Monday, October 26, 2009

why not single payer? tuff call


Mike & Friends Blog

Katie Robbins

Katie Robbins is the Assistant National Coordinator of Healthcare-NOW! and a firm believer that health care is a human right that must be delivered to all people without financial barriers

October 26th, 2009 5:24 AM

Single Payer Comes to Vote – Action Needed!

If you’re like me, you are currently hoping that Democratic leadership will take the thousand-plus page health care bills in the House and Senate, wad them up with all the loopholes, mandates, giveaways, and gaps, and throw them in the trash can. Thanks to Rep. Weiner [D-NY], and Senator Sanders [I-VT], Congress has the opportunity to do just that.

Rep. Weiner is bringing single-payer to the House floor for a vote in an amendment to HR 3200. If the Weiner single-payer amendment is passed, it would gut all of HR 3200 and replace it with legislation that is based on the single-payer model in HR 676. Senator Sanders is doing the same in the Senate with his single-payer bill, S 703.

The beauty of these amendments is that they build on what works in our health care system: Medicare.

Despite the right wing attacks and accusations that it is going bankrupt, the Medicare system has guaranteed universal, equitable access to care for those over 65 and with disabilities. Since its enactment, life expectancy has increased and poverty in the elderly has been cut by 2/3. While it needs improvements, it is certainly not beyond repair, and truly does serve as a uniquely American example of how to provide health care for all.

The question remains, why can’t Congress just vote on HR 676 without any of this amendment business?

Welcome to the nuances of legislative politics. Even with 87 cosponsors, HR 676 was not guaranteed a vote from Democratic leadership in the House. They just wouldn’t do it. Why they wouldn’t do it is open to speculation. It could have been a political calculation, or perhaps they are bought off by the insurance industry, or they just didn’t think they could get the votes for it. Despite the single-payer movement’s demands, there was no vote in sight for HR 676 as of July 29th, 2009.

Just before breaking for the infamous August recess, single-payer developments started to unfold within the corridors of power.

On July 30th, the same day that over one thousand single-payer activists rallied in the nation’s capitol to celebrate the 44th anniversary of Medicare’s enactment, Rep. Weiner introduced an amendment to eliminate Medicare completely. It was unanimously voted down. He was thrilled to find that in his committee Republicans and Democrats alike support Medicare. The following day, Rep. Weiner introduced another amendment which was the exact language of HR 676, Improved and Expanded Medicare for All. If this amendment passed, there would be no more HR 3200, just universal, comprehensive, single-payer health care as the legislation coming from his committee.

Much to the surprise of Rep. Weiner and all those watching, Chairman Waxman didn’t allow the vote to happen in the committee. Instead, he stated that he and Speaker Pelosi had agreed that if Rep. Weiner withdrew his amendment at the time, they would allow it to come to the floor of the House for full debate and vote.

That’s right folks. Single-payer will come to the House floor for the first time in our nation’s history for a vote and thanks to the leadership of Senator Sanders, we will see a vote on single-payer in the Senate too.

What can you do to support these developments?

Follow Michael Moore’s advice and support the Weiner and Sanders amendments. Call your Congress person today. Healthcare-NOW! has a new click-to-call tool that never made calling Congress so easy – tools.advomatic.com/35/hc-n/.

They need to hear from you. We cannot be silent on the reform that this country so desperately needs.

Because we have to use all of the tools available in the fight against injustice, the time for nonviolent civil disobedience is upon us. Healthcare-NOW! and allied groups recently launched the Mobilization for Health Care for All. In recent weeks, nearly 100 people have put their bodies on the line and been arrested demanding Medicare for All and the end of profiteering insurance companies. People are standing up to our corporate controlled health care that is preventing a fair hearing in Congress and in the media by sitting in at insurance companies across the nation.

17 cities are ready to participate in actions in the next week to demand that the insurance industry take every lobbying dollar they're spending to corrupt our democracy and use it to pay for the care they're denying. Everyone can take part in this campaign by risking arrest or supporting the actions in a legal rally. Together we can demand a health care system that works for patients, not profits – Medicare for All.

Sign up to sit in at www.mobilizeforhealthcare.org.

Katie Robbins is Assistant National Coordinator of Healthcare-NOW! and a firm believer that health care is a human right that must be delivered to all people without financial barriers. Motivated by the great injustice in the US health care system, she was arrested on May 5th in the Senate Finance Committee for telling Senator Baucus to stop the political theater and put single-payer on the table.

jam
Posted today

News tonight says that a single payer option is in the bill, but individual states can "opt-out". How can that be fair and right? I'm in Texas, and that's one state that will most likely opt out and as much as I like living here, I'll have to move!!! Keep calling folks, every day. Reply

Oldtimeral
Posted today

Hi Everyone - I did my part and contacted my local Oklahoma congressman about Healthcare-Now support and recieved the following response via e-mail. Let's just say I did not like the response, but am not likely as well educated as I could be to respond. All I Know is that I would like healthcare for all our great people. Let me know your thoughts. Thanks Keith

Dear Mr XYZ:



Thank you for contacting me with your thoughts on health care reform. As your voice in Washington, I appreciate being made aware of your thoughts and concerns.



I am dedicated to providing quality health care for my fellow Oklahomans and all Americans and desire to see everyone receive the best possible health care with the most choices. Like you, I agree there is a health care crisis that needs to be addressed. However, a greater crisis is having a Washington bureaucrat get between you and your doctor, making decisions for you or denying you the medical care you need. Therefore, I am committed to a balanced, common sense approach to health care that provides assistance to those who truly need it and keeps healthcare patient-centered rather than government-centered.



I believe the Federal government has no place in our personal health care decisions, choices, and treatments. Even with our increasing health care costs and concern for the uninsured, we still have the best health care system in the world, and I do not want to jeopardize the quality of care that already exists in our country. Socialized, government-run health care, touted by many as the only solution, is not the answer. This is made evident by the state of health care in other nations that use this model, like Canada or Great Britain.



There are many examples that show the failures of this type of system. Of the numerous articles, let me provide examples of a few. The Wall Street Journal featured a story earlier this year of a Canadian citizen, Bill Murray, who waited in pain for more than a year to see a specialist for his arthritic hip. The specialist recommended a state-of-the-art procedure, but government bureaucrats determined that Mr. Murray, who was 57, was "too old." In the end, he was also denied the opportunity to pay for the procedure himself. The Mayo Clinic's website features the story of Shona Holmes whose Canadian family doctor discovered a tumor in her brain. Ms. Holmes knew she could not wait the six months it would take for her to get an appointment with a specialist. Instead, she was able to call the Mayo Clinic in Minnesota and got an appointment the same day. The British newspaper, The Press, reported that a British citizen, Ian Dobbin, was informed by the British National Health Service that since it would not pay for his life-saving cancer treatment, he needed to pay ?25,000 (over $40,000) to obtain the treatment in order to survive. He was quoted in the article saying, "I've been paying my national insurance all my life and when it comes to the point that I need it to keep me alive, they are not prepared to help."



These stories and many others illustrate some of the problems that can arise when the government gets involved in health care. Furthermore, statistics show that the United States already has a superior and more effective health system. According to recent publications, the mortality rate in Canada is 25% higher for breast cancer, 18% higher for prostate cancer, and 13% higher for colorectal cancer than in the U.S. Additionally, studies show that only 5% of Americans wait more than 4 months for surgery, compared with 23% of Australians, 26% of New Zealanders, 27% of Canadians, and 36% of British citizens. In fact, nearly 1.8 million people in Great Britain are waiting for hospital or outpatient treatments at any given time. Even more telling, a Canadian doctor now practicing in the United States reported in the Journal of American Physicians and Surgeons that the average wait time to see a specialist in Canada is 17 weeks. If we give the Federal government more control over health care, I am very concerned that Oklahomans and all Americans will quickly feel the effects of the rationing of health care.



Supporters of a "public plan" or government-run health insurance option claim that a public plan will bring competition to the health insurance market and lower prices. However, the Congressional Budget Office (CBO) has made it clear that introducing a government-run health plan into the market would have minimal impact on cost reduction. In fact, CBO Director Doug Elmendorf testified to the Senate Budget Committee that "in the legislation that has been reported [they] do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount. And on the contrary, the legislation significantly expands the federal responsibility for health care costs." I am concerned that a "public plan" option will run private insurance out of business leaving us, as consumers, without choices and options. As an American citizen, I do not want bureaucrats in Washington, D.C. deciding which doctors I am allowed to see or which treatments are available to me.



President Obama has promised the American people on numerous occasions that if you like your current health insurance, you can keep it. However, CBO estimates and has testified that 15 million Americans will lose the health care coverage currently offered by their employer if the Kennedy/Dodd bill were to become law. Again, we see that this comprehensive health care proposal is leading us down a path that takes choice away from individuals.



As an alternative, I am a cosponsor of S. 1099, the Patients' Choice Act. This bill strengthens relationships between patients and physicians by using choice and competition rather than rationing and restrictions to contain costs while ensuring that affordable health care is available for all Americans without interference from the Federal government. While promoting healthier lifestyles and disease prevention through incentives for States, S. 1099 also provides a refundable tax credit of $2,300 per individual or $5,700 per family for the purchase of health insurance. To enable individuals to choose a health insurance plan that best meets their needs, the bill creates State Health Insurance Exchanges allowing Americans to compare different health plans and makes Health Savings Accounts (HSAs) more accessible and easy to use.



Thank you again for contacting me. Although we may disagree on the need for a government-run health insurance plan, I hope that we can find common ground in others areas of health care reform. As the healthcare debate further develops and more proposals are introduced, I will work to develop and enact legislation that ensures affordable health care is available to all in a fiscally responsible manner with the most choices available. Reply

jam
Posted today

Activism: acting against something you know is wrong. The health insurers are now whining about "only" 4%-6% profits per year...simple math says that if something goes up 7% a year, that amount DOUBLES every ten years...and that is why the insurance premiums keep going up. Have you ever gotten a raise as much as that in a year? Reply

lace
Posted today

I just called my two senators and my house rep in Northern Michigan and talked with a real live person each time! Called at 9 AM. I gave them my name and zip code and asked for their names. All were very polite and assured me they would pass my support on. One even said 'thank you, your call does make a difference.' Nice. Thank you for making this so user-friendly! Reply

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