ISSUE

JOE BIDEN (D)

DONALD TRUMP (R)

The Affordable Care Act (ACA)

Wants to expand the ACA.

Wants to repeal the ACA and has used executive actions to limit it. Trump’s Supreme Court nominee, Judge Barrett, has questioned elements of the ACA in previous writings.

COVID-19 Response

Wants the federal government to lead a response focused on increased access to free testing, personal protective equipment, and delivery of vaccine.

Generally allows individual states to manage their response, and supports prioritizing development and delivery of a COVID-19 vaccine.

Prescription Drugs

Supports importing drugs to lower costs and wants to allow Medicare to negotiate lower drug prices with drug corporations.

Wants to base the cost of some Medicare drugs on costs in other countries where medicine tends to be cheaper; supports some forms of imported drugs from other countries to lower prices.

Mental Health Access

Wants to expand funding for mental health care through the ACA and reinforce mental health care parity laws.

Wants to expand mental health awareness and improve access to mental healthcare, especially for veterans.

Public Option

Supports a public option serving as an alternative for private insurance.

Does not support a public option at this time.

Medicare

Wants to expand Medicare, including a plan to lower the eligibility age from 65 to 60.

Wants to protect Medicare and has implemented policies expanding payment for services such as telehealth.

Medicaid

Wants to expand Medicaid and allow enrollees to enroll in a proposed public option.

Has increased pathways for Medicaid eligibility and flexibility, and implemented several initiatives to improve quality of Medicaid

Medical Pricing Transparency

Wants to improve pricing transparency and stop surprise medical billing.

Wants to improve pricing transparency and has already passed executive orders with the intention of providing Americans with accurate costs prior to receiving medical care.