In Part 5 of A New Way Forward, Kamala Harris claims to have fought tirelessly for healthcare reform, lowering costs for consumers by taking on Big Pharma and insurance companies, defending the Affordable Care Act (ACA) from Republican attacks, and even removing medical debt from credit reports as Vice President. These bold claims, though compelling, deserve a closer look. A more careful examination reveals that many of her so-called “victories” in healthcare are either overstated or reliant on temporary fixes—far from the long-term, sustainable reforms our country needs.
Taking on Big Pharma and Insurance Companies: A Hollow Victory?
Harris claims that as California’s Attorney General, she took on Big Pharma and insurance companies to lower costs. The reality, however, tells a different story. While it’s true that Harris spearheaded lawsuits against opioid manufacturers, including Purdue Pharma, and took a stand against the industry’s role in the opioid crisis, these efforts had little impact on healthcare costs for the average Californian.
Most notably, Harris’s office blocked the merger between Anthem and Cigna in 2017, citing potential harm to competition and consumer choice. On the surface, this action may appear to align with her claim of fighting against insurance giants. However, blocking corporate mergers does not directly translate into lower premiums or reduced out-of-pocket costs for healthcare services. In fact, many would argue that robust competition could have spurred more innovation and cost-efficiency in the healthcare marketplace, potentially leading to lower prices.
The conservative argument here is straightforward: Harris’s efforts as Attorney General were focused on niche areas of healthcare reform—opioid litigation and corporate mergers—that, while necessary, did little to address the root problems of high healthcare costs or make a meaningful difference to most consumers.
Her Role in Defending the ACA: More Rhetoric than Action
As a U.S. Senator, Harris paints herself as a champion who fought off the Trump administration’s attempts to repeal the ACA. But while she was indeed vocal in her opposition, her actions were largely symbolic. Republicans attempted to dismantle the ACA in 2017, and although Harris co-sponsored several bills aimed at protecting key provisions of the law, her efforts didn’t include introducing significant legislative reforms herself.
From a conservative point of view, this is where her rhetoric begins to unravel. Although she stood alongside fellow Democrats in voting to preserve the ACA, Harris hasn’t offered substantive reforms to address its many flaws. The ACA has been criticized for reducing competition in the insurance market, leading to fewer choices for consumers and skyrocketing premiums. While Harris was content to defend the status quo, the truth is that many Americans have seen their healthcare costs rise under the ACA, particularly those who do not qualify for government subsidies.
Harris’s “defense” of the ACA can be viewed as more of a political stance than meaningful reform. Conservatives argue that while the ACA expanded coverage, it did so at the expense of affordability and choice, leaving middle-class families with higher premiums and fewer options. Harris’s fight to preserve it doesn’t address these deeper systemic issues—issues that conservatives believe could be mitigated through market-driven reforms.
Expanding the ACA: Empty Promises and Vague Plans
Photo by Павел Сорокин
Harris often speaks about expanding the ACA to ensure more Americans have access to affordable healthcare. But when pressed for details, her plans remain vague and undefined. She has thrown her support behind initiatives championed by President Biden, including expanding subsidies to middle-income families and capping premiums at 8.5% of household income.
However, conservatives argue that expanding subsidies is a temporary solution, not a long-term fix. Harris’s proposal to continue and expand ACA subsidies under the American Rescue Plan may sound like a step forward, but it merely prolongs the current system’s underlying issues. Subsidizing premiums is not a substitute for real reform, and it doesn’t address the fundamental problems of rising healthcare costs. Instead, it shifts the financial burden from individual consumers to taxpayers, creating a system where government intervention continues to grow without solving the root causes of inefficiency and price inflation.
The Temporary Nature of ACA Premium Reductions
This brings us to one of the core issues with Harris’s healthcare record: the ACA premium reductions she touts were not the result of lasting policy changes. Rather, they were temporary measures enacted through the Biden-Harris administration’s American Rescue Plan in response to the pandemic.
The American Rescue Plan, passed in 2021, temporarily increased subsidies for individuals and families buying insurance on the ACA marketplace. It expanded eligibility and capped premiums, ensuring that no household would spend more than 8.5% of their income on insurance. These changes helped lower premiums for millions of Americans during a time of economic instability.
However, these premium reductions were designed as emergency relief measures, not permanent fixes. The increased subsidies are set to expire, and without congressional action to extend them, healthcare premiums will likely return to pre-pandemic levels, leaving many Americans facing higher costs once again. In essence, Harris is claiming credit for a temporary solution that doesn’t address the systemic problems driving high healthcare costs.
A conservative critique could focus on the fact that Harris’s defense of these short-term subsidies ignores the long-term fiscal implications of expanding government spending. Instead of relying on temporary financial assistance, conservatives argue for market-based solutions that increase competition, lower costs, and reduce the need for such heavy government intervention. Without a long-term strategy for reform, Harris’s healthcare “victories” appear fleeting at best.
Removing Medical Debt from Credit Reports: An Overstated Achievement
Another bold claim Harris makes is that as Vice President, she removed medical debt from credit reports. In reality, this policy change was not the result of executive action by the Biden-Harris administration but rather a decision made by the three major credit reporting agencies—Equifax, Experian, and TransUnion—in 2022. These agencies announced that paid-off medical debt would no longer appear on credit reports, and medical debt under $500 would also be excluded.
While Harris and other lawmakers did exert pressure on the industry to address the financial burdens of medical debt, it’s misleading to credit her with single-handedly removing this debt from credit reports. Conservatives could argue that this is another example of Harris overstating her influence. Furthermore, removing medical debt from credit reports, while helpful for many Americans, does not address the underlying issues of why medical debt is so pervasive in the first place—rising healthcare costs and lack of affordability.
The Broader Conservative Critique: A System in Need of Reform
Taken together, these claims from Harris paint a picture of a politician who has been content to defend a broken system rather than pursue meaningful reform. From a conservative perspective, Harris’s healthcare approach relies too heavily on government intervention, subsidies, and temporary fixes, while ignoring the deeper systemic problems that drive high healthcare costs.
While temporary subsidies may offer short-term relief, they are not sustainable without substantial government spending, which could lead to higher taxes and increased national debt. Moreover, expanding the ACA without addressing its inefficiencies—such as the lack of competition, rising premiums, and limited choices—only serves to perpetuate the current system’s problems.
Conclusion
Kamala Harris has made bold claims about her role in healthcare reform, but upon closer examination, many of her achievements seem overstated or based on temporary measures. From blocking insurance mergers as California’s Attorney General to defending the ACA and promoting temporary subsidies as a senator and vice president, Harris has relied on stopgap solutions rather than the long-term reform our healthcare system desperately needs.
Conservatives argue that instead of doubling down on a system that has already shown its flaws, we should be looking for market-driven solutions that increase competition, lower costs, and reduce the need for government intervention. Harris’s healthcare approach, while politically expedient, does little to solve the real problems facing American consumers today.
References:
- California AG and Big Pharma
Harris’s role in suing Purdue Pharma and blocking insurance mergers: - Kamala Harris and ACA Defense
Her opposition to ACA repeal efforts: - ACA Premium Reductions
The temporary nature of ACA premium cuts: - Medical Debt Removal
Credit agencies removing medical debt from reports: