Election 2016 : Which presidential candidate will be good for diabetics and others with chronic illnesses?

Every eight years or so the party that is in charge  of the government changes completely. Its usually either Democrat or Republican. Within those parties  are senators and representatives that may lean toward more tightfisted management of health care (Tea Party, Libertarians)  or favor reform and more accountability ( Green Party, Socialists ) In any case  it all gets discussed and haggled over until  it is time to elect a New President. 

Presidents have been trending toward more use of their Executive Powers . "As it is written so it shall be done..."Changes to the Affordable Care Act have been deflected by Obama.Now in 2016 there is a Supreme Court that is theoretically Even- Steven,The result is  any change in health care can be upheld and signed by fiat, until both the House and the Senate hold elections in 2018.

The state c'est moi:  Hillary Bernie or Trump control  the cost of your future health care by the use of their pen. Can you live with this ?

Well maybe not you but your neighbor: as of 2012, about half of all adults

                                     —117 million people—had one or more chronic health conditions . 

Those conditions : heart disease, stroke, cancer, type 2 diabetes, obesity, arthritis are huge money sucking problems. Millions of advertising dollars target the over the counter drugs that manage the symptoms/chronic disease. Billions and dollars pay for all the hospitalization, surgery and prescription drugs that assist Americans in Living With Disease instead of Dying From It.

After the crash of 2009 costs should have gone down, but they did not. In 2010 , one year After the Great Recession here is how busted  the American voter is. 

• Eighty-six percent of all health care spending in 2010 was for people with one or more chronic  medical conditions.2
• The total costs of heart disease and stroke in 2010 were estimated to be $315.4 billion. Of this amount, $193.4 billion was for direct medical costs, not including costs of nursing home care.3
• Cancer care cost $157 billion in 2010 dollars.4
• The total estimated cost of diagnosed diabetes in 2012 was $245 billion, including $176 billion in direct medical costs and $69 billion in decreased productivity. Decreased productivity includes costs associated with people being absent from work, being less productive while at work, or not being able to work at all because of diabetes.5
• The total cost of arthritis and related conditions was about $128 billion in 2003. Of this amount, nearly $81 billion was for direct medical costs and $47 billion was for indirect costs associated with lost earnings.6

Do not think this does not affect you if you . Healthy Americans pay for the unhealthy ones. As of this election cycle, Health Care costs have been the elephant in the room.  So are voters going to vote

with their pocketbooks when it counts?

Maybe.  So far this is what the three leading candidates have hinted or proposed . Nothing.

The economy , as of this writing is stagnant, but its almost summer so vacations distract.

  Eventually the voting public will become aware Where all the money to fight chronic disease and maintain western levels of health  is going may be beside the point.

Trump says your money is going overseas. Specifically Trump says the Affordable Care Act is part of the economic problem and will repeal it day one of his presidency. This may affect the thirty million that benefited from the ACA , but if all do not benefit none do - see Trump's  seven  point plan at www.donaldjtrump.com)

   

 how quickly can the entirely  new plan Trump wants be put into place ?

Hillary once proposed her own health care plan. The ACA  will be left intact  but Hillary plans to tweak it. Can she get her tweaks right away  or have to wait until the Congressional elections ? Hillary might do what Obama did and sign  changes into law herself. There is about twenty tweaks.If all twenty tweaks of them get implemented  will we be better off as health care consumers ? Will not know until a full four years of presidency has passed. Something will be in place in the meantime though.

https://www.hillaryclinton.com/issues/health-care/

Bernie wants single payer, which was the original idea in 1999. Eighteen years later, single payer is the system in most European countries, Taiwan and Canada.  The United States has single payer also - its called Medicare. Bernie has not elucidated if single payer will be the Canadian model or the British model. The Canadian model and British model differ on how the medical profession is paid, which some say affects the delivery of services (doctors do not make 6 figures in either system ) Bernie has indicated that current corporate insurance companies will be eliminated, decreasing costs.

How easy will it be to implement Medicare to everyone,  all 321,418,820 people 

quickly without affecting  coverage  for  those presently covered (especially )  the over 65 year cohort (about 48 million people) .

In summary Trump, Hillary and Bernie all want to CHANGE the health care system. Take a look at

Percentage of people without health insurance coverage by state, according to the United States Census Bureau  Graph  Circa the Great Recession 2009 

.[1]   20–27%   16–20%   14–16%   10–14%   4–10%

this is the latest map 

Map  accompanies  an in depth NYT article 

Now voter  Can you  see how much of the map undergoes a color change ?

Lets hope the next charting of health care coverage post election 2016  is Not Adding A New Color .
All three candidates will obviously  change this system but in which direction no one can say .
 ( Bernie is included because of thee influence he will have on the Democratic Platform due to his Primary numbers )

1.   https://www.cdc.gov/pcd/issues/2014/13_0389.htm
2. Gerteis J, Izrael D, Deitz D, LeRoy L, Ricciardi R, Miller T, Basu J. Multiple Chronic Conditions Chartbook.[PDF - 10.62 MB] AHRQ Publications No, Q14-0038. Rockville, MD: Agency for Healthcare Research and Quality; 2014. Accessed November 18, 2014.
3. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2014 update: a report from the American Heart Association.Circulation. 2014;129(3):e28-292.http://circ.ahajournals.org/content/early/2013/12/18/01.cir.0000441139.02102.80.full.pdf.[PDF - 15.97 MB] Accessed January 6, 2014.
4. National Cancer Institute. Cancer Prevalence and Cost of Care Projections. http://costprojections.cancer.gov/. Accessed December 23, 2013.
5. American Diabetes Association. The Cost of Diabetes. http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html. Accessed December 23, 2013.
6. Centers for Disease Control and Prevention. Arthritis Cost Statistics. http://www.cdc.gov/arthritis/data_statistics/cost.htm. Accessed December 23, 2013.
7. http://www.nytimes.com/interactive/2015/10/31/upshot/who-still-doesnt-have-health-insurance-obamacare.html?_r=0