Sarenium wrote:Dentali wrote:
"I have principles which I have stuck to my entire career, I have successes and experiences. Prendergast has failures and no principles."
Joe nodded amicably, "how do you intend to repair the lagging infrastructure in our country? Address the growing health crisis, opioids and the like, or address the burgeoning consequences of student debt?"
Howard maintained the same look from before their conversation had started, refusing to allow his view to be hinted at.
"Lets take this one step at a time..."
"Firstly Infrastructure. I'd like to say that we could just get spur private investment by making a small public investment up front, and while that certainly works in some cases and we will be doing that... private investors won't be interested in fixing old water pipes and filling potholes because they won't see an economic return on that."
"We need to cut red tape and streamline the permitting process, because projects in the US take decades when they would take 2 years in Europe. We should create a grant program that rewards states that streamline and reform their permitting process with more infrastructure spending and then give states a bit more flexibility on how they prioritize that money. Wherever possible we use Public-Private Partnerships on things like airports, ports, toll roads, utilities, and 5G. And we should treat our infrastructure spending as part of a capital budget like states do, these are investments in the future and we can expect real increased economic activity from them... real direct returns."
"Now healthcare.... My plan protects the vulnerable, those with pre-existing conditions, empowers individuals with control, and personalizes health care. Firstly we expand State Innovation Waivers that have enabled states like mine to make real progress on healthcare, lowering premiums and increasing protections. We undo things like the mandatory essential health benefits, the lifetime limits, the preventative care with no cost sharing, etc and let states set these. We then set up Guaranteed Coverage Pools, run by states and subsidized by the federal government. These will allow individuals will the most expensive and risky conditions to have affordable coverage without raising costs on everyone."
"We must restructure our current subsidies and Medicaid expansion into state run programs as well, specifically to provide grants for low income individuals and those with specific vulnerabilities. This also means restructuring the tax code so that employer markets and individual health markets are treated equally. But my most important proposal might be increasing Health Savings Accounts by allowing them to pay for premiums and increase yearly contributions to $9,000 for individuals and $18,000 for families. On top of that we need to lower barriers and promote innovation, like telemedicine, direct primary care, expand what nurses are allowed to do and lower costs without compromising quality."
"Opioids... The Wold administration is making real progress on this overall. We tackle demand, supply and treatment. I want to give HHS $15 billion to support more outreach and education efforts and expand the tools available to doctors to identify and prevent potential abuse. We also need to tackle bad actors, shutting down illegal sales, fraudulent prescribes, and prevent the flow of the drug into our borders, to say nothing of those manufacturers who lied about the addictive qualities of the drug. And then set up a grant program to support best practices for states like West Virginia who aren't taking proactive steps to stop the crisis."
"Student Debt... Unlike Prendergast who literally wants to add a tax to college grads I actually care about the student debt crisis. First we need more transparency laws when it comes to the cost of college and potential income from the college, we should be setting up an easy to read website that compares every single college, public and private, their costs and the average income made by someone graduating with that degree from that college."
"I also support the Bennett Hypothesis, that federal student aid encourages colleges and universities to raise tuition prices. We should be conditioning student aid on colleges cutting costs and their ability to provide real returns on the investment. Most importantly the private sector needs to be restored when it comes to student financing and regulations that increase college costs need to be re-examined to provide the minimal economic impact."








