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.
Please get involved.
Showing posts with label single payer system. Show all posts
Showing posts with label single payer system. Show all posts
Thursday, May 22, 2008
Monday, March 31, 2008
New Study Shows Most Doctors Support National Health Insurance
Full text of a press release from PNHP (emphasis added by yours truly):
Reflecting a shift in thinking over the past five years among U.S. physicians, a new study shows a solid majority of doctors - 59 percent - now supports national health insurance.
Such plans typically involve a single, federally administered social insurance fund that that guarantees health care coverage for everyone, much like Medicare currently does for seniors. The plans typically eliminate or substantially reduce the role of private insurance companies in the health care financing system, but still allow patients to go the doctors of their choice.
A study published in today's Annals of Internal Medicine, a leading medical journal, reports that a survey conducted last year of 2,193 physicians across the United States showed 59 percent of them "support government legislation to establish national health insurance," while 32 percent oppose it and 9 percent are neutral.
The findings reflect a leap of 10 percentage points in physician support for national health insurance (NHI) since 2002, when a similar survey was conducted. At that time, 49 percent of all physician respondents said they supported NHI and 40 percent opposed it.
Support among doctors for NHI has increased across almost all medical specialties, said Dr. Ronald T. Ackermann, associate director of the Center for Health Policy and Professionalism Research at Indiana University's School of Medicine and co-author of the study.
"Across the board, more physicians feel that our fragmented and for-profit insurance system is obstructing good patient care, and a majority now support national insurance as the remedy," he said.
Support for NHI is particularly strong among psychiatrists (83 percent), pediatric sub-specialists (71 percent), emergency medicine physicians (69 percent), general pediatricians (65 percent), general internists (64 percent) and family physicians (60 percent). Fifty-five percent of general surgeons support NHI, roughly doubling their level of support since 2002.
Doctors have often expressed concern about lack of patient access to care due to rising costs and patients' insufficient levels of insurance. An estimated 47 million Americans currently lack health insurance coverage and another 50 million are believed to be underinsured. At the same time, health care costs in the United States are rising at the rate of about 7 percent a year, twice the rate of inflation.
The health care issue continues to rank high among voter concerns in the 2008 elections, placing third in a recent poll after the economy and Iraq.
The current study by the Indiana University researchers is the largest survey ever conducted among doctors on the issue of health care financing reform. It is based on a random sampling of names obtained from the American Medical Association's master list of physicians throughout the country.
In addition to measuring attitudes toward NHI, the survey also asked doctors about their views about "more incremental reform," often interpreted as state- or federal-based programs requiring or "mandating" that consumers buy health insurance from private insurance companies, legislative measures providing tax incentives to businesses to provide coverage for their employees, or similar steps.
Fewer physicians (55%) were in support of "incremental" reform. Moreover, virtually all those opposed to national health insurance also opposed incremental reform to improve access to care. In fact, only 14% of physicians overall oppose national health insurance but support more incremental reforms. Ironically, many medical organizations and most politicians have endorsed only incremental changes.
Dr. Aaron E. Carroll, Director of Indiana University's Center for Health Policy and Professionalism Research and lead author of the study, commented: "Many claim to speak for physicians and reflect their views. We asked doctors directly and found that, contrary to conventional wisdom, most doctors support the government creating national health insurance."
Other signs indicate that attitudes among doctors are changing. The nation's largest medical specialty group, the 124,000-member American College of Physicians, endorsed a single-payer national health insurance program for the first time in December.
Reflecting a shift in thinking over the past five years among U.S. physicians, a new study shows a solid majority of doctors - 59 percent - now supports national health insurance.
Such plans typically involve a single, federally administered social insurance fund that that guarantees health care coverage for everyone, much like Medicare currently does for seniors. The plans typically eliminate or substantially reduce the role of private insurance companies in the health care financing system, but still allow patients to go the doctors of their choice.
A study published in today's Annals of Internal Medicine, a leading medical journal, reports that a survey conducted last year of 2,193 physicians across the United States showed 59 percent of them "support government legislation to establish national health insurance," while 32 percent oppose it and 9 percent are neutral.
The findings reflect a leap of 10 percentage points in physician support for national health insurance (NHI) since 2002, when a similar survey was conducted. At that time, 49 percent of all physician respondents said they supported NHI and 40 percent opposed it.
Support among doctors for NHI has increased across almost all medical specialties, said Dr. Ronald T. Ackermann, associate director of the Center for Health Policy and Professionalism Research at Indiana University's School of Medicine and co-author of the study.
"Across the board, more physicians feel that our fragmented and for-profit insurance system is obstructing good patient care, and a majority now support national insurance as the remedy," he said.
Support for NHI is particularly strong among psychiatrists (83 percent), pediatric sub-specialists (71 percent), emergency medicine physicians (69 percent), general pediatricians (65 percent), general internists (64 percent) and family physicians (60 percent). Fifty-five percent of general surgeons support NHI, roughly doubling their level of support since 2002.
Doctors have often expressed concern about lack of patient access to care due to rising costs and patients' insufficient levels of insurance. An estimated 47 million Americans currently lack health insurance coverage and another 50 million are believed to be underinsured. At the same time, health care costs in the United States are rising at the rate of about 7 percent a year, twice the rate of inflation.
The health care issue continues to rank high among voter concerns in the 2008 elections, placing third in a recent poll after the economy and Iraq.
The current study by the Indiana University researchers is the largest survey ever conducted among doctors on the issue of health care financing reform. It is based on a random sampling of names obtained from the American Medical Association's master list of physicians throughout the country.
In addition to measuring attitudes toward NHI, the survey also asked doctors about their views about "more incremental reform," often interpreted as state- or federal-based programs requiring or "mandating" that consumers buy health insurance from private insurance companies, legislative measures providing tax incentives to businesses to provide coverage for their employees, or similar steps.
Fewer physicians (55%) were in support of "incremental" reform. Moreover, virtually all those opposed to national health insurance also opposed incremental reform to improve access to care. In fact, only 14% of physicians overall oppose national health insurance but support more incremental reforms. Ironically, many medical organizations and most politicians have endorsed only incremental changes.
Dr. Aaron E. Carroll, Director of Indiana University's Center for Health Policy and Professionalism Research and lead author of the study, commented: "Many claim to speak for physicians and reflect their views. We asked doctors directly and found that, contrary to conventional wisdom, most doctors support the government creating national health insurance."
Other signs indicate that attitudes among doctors are changing. The nation's largest medical specialty group, the 124,000-member American College of Physicians, endorsed a single-payer national health insurance program for the first time in December.
Monday, October 15, 2007
Better Health Care for All
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.
Contact HealthCare-NOW to get involved.
Tuesday, August 28, 2007
Number of Uninsured Swells 2.2 Million to 47 Million
Here's the latest bad news about health care in America from Physicians for a National Health Program:
15,000 Doctors: "Single Payer National Health Insurance is the Only Solution"
Download state by state figures HERE
Census Bureau Data HERE
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.
Physicians for a National Health Program also noted the following:
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."
15,000 Doctors: "Single Payer National Health Insurance is the Only Solution"
Download state by state figures HERE
Census Bureau Data HERE
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.
Physicians for a National Health Program also noted the following:
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."
Wednesday, August 1, 2007
Health Care for All of Us
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:
Physicians for a National Health Care System
SickoCure
HealthCare-NOW
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:
Physicians for a National Health Care System
SickoCure
HealthCare-NOW
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