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    Tuesday, December 08, 2009

     

    More Sit-Ins for Single-Payer, Thurs. Dec. 10th

    by Dollars and Sense

    The Mobilization for Health Care for All, about which we have blogged several times, is having another Day of Action for single-payer this Thursday, December 10th, on the occasion of International Human Rights Day. I hope some regular D&S blog visitors can participate in these sit-ins! Here is the Mobilization's press release:

    We are making the point that health care is a human right—that means everyone should have access to health care.

    This is not just a nebulous right, but a life and death issue. We all know that 45,000 people die in the United States because of lack of access to health care. And, we know that more than a million have gone bankrupt due to health care problems. If we met the human rights standard of providing health care to all then these problems would diminish greatly.

    These Mobilization actions will urge support for Sen. Bernie Sanders' single-payer amendment. And, we are also telling the senate to allow states to put in place a state-level single payer system. We know improved Medicare for All is the solution to the health crisis in America and we will continue to advocate for it.

    Please support our efforts. We are not going to give up and accept the inadequate bills being considered in Congress. The problems in American health care will continue even if the best of these bills pass. We know that in order to get real health care reform ongoing organizing will be essential.

    To find an action in your state click here.

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    12/08/2009 05:26:00 PM 0 comments

    Friday, October 30, 2009

     

    Next Wave of Health-Care Sit-Ins

    by Dollars and Sense

    The Mobilization for Health Care for All had its latest big wave of sit-ins for single-payer on Wednesday (and this wave is ongoing). Here's their report:

    Yesterday [Oct. 28th], the next wave of the Mobilization for Health Care for All began with great success. See below for a list of media coverage of the actions.

    In 11 cities across the country, hundreds of everyday Americans who want Medicare for All confronted the insurance companies and demanded that they redirect the money they're spending to control our democracy to pay for the care they deny to their members. Almost every company refused to even talk to us, and 37 people were arrested including doctor Matt Hendrickson at a Cigna office in Glendale, California. Dozens more - like the 30 people who blockaded the Blue Cross office in San Francisco for hours - sat in but weren't arrested. In Rhode Island, however, the protestors who joined cancer patient Robert Darling in occupying the UnitedHealthcare office won the first concessions of our campaign - a company representative agreed to give an answer to Robert about paying for his previous bone marrow transplant within 24 hours and to arrange a meeting for the group with the UnitedHealthcare CEO within a week! After 115 arrests in 18 cities, these companies are starting to feel the heat of our movement. And with more than 900 people now signed up to sit-in, this battle is just beginning.

    Today, the Mobilization continued in Louisville, Kentucky and Baltimore, Maryland. The brave folks in Louisville are in the 9th hour of their sit-in inside the Humana headquarters as we send out this email. Humana is trying to wait them out, but may are prepared to stay overnight if they have to.

    In Baltimore, four people were arrested at a CareFirst (Blue Cross) office including two doctors. One of those doctors, Margaret Flowers of the "Baucus 8," has withheld her name and is planning to stay in jail until the CEO of CareFirst, Chet Burrell, agrees to a public meeting with her.

    Please call Mr. Burrell immediately and regularly at 410-528-2222 to demand that he agree to meet publicly with Margaret.
    You can also email CareFirst by going to http://www.carefirst.com/email/html/ContactMediaRelations.html. Send the following message in your email:
    I am writing to urge CEO Chet Burrell to agree to a public meeting with Dr. Margaret Flowers who was arrested at the CareFirst office in Baltimore while demanding to meet with Mr. Burrell about CareFirst business practices. She is going to stay in jail until Mr. Burrell agrees to a public meeting with her. CareFirst must publicly account for the serious concerns that citizens have about your company's practices.

    Also, please donate generously today so we can be prepared to pay any bail that is set for Margaret's release. She decided to risk arrest and stay in jail despite a possible 6 month jail sentence for violating probation from her previous arrest in the fight for real health care reform - let's show her that we've got her back. Please donate today to support Margaret and post messages of support for her at our Facebook page (we'll read all messages to her over the phone when she calls from jail).

    The Mobilization continues in Philadelphia tomorrow, and in more cities across the country next week. Click here for updated lists of all the upcoming actions and info about how you can plug in and participate. The insurance companies, the politicians in their pockets, and even some of the corporate media apparently want our movement to go away. But it's just getting started and spreading across America. Let's show them we're not going anywhere and we won't stop until health care is a right for everyone in America.

    Thanks for everything you do.

    —Katie, Kevin, Kai, Julia, Lacy, and the Mobilization team

    Press Coverage from 10/28:


    San Francisco Chronicle

    South Florida Sun-Sentinel

    NJ.com (Star-Ledger / Trenton Times / Jersey Journal blog)

    projo.com (Providence Journal blog)

    Glendale News-Press

    National Public Radio, Topics


    Democracy Now

    Free Speech Radio News

    Huffington Post

    Institute for Public Accuracy

    Atlas Press Photo

    La Jornada (Mexico)

    OpEdNews (featured story about doctors, by Kevin Gosztola):

    OpEdNews (about Philadelphia rally)

    Bay Area Indymedia (quality article, good for reference):

    Press Coverage from 10/29:

    Southern Maryland Online

    Wave3.com

    WFPL News

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    10/30/2009 03:00:00 PM 1 comments

    Friday, September 11, 2009

     

    T.D.C.o.t.E: The Mendacity of Hope

    by Dollars and Sense

    The Dull Compulsion of the Economic (xvii)

    A series of blog postings by D&S collective member Larry Peterson

    The Mendacity of Hope: Obama's Healthcare Speech

    President Obama's speech to Congress on healthcare has been generally well received since it was delivered Wednesday evening. Commentators have focused on the President's charisma, of course, as well as his intelligence; but what was different this time was a pronounced hint of determination in the face of considerable adversity: and this is something we've yet to see from the young president. But the question then arises: what is there for Obama to be resolute about?

    The speech featured the submission of a comprehensive presidential plan (which had been hitherto lacking: the president has been content, up to now, with letting members of Congress write the competing bills). The main feature of the plan consisted of a deal--some would say with the devil--with the insurance companies, pharmaceutical companies and for-profit healthcare providers: in return for losing the right to drop insurance for preexisting conditions, jack up deductibles and out-of-pocket expenses, and discriminating against customers based on age or even geography, individuals would be mandated to purchase health insurance, or face a financial penalty. Employers, too, would have to offer insurance policies to their employees, or pay a stipulated amount into the insurance fund (the so-called "pay-or-play" provision). Subsidies and exemptions would be provided for small businesses and the indigent, and a fund would be established to protect individuals with preexisting conditions who, under the plan, wouldn't be eligible for coverage until 2013.

    Such a plan would control costs in a definitive way in only one regard: it would force some thirty million people or so to purchase insurance (a good amount of these are children, and will be covered by their parents). And the savings to the system that would accrue from the proper funding and even avoidance of expensive emergency-room treatment of uninsured persons would indeed provide some offset to the relentless upward pressure in healthcare costs. But there was almost nothing else in the speech about containing costs, especially over the long term, as the population ages and the financing of Medicare(not to mention Medicaid) becomes a serious problem in its own right. Instead, the President played with the politics of the public option and spoke of offsetting the entire cost of the program--set at $900 billion over 10 years.

    Regarding the public option, the president brought it up merely to offer it as a potential sacrifice for measures that have yet to be put articulated--never mind put forward, especially by Republicans--as presumably equally valid means to one specific end: the controlling of health care costs. And on financing the program--providing all the subsidies and exemptions for many of the tens of millions who will be absorbed into the system--Obama claimed that all of the $900 billion should be capable of being offset by savings to the system that will be the result of the cutting of huge amounts of waste in the system. Many say that he won't be able to come up with even half of this figure.

    So what's wrong with all this? First of all, the idea that the insurers should be compensated for dropping some of the most despicable policies in America is absurd: the denial of preexisting conditions and so on has become a national scandal that should simply have been abolished outright. But such policymaking fits into the Obama notion of change very well: look at the banks, for example (and it's interesting: of all the things that aroused ire over the health care plan, pundits have yet to acknowledge that its timing, coming right after the bailout of the banks, may have played a major role in enhancing the negative connotations the program was capable of arousing, precisely because it is--somehow--a "government" program, and, as such, open to the sort of gaming that has come to characterize the banking bailout).

    Then there's the question of cost control. The reason why no Republicans or conservative Democrats have sought out the President's open door is because there simply is no clear way to even hope to control costs in the shorter-term other than through the implementation of a robust public option, or, even better, a single-payer system. Again, like with the banking system, we are in completely unchartered territory, and the signs of systemic health do not look promising. Obama said that he was reluctant to embark upon more ambitious measures like single-payer because he feared that potentially major disruptions involving nearly one-fifth of the economy were simply unacceptable to Americans. But he himself has acknowledged that the health care system as we know it is turning into an unsustainable drag on the economy. So--how do you combat an unsustainable drag, which is only getting bigger by the year? By implementing policies that more than anything else are chosen because they do not cause disruption? And this while disruptions--in finance, the labor market, you name it--are becoming the order of the day in so much of the rest of our daily lives?

    So where cost control is concerned, Obama seems to be asking us to trust him and the legislators he's reaching out to (some/most of whom, no doubt, are raking in wads of cash from big pharma, the insurance lobby and for-profit hospitals). It is conceivable that, although Obama pointedly didn't mention this in the speech, a "trigger" mechanism of some sort may be built into legislation, perhaps mandating some kind of public option if costs aren't sufficiently contained. But maybe not; and at this point, given all the prior hemming and hawing, it's hard to trust the administration on this score, never mind the Blue Dog Democrats Obama is looking to sway. It's quite possible that the establishment of heath care co-ops is as far as the latter will go, and who's to say that they won't demutualize or something even if costs are--relatively speaking--constrained for a few years, once/if things get back to "normal"?

    In the longer-term, though, the gamble grows more desperate: so many of the things that make the US healthcare system so very expensive, and at the same time so ineffective--the proliferation of specialists to the detriment of general practitioners, the emphasis on treatment of diagnosed conditions to the detriment of preventative medicine, the ludicrous sums spent in the last year of life (and especially to the extent that the latter command outsized levels of pharmaceutical and technology spending), the malpractice premiums, the ever-duplicated paper trail that wends between insurers, hospitals and bureaucracies, and even the President's beloved medical information-technology (also unmentioned in the speech) initiatives--there are no proposals to harness any of these for the sake of cost control. I suppose the President feels that to tinker with any of them would risk interfering with the sacred marketplace. But these factors play a big part in pushing costs up. And though, as noted before, the individual and company mandates may mitigate against the upward spiral somewhat, it is a crap shot at best, and more likely a desperate--even irresponsible--gamble to assume that these mechanisms alone will contain costs in anywhere near effective a way so as to convert the healthcare sector from being a drag on the economy to being a sustainable source of growth (not to mention turning it into a system that actually improves the health care indicators, and, by extension, the productivity--and well-being--of the people).

    And even if some kind of public option finds its way into legislation, there is a further worry: President Obama himself made a very unfortunate comparison on Wednesday when he spoke of the public university system as a successful--and popular--check on higher-ed costs. But, as we all know, in education the public alternative has been becoming less-and-less available as public costs follow those of their private competitors upwards: hardly a felicitous precedent for a public option that stands to be much, much weaker, in terms of its financing, than public universities. And then there's the question of quality: will quality decline for those who choose the public option, especially seeing that the funding is set to be so delicate? Will there be huge waiting queues like those we've endured here in Massachusetts for those forced to go on a system that doesn't have the capacity (remember the relative shortage of GPs here) to absorb the newcomers anyway?

    One other proposal was left unmentioned during the speech: the removal of the tax exemption for businesses that insure their employees. Presumably Obama is looking to his supporters amongst unionists here, seeking to appeal to their worst instincts to prevent them from demanding payback for getting him elected by insisting on single-payer. But this exemption, which has wrought so much havoc on pay scales in this country for so long, will presumably be allowed to distort them unabated. In a time of economic contraction like we're seeing, the continued drag on wages already reeling from the crash seems destined to hinder economic recovery--and screw up innumerable lives--in a major way. Surely Obama sees that?

    But, at the end of the day, the dirty little secret about American health care is that it uniquely sets different parts of the population against each other. And it does so in a way that is the inverse mirror image of that which is supposed to hold sway under competition: seniors with Medicare, the insured with employer-provided, tax-exempt healthcare, and the uninsured who must subsidize both, but who risk the running up of huge bills which fall on the insured (and increase their bills) if they can't stay out of the system, are all induced to get what they can out of the system at the expense of other groups. And the insurers and providers are all too eager to assist in this game, ordering expensive tests for some, denying those they can, and hoping that those left by the wayside won't form a common cause to overturn this rotten system. So far it has worked, and it looks like it will work again, whether or not a health care bill is passed.

    On Monday, on what is euphemistically known as "Labor Day" in the US, I was with thousands of demonstrators on Boston Common, rallying for healthcare reform. It was very strange. I, like many of my comrades there, found myself cheering for two opposed policies whenever they came up: single-payer and the public option. It was almost surreal, to use the cliche. What were we demonstrating for? The same thing, I suppose, that President Obama was calling up his commendable resolution about: the perceived necessity of a fudge. Obama is a unique political figure in that he has corralled his undisputed charisma to advance the agenda of discredited--but, in the eyes of the administration, indispensable--elites by putting a somehow positive spin on a palpable sense of his supporters that things are bad and getting worse--intolerable, even. This is the "hope" he speaks of with seeming conviction. That his most important policy stance--the one on which he has said he will risk his presidency--is so obviously defective, from so many standpoints, reveals in a particularly stark way the despair with which he must, in lucid moments, view his signature emotion.

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    9/11/2009 05:27:00 PM 0 comments

    Wednesday, September 09, 2009

     

    Whole Foods and Health Care

    by Dollars and Sense

    John Mackey, the CEO of Whole Foods (or as we call it here in Boston, Whole Paycheck), wrote a hide-bound and ideological op-ed for the Wall Street Journal last month (find it here). The first tip-off that it's going to be silly is that it calls health-care reform "Obamacare" (nothing like a little derision right in the title of an op-ed to command the interest of the readers of the WSJ opinion pages). What follows are all the usual canards of the Right's views on health care, and all their usual free-market, individualistic, deregulatory policy solutions.

    A movement has developed to boycott Whole Foods because of Mackey's opposition to meaningful (i.e., single-payer) health-care reform. The group Single Payer Action is also part of this boycott. Now would be a good time to shift over to farmers' markets and food co-ops to send Mackey and Whole Foods a message.

    Here's an interesting tidbit from the Boycott Whole Foods website: Michael Pollan, author of The Omnivore's Dilemma and other books about food and food production, has weighed in against the boycott, because although Mackey is wrong about health care, "Whole Foods is often right about food," Pollan tells us. According to the Boycott Whole Foods website, Pollan has spoken at a conference put on by America's Health Insurance Plans (the main lobbying organization for the health insurance industry), on a panel entitled "Leaving the 'Fast Food Nation' Behind: Challenging American's Attitudes Towards Personal Responsibility and Health." (The other speaker on that panel was Richard Thaler, co-author of the pop-behavioral economics book Nudge.) And he posted against the Whole Foods boycott on the website of archconservative David Frum (newmajority.com).

    Now, I don't begrudge Michael Pollan an appearance at an AHIP conference (Howard Dean also spoke on a panel at the conference), or a comment on a website "dedicated to the modernization and renewal of the Republican party and the conservative movement," as its "About" page says. The man is pretty much omnipresent, so why not in these venues? But it doesn't surprise me that he doesn't seem to get the importance of collective action. I heard a radio version of a talk he gave a couple of years ago--it was about the prevalence of corn in the American diet (via corn syrup, mostly, but also as feed for the animals that become our meat), and the history of overproduction of corn post WWII. A terrific talk--the whole time I was craving broccoli (which I don't usually care for too much), because I figured there's no way they'd figured out how to make broccoli with corn. But in the question period, someone asked him early on what we could do about this, and all he had to say was something about making good choices about what we eat, choosing to shop at places (like Whole Foods) that offer fresher food, etc. There doesn't appear to be a truly political bone in his body--for him it's all about individual consumer choice. (It reminded me of Al Gore's otherwise terrific movie, ending with rousing call for us to change our lightbulbs.) So I'm not surprised that Pollan blandly opposes this boycott.

    Joel Harrison, who wrote this terrific article for us last year, has written a point-by-point rebuttal of John Mackey's WSJ op-ed. Here are the basics; click on the links to get the details on each point.

    YES, TO HEALTHCARE FOR ALL, NO, TO MACKEY'S WHOLE FOOD CARE

    Rebuttal to John Mackey's Wall Street Journal Op-Ed, "The Whole Foods Alternative to 'ObamaCare'"

    By Joel A. Harrison, PhD, MPH | September 8, 2009

    John Mackey's editorial in the Wall Street Journal is merely a continuation of the myths propagated by the for-profit health insurance and pharmaceutical industries and the right-wing think tanks they fund. His suggestions would take us farther in the direction that has already failed.

    For this rebuttal I'll focus on the following points:

    * Healthcare IS a right in other countries. So, what does our Constitution "guarantee?" The European Union's Constitution includes Health Care as a Right. The U.S. Supreme Court ruled in 1936 that Article II Section 8's "Promote the General Welfare" applied to Social Security. Medicare falls under this ruling. Though not binding, the Universal Declaration of Human Rights, signed by the United States, includes medical care as a right. (Details and references)
    * Does health reform mean a "government take-over?" Ridiculous question but NO! Free markets do not work without rules and an independent arbiter. All Bills before Congress maintain the private sector for delivery of health care, both hospitals and doctors; but include regulations such as protection from arbitrary loss of health insurance and greater transparency. (Details and references)
    * Repealing mandates on what insurance must cover & state laws which prevent insurance companies from competing across state lines. Without some minimum national regulations and means of enforcement, companies will incorporate in states with the least regulations and enforcement, leaving consumers vulnerable. (Details and references)
    * Health Savings Accounts—Why they don't work. 80% of health care costs for individuals in the U.S. exceed $2,500 and 73% exceed $5,000, so people would rapidly exhaust their health savings accounts. Sick and injured people trust their doctors to make appropriate decisions and neither have the skills for making the decisions nor the availability of data to base such decisions on. High deductibles leads to reductions in both appropriate and inappropriate care, e.g. blood pressure monitoring. (Details and references)
    * Medicare reform and finances—Why we will not allow Medicare to go bankrupt. Medicare has done a better job than private insurance companies in keeping costs down. Medicare covers the costliest sector of our population, altogether over 43 million Americans. Private insurance would either be denied due to pre-existing conditions or prohibitively expensive. Medicare pays for all specialty residencies and subsidizes hospitals with a high proportion on uninsured. Without Medicare, besides the human tragedy of seeing our loved ones experience both reduced quality and length of life, emergency rooms will collapse under the additional strain, hospitals will close, and many doctors will go out of business. Medicare's cost cannot be separated from a health care system whose current projectory is unsustainable. (Details and references)
    * Wait times here and abroad (including emergencies)—Mackey's misleading statistics. Wait times in Canada are far better than reports given here and they are investing vast sums in improving both quality and timeliness of care. Wait times in many other nations with non-profit universal health care are actually quite good. And wait times in the U.S., especially for the un- and underinsured are worse than in many other countries and, even for those with insurance, wait times exist and are deteriorating. (Details and references)
    * Medical Liability/Tort Reform—why this won't solve the healthcare crisis. Malpractice costs are an infinitesimal portion of total health care costs. Up to 100,000 Americans die from preventable medical errors. Just five percent of all doctors are responsible for approximately 40% of malpractice suits. Truly bad doctors seldom lose their licenses. Only about 1/10th of all medical errors that cause death or serious disability lead to malpractice suits. So-called "defensive medicine" is often just an income generator for physicians who own or are invested in labs and radiology facilities. (Details and references)
    * Healthy life styles are good but don't save us enough. Many factors affect health, including genetics, air and water pollution, infectious diseases, commercial food interests targeting children, even in our schools, availability of recreational facilities, physical education in our schools, and longer and longer working hours. Healthy life styles are important; but almost everyone will sometime in their lives need health care. A healthy life-style can often delay the onset of chronic diseases and/or if ill or injured contribute to a more rapid recovery; but it is naive to believe that healthy life styles can solve our health care system problems. (Details and references)

    CONCLUSION: John Mackey doesn't know what he is talking about. In essence, he is just parroting the myths and propaganda created by the for-profit insurance and pharmaceutical industry together with their well-funded right-wing think tanks.

    I don't wish to support a platform of policies that allow private insurance companies to continue to take undue advantage of average citizens for profit, much less make it easier for them by adopting any of Mackey's ideas. I am joining thousands of former Whole Foods loyalists to redirect my dollars to support organic co-ops and local farmers' markets. I hope you will join me.

    Joel A. Harrison, PhD, MPH, lives in San Diego, where he does consulting in epidemiology and research design. He has worked in the areas of preventive medicine, infectious diseases, medical outcomes research, and evidence-based clinical practice guidelines. He has lived and studied in both Canada and Sweden.

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    9/09/2009 09:43:00 AM 7 comments

    Sunday, September 06, 2009

     

    Good Piece on Deficiencies of Public Option

    by Dollars and Sense

    From MRZine, by Andy Coates. Mentions precedents in Maine and Massachusetts, and what's wrong with them, besides reminding us of other deficiencies of Obama-style healthcare reform with or without public option, like the ever-increasing healthcare bankruptcy problem.

    Notes on the Status of Health Reform
    by Andy Coates
    MRZine 5.9.09


    The election of Obama raised expectations for sweeping health reform sky high. But in spite of several self-imposed deadlines, Senate and House health reform bills were not ready by the time of the August Congressional recess, when passionate local debate erupted at Congressional home district town hall meetings.

    The Onion pierced the din with truth: "After months of committee meetings and hundreds of hours of heated debate, the United States Congress remained deadlocked this week over the best possible way to deny Americans health care."

    If the goals are health care for all and reduced costs of care, the measures being prepared in Congress will not reform the health system. Instead they amount to a massive taxpayer subsidy for the private health insurance industry.

    In 2007, more than one of five working-age people were uninsured for a year or longer. One of six working people had health insurance insufficient to meet the expenses of a serious illness. And there were 8 million uninsured children in the United States. At least 5 million more people lost their health insurance in 2008 and 2009 thanks to galloping unemployment--on top of years of progressively unaffordable health insurance, inadequate coverage, and steep out-of-pocket costs. The failing economy further accelerated the crisis in health care through devastating state and local cutbacks in safety net care.

    Yet the Congressional bills that have come through committees, whose key provisions would not start until 2013, offer precious little relief for these ills.

    Against this background, a nascent mass movement for single-payer national health insurance, plugging away for decades, steadily accumulates new force. Single payer would deliver all necessary care for all individuals, lifelong, with no co-pays and no deductibles, through a system in which health care would be publicly financed but privately delivered. By eliminating private insurance, single payer would save an estimated $400 billion annually in health spending. The single-payer bills in Congress are HR 676 and S 703. HR 676 has 86 co-sponsors and has been endorsed by over 500 labor bodies, including 39 state AFL-CIO federations.

    Whether a bill passes or flounders this fall, the details in the proposals that have come through Congressional committees have little connection with the popular expectations and grassroots clamor this summer. If Congress enacts reform, in 2013, individuals will be required to purchase health insurance. This is the centerpiece of the "reform." The proposal has come straight from the insurance industry: criminalize the uninsured and subsidize unaffordable private insurance premiums with public funds.

    Read the rest of the post

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    9/06/2009 11:16:00 AM 0 comments

    Friday, May 29, 2009

     

    Rallies for Single-Payer in 50+ Cities 5/30

    by Dollars and Sense

    From Healthcare Now!—important rallies this weekend, in a city near you (visit the website for a long list of cities and events--most are on Saturday):

    May 30th: National Day of Action
    Nationwide Rallies for Improved Medicare for All

    Join thousands of single-payer supporters in a nationwide week of action to support improved Medicare for all (HR 676). Single-payer activists will be gathering all over the country to say, "Healthcare, yes; Insurance companies, no," and to show solidarity with demonstrations at the AHIP (American Health Insurance Plans, a private health insurance lobby) conference in San Diego.

    If an action isn't already in your city, plan your own day of action! It can be a town hall meeting, demonstration in front of a local insurance company, film showing, vigil, or your own unique idea. Let us know what you'd like to start planning by contacting info@healthcare-now.org.

    47 million Americans are uninsured. Private insurance rates are rising faster than inflation and our incomes. By 2025 the cost of private health insurance will exceed our projected income.

    Click here for more info including a list of cities and events.

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    5/29/2009 04:14:00 PM 0 comments

    Monday, May 11, 2009

     

    All-Out Effort to Put Single-Payer 'On the Table'

    by Dollars and Sense

    From AfterDowningStreet and elswehere. They also had a great letter from Dr. Margaret Flowers of Physicians for a National Health Plan (reposted at Consortium News); Flowers was one of the activists who disrupted Sen. Baucus' roundtable on May 5th to ask why single-payer proponents weren't part of the discussion. The activists were hauled away by the Capital cops, while Baucus quipped about the need for more police. Hat-tip to LF.

    All Out Effort: Put Single-payer Healthcare "On the Table"
    Submitted by Chip on Mon, 2009-05-11 02:48. Activism Healthcare
    All Out Effort: Put Single-payer Healthcare "On the Table"

    It's National Nurses Week, and we're joining the California Nurses Association in Washington, D.C. to promote single-payer healthcare. We need your help!

    Please make 2 calls TODAY to get single-payer experts into the Senate Finance Committee Roundtable discussion!

    This Tuesday, May 12, the Senate Finance Subcommittee is holding its final roundtable on healthcare reform. The California Nurses Association/National Nurses Organizing Committee has issued a request to include Roseann Demoro, Executive Director of CNA/NNOC and longtime leader in the single-payer movement. PNHP has formally submitted the names of two outstanding physicians, Drs. Marcia Angell and Steffie Woolhandler, to testify as expert witnesses.

    Please call Sen. Baucus' office in Washington at 202-224-2651, or fax him at (202) 224-9412, and urge him to extend the invitations.

    Call your Senator, too!

    Members of Single-Payer New York met with Sen. Charles Schumer (NY), Senate Finance Committee member, on Friday evening. He agreed to ask Chairman Baucus to include a single-payer expert--if we can get another Senator on the committee to join him.

    Please call and ask your Senator to join Sen. Schumer in asking Chairman Baucus to include a single-payer expert in Tuesday's hearing.

    • In Michigan, call Sen. Stabenow at 202-224-4822

    • In Massachusetts, call Sen. Kerry at (202) 224-2742

    • In West Virginia, call Sen. Rockefeller at (202) 224-6472


    At the last Senate Finance Committee hearing, physicians and single-payer advocates stood one-by-one to ask to for a seat at the table. The Senators laughed and had each one arrested. Watch the video here or at: Health Care Now.

    We need to end the exclusion of the only plan that will be truly universal and contain costs. Our health depends on it.

    Your action today is critical to the health of this nation.

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    5/11/2009 02:11:00 PM 1 comments

    Wednesday, May 06, 2009

     

    The Battle for Health Care Begins

    by Dollars and Sense

    From Katrina vanden Heuvel at the Nation:

    "If there is no public insurance option…then this is not reform at all."

    That's what Governor Howard Dean said last night in a conference call with thousands of activists—and he's absolutely right.

    As Dr. Dean noted, the battle for real reform begins Tuesday morning, when Senator Max Baucus chairs a Senate Finance Committee hearing that will look into the public plan option.Activists are writing messages on why such a plan is critical and Senator John Kerry will read some of them into the record at the hearing.

    The conference call—organized by MoveOn and Democracy For America—began with a story similar to that of too many citizens across the nation.MoveOn member Lisa Hall said she was in a car accident—hit by a drunk driver—and was laid off in the aftermath when she couldn't work.She lost her insurance, COBRA ran out, and the bills mounted as no insurance company would cover her due to pre-existing conditions.
    "Ultimately," Small said, "[I went into] bankruptcy, like so many others…. The healthcare in this country has to be accessible to everyone.Not just the healthy people or the rich.We're just working folks, trying to keep our jobs and what we've earned."

    Dean said the outcome of this fight will be determined by activists.We know what's coming—charges of "socialized medicine", "you won't be able to choose your doctor", "a bureaucrat in Washington will make your healthcare decisions," etc.It will be up to the people to write letters to the editor, call your congressman, talk to neighbors.Myths will need to be debunked, front groups exposed, and money trails followed.Already, special interest groups are making robocalls and devoting millions of dollars to an anti-choice campaign.

    "What we want to do is give people a choice," Dean said."And stop saying you've got to be in the private insurance market or have no insurance whatsoever if you're under 65."(People over 65 are already in a single-payer system—Medicare.)

    As Dean pointed out, the facts are on our side in this battle.For starters, the proposal of a public plan option allows people to keep their private insurance if they want to and even subsidizes it.It's also cheaper than private insurance since a greater percentage of premiums goes towards healthcare instead of CEO salaries, shareholder dividends, swank offices, etc.(In Vermont, Governor Dean was able to cut administrative costs by 1/3 when the state ran Medicaid instead of a private company.)

    But in Washington—facts be damned—real reform that benefits ordinary citizens doesn't come without a tough fight."We're going to have an all out fight about this… and we're not going to go down again," Dean said."If members of Congress know how strongly people feel about this they're going to think twice about voting against it."

    Dean said that Senator Baucus is the legislator who most needs convincing since his committee is one of the two in the Senate that will deal with the bill—and he especially needs to hear from people from his home state.

    "He is nominally in favor of [the public option] but has also said that he might trade it away," Dean said."I don't think it's necessary to trade it away—we have a Democratic President, a Democratic Senate, and a Democratic House, there's no reason to trade it away…. I think we're going to get a good bill out of the House, the problem is in the Senate."

    Indeed, the Senate is a place that resists change and all too often kills needed reform.This time around, we can't let that happen.Tell your representatives
    now that it's time to give people the option of a public plan.

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    5/06/2009 11:27:00 AM 0 comments

    Friday, March 27, 2009

     

    Single-Payer Updates

    by Dollars and Sense

    First, we noticed this excellent webpage, with links and resources on single-payer, from Physicians for a National Health Care Program.

    Second, our friend Dr. Christine Adams, who is statewide secretary of Health Care for All Texas, sent us her response to an article in Wednesday's WSJ by Laura Meckler. It's an excellent summary of reasons in favor of single-payer. Here it is:

    Dear Ms. Meckler,

    I am a supporter of single payer national health care as proposed by
    HR 676 (John Conyers, D-Michigan). All other health care reform
    proposals involve some type of subsidy to private for-profit health
    plans via low to moderate income households. It makes no sense to
    subsidize private, for-profit health plans just for us to have the
    privilege of having private companies continue to play a central role
    in health care financing. Medicare Advantage is a perfect example of
    that model. For the privilege of continuing to include for-profit
    private health plans, the U.S. taxpayer gets to pay 14%-20% more per
    Medicare recipient than for those in traditional Medicare (a single
    payer model, albeit imperfect). For the privilege, we do not get any
    value for our extra tax dollars. Medicare Advantage members do not
    have better medical outcomes and frequently they have worse medical
    outcomes - even though Medicare Advantage programs cherry-pick the
    healthiest in the Medicare pool. And where do we find our best
    medical outcomes at the best price? Our socialized medicine Veterans
    Administration Medical System.

    No other nation that is controlling health care costs while
    maintaining quality has for-profit health insurance companies playing
    a central role in health care financing because it cannot be done.
    Other nations that include private health plans have placed heavy
    regulations on them so that they cannot make profits, must offer
    standard, comprehensive benefits, cannot exclude anyone or restrict
    treatment and must go to the government (the citizenry) to get
    permission to raise premiums. Nations that still include private
    plans, still spend more than nations that have either adopted single
    payer or straight-forward socialized medical systems (England, Spain).
    Economically, it will cost you more to include private health plans
    even if they are regulated. At any rate, I doubt our American
    for-profit health plans would ever agree to the level of regulation it
    would take to control costs, even without making health care
    universal.

    Frankly, I don't understand why conservatives in Congress, such as
    Sen. Grassley, would even consider subsidizing or protecting
    for-profit health plans from a public competitor. If a public health
    plan could deliver good care for less money, why wouldn't we want that
    system? Why would we want to use tax dollars to subsidize a
    for-profit health plan? I already pay for-profit health plans plenty
    of money for not much back in the way of health benefits. I don't
    want to direct more of my tax dollars to them just to keep them in
    business. They are not an industry vital to our national security. In
    fact, they suck up so much in the way of resources without adding
    value back, they are a drain on our economy and our health. They are
    detrimental to our well being in the same way that companies that
    pollute are detrimental to our well being.

    Two Nobel prize winners in economics, Drs. Joseph Stiglitz and Paul
    Krugman, have publicly stated that single payer makes the most sense
    for health care reform. They don't strike me as socialists or
    anti-business. To support a health reform measure that props up a
    private business when a public entity could do as good a job for less
    money seems opposite to what a conservative would support. When the
    data from so many forms of national health insurance, none of which
    include for-profit private health plans, are so clearly providing as
    good or better medical outcomes as we have here in the U.S. but with
    half the money and for all their people, I can only conclude that this
    resistance by a minority to single payer comes from irrational fears
    based on myths and outdated ideas in the same way that anti women's
    suffrage and anti integration are now seen as wrongheaded.
    Unfortunately, this minority position of pro for-profit, subsidized
    private health plans appears to have the ear of the Obama
    Administration—at least for the time being.

    Dr. Christine Adams
    Statewide Secretary, Health Care for All Texas
    Member, Physicians for a National Health Program

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    3/27/2009 11:18:00 AM 2 comments

    Tuesday, March 17, 2009

     

    Single-Payer Rally in Burlington TODAY

    by Dollars and Sense

    This is happening in about 45 minutes, but in case any of our readers happen to be in Burlington...

    Hundreds of Activists to Rally in Burlington, Vermont Outside

    White House Regional Forum on Healthcare—TUESDAY


    Nurses, Doctors, Patients Call for Guaranteed Healthcare on the Single-Payer Model…And an End to Insurance Industry Denial of Care

    WHAT: Hundreds of healthcare activists from throughout New England and across the country will rally outside the White House’s latest regional summit on healthcare, and demand that Congress include single-payer reforms in its debate and discussion, including U.S. Rep. John Conyers' HR 676

    WHO: A broad coalition of healthcare reformers brought together by the Leadership Conference on Guaranteed Healthcare, which includes the National Nurses Organizing Committee/California Nurses Association (NNOC/CNA), Physicians for a National Health Program (PNHP), Healthcare Now, and Progressive Democrats of America (PDA)

    WHEN: Tuesday March 17th; rally @ 11:30 a.m. featuring Dr. Deb Richter from PNHP

    WHERE: Davis Center, University of Vermont-Burlington

    WHY: "We can look around the world’s other industrialized democracies and see very clearly that a guaranteed healthcare system, such as an expanded and improved 'Medicare for All,' is the only way to provide patients with the care they need. We will come to Vermont to make sure that Congress hears from the nation's healthcare reformers as they are drafting this life-and-death legislation," said Geri Jenkins, RN, co-President of NNOC/CNA.

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    3/17/2009 09:49:00 AM 0 comments

    Friday, March 13, 2009

     

    Insider Report on the Health Care Summit

    by Dollars and Sense

    Thanks to activist pressure, single-payer advocate Oliver Fein, MD, was allowed to participate in the White House health care summit. In his extensive post, Dr. Fein gives an inside account of the summit and lays out some reasons for cautious optimism for those pushing for a single-payer universal health care system.

    The major single-payer bill in the House is HR 676. Dr. Fein reports that Senator Bernie Sanders is planning on proposing a counterpart bill in the Senate shortly.

    From the Beaver County Blue website:

    Thanks to many grassroots activists and physicians who called the White House and threatened to demonstrate outside its gates, I was at the Health Care Summit at the White House on March 5 along with Rep. John Conyers Jr. (D-Mich.). And it was good thing. It meant that the single-payer position was recognized as one pathway to health care reform. It also meant that one of our concerns was present: namely, that any health care reform that includes the for-profit, private health insurance companies will fail to provide universal coverage, will not be able to reduce heath care costs, and will increase the number of underinsured.

    It’s important to note that there were others at the summit who are known to be sympathetic to single payer, including some past and present co-sponsors of H.R. 676 and Sen. Bernie Sanders of Vermont. (More on Sanders below.)

    That said, it is true that the summit was carefully choreographed. The opening plenary featured Travis Ulerick, a 24-year-old firefighter from Dublin, Ind., who had sponsored a "health care community discussion" (house party) in his fire station in December. He read off the names of six other people who had hosted similar house parties who had been invited to participate in the summit.

    Ulerick called attention to a booklet, "Report on Health Care Community Discussions," which was distributed to all summit participants. It focuses on cost, access, quality and system performance as the major problems facing the American health care system. As solutions, it offers creation of a health insurance exchange, reducing prescription drug costs, research and standards to improve quality and efficiency, simplification and information technology, education for wellness and the promotion of healthy lifestyles.

    Interestingly, in the middle of the report, there is a box labeled Single-Payer System, which states: "Over one-quarter (27 percent) of the groups discussed the merits of a single-payer system, and the majority of those groups supported this idea. These groups argue that this radical change was a necessary step for reform."


    Read the full post here.

    Read Joel A. Harrison's article on how U.S. taxpayers aren't getting what they're paying despite massive health care spending (from our May/June 2008 issue), and go here for more D&S coverage of health care issues.

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    3/13/2009 11:16:00 AM 0 comments

    Thursday, February 26, 2009

     

    Stiglitz Criticizes O.'s Speech, Favors Single-Payer

    by Dollars and Sense

    This seems pretty explosive to me: Nobel-Prize-winning economist Joseph Stiglitz came put in favor of a single-payer universal health program as "the only alternative" in an interview with Amy Goodman on Democracy Now!. Hat-tip to Dr. Christine Adams of Health Care for All Texas. Very interesting also that he also criticizes Obama as having "confused saving the banks with saving the bankers." (Amy Goodman's phrase, but Stiglitz responded: "Exactly.")

    There's also a discussion of nationalization, and from what I can tell Stiglitz calls for a Swedish-style "nationalization," which is really just temporary receivership (or what Krugman usefully calls "preprivatization"—though this is what Krugman favors too). This puts him barely to the left (on this issue at least) of Alan Greenspan, who as we've reported here, has said that "nationalization" will probably be necessary. Wish Amy had asked him about full, permanent nationalization... Click here for Fred Moseley's argument for it in the March/April issue of D&S. We'll have an article about single-payer in that issue too.

    Here is the beginning of the DN! transcript:


    AMY GOODMAN: Your first assessment of the speech last night?

    JOSEPH STIGLITZ: Oh, I thought it was a brilliant speech. I thought he did an excellent job of wending his way through the fine line of trying to say—give confidence about where we're going, and yet the reality of our economy—country facing a very severe economic downturn. I thought he was good in also giving a vision and saying while we're doing the short run, here are three very fundamental long-run problems that we have to deal.

    The critical question that many Americans are obviously concerned about is the question of what do we do with the banks. And on that, he again was very clear that he recognized the anger that Americans have about the way the banks have taken our taxpayer money and misspent it, but he didn't give a clear view of what he was going to do.

    AMY GOODMAN: Let's go to the clip last night. During his speech, President Obama acknowledged more bailouts of the nation's banks would be needed, but didn't directly say, as Joe Stiglitz was saying, whether the government would move to nationalize Citigroup and Bank of America.
    PRESIDENT BARACK OBAMA: We will act with the full force of the federal government to ensure that the major banks that Americans depend on have enough confidence and enough money to lend even in more difficult times. And when we learn that a major bank has serious problems, we will hold accountable those responsible; force the necessary adjustments; provide the support to clean up their balance sheets; and assure the continuity of a strong, viable institution that can serve our people and our economy.

    Now, I understand that on any given day Wall Street may be more comforted by an approach that gives bank bailouts with no strings attached and that holds nobody accountable for their reckless decisions. But such an approach won't solve the problem. And our goal is to quicken the day when we restart lending to the American people and American business and end this crisis once and for all. And I intend to hold these banks fully accountable for the assistance they receive, and this time they will have to clearly demonstrate how taxpayer dollars result in more lending for the American taxpayer.

    AMY GOODMAN: President Obama on Tuesday night. Joe Stiglitz, is he holding the banks accountable?

    JOSEPH STIGLITZ: Well, so far, it hasn't happened. I think the more fundamental issues are the following. He says what we need is to get lending restarted. If he had taken the $700 billion that we gave, levered it ten-to-one, created some new institution guaranteed—provide partial guarantees going for, that would have generated $7 trillion of new lending. So, if he hadn't looked at the past, tried to bail out the banks, bail out the shareholders, bail out the other—the bankers' retirement fund, we would have easily been able to generate the lending that he says we need.

    So the question isn't just whether we hold them accountable; the question is: what do we get in return for the money that we're giving them? At the end of his speech, he spent a lot of time talking about the deficit. And yet, if we don't do things right—and we haven't been doing them right—the deficit will be much larger. You know, whether you spend money well in the stimulus bill or whether you're spending money well in the bank recapitalization, it's important in everything that we do that we get the bang for the buck. And the fact is, the bank recovery bill, the way we've been spending the money on the bank recovery, has not been giving bang for the buck. We haven't gotten anything out.

    What we got in terms of preferred shares, relative to what we gave them, a congressional oversight panel calculated, was only sixty-seven cents on the dollar. And the preferred shares that we got have diminished in value since then. So we got cheated, to put it bluntly. What we don't know is that—whether we will continue to get cheated. And that's really at the core of much of what we're talking about. Are we going to continue to get cheated?

    Now, why that's so important is, one way of thinking about this—end of the speech, he starts talking about a need of reforms in Social Security, put it—you know, there's a deficit in Social Security. Well, a few years ago, when President Bush came to the American people and said there was a hole in Social Security, the size of the hole was $560 billion approximately. That meant that if we spent that amount of money, we would have guaranteed the—put on sound financial basis our Social Security system. We wouldn't have to talk about all these issues. We would have provided security for retirement for hundreds of millions of Americans over the next seventy-five years. That's less money than we spent in the bailouts of the banks, for which we have not been able to see any outcome. So it's that kind of tradeoff that seems to me that we ought to begin to talk about.

    AMY GOODMAN: So, you say Obama, too, has confused saving the banks with saving the bankers.

    JOSEPH STIGLITZ: Exactly.

    AMY GOODMAN: Should they all have been fired?

    JOSEPH STIGLITZ: Well, I think one has to look at it on a bank-by-bank basis. Clearly, the banks that have not been managed very well, we need to not only fire them, we have to change their incentive structure. And it's not just the level of pay; it's the form of the pay. Their incentive structures encourage excessive risk taking, shortsighted behavior. And in a way, it's a vindication of economic theory. They behaved in the irresponsible way that their incentive structures would have led them to behave.

    Read or listen to the rest of the interview.

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    2/26/2009 01:13:00 PM 0 comments

    Friday, February 20, 2009

     

    Mass. Doctors Push for Single-Payer

    by Dollars and Sense

    We found a link to this on, of all places, Marginal Revolution—hardly a lefty site!—in a list of "Assorted Links" under the title "How is the Massachusetts health care plan working out?" The headline of the original link is a little misleading, since it suggests that (a majority of?) doctors in Massachusetts favor single-payer, but the report is really about Mass. docs who are members of Physicians for a National Health Program. But polls have shown that a majority of doctors in the United States favor single-payer, so I wouldn't be surprised if a majority in Mass. did too (especially given some of the snags of the new Mass. "universal" system).

    Meanwhile, in today's New York Times there's an article about closed-door sessions with the ailing Mass. Sen. Ted Kennedy to hammer out a consensus about what kind of health care reform congressional Democrats and the Obama administration should go for. "Lobbyists for a wide range of interest groups—some of which were involved in defeating national health legislation in 1993-4—are meeting with the staff of Mr. Kennedy, Democrat of Massachusetts, in a search for common ground." Lots of mention of insurance industry and big pharma lobbyists; no mention whatsoever of single-payer as an option. Forcing people to purchase insurance from private insurers is these folks' idea of universal health care. Similarly, Wednesday's Times reported that Kathleen Sibelius, governor of Kansas, is a leading candidate to be O.'s nominee for Secretary of Health and Human Services. The article quotes an insurance industry lobbyist as saying that she'd be a great pick: "Karen M. Ignagni, president of America's Health Insurance Plans, said Ms. Sebelius would be 'a very smart choice' for health secretary."

    Check out this article we ran last year on the high costs of the current system, many of which would remain under a compulsory "universal" system of the sort O. seems to be moving toward. And our March/April issue will include an article on management costs and how single-payer does better.

    Now here's that piece on the Mass. PNHP doctors:

    Massachusetts doctors say single-payer or bust

    By Sarah Arnquist

    Massachusetts members of the Physicians for a National Health Program released a report today faulting the state's experiment with health reform for failing to achieve universal coverage, being too expensive and draining funds away from safety-net providers.

    The doctors' punch line is that the reform has given private insurance companies more business and power without eliminating vast administrative waste. In fact, it says, the "Connector" in charge of administering the reform adds about 5 percent more in administrative expenses.

    In summary, nothing less than single-payer national health reform will work, according to authors Drs. Rachel Nardin, David Himmelstein and Steffie Woolhandler, all professors at Harvard Medical School.



    The report criticizes the Urban Institute's largely favorable report that found only 2.6 percent of Massachusetts' residents were uninsured in mid-2008 because it failed to sufficiently reach non-English speakers in its survey.

    Reports in Health Affairs this winter also found significant positive support for the reform among employers and the public. There was little evidence of crowd-out.

    The PNHP doctors' report says health plans people are forced to buy are not affordable and often skimp, making the mandate that individuals buy them regressive. And moreover, it says, peoples' experiences have shown that insurance does not guarantee access to care. The Boston Globe chronicled the long wait for primary care last September.

    A final criticism the 19-page report offers is that the reform is financially unsustainable, as it does "nothing about a major driver of high health care costs, the overuse of high-technology care such as CT scanners and surgeries, and the underdevelopment of primary care."

    Last winter, Himmelstein spoke about health reform to students at Johns Hopkins School of Public Health. I asked him if single-payer advocates would work against any national reform effort that wasn't single-payer, as the single-payer camp did in California.

    Himmelstein said that if the reform plan looked like the Massachusett's reform he probably would prefer the status quo. He believes the reform has made most vulnerable patients in Massachusetts worse off.

    It looks like health reform is going to be a battle on the Left and Right.

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    2/20/2009 11:04:00 AM 0 comments

    Wednesday, January 21, 2009

     

    Single-Payer Job Recovery (Cal Nurses)

    by Dollars and Sense

    What looks to be an impressive study from the California Nurses Association. Hat-tip to Dr. Christine Adams of Health Care for All Texas.

    First-of-Its Kind Study: Medicare for All (Single-Payer) Reform Would Be Major Stimulus for Economy with 2.6 Million New Jobs, $317 Billion in Business Revenue, $100 Billion in Wages

    Establishing a national single-payer style healthcare reform system would provide a major stimulus for the U.S. economy by creating 2.6 million new jobs, and infusing $317 billion in new business and public revenues, with another $100 billion in wages into the U.S. economy, according to the findings of a groundbreaking study released today. It may be viewed at www.CalNurses.org.

    The number of jobs created by a single-payer system, expanding and upgrading Medicare to cover everyone, parallels almost exactly the total job loss in 2008.



    Read the whole report.

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    1/21/2009 12:43:00 PM 0 comments

    Thursday, January 15, 2009

     

    Call-In For Single Payer

    by Dollars and Sense

    Healthcare Now, an organization dedicated to promoting national health insurance, has dedicated today as a national call-in day for Single-Payer health insurance. Specifically, they are urging Congress to support HR676, John Conyers’ National Health Insurance Act.

    For more information, click here.

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    1/15/2009 11:34:00 AM 0 comments

    Monday, December 22, 2008

     

    National Call-In Day for HR 676

    by Dollars and Sense

    From Healthcare-NOW!:

    Give America a Gift: Single-Payer National Healthcare

    Dear Healthcare-NOW! Supporter,

    This is your reminder that Monday, December 22nd, is the National Call-In Day to Support Single-Payer Healthcare, HR 676!

    With your help for just a few minutes, we can get the message through to Congress that we want to remove corporate greed from our healthcare system and provide a truly equitable, guaranteed healthcare program for everyone.

    Every call counts! Call to guarantee our representatives hear loud and clear from their constituents to get on board with HR 676: single-payer national health care

    Here's how:

    1) Find out if your representative supports HR 676.

    2) Fax or call your federal Representative.* If you don't know your congresspersons' district office phone number, please follow these five easy steps:

    1. Go to www.VoteSmart.org.

    2. Enter your ZIP code in the top left of the page.

    3. Click on a congressperson.

    4. Click on "Complete Contact Information" under their photo.

    5. Their district office phone number and address are under their photo.

    3) Ask for the Chief of Staff or Health Care Aide to leave your message and use these scripts to help shape the message of your call.

    HR676 Co-sponsor call: Hi, my name is ----------------. I am calling to thank Representative ___________________ for his/her support of HR676, John Conyers' National Health Insurance Act. Rep. Conyers plans to reintroduce HR676 shortly after the Congress is back in session in January, but I want to reaffirm my support for HR676, single payer healthcare legislation and ask Rep. ____________________ to do the same by signing on again as a co-sponsor working for true reform of this terrible healthcare system. I say no to Massachusetts style health care, and yes to single payer health care as proposed in HR 676. Single payer gives more freedom of choice and access to quality care for patients and it is the most economical way to make sure we all can access care when we need it. Now is the time to give the gift of healthcare for all to every American. Happy holidays and thank you. If you have any questions about single payer or about me, please call me at __________________.

    Non-co-sponsors call: Hi, my name is ----------------. I am calling to urge Representative ___________________ to support of HR676, John Conyers' National Health Insurance Act. Rep. Conyers plans to reintroduce HR676 shortly after the Congress is back in session in January, and I want to reaffirm my support for HR676, single payer healthcare legislation and ask Rep. ____________________ to do the same by signing on as a co-sponsor and working for true reform of this terrible healthcare system. I say no to Massachusetts style health care, and yes to single payer health care as proposed in HR 676. Single payer gives more freedom of choice and access to quality care for patients and it is the most economical way to make sure we all can access care when we need it. Now is the time to give the gift of healthcare for all to every American. Happy holidays and thank you. If you have any questions about single payer or about me, please call me at __________________.

    4) Contact Senator Kennedy at his in-district office. Phone: 617-565-3170 / Fax: 617-565-3183. Senator Kennedy is proposing health care legislation early next year, and he needs to know that we want it to be single-payer.

    Message to Senator Kennedy: Hi, my name is ----------------. I am calling to urge Senator Kennedy to make his proposed legislation for health care reform single-payer. The current reform in Massachusetts is leaving thousands uninsured and is far too expensive to be sustained because it leaves profit in our health care system. In the most recent election, local ballot initiatives supporting single payer and opposing individual mandates passed by landslide margins in all ten legislative districts where they appeared. With almost all precincts tallied, roughly 73 percent of 181,000 voters in the ten districts voted YES in support of a single-payer system. Say no to Massachusetts style health care, and yes to single payer health care as proposed in HR 676. Happy holidays and thank you. If you have any questions about single payer or about me, please call me at __________________.

    Please forward this message widely and let us know how your calls went.

    Thanks for making single-payer national healthcare a priority this holiday season.

    In peace and health,

    National Staff

    Healthcare-NOW!

    P.S. Healthcare-NOW! survives on the generosity of our supporters. Please consider making a donation to support national efforts to pass HR 676.

    *Emails can also be sent in support of HR 676, but calls and faxes are considered to be the most effective way to get the word out to elected officials today.

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    12/22/2008 10:54:00 AM 0 comments

    Thursday, November 20, 2008

     

    Insurance Co.'s Endorse Universal Coverage...

    by Dollars and Sense

    ...as long as it isn't single payer.

    The New York Times is reporting that the health insurance industry is suddenly in favor of universal coverage--as long as it looks like the Democrats' proposals, and not single-payer. According to this article in today's Times:
    The health insurance industry said Wednesday that it would support a health care overhaul requiring insurers to accept all customers, regardless of illness or disability. But in return, the industry said, Congress should require all Americans to have coverage.

    The proposals, put forward by the insurers' two main trade associations, have the potential to reshape and advance the debate over universal health insurance just as President-elect Barack Obama prepares to take office.

    In separate actions, the two trade groups, America's Health Insurance Plans and the Blue Cross and Blue Shield Association, announced their support for guaranteed coverage for people with pre-existing medical conditions, in conjunction with an enforceable mandate for individual coverage.

    In the absence of such a mandate, insurers said, many people will wait until they become sick before they buy insurance.
    The article also notes the similarity between what the insurance companies are proposing and the plan Hillary Clinton proposed in the presidential primaries (and the differences with Obama's plan):
    But the industry's position differs from that of Mr. Obama in one significant respect. Insurers want the government to require everyone to have and maintain insurance. By contrast, Mr. Obama would, at least initially, apply the requirement only to children.

    In the race for the Democratic presidential nomination, that was a major point of contention between Mr. Obama and Senator Hillary Rodham Clinton of New York. Mrs. Clinton said that everyone should be required to have coverage. Mr. Obama said he wanted to be certain that insurance was affordable and available to all before considering such a broad requirement.
    During the primaries, many of us in Massachusetts, which has the kind of mandated plan that Clinton was calling for (but leaves the insurance industry intact) were ambivalent about Clinton's version of universal coverage. But Obama's plan hardly seemed better. The idea that he "wanted to be certain that insurance was affordable and available to all," yet his plan leaves the insurance companies in the picture, seemed ridiculous.

    This latest development hardly counts as news. An earlier article in the Times indicates that the industry has even endorsed expanding publicly-funded health care. What's more, the industry made a similar proposal for mandating care in 1992. In fact, the Times article about that proposal makes the current announcement sound like déjà vu:
    The industry has often been described as an obstacle to change in the nation's health-care system. But with the new proposal, to be announced Thursday, the industry signals its willingness to accept sweeping changes, many of them similar to those proposed by President-elect Bill Clinton.

    Details of the insurers' proposal remain to be worked out. Many of the unresolved issues are contentious. But Democrats and Republicans as well as business executives and labor unions agree that the nation must do something to help the 35 million people who do not have health insurance.
    But the fact that the insurance industry essentially endorses the Democrats' approach to universal health care shows how timid this version of universal care is.

    If the new Democratic president and Congress really want to expand coverage and cut costs, they should go for single-payer; John Conyers' "Medicare for All" bill (H.R. 676) would bring that about. For evidence that a single-payer would reduce costs, see Joel Harrison's article explaining why leaving insurance companies in the loop costs everyone more--in premiums, co-pays, and tax dollars, and whether or not you're actually covered. And visit this page, which lists other coverage of health care in the pages of D&S.

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    11/20/2008 02:19:00 PM 2 comments

    Sunday, July 27, 2008

     

    How hospitals are killing E.R. patients.

    by Dollars and Sense

    This is from Joel A. Harrison, author of our recent feature, Paying More, Getting Less, which provides a novel argument in favor of a single-payer health care system.

    The issue of long waits at emergency rooms has been in the news, and even the Institute of Medicine has looked at the problem of "divert status," where ambulances are told by the nearest emergency room they are filled up and they need to go to another more distant emergency room. One story told of an ambulance spending 45 minutes before finding an emergency room willing to accept a patient.

    Keep in mind that divert status has nothing to do with being insured! Some of the reasons are: 1. Because emergency rooms can't refuse treatment, they lose money on the uninsured, and many hospitals are closing their emergency departments; 2. Patients who are uninsured or underinsured use emergency rooms for primary care and/or wait until their conditions get serious, thus ending in emergency.

    Now a new article in the online magazine Slate adds one more nail in the coffin of the profit-motive in health care, which puts us all at risk. Notice that in "socialized-medicine" England, the government requires and enforces that 98% of patients be seen within 4 hours. Of course, since everyone has health insurance and a family practitioner, one of the reasons for crowding is eliminated.

    Notice also that American hospitals are fighting tooth and nail against even keeping waiting statistics. A recent report by the Commonwealth Fund put United States dead last in ability to get medical attention at night and on weekends among advanced industrialized nations, and poor placement in getting to see primary-care physician within 48 hours.


    Waiting Doom
    How hospitals are killing E.R. patients.


    By Zachary F. Meisel and Jesse M. Pines

    Last month, Esmin Green, a 49-year-old mother of six, tumbled off her chair and onto the floor of the Kings County psychiatric E.R. waiting room in New York City. Members of the hospital staff saw her lying there but did nothing for about an hour. When Green was finally brought into the E.R., she was dead. An autopsy revealed that she died from a pulmonary embolism, which occurs when a blood clot forms in the leg, breaks off, and travels to one or both lungs. This can also kill long-haul airplane passengers who sit in one spot for hours: The blood sits stagnant in their legs for so long that it clots. You could say that Green, too, had been on a plane ride of sorts. She'd waited for a psychiatric-unit bed to open up for more than 24 hours, roughly the same time as a trip from New York to Tanzania.

    The surveillance video of Green collapsing and lying untended, as hospital staff at Kings County fail to respond to her collapse, is inexcusable by any stretch. And so Nancy Grace, for one, focused on the negligence. But what's largely missing from this story is the likely cause of Green's pulmonary embolism. The answer lies in a far more systematic and widespread danger in hospital care: E.R. waits. Why was Green sitting and waiting while blood pooled in her legs? Despite increasing evidence that crowded E.R.s can be hazardous to your health, hospitals have incentives to keep their E.R. patients waiting. As a result, there has been an explosion in E.R. wait times over the past few years, even for those who are the sickest.

    Read the rest of the article...

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    7/27/2008 09:59:00 AM 2 comments

    Thursday, July 03, 2008

     

    The Doctors' Revolt

    by Dollars and Sense

    Ida Hellander, executive director of Physicians for a National Health Program, emailed us recently with praise for Paying More, Getting Less, from our May/June issue. She called the article "very clear and compelling. It will be very, very useful to all of us in the single payer movement... Thanks again for publishing this article. I've wanted something like this for many years!"

    In fact, a solid majority of U.S. doctors now support a single-payer system, as reported in a web-only piece posted to the American Prospect website on Tuesday:

    The Doctors' Revolt

    Doctors, the traditional advocates for the medical status quo, are increasingly in favor of major reforms to the U.S. health-care system.

    Roger Bybee | July 1, 2008 | web only

    Doctors have historically been the watchdogs of the U.S. medical system, with the American Medical Association scaring New Dealers into dropping national health coverage from the Social Security Act and then the AMA shredding Harry Truman's reform efforts in the late 1940s. But a new poll and other significant indicators suggest that doctors are turning against the health-insurance firms that increasingly dominate American health care.

    The latest sign is a poll published recently in the Annals of Health Research showing that 59 percent of U.S. doctors support a "single payer" plan that essentially eliminates the central role of private insurers. Most industrial societies -- including nations as diverse as Taiwan, France, and Canada -- have adopted universal health systems that provide health care to all citizens and permit them free choice of their doctors and hospitals. These plans are typically funded by a mix of general tax revenues and payroll taxes, and essential health-care is administered by nonprofit government agencies rather than private insurers.

    The new poll, conducted by Indiana University's Center for Health Policy and Professionalism Research, shows a sharp 10 percent spike in the number of doctors supporting national insurance: 59 percent in 2007 compared to 49 percent five years earlier. This indicates that more physicians are eager for systematic changes, said Toledo physician Dr. Johnathon Ross, past president of Physicians for a National Health Program. Read more...


    Visit the new health care links page on our site for more articles from D&S on health care, and for links to national and state-level organizations working for single-payer.

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    7/03/2008 07:53:00 AM 0 comments