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Which Candidate is Best and Worst for Healthcare

The Results Are In

Healthcare  |  February 12, 2020 6:00am  |  By Joel Lee

If it is important to understand how politics might affect healthcare, the best source of information comes from leaders in the industry. We asked the 1000 top leaders in healthcare their predictions about which Presidential candidate would be best and worst for healthcare.


The results are in. Which candidate would be best for healthcare? Our panel is evenly split between President Donald Trump and former Vice-President Joe Biden, each with just over 26%. Surprisingly former New York Mayor Michael Bloomberg, a late entrant on the Democratic ticket, ran a close third at 17.4%. Senator Amy Klobuchar and Mayor Pete Buttigieg were neck and neck at about 13% and entrepreneur Andrew Yang took a little over 4%. Senators Bernie Sanders and Elizabeth Warren, well-known for their promotion of Medicare-for-all, and Tom Steyer generated no enthusiasm among healthcare industry leaders.

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When the panel of healthcare leaders were asked worst for healthcare, their responses were also quite telling. At just under 57%, Bernie Sanders was believed to be the worst possible candidate for the healthcare industry. Donald Trump, while considered by many (26% of the panel) to be the best for the healthcare industry, an almost equal number - 22% - thought he would be the worst. The only other candidate seen to be the worst for healthcare was Elizabeth Warren. Though she shares much of the same healthcare platform as Bernie Sanders, the panel appears to feel she is somewhat less threatening than Senator Sanders.

We wondered which of the Democratic Presidential hopefuls healthcare industry leaders believed would be the nominee to run against Donald Trump. About half (48%) believed the ultimate nominee would be Joe Biden. Just over 26% saw Michel Bloomberg as the Democratic candidate, 9% for Elizabeth Warren, 4% each for Iowa caucus winners, Sanders and Buttigieg. Just under 9% felt that ultimately someone else would be the Democratic standard bearer.

The fate of the Affordable Care Act is still uncertain as Republican Attorneys-General from 20 states have joined with the Trump Administration to overturn the Act. They have been opposed by 21 Democratic Attorneys-General and an number of high profile Amici including the AMA, AHA, AAMC and dozens of non-profits. The Supreme Court declined to hold an expedited hearing on the case and instead remanded the case for a determination of which, if any, parts of the ACA are severable and can remain in effect if the balance of the law is deemed unconstitutional.

We asked the panel if the lower court would determine that the ACA in total was unconstitutional or if some parts would be upheld. Almost 87% of the respondents felt at least some part of the law would be severable and remain in effect.

We then asked which parts of the ACA were most important to keep in place. Just under three quarters (73.9%) of the panel felt that protections for individuals with pre-existing conditions was most important. 13% thought state options for the preservation of Medicaid expansion was most important. Just under 9% thought insurance subsidies were most important and only 4% thought continuation of state insurance exchanges was the most critical.