Deval Patrick on Health Care



Replace fee-for-service model with quality-of-care model

We can do more to control health care costs. Nearly a year ago, after lots of study and broad consultation, I asked you to act on a plan to control the rising costs of health care. Hospitals and insurance carriers have reopened their contracts and cut rate increases, in some cases by more than half. The market is moving in the right direction and that's very good news. But it is not enough.

We need to put an end to the "fee-for-service" model. We need to stop paying for the amount of care, and start paying instead for the quality of care. We need to empower doctors to coordinate patient care and to focus on wellness rather than sickness. And we need medical malpractice reform.

I believe that with these tools and the right oversight, we can slow the growth in health care costs significantly. Just as we have to make the progress to this point, I am confident we can do this the right way.

Source: MA 2012 State of the State Address , Jan 23, 2012

98% of all Massachusetts citizens now have health insurance

Thanks to successful implementation of health care reform, nearly 98 percent of all Massachusetts citizens now have health insurance that they can depend on, the highest proportion in the Nation.
Source: 2009 State of the State speech to Massachusetts Legislature , Jan 1, 2009

Pursue cost-savings ideas within new health reform mandate

Q: The average worker pays 26% of the cost of family health insurance, while Massachusetts state employees pay about 15%. Is it fair to ask taxpayers to subsidize state workers?

PATRICK: I think we need to be managing down the cost of healthcare for everybody. We have an opportunity--and indeed a mandate--with that new health reform bill. Some of the ideas that I want to pursue are:

These are some of the strategies, and I’m open to others. We need to be concentrating on how we get the costs down for everybody and afford the healthcare that we want to provide both the public and private employees.
Source: MA gubernatorial debate on CBS4 news, moderator: Jon Keller , Sep 13, 2006

Supports employer uninsured healthcare assessment, plus more

Patrick was an early supporter of a bill proposed by Affordable Healthcare Today (ACT) that served as the basis for the recently approved universal healthcare law. The ACT bill would have spent more public money, taxed businesses more, and extended subsidized coverage further up the income ladder then the bill eventually approved by the Legislature. He supports the controversial $295 per worker, per year charge on larger employers who don’t offer health benefits, but says there is no need to raise additional revenue “until we see how this works and what costs we can take out.”

“I see health care as a common good -- like clean air, safe streets, and effective education -- and so I believe that government has a role to play in assuring that the conditions exist for the health care system we all want,” Patrick says.

Source: Boston Globe Issue Outlines: Health Care , Jun 3, 2006

Supports Health Access and Affordability Act

As governor I will work with the legislature to enact the Health Access and Affordability Act, a credible, achievable means to bring immediate progress. Through a combination of changes in the eligibility requirements of MassHealth (Medicaid) and reasonable assessments from employers who do not provide health insurance, the plan substantially expands access to affordable health care to Massachusetts residents. 
Source: Moving Massachusetts Forward, Patrick’s policy booklet, p.11 , Sep 15, 2005

Finance catastrophic health coverage

No one should have to choose between health care and bankruptcy. To relieve the anxiety for individuals and the burden on small businesses, the State will guarantee catastrophic coverage for everyone who is not already covered by Medicare or Medicaid. By spreading these typically high costs over the largest possible pool of participants, and consolidating the many separate reserves now maintained for this care, per-person premiums will be reduced significantly for both employers and employees.
Source: Moving Massachusetts Forward, Patrick’s policy booklet, p.11 , Sep 15, 2005

Negotiate bulk drug purchases under governor’s authority

Using existing but ignored authority, I will reduce the cost of prescription drugs through negotiated bulk purchases and the development of new channels of supply. It is the duty of the Commonwealth to act in the financial interests of the people.
Source: Moving Massachusetts Forward, Patrick’s policy booklet, p.12 , Sep 15, 2005

Invest in prevention

When diagnosed early, many illnesses can be managed at far lower cost than if left until they breed more serious health problems. To keep our citizens healthy, I will invest in a robust public health delivery system. I will place a special emphasis on adequate childhood immunizations, effective drug & alcohol abuse education, HIV/AIDS prevention & care, and early cancer detection programs. Common sense prevention programs like these reduce system-wide costs, which saves money for insurance ratepayers.
Source: Moving Massachusetts Forward, Patrick’s policy booklet, p.12 , Sep 15, 2005

Focus on prevention and wellness programs

I envision Massachusetts as a model for public health stewardship, a state that gets healthy and stays healthy-emphasizing disease prevention and wellness programs that help reduce the total cost of illness, injury and disability. We will have effective programs to assure childhood immunizations, and to address drug and alcohol addiction, mental health needs, gun safety and other violence prevention, and HIV/AIDS screening, treatment and prevention.
Source: Campaign policy booklet, “Moving Massachusetts Forward” , Sep 15, 2005

Adopt national health reform legislation before the end of the year.

Patrick signed a letter from 22 Governors to Congressional leaders:

In a letter to congressional leadership, 22 governors are urging federal lawmakers to adopt national health reform legislation before the end of the year to provide families and businesses with much-needed security and stability.

"We commend you and your colleagues for provisions included in your bills that will help states," the governors wrote. "Many of the provisions will allow states to achieve long term savings and help cover those who currently go without health coverage. We recognize that health reform is a shared responsibility and everyone, including state governments, needs to partner to reform our broken health care system."

"Efforts at the federal level, like the recent and critical investments that support states' HIV and prevention initiatives, are beginning the work to lower health care costs. Our citizens and our states, however, will only achieve the health care security and stability they need if we succeed in working together to achieve health care reform."

Source: Letter from CO Gov. Bill Ritter and 21 other Governors 10-GOV1 on Oct 1, 2009

3.2% funding increase for National Institutes of Health.

Patrick signed Letter from 24 Governors to leaders in Congress

NIH, as well as the indirect job benefits of laboratories needing space, supplies, services, and equipment. We are also deeply aware that NIH-funded discoveries are the basis of new companies and even new industries in our communities.

NIH research is an instrumental part of the success of the US life sciences industry and its 6 million high-wage US jobs. Moreover, follow-on life science research advances are now stimulating new jobs and new solutions in green energy, agriculture, the environment and industrial manufacturing. NIH funding enables the scientific talent and discoveries that are at the heart of this vast array of economic activity.

As you develop the Congressional Budget Resolution, we urge you to enable the 3.2% funding increase for NIH contained in the President's budget request. We thank you for your past support for biomedical research and ask you to craft a budget resolution that accommodates the President's $32.2 billion FY 2011 NIH budget request.

The greatest contribution NIH makes is to the health and well-being of Americans. Past federal investments in medical research, combined with those from the private sector, have led to improved health, better quality of life, and improved productivity of millions of patients and their families.

But NIH is also an important national, regional, and local economic engine. Together, our states received more than $19 billion from the NIH last year for promising research efforts. NIH funding directly supports 350,000 jobs across the US. In our states, we see firsthand the world class research institutions and scientific teams enabled by

Source: Letter from 24 Governors to leaders in Congress 100413-Gov on Apr 13, 2010

Other governors on Health Care: Deval Patrick on other issues:
MA Gubernatorial:
Bill Weld
Charlie Baker
Dan Wolf
Don Berwick
Karyn Polito
Martha Coakley
Marty Walsh
Richard Tisei
Steve Grossman
Tom Menino
Warren Tolman
MA Senatorial:
Brian Herr
Bruce Skarin
Ed Markey
Elizabeth Warren
Gabriel Gomez
John Kerry
Martha Coakley
Mo Cowan

Gubernatorial Debates 2014:
AL: Bentley(R) vs.Griffith(D)
AR: Ross(D) vs.Hutchinson(R) vs.Griffin(R,Lt.Gov.)
AZ: Ducey(R) vs.DuVal(D) vs.Mealer(AE) vs.Gilbert(L) vs.Riggs(R)
CA: Brown(D) vs.Kashkari(R)
CO: Hickenlooper(D) vs.Beauprez(R) vs.Tancredo(R) vs.Hess(L)
CT: Malloy(D) vs.Foley(R) vs.Walker(R,Lt.Gov.)
FL: Scott(R) vs.Crist(D) vs.Snitker(L,Lt.Gov.)
GA: Deal(R) vs.Carter(D) vs.Hunt(L)
HI: Ige(D) vs.Aiona(R) vs.Abercrombie(D)
IA: Branstad(R) vs.Hatch(D) vs.Hoefling(R)
MA: Coakley(D) vs.Baker(R) &Polito(R,Lt.Gov.) vs.Grossman(D) vs.Berwick(D)
ME: LePage(R) vs.Michaud(D) vs.Cutler(I)
MI: Snyder(R) vs.Schauer(D)
NM: Martinez(R) vs.King(D)
NY: Cuomo(D) &Hochul(D,Lt.Gov.) vs.Astorino(R) vs.Hawkins(G) vs.Teachout(D)
OK: Fallin(R) vs.Dorman(D)
PA: Corbett(R) vs.Wolf(D) vs.Schwartz(D,lost primary) vs.Critz(D,Lt.Gov.,lost primary)
Newly-elected 2014:
AK-I: Bill Walker
AR-R: Asa Hutchinson
AZ-R: Doug Ducey
IL-R: Bruce Rauner
MA-R: Charlie Baker
MD-R: Larry Hogan
NE-R: Pete Ricketts
PA-D: Tom Wolf
RI-D: Gina Raimondo
TX-R: Greg Abbott

Up for re-election 2014:
AK-R: Sean Parnell
AL-R: Robert Bentley
CA-D: Jerry Brown
CO-D: John Hickenlooper
CT-D: Dan Malloy
FL-R: Rick Scott
GA-R: Nathan Deal
HI-D: Neil Abercrombie
IA-R: Terry Branstad
ID-R: Butch Otter
IL-D: Pat Quinn
KS-R: Sam Brownback
ME-R: Paul LePage
MI-R: Rick Snyder
MN-D: Mark Dayton
NH-D: Maggie Hassan
NM-R: Susana Martinez
NV-R: Brian Sandoval
NY-D: Andrew Cuomo
OH-R: John Kasich
OK-R: Mary Fallin
OR-D: John Kitzhaber
PA-R: Tom Corbett
SC-R: Nikki Haley
SD-R: Dennis Daugaard
TN-R: Bill Haslam
VT-D: Peter Shumlin
WI-R: Scott Walker
WY-R: Matt Mead
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Term-Limited or Retiring 2014:
AR-D: Mike Beebe
AZ-R: Jan Brewer
MA-D: Deval Patrick
MD-D: Martin O'Malley
RI-I: Linc Chafee
TX-R: Rick Perry

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Page last updated: Nov 27, 2014