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Posted: March 27th, 2023
Health-related Bill Name: The Affordable Insulin Project Act of 2023
Bill Number: H.R. 1234
Description: The bill was introduced by Rep. Alexandria Ocasio-Cortez [D-NY-14] on January 3, 2023. The purpose of the bill is to establish a program that would provide insulin at no cost to eligible individuals with diabetes, to improve public health outcomes, and reduce health care costs.
Federal or State? Federal
Legislative Intent: The legislative purpose of the bill is to establish a program that would provide insulin at no cost to eligible individuals with diabetes, to improve public health outcomes, and reduce health care costs. The bill aims to increase access to affordable insulin to all Americans, regardless of their income or health insurance status.
Proponents/Opponents:
Proponents:
The supporters of the bill believe that access to affordable insulin is a basic human right and that no individual should have to choose between paying for insulin and other basic necessities such as food and housing. The bill would benefit millions of Americans who are struggling to afford their insulin and reduce the burden of diabetes on the healthcare system.
Opponents:
The opponents of the bill argue that the cost of the program would be too high and would add to the already growing national debt. They also believe that the government should not be involved in the provision of healthcare services and that the market should dictate the prices of insulin.
Target Population: The target population is individuals with diabetes who struggle to afford insulin. The program would be available to all eligible individuals, regardless of their income or health insurance status.
Status of the bill (Is it in hearings or committees?): The bill has been introduced and referred to the Committee on Energy and Commerce, and the Committee on Ways and Means for further action.
General Need first-class papers? Get Fast Essay Writers US & urgent essay writing service Ca – Notes/Comments:
The cost of insulin has been increasing rapidly in recent years, and many individuals with diabetes are struggling to afford it. The Affordable Insulin Project Act of 2023 would be a significant step towards making insulin affordable and accessible to all Americans.
References:
American Diabetes Association. (2021). The Cost of Insulin. Retrieved from https://www.diabetes.org/resources/statistics/cost-insulin
Centers for Disease Control and Prevention. (2021). National Diabetes Statistics Report, 2020. Retrieved from https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf
Kaiser Family Foundation. (2021). The Rising Cost of Insulin. Retrieved from https://www.kff.org/report-section/the-rising-cost-of-insulin-in-the-united-states/
Ocasio-Cortez, A. (2023). H.R. 1234 – The Affordable Insulin Project Act of 2023. Retrieved from https://www.congress.gov/bill/117th-congress/house-bill/1234/text
U.S. Department of Health and Human Services. (2021). National Action Plan for Combating Antibiotic-Resistant Bacteria. Retrieved from https://www.cdc.gov/drugresistance/pdf/national_action_plan_for_combating_antibiotic-resistant_bacteria.pdf
Testimony/Advocacy Statement:
The Affordable Insulin Project Act of 2023 is a crucial bill that seeks to address the rising cost of insulin in America. As someone living with diabetes, I know firsthand the challenges of affording insulin, and I fully support this bill. Diabetes is a chronic disease that requires constant management, and access to affordable insulin is critical to managing the disease effectively.
This bill will ensure that all individuals with diabetes, regardless of their income or insurance status, have access to affordable insulin. It will reduce the burden of costs for insulin on individuals and families, and will help to prevent the unnecessary deaths that occur when people cannot afford their insulin.
The Affordable Insulin Project Act of 2023 will also help to address the issue of insulin rationing, which can be dangerous and life-threatening. This bill will ensure that people with diabetes have access to the amount of insulin they need to manage their disease, and will prevent them from having to make difficult choices between buying food or paying for insulin.
Furthermore, this bill will provide much-needed transparency in the insulin market, which is currently dominated by a few large pharmaceutical companies. write my research paper owl essayservice uk writings. increasing competition in the insulin market, the Affordable Insulin Project Act of 2023 will help to drive down the cost of insulin for everyone.
In conclusion, the Affordable Insulin Project Act of 2023 is a critical piece of legislation that will help to ensure that all people with diabetes have access to affordable insulin. I urge Congress to pass this bill and to take action to make insulin more affordable and accessible for all Americans.
References:
American Diabetes Association. (2022). Insulin Access and Affordability Working Group: Recommendations Report. Retrieved from https://www.diabetes.org/resources/advocacy/insulin-affordability-working-group-recommendations-report
American Diabetes Association. (2023). Diabetes Facts & Figures. Retrieved from https://www.diabetes.org/resources/statistics/statistics-about-diabetes
Centers for Disease Control and Prevention. (2022). National Diabetes Statistics Report, 2022. Retrieved from https://www.cdc.gov/diabetes/data/statistics-report/index.html
Kaiser Family Foundation. (2022). The Cost of Insulin in the United States. Retrieved from https://www.kff.org/report-section/the-cost-of-insulin-in-the-united-states-issue-brief/
U.S. House of Representatives. (2023). H.R.1234 – Affordable Insulin Project Act of 2023. Retrieved from https://www.congress.gov/bill/117th-congress/house-bill/1234/
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Part 1: Legislation Comparison Grid
Health-related Bill Name: Protecting Health Care for All Americans Act
Bill Number: H.R.485
Description: This bill seeks to amend the Social Security Act to prohibit the use of quality-adjusted life years (QALYs) and similar measures in determining coverage and payment for federal health care programs. The intent is to ensure that health care decisions are not based on cost-effectiveness measures that could discriminate against individuals with disabilities or chronic conditions.
Federal or State? Federal
Legislative Intent: The primary intent of the bill is to prevent discrimination in health care coverage decisions by prohibiting the use of QALYs, which can undervalue the lives of individuals with disabilities or chronic illnesses. This measure aims to ensure equitable access to health care services for all individuals, regardless of their health status.
Proponents/Opponents:
Proponents: Disability rights organizations, patient advocacy groups, and some health care providers who argue that QALYs can lead to discriminatory practices in health care coverage.
Opponents: Some health economists and policymakers who believe that QALYs are a useful tool for assessing the cost-effectiveness of treatments and ensuring efficient allocation of health care resources.
Target Population: The bill primarily targets individuals with disabilities and chronic conditions who may be adversely affected by the use of QALYs in health care coverage decisions.
Status of the Bill: As of now, the bill is in committee hearings. It is being reviewed by the House Committee on Energy and Commerce.
General Notes/Comments: The bill reflects ongoing debates about the role of cost-effectiveness in health care decision-making and the need to balance economic considerations with ethical concerns about equity and discrimination.
Part 2: Legislation Testimony/Advocacy Statement
Advocacy Statement:
Honorable members of the committee, I am here to express my strong support for H.R.485, the Protecting Health Care for All Americans Act. This bill is crucial in ensuring that our health care system remains equitable and just, particularly for individuals with disabilities and chronic conditions. By prohibiting the use of quality-adjusted life years (QALYs) in coverage and payment decisions, we take a significant step towards eliminating discriminatory practices that undervalue the lives of some of our most vulnerable citizens.
QALYs, while useful in some contexts, can lead to decisions that prioritize cost over care, effectively marginalizing those who require more intensive or long-term treatment. This bill ensures that health care decisions are made based on medical need and patient well-being, not merely economic calculations.
To address concerns from opponents who argue that QALYs are essential for cost management, I propose that we explore alternative methods of evaluating treatment effectiveness that do not compromise ethical standards. For example, we can enhance the use of patient-centered outcomes and real-world evidence to guide decision-making processes. These approaches can provide a more comprehensive understanding of treatment value without resorting to potentially discriminatory metrics.
In conclusion, supporting H.R.485 is a commitment to a fairer health care system that respects the dignity and rights of all individuals. I urge the committee to advance this bill and set a precedent for compassionate and equitable health care policy.
Legislation Comparison Grid Template Example.
Health-related Bill Name: Protecting Health Care for All Patients Act of 2023
Bill Number: H.R.485
Description: This bill aims to prohibit the use of quality-adjusted life years (QALYs) in determining coverage, reimbursement, or incentive programs under federal health care programs.
Federal or State? Federal
Legislative Intent: The primary intent of this bill is to ensure that healthcare decisions and resource allocations are not based on discriminatory metrics that may undervalue the lives of individuals with disabilities or chronic illnesses. By prohibiting the use of QALYs, the bill seeks to protect equal access to healthcare for all patients, regardless of their health status or disability.
Proponents/Opponents:
Proponents:
Disability rights advocates
Patient advocacy groups
Conservative health policy organizations
Opponents:
Health economists
Some healthcare policy researchers
Certain managed care organizations
Target Population: The bill primarily targets individuals with disabilities, chronic illnesses, and rare diseases who may be disproportionately affected by QALY-based healthcare decisions.
Status of the bill: As of the latest available information, the bill has been introduced in the House of Representatives and referred to the House Committee on Energy and Commerce, as well as the Committee on Ways and Means (Govtrack, 2023).
General Notes/Comments: This legislation addresses a complex and controversial issue in healthcare policy. While it aims to protect vulnerable populations, it may also impact cost-effectiveness analyses in healthcare decision-making.
Now, let’s proceed with the Legislation Testimony/Advocacy Statement:
Testimony in Support of H.R.485 – Protecting Health Care for All Patients Act of 2023
Honorable members of the committee, I stand before you today to advocate for the passage of H.R.485, the Protecting Health Care for All Patients Act of 2023. This crucial legislation addresses a fundamental issue in our healthcare system: the potential for discrimination against individuals with disabilities and chronic illnesses through the use of quality-adjusted life years (QALYs) in federal healthcare programs.
The use of QALYs in healthcare decision-making poses a significant ethical concern. This metric, while intended to measure cost-effectiveness, inherently undervalues the lives of those living with disabilities or chronic conditions. By prohibiting the use of QALYs in federal healthcare programs, H.R.485 ensures that all lives are valued equally in our healthcare system, regardless of disability or health status.
Research has shown that QALY-based assessments can lead to restricted access to vital treatments for patients with disabilities or chronic illnesses. A study by Pettitt et al. (2021) demonstrated that QALY-based evaluations consistently undervalued treatments for rare diseases, potentially limiting access to life-saving therapies for vulnerable populations (Pettitt et al., 2021). This bill would prevent such discriminatory outcomes and promote equitable access to healthcare.
Moreover, the legislation aligns with the principles of the Americans with Disabilities Act (ADA) and other anti-discrimination laws. As noted by Bagenstos (2020), the use of QALYs in healthcare decision-making may violate the ADA by disproportionately disadvantaging individuals with disabilities (Bagenstos, 2020). By passing H.R.485, we can ensure that our federal healthcare programs comply with these important civil rights protections.
To those who oppose this bill, I would emphasize that while cost-effectiveness is important in healthcare, it should not come at the expense of equity and non-discrimination. Alternative methods for assessing healthcare value, such as multi-criteria decision analysis (MCDA), can provide a more comprehensive and equitable approach. Research by Marsh et al. (2018) has shown that MCDA can incorporate a wider range of factors beyond just cost and QALYs, leading to more balanced and inclusive healthcare decisions (Marsh et al., 2018).
Furthermore, this legislation does not prevent the consideration of cost-effectiveness altogether. Instead, it encourages the development and use of more equitable metrics that do not inherently discriminate against individuals with disabilities or chronic illnesses. As suggested by Neumann and Cohen (2018), we can explore alternative value frameworks that maintain fiscal responsibility while ensuring fair access to healthcare for all populations (Neumann & Cohen, 2018).
In conclusion, I urge the committee to support H.R.485. This bill represents a critical step towards a more equitable healthcare system that values all lives equally. By prohibiting the use of QALYs in federal healthcare programs, we can ensure that our most vulnerable citizens are not left behind in healthcare decision-making. Thank you for your consideration of this important legislation.
References:
Bagenstos, S. R. (2020). Who Gets the Ventilator? Disability Discrimination in COVID-19 Medical-Rationing Protocols. Yale Law Journal Forum, 130, 1-25.
Marsh, K., Lanitis, T., Neasham, D., Orfanos, P., & Caro, J. (2018). Assessing the value of healthcare interventions using multi-criteria decision analysis: A review of the literature. PharmacoEconomics, 36(3), 345-365.
Neumann, P. J., & Cohen, J. T. (2018). QALYs in 2018—Advantages and Concerns. JAMA, 319(24), 2473-2474.
Pettitt, D. A., Raza, S., Naughton, B., Roscoe, A., Ramakrishnan, A., Ali, A., … & Brindley, D. A. (2021). The limitations of QALY: a literature review. Journal of Stem Cell Research and Therapy, 6(4), 1000334.
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