First, this new plan isn’t the same as the one on the Biden campaign site. The campaign version had no mention of contact tracing, while this iteration does. But if you simply skim the campaign version versus the president-presumptive one, you’ll see tons of program proposals from the campaign have vanished, like emergency paid leave (with reimbursements to employers), income support for gig workers whose pay has declined, rental assistance, and support for small businesses.
The campaign plan also had sweeping promises about paying for all Covid treatments, not just testing. For instance, this section, by using the term “balance billing” clearly meant it included hospitalizations and emergency room visits:
All copayments, deductibles and any cost-sharing for treatment for COVID-19 for insured. Providers will submit cost-sharing claims to NDMS that do ent private insurance contractual arrangement for co-payments. To ensure maximum provider participation and minimum billing abuses to consumers, current Medicare law’s “conditions of participation” and system-wide prohibitions against balance billing and surprise medical bills will apply. To guard against fraud and abuse by bad-apple health care providers, harsh civil and monetary penalties under the False Claims Act will apply.
There’s not a peep about any of this in the new version. All it has regarding “treatments,” in context, is new medications to reduce the severity and/or length of a Covid infection, and not, say, being administered oxygen in a hospital:
Plan for the effective, equitable distribution of treatments and vaccines — because development isn’t enough if they aren’t effectively distributed.
The lack of financial support for workers to stay at home because they are sick, quarantined, or just waiting for test results makes it difficult to treat this scheme as serious. And the failure to even ask for the government to cover all Covid treatment costs, not just the kind that can be administered with a needle means a lot of people who have or think they have Covid won’t seek treatment until they are really really ill, increasing the load on hospitals and producing worse outcomes.
And the severe downgrading of his Covid plan shows Biden embracing the Obama playbook: meet the Republicans 75% of the way when you start negotiating, with the expectation that the final deal will move even more in their direction.