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The American Medical Student Association Health Care Platform for the U.S.

The American Medical Student Association Health Care Platform for the U.S. recognizes that our U.S. health care system is broken, and it is broken because for far too long, physicians have been disengaged. It is up to us, as future physicians and as members of the American
Medical Student Association, to accept our responsibility to our patients and to our profession and to re‐engage in the system so that we can fix what is broken. It is up to us to ensure that our leaders provide quality, affordable health care to everyone.

This document lays out the core tenets for a health care program for America that we will ask our Presidential, Congressional, and local candidates to commit to as they hold public meetings, appear in photo‐ops, and make public appearances in the days leading up to the November elections.

Quality, Affordable Health Care for All: America’s Health System Under Our Next President Must:

1. Establish a single, comprehensive, publiclyfunded, privately-delivered financing system of health care for all. Allowing the free market free reign over the costs of financing of our health care system has created a nonsustainable draining of our public health system. Families should be able to afford a family doctor; doctors who serve Medicare and Medicaid patients should be able to afford to stay in business. Our leaders have a responsibility to ensure everyone in America has access to quality, affordable health care.
   
   
2. Eliminate the “profit before patients” approach that underlies the Insurance Industry. Today, hard working people are struggling to make sure their family can see a doctor or go to the hospital when they or their children fall sick. We need a break from high-deductible, no-healthcare insurance: our health care system must "do no harm" and must allow providers to deliver the best care science can provide, not a system to increase insurance company profits. The status quo has created a free-for-all for insurance companies that profiteer and “cherry-pick” only the patients that will not require care. Because of our failed system, one million people go bankrupt every year because of their healthcare bills, and most of these people have private insurance.
   
   
3. Ensure coverage for all chronic conditions. People with chronic conditions – asthma, diabetes, HIV – are shunted to a prohibitively expensive, “sick”, private insurance pool, preventing the benefit of pooling the risks of sick patients with healthy patients. When people with chronic diseases don’t have adequate (or any) access to prevention and treatment for their conditions, patients suffer, and with them suffers the health of their families, jobs, and our communities.
   
   
4. Ensure job mobility and health security. People who work for a living or who want to start up small businesses must be able to keep and transfer their health insurance between jobs, and between states.
   
   
5. Ensure lowcost, high-quality health care. We need coordination of our health care, not fragmentation. We must eliminate the wasteful administrative costs inherent to a fragmented, privatized health care system and support a health care system that is publicly accountable to taxpayers and patients. The costs of an American health care system must be controlled with a single, streamlined funding source, with strong, “public monitor” role to ensure high quality health care for everyone.
   
   
6. Regulate profiteering of the Pharmaceutical Industry. Our leaders must steward our tax dollars wisely by investing in production of generic medications and by egotiating the best price for generic medications. The next secretary of DHHS must be granted bulk purchasing power for medications bought by our public health systems.
   
   
7. Recognize that our immigrants and migrants are integral members of our society and must have access to health care. Immigrant and migrant workers come to the US for economic, not health care reasons. Our leaders have the responsibility to eliminate all forms of discrimination in access to health care for everyone.
   
   
8. Invest in primary care. We must invest in and incentivize primary care so that providers are not prohibited by insufficient reimbursements from choosing primary care fields, and we must center our medical system holistically on our patients’ integrated health care needs.
   
   
9. Expand family planning. Women, young women and girls must be able to talk openly with and receive factual, nonbiased information about contraceptive and birth options from their doctors.