expand the program in all states. 3. Ensure that reasonable revenue is in the federal budget to pay for health care for all. 4. Uphold the purpose of Medicaid by refraining from structural changes to how the program is funded. Changing the funding structure to a block grant or per capita cap would impose rigid limits on the amount of federal money available to states for Medicaid, endangering the health and well-being of children, older adults, people with disabilities, and their families. 5. Ensure that insurance premiums and cost sharing are truly affordable to all. Policies to improve affordability must prioritize those with the greatest need, not those with the means to put money in a health savings account or wait for tax deductions. 6.Maintain health services and benefits currently provided by the ACA including access to essential medicines, mental health services, preventive services, pre-natal services, and other key services necessary to maintain health. 7. Maintain guaranteed issue for those with pre-existing conditions. Do not quarantine the millions of Americans with pre-existing conditions in unaffordable high risk insurance pools. 8. Prevent insurance companies from discriminating against women, the elderly, and people in poverty. 9. Create effective mechanisms of accountability for insurance companies and not allow them to have annual or lifetime caps on expenditures. 10. Continue to allow children under the age of 26 to be covered by their parents’ insurance.