Fwd: We Need a Single Payer , Doctor/Patient Health Care System to achieve “Health Care for All”

 We Need a Single Payer , Doctor/Patient Health Care System to achieve "Health Care for All" 

We Need a Single Payer, Doctor/Patient Health Care System to achieve
"Health Care for All"

Rose Roach, Field Director of the California School Employees Association
(CSEA), spoke on single payer to the Progressive Caucus of the California
Democratic Party at the Annual Convention in Los Angeles on April 17,
2010.

Roach's union, the CSEA, represents 230,000 school support staff
throughout the state and is affiliated directly with the National AFL-CIO.
Clyde Rivers represents the union on the AFL-CIO Executive Council.

Roach's ten minute healthcare report can be viewed on video here:

http://www.progressivecaucuscdp.org/healthcare.html

The text appears below.

We note that while Roach, speaking to a California audience, concludes her
speech with a focus on state single payer, the national single payer
movement is alive and growing.  We urge locals, CLC's and state
federations who have not done so to endorse the national single payer
legislation--HR 676 and to pick up the fight to put all our unions into
motion to build a winning movement.  Single payer is now AFL-CIO policy
since the September 2009 convention.  If you are taking action, tell us
about it and we'll spread your news.  If you need help or a speaker, just
let us know.



Progressive Caucus Health Care Report

April 17, 2010

Presented by Rose Roach, Chair, Progressive Caucus Healthcare Committee

Good afternoon Progressives, I'm here today, as the Chair of the
Progressive Caucus' Health Care Committee, to provide some Progressive
perspective on the national health insurance reform legislation and
present a plan for achieving what everyone in this room knows is the only
real way to reform our cruel and fragmented health care system and that is
by implementing a single-payer, doctor/patient, improved and expanded
Medicare for All system.

The CA Democratic Platform on health care reform, thanks to many of the
folks in this room tonight, is clear and unambiguous. It states,
"California Democrats believe that health care is a right, not a
privilege.  The CDP recognizes the health and well-being of Californians
cannot continue to be based on arbitrary private and public financial
decisions and therefore advocates legislation to create and implement a
publicly funded (single-payer), privately delivered, fiscally tractable,
affordable, comprehensive, secure, high-quality, efficient, and
sustainable health care for all Californians."

Now I don't know if you all know this or not, but for those of us who
believe, as Dr. Martin Luther King believed, that social movements cannot
compromise, we are being referred to as "purity trolls" because we stand
on our principle that as long as you keep the profit driven health care
system in place you will never be able to provide health care to everyone
who needs it, when they need it.

Since I believe I am in a room filled with "purity trolls" I want to
present to you our mascot – he'll stay right here during my remarks to
remind us of our commitment to single payer.  I know there are some here
today who feel strongly about the Patient Protection and Affordable Care
Act just signed into law by President Obama. Those of us in the single
payer movement know you ultimately want what we want which is truly
universal care and hopefully we can continue to work together to achieve
that goal. But here in this room today, I am speaking to Progressive
friends and my remarks, as cliché as it may sound, will speak truth to
power because there is still much work to do on health care reform.

So, it's been an interesting year hasn't it?  Around this time last year
we were watching with baited breath as the President and Congress began
the task of debating and drafting health care reform legislation.  But
baited breath quickly turned into holding our breath as it became
abundantly clear that the debate, and even the drafting of the bills,
would be controlled not by what we needed or wanted, but by what the
health care industrial complex needed and wanted as they spent a record
$266.8 million making sure nothing got into the bill that would seriously
threaten their profits.

Single payer wasn't even allowed in the room let alone at the table.  We
came to a fork in the road in this country and unfortunately the path that
was chosen is one that says here in the United States of America, health
care will be provided by a market based system that treats health care as
a consumable good, which it is not. There is no choice between health and
illness and no one, no one, should profit from another person's suffering.
We didn't reform health care financing - we only expanded and further
entrenched our dysfunctional system.

The bill does provide some positives including the $12.5 billion funding
expansion for community health centers, doubling their current patient
volume, thanks to Senator Bernie Sanders from Vermont. The legislation
reduces, but does not eliminate, the "donut-hole" gap in prescription drug
coverage for Medicare enrollees.  Dependent children will now be able to
remain covered by their parent's insurance plan until age 26 and insurance
companies are prohibited from excluding children with pre-existing
conditions from plan coverage. Lifetime maximums are gone.

On the other hand, although there were attempts to fix insurance abuse, it
seems every fix had a poison pill added by the insurance industry. A good
example is no more denials for pre-existing illnesses of adults. The
poison pill is that the industry can charge people who do not meet their
"wellness guidelines" double what they charge others. And, if you are
older, they can charge triple. So, while you cannot be denied insurance,
the question is will you be able to afford it?

We also got expansion of coverage. The largest source of expansion is
Medicaid – 16 million more people will be covered. But states are already
stretched thin trying to pay for Medicaid resulting in more cuts to
services and lowered payments to doctors. The federal government provides
financial assistance for states but that ends in 2016.

The other expansion of coverage depends on people buying insurance.  For
many the penalty in
increased taxes will be more affordable than health insurance.  And
businesses will find that it is much cheaper to pay a small fine than to
provide insurance.

So even with some constructive changes, the new law does not include
significant regulatory control of private insurance premiums nor does it
eliminate the anti-trust law that allows the industry to run amok.

The bill does require that 75 to 85 percent of premium dollars must be
spent on health care but in case you didn't know, here in CA, state law
already requires that HMO's commit 85 percent of their premium dollars to
be spent on health care.  How's that been working for you folks in an HMO?
Have you seen your premium costs, co-pays and deductibles remain flat,
without increases or with very small increases over the last decade? Of
course not – the industry is very clever and they've already figured out
how to skirt this requirement – they simply change the name of an
administrative function to make it sound as though it's connected to
"care" and it gets moved on the books to the 85 percent column. And can
someone please tell me why 15 to 25 percent of the premium is considered
to be a reasonable share for the private insurers to consume for profit,
exorbitant CEO salaries and administrative waste?  That money
should be going to care – period.  I also wonder why we're using a market
model that for the last 50 years has clearly demonstrated complete
ineffectiveness in controlling costs when we know for a fact that what we
need in health financing is a global budget – everybody in, nobody out –
it's the only way to provide stability in costs.

And on top of all that, in order to pay for this reform, public hospitals
that treat the uninsured will have their federal funding cut by $36
billion and eight years from now, union health plans and other job-based
health insurance will be hit with a 40% excise tax.  I don't see how this
reform does not get us closer to single payer my friends.

I agree with what former Labor Secretary Robert Reich wrote following the
vote "don't believe anyone who says Obama's healthcare legislation marks a
swing of the pendulum back toward the Great Society and the New Deal.
Obama's health bill is a very conservative piece of legislation, building
on a Republican (a private market approach) rather than a New Deal
foundation.  The
New Deal foundation would have offered Medicare to all Americans or, at
the very least, featured a public insurance option."

On the federal level we must now turn our attention to the "state
innovation" section of the bill which says states cannot request a waiver
to set up a different plan until 2017. There is no wiggle room, no opt-out
language. It's a clear mandate that exchanges be established in every
state by 2014. States are required to spend the time, money and resources
to set up and operate the insurance exchange.  A single payer type plan or
an exchange with or without a public option, are not allowed.

We must ensure that our Progressive partners in Congress bring forth
and/or support an amendment that removes the 2017 date allowing states to
"innovate" that provides waivers from any federal barriers, including
ERISA.  Congress also needs to make sure that states enacting a single
payer or other noninsurance market exchange system will have access to the
set-up, grants and subsidies for premiums that states with insurance
exchanges will receive.  We must be allowed here in CA to lead the way as
we did with Social Security and provide cost effective, evidence based
medical care for all Californians.  And we do that by building a movement
around Senate Bill 810 authored by Senator Mark Leno.  SB 810 has passed
the Senate and is currently awaiting a hearing, most likely in mid-May, in
the Assembly Health committee. Let's put it on the Governor's desk again
this fall, even though we know full well that he'll veto it, but let's use
it as an opportunity to educate and organize and then let's elect a
Governor who will sign the bill in 2011.

Now here's what we need to do.  We get every Democratic Central Committee
in the state to pass a resolution in support of SB 810.  We get every
Democratic Club in the state to pass a resolution in support of SB 810.
We figure out the cost savings for every public employer; county, city,
school district, and we get every one of those public entities to pass a
resolution in support of SB 810. Want to increase education funding?  Pass
SB 810.  Want to shore up our needed social safety net programs?  Pass SB
810.  Want to ensure we have the firefighters and police officers needed
to protect us? Pass SB 810.  Want to help businesses become more
competitive in a global market?  Pass SB 810.  We partner with our allies
in the OneCare Campaign.  We continue to hold educational forums all
across the state because we know that once we talk straight talk to
people, no spin or angles, we win.  When someone in the room cries out
"its socialism – a government takeover!"  Tell them so is Medicare and
everybody loves it.  We socialize education, highways, police and fire
services and the military, and we need to add
one more to the list – health care.  When someone raises their hand and
says "It's bad for the insurance industry, they're one sixth of the
economy." You say, yes, but it's great for almost all other businesses,
large and small because less money spent on health insurance makes
American products more competitive.  When you hear "why should I pay for
the people who are too lazy to work or pay for their own health
insurance?" You tell them that keeping the work force healthy means fewer
sick days, greater productivity, higher earnings and increased profits.
And when you get told that "it will limit patient choice, benefits and
send death squads to kill grandma!" you can simply tell them "a ha, just
like Medicare does so let's extend this deeply beloved plan to everyone.

There's one more important component to the plan – we have to make sure,
as the 2010 elections are upon us, that we know where the candidates stand
on SB 810 – they will be voting on the bill and we have to be secure in
knowing that vote will be a solid yes.  Be diligent.  Who has endorsed
their candidacy?  If the CA Medical Association, CMA, who is strongly
opposed to SB 810, has endorsed a candidate, your antennae should
immediately go up.  We have to shore up our SB 810 supporters in both
houses and help educate our Gubernatorial candidate about the benefits of
a single payer health care system in CA and get this thing done.

I want to close by quoting the late, great Progressive Senator from my
home state of MN, Senator Paul Wellstone.  Senator Wellstone said, "We act
with political purpose. We do not create the winds and the tides, the
conditions that give rise to great social movements.  So it is important
to achieve power in other ways.  And in a representative democracy, it
matters whom we elect to office and hold accountable for public policy.
Those who eschew electoral politics marginalize themselves. … No, politics
is not about money or power games, or winning for the sake of winning.
Politics is about the improvement of people's lives, lessening human
suffering, advancing the cause of peace and justice in our country and in
the world."

Let's not rest until the cause of peace and justice in our country and
world has indeed been
advanced - let's not rest until we have a single payer health care system
ensuring finally, that we have health care justice for all.

http://www.progressivecaucuscdp.org/f/100417_Rose_Roach_CDP_Convention_PCHC_Speech.pdf

Thank you.
Rose Roach

Distributed by:
All Unions Committee For Single Payer Health Care--HR 676
c/o Nurses Professional Organization (NPO)
1169 Eastern Parkway, Suite 2218
Louisville, KY 40217
(502) 636 1551
Email: nursenpo@aol.com
http://unionsforsinglepayerHR676.org
05/18/10