In picking Kaine as her vice presidential nominee, Hillary Clinton is putting the spotlight on an issue that many in the medical field believe gets short shrift: preventive health care. Marilyn Tavenner, president and chief executive officer of America ...
President Barack Obama is introduced by Virginia Governor Tim Kaine, right, during a Democratic National Committee fundraiser in New York City on October 20, 2009. Photo byJason Reed/Reuters
WASHINGTON â€” As the governor of Virginia, Tim Kaine pushed to ban smoking in the stateâ€™s restaurants and made a priority of driving down infant mortality. As a senator, he called on doctors to stop prescribing so many opioids to help curb addiction.
Now, heâ€™s the prevention candidate of 2016.
In picking Kaine as her vice presidential nominee, Hillary Clinton is putting the spotlight on an issue that many in the medical field believe gets short shrift: preventive health care.
Marilyn Tavenner, president and chief executive officer of Americaâ€™s Health Insurance Plans, who served as Virginiaâ€™s health secretary while Kaine was governor, recalled that he saw the prevention of health problems as a top-tier goal.
â€œHe was very interested in prevention and education,â€ she said.
Thatâ€™s a new dimension that the Virginia senator and former governor is likely to add to Clintonâ€™s campaign. Much of Clintonâ€™s focus has been on the health care coverage side, and on medical research to find new cures.
But for Kaine, keeping people from getting sick â€” and taking care of their health care needs at the front end â€” is just as important as figuring out how to get the best medical care after theyâ€™ve gotten sick.
Tavenner, who also headed the Centers for Medicare and Medicaid Services under President Obama, recalled that Kaine made his interests clear when she interviewed with him for the health secretary job.
â€œHe said, â€˜Marilyn, maybe we should be a little more focused on health and a little less on the hospitals,â€™â€ Tavenner said â€” meaning, â€œthe more we do on the front end, the less need weâ€™ll have to send people to hospitals.â€
The prevention issue is a good match for Kaineâ€™s overall political image. Like Kaine himself, preventive health care isnâ€™t buzzy. But health care advocacy groups say itâ€™s important and often overlooked, and theyâ€™ve spoken up when they believe it hasnâ€™t gotten enough attention in major initiatives, as in Vice President Joe Bidenâ€™s cancer research program.
Kaine has also stressed the importance of prevention to address the nationâ€™s opioid epidemic. Legislation he introduced last year, which has since been approved by the Senate health committee, would encourage physicians to prescribe naxolone â€” a drug thatâ€™s used to reverse the effects of opioid or heroin overdoses â€” any time they prescribe painkillers.
â€œThis is just one solution. Obviously the real solutions, the important ones, are still around prevention,â€ Kaine said in a Senate floor speech in November 2015. â€œWhy do Americans get prescribed so many more opioids than folks in other nations? What do you do about prescriptions when the quantities that are given are too big, and then you end up with a lot of unused opioids that can be taken by young people or stolen and sold?â€
â€œThereâ€™s a lot of issues that we have to solve. But there is this bit of good news â€” that naloxone saves lives, and itâ€™s easy to administer, it doesnâ€™t have a negative side effect, and if we can broaden access to naloxone for those who have been prescribed opioids, weâ€™ve saved lives in the past and weâ€™re going to save a lot more,â€ Kaine said.
As Virginia governor, Kaine signed into law a ban on smoking in most restaurants in 2009, a measure he had been pushing since he took office in 2006. He also commissioned a plan to fight obesity and visited classrooms to talk to schoolchildren about the importance of exercise.
Kaine also launched a campaign to reduce the stateâ€™s high infant mortality rate, noting in 2007 that â€œthere is no excuse for a state with one of the highest incomes in the nation to have so many babies die in the first year of life.â€ By 2009, the stateâ€™s infant mortality rate had dropped to fewer than seven deaths for every 1,000 babies, though the reasons were unclear.
And Kaine said the health care system had to do a better job of encouraging people to live healthier lives.
â€œYouâ€™ll see me out there, getting my weight and blood pressure checked, getting my flu shot, walking, hiking and riding my bike,â€ he said in 2007. â€œI hope to see you there with me.â€
Kaine has drawn attention for expressing his personal reservations about abortion, even though he insists he supports womenâ€™s right to the procedure as a matter of public policy. That has been a concern for abortion rights groups, who donâ€™t want to see the Democrats nominate a vice presidential candidate who would waver on the issue â€” especially in a debate against Indiana Governor Mike Pence, the Republican vice presidential nominee who signed one of the most restrictive anti-abortion laws in the country.
But there, too, Kaineâ€™s approach has always focused on supporting education and access to contraception as a means of preventing the need for abortions, said Tavenner, who added that he fought against attempts by the Virginia legislature to restrict abortions by imposing strict facility standards.
â€œHe was strongly committed to protecting a womanâ€™s right to choose, but he was also committed to prevention and education so that they donâ€™t have to make that choice,â€ he said.
Kaine did express reservations about one preventive health initiative as governor. In 2007, he signed legislation requiring all sixth grade girls in Virginia to get the human papillomavirus vaccine, which can prevent cervical cancer. But he initially said he had â€œsome qualmsâ€ about the mandate, and wanted a stronger provision to allow parents to refuse to let their daughters get it if they had religious or other objections.
Eventually, however, he decided the language was already good enough to give some discretion to parents. At the time, Virginia was only the second state in the country to require the vaccine.
On other health care issues, Kaine tends to stick to the standard Democratic line. Like Clinton, he has called for Medicare to negotiate prescription drug prices, a proposal he began making in his 2012 race for the Senate, when he used it as a campaign issue against Republican George Allen.
He has also shared other Democratsâ€™ outrage against drug price hikes, like Martin Shkreliâ€™s decision to increase the price of Daraprim, a drug manufactured by Turing Pharmaceuticals and used to treat people with AIDS, by more than 5,000 percent.
â€œItâ€™s basically a profit opportunity. It is the patient as a hostage, the patient as a profit center,â€ Kaine said at a Senate Aging Committee hearing in April on the price increase.
The health care industry has been a consistant contributor to Kaineâ€™s campaigns, but has become more prominent in this election cycle. Since 2015, health care political action committees â€” which include pharmaceutical companies, physicians, and health care services â€” have donated $63,500 to Kaine, making them his most important source of PAC funds, according to Political Moneyline.
Among the largest donors in this cycle were $9,000 from 21st Century Oncology Inc., a Florida-based company that has affiliated doctors around the world; $5,000 from Centene Corporation, which provides services for uninsured and uninsured people; $5,000 from Fresenius Medical Care North America, which focuses on patients with kidney failure and other chronic diseases; and $3,000 from Novo Nordisk Inc., a pharmaceutical company that specializes in diabetes medications.
Dylan Scott and Sheila Kaplan contributed reporting. This article is reproduced with permission from STAT. It was first published on July 22, 2016. Find the original story here.
spotlight spotlight movie spotlight cast spotlight trailer spotlight room escape spotlight imdb spotlight 29 spotlight theater spotlight effect spotlight dance