There's no way I could say it better or more succinctly then Dennis Kucinich:
"Forty-seven million Americans are without health insurance. Why? Because they can't afford it.
And what's Washington's solution? Require people to buy private insurance with the government providing a subsidy to the health insurance companies.
What a pathetic state of affairs that our national government cannot respond to the needs of the people and must first respond to the needs of Wall Street and the health insurance industry and their stock prices.
I am going to continue to fight for single-payer. And I'm going to continue to try to get in the final legislation a provision which will protect the rights of states to be able to move forward with single-payer health care plans of their own.
It is time that we broke the chains, which the health insurance companies have on our political process. It's time that we have a government that we can call our own. And it's time that Congress respond to the needs of the American people first, and recognize that health care is a basic right in a democratic society."
More and more members of the mainstream media are coming to their senses and starting to report the real story of Max Baucus and his committee. They've been bought and paid for by health insurance company lobbyists and we cannot trust one damn thing they say. What they're offering is not what the majority of the American people want, and what I'd argue, need.
Today I am inspired by a recent editorial by New York Times columnist Nick Kristof, in which he eloquently (and not for the first time) makes the case for the so-called “public option” in our nation’s pending health care reform legislation. Mr. Kristof and his wife, Sheryl WuDunn, are the Pulitzer prize winning authors of Half the Sky: Turning Oppression into Opportunity for Women Worldwide. I will have more to say about this book in a future post.
Kristof and WuDunn are human rights advocates. In the Times piece, Kristof offers a common sense argument for expansive health care coverage for all Americans:
“Throughout the industrialized world, there are a handful of these areas where governments fill needs better than free markets: fire protection, police work, education, postal service, libraries, health care. The United States goes along with this international trend in every area but one: health care.
The truth is that government, for all its flaws, manages to do some things right, so that today few people doubt the wisdom of public police or firefighters. And the government has a particularly good record in medical care”.
He cites both Medicare and the Veterans Administration as examples of efficient, effective and highly rated government-run health care systems. Kristof continues by gently pointing out the most regressive and egregious problem with our current system:
“But the biggest weakness of private industry is not inefficiency but unfairness. The business model of private insurance has become, in part, to collect premiums from healthy people and reject those likely to get sick — or, if they start out healthy and then get sick, to find a way to cancel their coverage.”
In plain English, the current paradigm can only be described as criminal. Any business that financially benefits from withholding medical care from people who need it, refusing to insure those who are already ill (those pesky pre-existing conditions), or canceling coverage for people who have the audacity to get injured or sick is corrupt, anti-democratic and cynical to the core.
The health insurance industry (backed up to a great extent by the for-profit health care providers and the giant pharmaceutical companies) is engaged in a life-or-death battle to ensure that their morally indefensible business model is preserved. So its no wonder that they will use any means at their disposal to save themselves and protect their billions in profits pilfered from the American populace.
Exhibit A: Max Baucus, chairman of the Senate Finance Committee. According the NY Times,
“Mr. Baucus has successfully strong-armed several lobbying groups into muting their criticism of his health care legislation, part of a concerted strategy of reassuring [health insurance industry] interest groups. Even as Mr. Baucus has tamped down criticism, he has continued collecting campaign contributions from industry interests, including drug companies and insurers.”
This week, Chairman Baucus presided over a committee that produced a health care bill that is “an absolute gift” to the insurance industry, according to Wendell Potter, who went on to say that “the bill might as well be called the Insurance Industry Profit Protection and Enhancement Act." You can read the full article HERE.
Mr. Potter, by the way, is a man who knows the industry from the inside. He enjoyed a nearly 20- year career as the chief public relations representative for Humana and Cigna, two of our nation’s largest health insurance companies. After a crisis of conscience in 2007, Wendell Potter is now a senior fellow at the Center for Media and Democracy. He is putting his intimate knowledge of the health insurance industry’s insidious PR strategies to good use combating the misinformation being fed to and spouted by the opponents of substantial health care reform. Here’s his pithy decoding of the arguments being used by these folks to pummel health care reform:
“whenever you hear a politician or pundit use the term "government-run health care" and warn that the creation of a public health insurance option that would compete with private insurers (or heaven forbid, a single-payer system like the one Canada has) will "lead us down the path to socialism," know that the original source of the sound bite most likely was some flack like I used to be.”
The battle over health care reform should not be about politics, federal deficits, ideology, “creeping socialism”, or anything other than the simple fact that, as human beings, each of us deserves access to excellent, affordable health care. It is not a privilege, it is a basic human right. This right is not only guaranteed by our constitution but is also an essential part of what it means to stand for liberty and justice for all.
The ongoing public debate often conflates health care reform and health insurance reform. This country must have the kind of reform that will provide equal access to health care for all Americans, regardless of the consequences for the health insurance industry. The days of the hegemony of business interests over the needs of people must end. Americans of all political persuasions, ethnicities, geographical locations, ages, sexual orientations etc need to come together on this. We mustn’t allow ourselves to be bullied, fooled or coerced into accepting a health care policy that doesn’t address the real needs of ALL of us.
Here is a video in which Robert Reich, former U.S. Secretary of Labor, explains the “public option” and debunks the idiotic criticism coming from the health insurance companies:
I have to add a hearty thank you to the public figures who are standing up for justice with regard to health care for all. This list is not inclusive, but these people are heroes in my book:
Quentin Young, M.D., physician, human rights activist, strong proponent of a single payer health care system
Michael Moore, filmmaker, whose film Sicko has galvanized millions of Americans to improve health care in the U. S.
Americans across the nation will demonstrate in favor of guaranteed healthcare and in protest of AHIP, America’s Health Insurance Plans — the insurance industry lobbyists who profit from pain. Their annual convention will be met by thousands of protestors onsite in San Francisco — 12 Noon, Moscone Center West, 4th @ Howard — and simultaneously in cities across the nation.
Please join a broad coalition in advocating for genuine healthcare reform — a “Medicare for All”or single-payer system, such as HR 676.
In Chicago the action will occur at: CIGNA 525 W. Monroe, Chicago IL 4:30-6:30 PM
Please join patients, nurses, doctors, and your neighbors protesting in memory of the victims of the insurance industry.
June 19, 2008 National Day of Action Guaranteed, Single-payer Healthcare Now!
Health Care Now is encouraging all who support single payer a healthcare system (aka Medicare for All) to show up for these upcoming events:
June 19, 2008: Nationwide demonstrations at various headquarters of the nations's largest insurance agencies. Please visit their website for a location near you.
July 30, 2008: National call-in and visitation day to members of Congress. Let's encourage our representatives to support H.R. 676, the Single Payer Healthcare Act.
September 26, 2008: Washington, D.C. A Memorial Vigil to remember individuals who have died because insurance companies refused to pay for the care they needed.
We can all work with our local government entities: county, town, school boards, states, to help them see how much money they would save with H.R. 676 – if they never had to pay the hundreds of millions of dollars for insurance company premiums ever again.
Yesterday the prestigious American College of Physicians (ACP), the nation's second largest medical association (124,000 members), endorsed single payer national health insurance as "one pathway" to universal coverage. This is the first time the group has endorsed single payer and represents a huge step forward in the movement for fundamental health care reform.
The ACP's decision followed a careful evaluation of lessons from other nations' health systems. The central lesson, they said in an article in the Annals of Internal Medicine, is the need for the United States to provide universal health insurance coverage. While the ACP's own proposal is based on a "pluralistic" model, they urged lawmakers to seriously consider a single payer system as one way to provide universal access to health care. They noted that single payer systems have the advantage of being "more equitable, have lower administrative costs, have lower per capita health care expenditures, have higher levels of patient satisfaction, and have higher performance on measures of quality and access than systems using private health insurance."
This is me writing now:
This is a national emergency which none of the presidential candidates are addressing in any kind of meaningful way. The sole exception is Dennis Kucinich, co-author of H.R. 676, a bill that would create a UK/Canadian style single payer system for the U.S. Obama, Clinton and Edwards are squabbling over details regarding some type of insurance-based band aid approach to the wretched state of our health care system. It is all so much hot air, IMHO. It is getting increasingly difficult for me to support any of these front runner candidates; I just wish Kucinich was a more visible, viable candidate.
This Halloween has me pondering the truly frightening aspects of contemporary life in America. Never mind witches, skeletons and goblins; here's a list of some stuff that will truly scare anyone with a brain:
1) Global warming (it may be a cliche, but this is THE issue to keep in mind)
2) Looming war with Iran (don't think so? just wait and see)
3) Health care - yours, mine, millions of uninsured Americans vs. big insurance, big pharma, big hospital conglomerates
4) The recession that's right around the corner (our economists are in denial, for the most part)
5) Religion - especially Islamic and Christian fundamentalism, but all theology is a good scare.
Be glad for scary movies and Halloween - they ain't nothin' compared to the real stuff.
This post was inspired by a clip featuring one of my heroes, Bill Maher:
There is something very wrong with the way we do health care in America. I'm sure this comes as no surprise to you. Unless you are quite wealthy, paying for doctor visits, prescriptions and (worst of all) hospitalizations really hurts.
I have a bare bones (no pun intended) Blue Cross Blue Shield hospitalization plan. With a huge $2500 deductible I pay around $200 a month for just myself, hoping against hope that I will never need to use the policy. In addition, I pay every cent of my visits to the doc, for any lab work I have to have done, for all of my dental and eye care and for my medications. Blue Cross does offer a small discount on prescriptions with my health plan so that does help a little.
Having reached the half century mark, my physician strongly advises that I get a colonoscopy, a test that is one of the most efficacious tools in the high tech arsenal to detect the onset of a very common form of cancer. The only thing stopping me is the $2500 price tag, all of which I will have to pay out of pocket. I'm one of the millions of under-insured Americans. I hesitate to call the doctor when I'm sick, fearing the cost. There have been a couple of instances when I had to decide whether or not to call an ambulance (for chest pains, say) and the primary reason I didn't dial 911 was that I thought I would incur huge, unmanageable expenses that would, in the medium term at the very least, do me more harm than NOT going to the ER.
I am starting to feel ill as I write this.
And what about the 45 million Americans who have NO health coverage? They're even more screwed than I am. The truth is that in the U.S. we spend more on health care than any other industrialized nation ($2.6 trillion in 2006, according to the Centers for Medicare & Medicaid Services) YET we rank 37th among all the countries in the world in terms of health system performance (so says the World Health Organization). Here's a fact that never ceases to amaze me:
The United States is the only "advanced" country (whatever that means) in the world that DOES NOT have universal health care.
How can that possibly be? What prevents us from seeing the most obvious solution to what is unquestioningly recognized as the most significant domestic issue facing us as a nation?
Health care is a human right. Everyone should be able to receive high quality, affordable health care services. The only way we can repair our badly broken system is to take health care OUT of the hands of profit driven health care providers and insurance companies. We will not be re-inventing the wheel by any stretch of the imagination if we simply establish a Single Payer National Health policy. A public agency, such as the very efficient one that runs Medicare, could be expanded to create a just, equitable and affordable system for ALL Americans.
There is a bill pending in the House of Representatives right now that creates just such a system. It is called H.R. 676. Very simply, it puts into place a mechanism that would ensure that:
1) Every resident of the U.S. is covered regardless of income, job status, age or health status.
2) Everyone may choose their own doctor without worrying about co-payments, deductibles or premiums.
3) All health care services are fully covered, including hospital stays, doctor visits, prescription medications, long-term care and mental health care.
Sounds idyllic doesn't it? Well, it is far from a utopian dream. There are systems just like this in place in many other of the world's "advanced" nations, including the U.K., France and Canada.
Don't let Fred Thompson and other morons of his ilk win this one. The interests of all of us normal folks must outweigh the interests of the for-profit health care industry - the HMOs, the health insurance companies, and the giant pharmaceutical companies who's marketing budgets far outstrip the amount they spend on research and development. We really do have to take this to the streets if we want to begin to heal one of the sickest aspects of our society.
The U.S. Census Bureau released data today showing that the number of uninsured Americans jumped by 2.2 million in 2006 to 47.0 million people, with nearly all the increase (2.03 million) concentrated among middle-class Americans earning over $50,000 per year, according to an analysis by Physicians for a National Health Program (PNHP). Strikingly, 1.4 million of the newly uninsured were in families making over $75,000 per year. An additional 600,000 were in families earning $50,000 to $75,000 per year. (The median household income in 2006 was $48,200).
"Middle income Americans are now experiencing the human suffering that comes with being uninsured. It makes any illness a potential economic and social catastrophe," said Dr. Steffie Woolhandler, co-founder of Physicians for a National Health Program and Associate Professor of Medicine at Harvard Medical School.
The 2.18 million rise in the number of uninsured is the biggest jump reported by the Census Bureau since 1992.
There are now more uninsured in the U.S. (47.0 million) than at any time since passage of Medicare/Medicaid in the mid-1960's.
93% of the increase is among middle and high income families:
Of the 2.18 million increase:
1.398 million (64% of the increase) was in >$75k family income
An additional 633,000 (29% of the increase) was among $50-$75k group
Among full time workers, the number of uninsured increased by 1.230 million (56.4% of the increase).
In Massachusetts, often cited as a model for health reform, the number of uninsured increased from 583,000 in 2005 (9.2 percent) to 657,000 in 2006 (10.4 percent of the population).
The divergence between poverty and uninsurance is relatively new and striking. Until recently, as poverty went down uninsurance fell. That has changed.
The number of uninsured children has fallen only 17 percent since SCHIP was enacted in 1997 from 10.74 million (adjusted to be comparable to current figures) to 8.66 million. The number of uninsured children rose by 611,000 between 2005 and 2006.
The doctors' group said that the only solution to the rising number of uninsured and underinsured is a single-payer national health insurance program, publicly financed but delivered by private doctors and hospitals. Such a program could save more than $400 billion annually in administrative waste, enough to provide high-quality coverage to all and halt the erosion of the current private system.
"We can no longer afford the waste and inefficiency, the high overhead and outrageous executive salaries of the private insurance industry" said Dr. Don McCanne, senior health policy fellow for PNHP. "Only reforms that end our reliance on defective private coverage and assure guaranteed coverage for all will work."
"The experience of other industrialized nations teaches us that high-quality, comprehensive care can be provided to all our citizens," said Dr. Quentin Young, National Coordinator of Physicians for a National Health Program. "A single-payer national health insurance system has emerged as the only solution to the nation's health system debacle."
I know that I am not smart enough to pen a cogent argument for a national single-payer health care system. But after having seen Michael Moore's most recent (and least politically polarizing) film Sicko I am galvanized to support the concept even more than I have in the past.
Right now there is a bill pending in the House (H.R. 676) that would create approximately the same kind of national health care system found in Canada, France and the U.K. As one Newsweek commentator puts it, you can think of it like "Medicare for all". This bill, by the way, is co-sponsored by Dennis Kucinich, the only Democratic presidential candidate who explicitly supports a single payer system. As a Chicagoan I know it's never a good idea to "back no losers" so I sent the Obama campaign a letter questioning the candidate's stance on health care. I got this pretty good response back:
Promoting affordable and accessible health care is a priority of mine in the U.S. Senate. Health care should be a right for everyone, not a privilege for a few. The U.S. is one of the wealthiest nations in the world, yet more than 45 million Americans are uninsured. This is unacceptable. Addressing this problem should be a top priority for our Federal government. I am constantly disappointed by the lack of positive discussion and action on health care issues in Washington. Too many Americans are working hard but cannot afford their health care bills. Too many employers are finding it difficult to offer the coverage their employees need. Day to day, this is an enormous problem, let alone when a personal crisis hits.
I am certainly supportive of the goal of universal health care in the U.S. As you may know, I have called for universal health care by 2012. This call for coverage does not translate into a call for a single-payer system. Although I personally see great merit in a single-payer health care system, given the current political climate I believe that building upon and strengthening our employer-based system will provide a better chance of creating consensus and achieving the goal of universal health care. Regardless, I view federal subsidies to expand coverage for uninsured individuals, controlling the costs of premiums and copays for those with coverage, increased focus on preventive health programs and quality improvement, and health IT implementation as a few of the key tenets of any successful health care reform plan.
It'd be nice if Obama had a more principled and less "practical" stance on this issue, but there's no arguing with the relative popularity of Barack vs. Dennis. So, there you have it.
It seems to me that this change is going to come from Congress, cajoled by the huddled, under-insured masses. Please urge your representatives to support and co-sponsor H.R. 676 if they are not doing so already.
For more info on an American single payer health care system, please visit:
