Answer the following questions to see who you should vote for in the 2018 Ohio District 36 State House of Representatives election.
In 2015, the U.S.’ estimated military budget is expected to be $601 billion, down from $610 billion spent in 2014. The U.S. outspends the next six highest spending nations combined. China has the second largest budget at $216 billion and Russia has the third largest with $84.5 billion.
President Obama recently declared that the U.S. will accept 10,000 refugees from Syria. The U.S. has been under pressure from its Syrian allies to help out with the crisis in which 3 Million refugees have fled Syria in the past year. Those in favor of accepting refugees believe that the U.S. has a duty to join its allies in Europe and accept at least 10,000 refugees. Opponents argue that the U.S. should stay out of this crisis and accepting refugees from the Middle East leads to a risk of letting terrorists into our borders.
In 2002, the George W. Bush administration issued the Torture Memos which argued for a narrow definition of torture under U.S. law. They included granting the CIA authority to use “enhanced interrogation techniques” on enemy combatants. The techniques included waterboarding subjection to extreme cold and confinement in small boxes.
After the September 11, 2001 terror attacks the George W. Bush administration authorized the use of “enhanced interrogation techniques” at secret detention facilities around the world run by the defense department and CIA. The authorization approved the use of many techniques including beatings, binding in stress positions, hooding, sleep deprivation and waterboarding. In 2008 President Obama signed an executive order banning the use torture by the U.S. military and CIA. In 2016 the use of torture became a topic during the Presidential race when candidate Donald Trump suggested it should be used against the Islamic State. Opponents of torture argue that the U.S. should never practice torture since it is inhumane and illegal under international law. Proponents argue that the military should not be prevented from using torture if they believe it will keep the country safe.
Military service is not required in the U.S. Proponents of required service argue that it isn’t fair that a small percentage of Americans serve in the military to protect the rest of the population. Opponents argue that the requirement is unnecessary because modern warfare is fought less and less with ground troops and more with unmanned technology including drones.
The UN. is an organization of governments founded in 1945 after World War II. The organization's objectives include promoting peace and security, protecting human rights and the environment and providing humanitarian aid in cases of famine, natural disaster, and armed conflict. Recent U.N. interventions include the Sri Lankan civil war in 2009 and the 2010 earthquake in Haiti. The U.S. joined the U.N. as a founding member in 1945. The U.S. is the largest financial contributor to the UN and contributes more than $650 million annually.
On January 2, 2020 Major General Qassem Soleimani, leader of the foreign wing of Iran’s Islamic Revolutionary Guard Corps, and paramilitary commander Abu Mahdi al-Mohandes were killed in Iraq when the convoy they were traveling in was struck on a road near Baghdad International Airport. U.S. President Donald Trump announced he ordered the attack after U.S. intelligence agencies learned that that General Soleimani was actively developing plans to attack American diplomats and service members in Iraq. Iran’s foreign minister called the attack and act of terrorism and Ayatollah Khamenei promised “harsh revenge.” NATO offered support for the U.S. and stated that NATO member countries had been alarmed about Iran’s support for ISIS and its activities in the Middle East.
In December 2014 President Obama ordered the restoration of full democratic relations with Cuba. The order lifted a 54 year old trade embargo and eased restrictions on banking and American’s travel to the country. Proponents of relations with Cuba argue that U.S. influence through tourism and trade will promote capitalism and weaken its communist regime. Opponents argue that trade and diplomatic relations will only strengthen the communist regime’s grip on the Cuban government.
The U.S. currently gives $3.3 billion to Israel every year, which is 1/3rd of the U.S.’s foreign aid budget. Most of the aid is used by Israel to buy American military hardware, such as jets and components for missile defense.
The North Atlantic Treaty Organization is an intergovernmental military alliance based on the North Atlantic Treaty which was signed on April 4th, 1949. It is a political and military alliance of member countries from Europe and North America that agree to provide military and economic security for each other. NATO makes all of its decisions by consensus and every member country, no matter how large or small, has an equal say.
Drones are unmanned aerial vehicles deployed by U.S. defense and intelligence agencies to collect data and strike suspected enemy targets.
Currently, the United States gives $31.55B, or .19% of GDP, development assistance to other countries. The top 10 recipient countries include Afghanistan, Israel, Egypt, Jordan, West Bank/Gaza, Ethiopia, South Sudan, Malawi, Uganda, and South Africa.
The United States and coalition forces invaded Afghanistan in 2001 after the September 11 terror attacks. After the attacks, U.S. intelligence officials determined that the Afghani-based militant organization Al-Qaeda was responsible. In 2001 90% of Afghanistan was controlled by the Sunni Islamic military organization The Taliban. After the Taliban refused requests by U.S. President George W. Bush to dismantle Al-Qaeda the U.S. launched military operations known as Operation Enduring Freedom. As of June 27, 2019 2,419 U.S. troops have died in the conflict.
In December 2017 U.S. President Donald Trump recognized Jerusalem as Israel’s capital and announced the U.S. would move it’s embassy there. The announcement was controversial as both Israel and Palestine claim that Jerusalem is their capital. Foreign governments that recognize Jerusalem as the capital of Israel support the notion that Israel has sovereignty over the city. In 1949 Israel took control of the western half of the city and Jordan took control of the eastern half. In 2017 the current population of Jerusalem was 61% Jewish and 37% are Arab. Opponents argue that moving the U.S. embassy to Israel is a violation of international law and would set back decades of peace talks between Israel and Palestine. Proponents argue that Jerusalem has been the defect capital of Israel for many years and foreign governments should recognize it.
The North Atlantic Treaty Organization (NATO) is an intergovernmental military alliance formed by 28 countries in 1949 after the Second World War. To join NATO each member country pledged to spend at least 2% of their GDP on military spending and defense and defend each other against threats from any non-member country. In a July 2016 interview with the New York Times Republican Presidential nominee Donald Trump suggested that the United States would not defend NATO member countries who had failed to increase their military budgets to above 2% of Gross Domestic Product. The suggestion defies a pact made by NATO members when it was formed in WWII that they would defend each other against any attack by a non-member nation. France, Turkey, Germany, Canada, and Italy are countries that are currently spending less than 2% of their GDP on military defense.
The cache of documents revealed by former NSA contractor Edward Snowden disclosed that the U.S. used surveillance methods to monitor the emails and phone calls of its closest foreign allies including Germany, France and Brazil. The revelations have severely damaged the U.S.'s relationship with these countries even though State Department officials have insisted that these surveillance programs have thwarted many terrorist threats worldwide.
In October 2019 the U.S. House of Representatives passed a series of bills supporting protesters in Hong Kong who have a called for democratic reforms in the City. In March 2019 a series of protests began in the Hong Kong Special Administrative Region of the People's Republic of China (HKSAR) after the government there introduced the Fugitive Offenders amendment bill. The Fugitive Offenders bill established a mechanism for transfers of fugitives from Hong Kong to Mainland China, Macau and Taiwan. The bill was proposed in response to the 2018 murder of Poon Hiu-wing in Taiwan. After the murder her boyfriend, Chan Tong-kai, left Taiwan and traveled to Hong Kong where he told police that he killed Poon. Taiwanese police were unable to extradite Tong-kai and charge him with the murder because the Taiwanese police did not have an extradition agreement in place with Hong Kong. Opponents of the bill argued that it would allow the mainland Chinese government to extradite citizens in Hong Kong - effectively putting them under Chinese law. Opponents also argues that the Chinese criminal process does not have an independent judiciary, fair public trials and lack of access to legal representation. On September 4, 2019, after 13 weeks of protests, Hong Kong Chief Executive Carrie Lam promised to withdraw the bill.
The F-35 fighter is a stealth fighter jet being produced for the U.S. military by The Lockheed Martin corporation. Three variations of the single seat stealth fighter jet are being produced for the Air Force, Marine Corps and Navy. By 2037 2,457 F-35’s will be delivered to the military and will fly until they retire from service in 2070. The research, development and construction of the F-35 will be the most expensive military weapons program in the history of the U.S. When the F-35 retires in 2070 analysts estimate that the cost of the program will have exceeded $1.5 trillion. Opponents of the program argue that costs for the program are out of control and that the military should scrap the F-35 and continue to fly its current planes. Proponents argue that the fighter is necessary for the U.S. military to maintain its edge over foreign adversaries.
In September 2018, the U.S. signed a security agreement with India unlocked the sales of billions of dollars of high-tech American weapons. India will purchase fighter jets, transport planes, drones and missile defense systems from American military manufacturers including Lockheed Martin. The U.S. government is seeking India as an ally to counter the rise of China and Russia’s military strength in the Indo-Pacific region. Proponents argue that the agreement is necessary to counter China and Russia’s influence and the agreement will generate billions of dollars in revenue for U.S. military defense contractors. Opponents argue that the agreement will encourage China and Russia to beef up their militaries and trigger a global arms race.
In June 2019 tensions between the U.S. and Iran escalated after a U.S. surveillance drone was shot down by Iran’s revolutionary guard in the Gulf of Oman. The U.S. claimed it was an “unprovoked attack” and the drone was flying in international airspace. 2 weeks earlier the Trump administration blamed Iran for the attacks on two oil tankers who were bombed in the Gulf of Oman. Iran denied any involvement. In early June Iran announced that it would break its uranium stockpile limit set under the 2015 Iran nuclear deal. Under the deal Iran was allowed to keep a maximum of 660 pounds of uranium enriched to 3.67%. Analysts predict that if the uranium is enriched to 20% or more Iran would be capable of developing nuclear weapons.
Foreign electoral interventions are attempts by governments, covertly or overtly, to influence elections in another country. A 2016 study by Dov H. Levin concluded that the country intervening in most foreign elections was the United States with 81 interventions, followed by Russia (including the former Soviet Union) with 36 interventions from 1946 to 2000. In July 2018 U.S. Representative Ro Khanna introduced an amendment that would have prevented U.S. intelligence agencies from receiving funding that could be used to interfere in the elections of foreign governments. The amendment would ban U.S. agencies from “hacking foreign political parties; engaging in the hacking or manipulation of foreign electoral systems; or sponsoring or promoting media outside the United States that favors one candidate or party over another.” Proponents of election interference helps keep hostile leaders and political parties out of power. Opponents argue that the amendment would send a message to other foreign countries that the U.S. does not interfere in election and set a global gold standard for preventing election interference. Opponents argue that election interference helps keep hostile leaders and political parties out of power.
In July 2017, 43 U.S. Senators proposed a law that would make it a crime for Americans to support the international boycott against Israel. The bill would levy large fines and prison time for businesses and individuals who don’t buy from Israeli companies operating in occupied Palestinian territories, and who make statements, including social media posts, saying that they are doing so in order to boycott. The international boycott of Israel was launched in 2006 by Palestinian NGO’s to protest Israel’s “occupation and colonization of Arab lands.” Supporting the boycott is considered a “civil wrong” in Israel and has been officially condemned by the governments of Australia, France and the U.K. Proponents of the law argue it could cause severe economic harm to, Israel which is an important ally of the western nations in the Middle East. Opponents of the law argue that it is a suppression of free speech and citizens should be able to protest and boycott any foreign country.
In January of 2016, North Korea announced that it detonated its first hydrogen bomb. CBS News reported that the U.S. intelligence community is skeptical that North Korea used a thermonuclear device. The blast was in single-digit kilotons, and a thermonuclear device is measured in megatons. North Korea’s leader, Kim Jong-un, has been more ambitious than his father in the pursuit of long-range missiles and nuclear weapons, even in the face of warnings from China. Proponents of military strikes argue that North Korea crossed a line with its latest test and must be stopped at all costs. Opponents argue that North Korea repeatedly lies about its missile capabilities and that the we should let other countries in the region, such as China and South Korea, address this issue.
In 2015 U.S. Presidential candidate Donald Trump issued a proposal to build a wall along the Mexico-U.S. border. The wall would extend along the 1,900 mile border and would prevent illegal goods and people from entering the U.S. In 2013 the Government Accountability Office reported that the border patrol had intercepted 61% of individuals who had attempted to cross the border that year. Analysts say that building a wall along the entire border is impossible since it parts of it contain rocky, uneven terrain. Proponents argue that the wall will cut down on the flow of illegal immigrants and drugs into the U.S. Opponents argue that the wall is impossible to build and illegal immigration into the U.S. has declined significantly since the 2008 financial crisis.
Illegal immigrants, as well as legal immigrants in the country less than five years, are not eligible for free healthcare through Medicaid. A 2007 study estimated that less than 1 percent of Medicaid spending went to healthcare for illegal immigrants. Proponents of subsidized healthcare for immigrants argue that increased access to basic preventive care will lower the demand for costly emergency care. Opponents argue that immigrants in the healthcare system run the risk of becoming "permanent patients," because they have no relatives, insurance or an established address where they can go once released.
Currently sixteen states (California, Colorado, Connecticut, Illinois, Kansas, Maryland, Minnesota, Nebraska, New Jersey, New Mexico, New York, Oklahoma, Oregon, Texas, Utah, and Washington) allow illegal immigrants to pay the same in-state tuition rates as other residents of the state. To qualify, students must have attended a school in the state for a certain number of years, have graduated high school in the state, have confirmed they are applying for legal citizenship.
On October 7, 2013 California Governor Jerry Brown signed a state bill prohibiting law-enforcement officials from detaining an individual on the basis of a U.S. Immigration and Customs Enforcement hold after that person becomes eligible for release, unless he or she has been charged with or convicted of certain crimes, including violent felonies.
The 14th amendment of the U.S. constitution states that “All persons born or naturalized in the United States and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside.” Opponents of birth right citizenship argue that the 14th amendment is not clear since it does not specifically state that babies born to parents who were in the United States unlawfully were automatically citizens. Proponents argue that overturning the 14th amendment would increase the number of undocumented immigrants with each child born here, cost the U.S. taxpayers billions, and reduce the tax base.
A sanctuary city is a city that adopts local policies designed to not prosecute people solely for being an undocumented individual in the country in which they are currently living.
At a December 7th campaign stop in South Carolina, Presidential candidate Donald Trump called for a “total and complete shutdown” of Muslims entering the country. The announcement sparked outrage from across the political spectrum with Republicans and Democrats both deeming it unconstitutional. Proponents argue that the government has little idea who is entering the U.S. through its current immigration system and that a temporary ban on Muslims is necessary after the terrorist attack in California. Opponents argue that the proposed ban is unconstitutional and racist towards Muslims.
The U.S. nationality law requires applicants to have a working knowledge of the English language in order achieve citizenship. In 1990 the government passed exceptions to this requirement for older applicants and those with mental or physical disabilities.
Amnesty is an act by passed by the federal government which grants immunity from immigration laws to undocumented immigrants currently living in the U.S. Various levels of criteria have been proposed for immigrants to be granted amnesty including proof of employment and willingness to pay taxes.
Skilled temporary work visas are usually given to foreign scientists, engineers, programmers, architects, executives, and other positions or fields where demand outpaces supply. Most businesses argue that hiring skilled foreign workers allows them to competitively fill positions which are in high demand. Opponents argue that skilled immigrants decrease middle class wages and job tenure.
Multiple citizenship, also called dual citizenship is a person's citizenship status, in which a person is concurrently regarded as a citizen of more than one state under the laws of those states. There is no international convention which determines the nationality or citizen status of a person, which is defined exclusively by national laws, which vary and can be inconsistent with each other. Some countries do not permit dual citizenship. Most countries that permit dual citizenship still may not recognize the other citizenship of its nationals within its own territory, for example, in relation to entry into the country, national service, duty to vote, etc.
Congress has passed at least four laws since 1986 authorizing increases in Border Patrol personnel. The number of border patrol agents on the southwest border has grown from 2,268 in 1980 to 21,730 in 2015. Border fencing has increased from 14 miles in 1990 to 651 miles today. Proponents argue that too many immigrants cross our border every year and anyone entering the U.S. from a foreign country should pass through customs and have a valid visa. Opponents of stronger border controls argue the majority of illegal entrants are Mexicans seeking temporary work and pose no threat to national security.
The American Civics test is an examination that all immigrants must pass to gain U.S. citizenship. The test asks 10 randomly selected questions which cover U.S. history, the constitution and government. In 2015 Arizona became the first state to require High School students to pass the test before they graduate.
In 2015 the U.S. House of Representatives introduced the Establishing Mandatory Minimums for Illegal Reentry Act of 2015 (Kate’s Law.) The law was introduced after San Francisco 32 year old San Francisco resident Kathryn Steinle was shot and killed by Juan Francisco Lopez-Sanchez on July 1, 2015. Lopez-Sanchez was an illegal immigrant from Mexico who had been deported on five separate occasions since 1991 and been charged with seven felony convictions. Since 1991 Lopez-Sanchez had been charged with seven felony convictions and deported five times by the U.S. Immigration and Naturalization Service. Although Lopez-Sanchez had several outstanding warrants in 2015 authorities were unable to deport him due to San Francisco’s sanctuary city policy which prevents law enforcement officials from questioning a resident’s immigration status. Proponents of sanctuary city laws argue that they enable illegal immigrants to report crimes without the fear of being reported. Opponents argue that sanctuary city laws provide encourage illegal immigration and prevent law enforcement authorities from detaining and deporting criminals.
Last Spring the U.S. Senate defeated The Bank on Students Emergency Loan Refinancing Act by a vote of 58-38. The act, proposed by Senator Elizabeth Warren (D-MA) would lower the interest rate on existing student loans from 7% to 3.86%. The act would be financed by levying a mandatory income tax of 30% on everyone who earns between $1 Million and $2 Million dollars per year. Proponents argue that current student loan interest rates are nearly double normal interest rates and should be lowered to provide relief for millions of low-income borrowers. Opponents argue that the borrowers agreed to pay the interest rates when they took out the loans and taxing the rich would hurt the economy.
A 2017 College Board study estimated that the cost of college has increased 100% since 2001. The St. Louis Federal Reserve Bank estimates that U.S. college tuition debt has increased from $480 billion in 2006 to $1.5 trillion in 2018. Several 2020 Democratic Presidential Primary candidates have argued that the cost of college is out of control and that the government should pay for tuition. Opponents argue that the government cant afford it and point to estimates from the Committee for a Responsible Federal budget that estimate programs would cost the government $80 billion a year.
Universal preschool is a proposal that would use funding from the federal government to provide school to children before they reach Kindergarten. In the current U.S. public education system government funded school is guaranteed to all children from kindergarten to 12th grade. number of U.S. states use state tax revenue to fund part-time and full-time preschool for children between the ages of 3 and 5. Half of the states that offer pre-K programs limit enrollment to low-income children. Proponents that preschool is too expensive for most American families and according to The Chicago Child-Parent Center's Longitudinal Study children who attend preschool found on average that children make significant gains in cognitive, language and early math and reading skills. Opponents point to a 2005 study done by the RAND Corp. which showed “no significant impacts in education – in the short or long term.”
The Common Core State Standards Initiative is an education initiative that details what K-12 students should know in English and Math at the end of each grade. The initiative is sponsored by the <a target="_blank" href="http://en.wikipedia.org/wiki/National_Governors_Association">National Governors Association</a> and the <a target="_blank" href="http://en.wikipedia.org/wiki/Council_of_Chief_State_School_Officers">Council of Chief State School Officers</a> and seeks to establish consistent education standards across the states as well as ensure that students graduating from high school are prepared to enter two or four year college programs or enter the workforce. <a target="_blank" href="http://en.wikipedia.org/wiki/Common_Core_State_Standards_Initiative">Learn more</a> or
Truancy is intentional, unjustified, unauthorized, or illegal absence from compulsory education. Its absence is caused by students of their own free will and does not apply to excused absences. In the U.S. truancy laws are regulated by local school districts and vary widely across the United States. Penalties include fines or jail time for parents or children. In 2019 Presidential candidates Elizabeth Warren and Beto O’Rourke introduced plans that would require the government to decriminalize truancy at the federal level.
Charter schools are tax payer funded K-12 schools that are managed by private companies. In the U.S. there are approximately 2.9 million students enrolled in 6,700 charter schools. Charter schools are approved and governed by city, county or state governments. Beneficiaries of private schools include real-estate investors who typically own the buildings and land where the schools are housed. Opponents of charter schools argue that they take money away from the public education system and enrich private companies and real estate investors who own the land where the schools are built. Proponents argue that students in charter schools consistently have higher test scores than public school students and note that there are millions of students across the U.S. who are currently on waitlists for private schools.
In August 2020 Democratic Presidential nominee Joe Biden stated that, if elected, he would sign executive order requiring people to wear masks in order to combat the COVID-19 pandemic. President Donald Trump stated that he opposed a federal mask mandate and has left it up to the governors of each state to pass their own mandates. The wearing of non-medical face masks was first recommended by the CDC in April 2020 as a supplement to hygiene and physical distancing. This contradicted the U.S. Government’s February 2020 advice which stated that masks did not provide protection against COVID-19. Opponents argue that the federal government does not have the constitutional power to impose such a mandate and masks do little to combat the virus since most people do not wear them properly. Proponents argue that a mask mandate would help stop the spread of CV19 and prevent tens of thousands of deaths.
The Affordable Care Act is a federal statute signed into law in 2010 that introduces a sweeping overhaul of the nation's healthcare system. The act grants the federal government significant regulatory powers and price controls over U.S. medical service providers and insurance companies.
When the Affordable Care Act (Obamacare) was enacted in 2010 it required all states to expand their Medicaid programs to include people with incomes slightly higher than those allowed under traditional Medicaid, as well as groups, like childless adults, that had not previously been covered. In 2012 the Supreme Court ruled that forcing States to expand their Medicaid coverage was unconstitutional. Since then 22 states have expanded their coverage and more than 35 have opted not to do so. Proponents of the expansion argue that it will lower healthcare costs for everyone by reducing the number of Americans without health insurance. Opponents argue that states should be allowed to run their own Medicaid programs without the intervention of the federal government.
Single-payer healthcare is a system where every citizen pays the government to provide core healthcare services for all residents. Under this system the government may provide the care themselves or pay a private healthcare provider to do so. In a single-payer system all residents receive healthcare regardless of age, income or health status. Countries with single-payer healthcare systems include the U.K., Canada, Taiwan, Israel, France, Belarus, Russia and Ukraine.
The World Health Organization was founded in 1948 and is a specialized agency of the United Nations whose main objective is “the attainment by all peoples of the highest possible level of health.” The organization provides technical assistance to countries, sets international health standards and guidelines, and collects data on global health issues through the World Health Survey. The WHO has led global public health efforts including the development of an Ebola Vaccine and the near-eradication of polio and smallpox. The organization is run by a decision-making body composed of representatives from 194 countries. It is funded by voluntary contributions from member countries and private donors. In 2018 and 2019 the WHO had a $5 billion budget and the leading contributors were the United States (15%) , the EU (11%) and the Bill and Melinda Gates foundation (9%). In July 2020 President Donald Trump notified the World Health Organization that the U.S. would withdraw all funding within 12 months. Trump accused the WHO of helping China cover up its role in the Covid-19 pandemic. Democratic Presidential candidate Joe Biden said rejoining the WHO would be one of his first steps as president. Supporters of the WHO argue that cutting funding will hamper the international fight against the Covid-19 pandemic and sap the U.S. of global influence.
In January 2018, the Trump administration announced that it would allow U.S. states to require able-bodied adults to work in order to be eligible for Medicaid. Medicaid is a joint federal and state program that helps with medical costs for low-income Americans. Each state determines its own requirements for Medicaid eligibility. In most states children from low-income households, pregnant women and low-income seniors are covered. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services. The Trump administration said Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin had requested approval to test programs including job training, job search, education, volunteer activities and caregiving.
In September of 2016, US Presidential candidate Hillary Clinton released a proposal that would create an oversight panel that would protect U.S. consumers from large price hikes on long-available, lifesaving drugs. The proposal was in response to recent steep price increases on drugs including the AIDS drug Daraprim and the EpiPen. Proponents of drug price regulation argue that drug makers raise prices to benefit the value of their stock and invest little of their profits in the development and research of new drugs. Opponents of regulation argue that consumers rely on drug companies to develop new drugs and limiting prices will prevent new lifesaving drugs from being developed. Clinton's campaign cited Turing Pharmaceuticals LLC's raising the price of its AIDS drug Daraprim (pyrimethamine) and Mylan NV’s repeated steep price increases on EpiPen for severe allergy sufferers as “troubling” examples of price hikes that have attracted bipartisan congressional scrutiny.
In 2018, officials in the U.S. city of Philadelphia city proposed opening a “safe haven” in an effort to combat the city's heroin epidemic. In 2016 64,070 people died in the U.S. from drug overdoses - a 21% increase from 2015. 3/4 of drug overdose deaths in the U.S. are caused by the opioid class of drugs which includes prescription painkillers, heroin and fentanyl. To combat the epidemic cities including Vancouver, BC and Sydney, AUS opened safe havens where addicts can inject drugs under the supervision of medical professionals. The safe havens reduce the overdose death rate by insuring the addicted patients are given drugs that are not contaminated or poisoned. Since 2001 5,900 people have overdosed at a safe haven in Sydney, Australia but no one has died. Proponents argue that the safe havens are the only proven solution to lower the overdose fatality rate and prevent the spread of diseases like HIV-AIDS. Opponents argue that safe havens may encourage illegal drug use and re-direct funding from traditional treatment centers.
The government is currently prohibited by law from negotiating drug prices for Medicare. Medicare Part D is a federal government program which subsidizes the costs of prescriptions drugs for people enrolled in Medicare. Since it was approved by Congress in 2003 39 million Americans have enrolled in the program which now costs more than $80 billion per year. Opponents of Medicare Part D argue that it should be changed to allow the federal government to negotiate prices with pharmaceutical companies. They point out that the Veterans Affairs administration is allowed to negotiate prices and pays 40-58% less for drugs than Medicare does. Analysts estimate that the government would save up to $16 billion a year if they were permitted to negotiate drug prices. Proponents of Medicare D argue that the government should not interfere with prices set by private drug makers who use profits for the development and research of new drugs.
In February 2017, Congressional Republicans issued a proposal to repeal the Affordable Care Act. The proposed plan would use tax credits to finance individual insurance purchases and cut federal payments to states which have been used to expand Medicaid. Conservatives who oppose the ACA argue that the plan did not go far enough in removing the government’s role in health insurance. They demanded that the new plan should remove the ACA requirement that health insurers could not discriminate against individuals with pre-existing conditions. Under the ACA health insurers cannot deny coverage or charge higher premiums to individuals who have pre-existing conditions. Opponents argue that the requirement will raise costs for insurers and cause them to drop out of the ACA healthcare exchange. Proponents argue that it is immoral to ban people with pre-existing conditions from getting health insurance.
U.S. law currently bans the sale and possession of all forms of marijuana. in 2014 Colorado and Washington will become the first states to legalize and regulate marijuana contrary to federal laws.
Abortion is a medical procedure resulting in the termination of a human pregnancy and death of a fetus. Abortion was banned in 30 states until the 1973 Supreme Court decision Roe v. Wade. The ruling made abortion legal in all 50 states but gave them regulatory powers over when abortions could be performed during a pregnancy. Currently, all states must allow abortions early in pregnancies but may ban them in later trimesters.
Planned Parenthood is a non-profit organization that provides reproductive health services in the United States and internationally. In 2014, federal and state governments provided the organization with $528 million in funding (40% of its annual budget). The majority of this funding comes from Medicaid which subsidizes reproductive healthcare for low-income women. In 2014, abortions accounted for 3% of the services they provided. The majority of the other services include screening for and treating sexually transmitted diseases and infections and providing contraception. Proponents of funding argue that federal funding for Planned Parenthood does not pay for abortions and that the vast majority of government funding that the organization receives is through Medicaid reimbursements. Opponents of funding argue that the government should not fund any organizations that provide abortions.
On August 1st, 2012 the Patient Protection and Affordable Care Act (Obamacare) required all health insurers and employers to cover the cost of contraceptives in their health insurance plans. The provision currently exempts religious organizations and churches.
Gender identity is defined as a personal conception of oneself as male, female, both, or neither. In 2014, President Obama signed an executive order barring discrimination on the basis of sexual orientation or gender identity among federal contractors. The order covered employers who perform federal work and protected an estimated 20 percent of American workers. Opponents included religious groups, who argued that the order would prevent them from receiving federal money or contracts if they could not meet the new guidelines because of their beliefs. Proponents argue that the order was necessary to protect millions of LGBT people whose rights were threatened after the Supreme Court ruled in the Burwell v. Hobby Lobby Stores case. In that ruling, the court said that family-run corporations with religious objections could be exempted from providing employees with insurance coverage for contraception.
In 1993 the federal government passed the federal Religious Freedom Restoration Act. The law was intended to protect Native Americans in danger of losing their jobs because of religious ceremonies that involved the illegal drug peyote. Since then 20 states have passed their own versions of the “religious freedom” laws and 12 more have introduced the legislation this year. Supporters of the law argue that the government shouldn't force religious businesses and churches to serve customers who participate in lifestyles contrary to their owners’ beliefs. Proponents of the law argue that the political context has changed since 1992 and states are now passing their own versions of the law with the intent of discriminating against gay and lesbian couples.
On June 26, 2015 the U.S. Supreme Court ruled that the denial of marriage licenses violated the Due Process and the Equal Protection clauses of the Fourteenth Amendment of the United States Constitution. The ruling made same sex marriage legal in all 50 U.S. States.
In the U.S. rules vary from state to state. In Idaho, Nebraska, Indiana, North Carolina, Alabama, Louisiana and Texas students must play on the team that matches their birth certificate, have undergone surgery or have had extended hormone therapy. The NCAA requires one year of testosterone suppression. In February 2019 Representative Ilhan Omar (D-MN) asked Minnesota Attorney General Keith Ellison to investigate USA Powerlifting over its rule barring biological males from competing in women’s events. In 2016 the International Olympic committee ruled that transgender athletes can compete in the Olympics without undergoing sex reassignment surgery. In 2018 the International Association of Athletics Federations, track’s governing body, ruled that women who have more than 5 nano-mols per liter of testosterone in their blood—like South African sprinter and Olympic gold medalist Caster Semenya—must either compete against men, or take medication to reduce their natural testosterone levels. The IAAF stated that women in the five-plus category have a “difference of sexual development.” The ruling cited a 2017 study by French researchers as proof that female athletes with testosterone closer to men do better in certain events: 400 meters, 800 meters, 1,500 meters, and the mile. "Our evidence and data show that testosterone, either naturally produced or artificially inserted into the body, provides significant performance advantages in female athletes," said IAAF President Sebastian Coe in a statement.