Q. Senator, in 2005, Medicaid cuts in Missouri left thousands of families without coverage. What, if anything can the federal government do to restore funding for Medicaid recipients and to make health care more affordable for residents in this state?
A. Biden's answer was threefold.
"One, we've got to drive down costs of health care," the federal lawmaker from Delaware said, citing estimates that if the health care industry was modernized through electronic record-keeping and required coverage of pre-existing conditions, Americans would save between $150 billion and $170 billion each year. Biden said his party's plan calls for a roughly $5 billion investment and would directly reduce the cost of medical care for "average" citizens nationwide.
In regard to Medicare, the federal health insurance program for citizens over the age of 65, Biden said costs could be lowered by requiring health insurance providers to cover preventative care for chronic diseases. For instance, he said, someone with diabetes should be able to visit a dietitian without paying completely out of pocket.
"A whole range of chronic diseases eat up a gigantic amount of the health care costs," Biden said, estimating that 72 percent of health care expenditures are spent on treatment of chronic disease.
He further suggested providing insurance to a pool of 30 to 50 million Americans who feel they are paying too much or don't have access to health care currently. "Anybody who has a health care policy now would be able to keep it," Biden said. Similar to the system afforded to "senators, congressmen and federal employees," Biden said citizens could choose whatever insurance company they want and choose what benefits package they would like, "and pay accordingly." According to him, a larger pool of insured people would have more leverage in negotiating with insurance companies, also driving down health care costs.
Q. AmerenUE, the largest electric provider in the state, has begun the application process to build a nuclear power plant in Callaway County. Is that a type of facility you would support, and why or why not?
A. "I don't know enough about this particular application," Biden responded but added, "Barack Obama and I support safe nuclear energy - new, renewable nuclear energy."
He noted an Obama/Biden plan to invest $15 billion per year in "alternative energy" but said the problem is determining how to "reconstitute" - or dispose - of nuclear waste.
"We want to build new nuclear power plants, but we want to make sure there's a rational disposal process and that the standards are tougher than they had been on the construction of these facilities."
Q. Interstate 70, which you are probably traveling on right now, is one of the most highly trafficked and arguably the most dangerous highway in Missouri. As the state legislature looks at funding options to expand I-70 and I-44 to make them safer, what could your administration do to support improvements to federal interstates in Missouri?
A. "I'm not telling you what we could do; I'll tell you what we will do," Biden said before outlining his ticket's commitment to invest $60 billion in infrastructure improvements nationwide over the next 10 years.
Biden said that money would be used to "make highways safer" and to repair bridges in America and would add jobs to state's like Missouri, where, according to him, a state unemployment of 6.7 percent is the highest in 17 years.
"From the laborer to the engineer who handles these projects, the average income is $50,000 a year," Biden said. "That grows the middle class."