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America Needs a Single Payer Health Care System

http://www.otherwords.org/articles/america_needs_a_single_payer_health_care_system

America Needs a Single Payer Health Care System

Even if Obama's overhaul works as planned, there will still be 23 million
Americans lacking health insurance in 2019.
By Kay Tillow

More than a year after President Barack Obama signed the Patient
Protection and Affordable Care Act into law, our nation's health care
delivery and coverage remain the disgrace of the industrialized world.
There are more than 50 million uninsured Americans. Even if the health
care overhaul works as planned, 23 million Americans will still lack
health insurance in 2019.

The new norm is underinsurance. About 40 percent of us go without needed
care because we can't afford it. The health care law won't change that,
even once it's completely phased in. Our plague of medical bankruptcies
will continue too.

For unions, bargaining for health care is getting tougher as employers
demand cuts and shift more costs to workers. Negotiations over better
health coverage will become almost impossible when the excise tax on
health benefits begins in 2018.

Many who saw the reform bill as "the best we could get" are disappointed
that support for it hasn't grown. The truth is that most people agree on
the reform law. They love the parts that block insurance companies from
denying coverage and care. They hate the parts that give away our tax
dollars to insurance companies. They hate the mandate that will force
everyone to buy insurance from the very companies whose profit motive is
the source of most of our health care system's problems. They hate the
escalating costs of insurance and care.

Only a single payer system can bring us the parts we love and do away with
the parts we hate. It would essentially expand Medicare coverage to all
Americans, providing 100 percent guaranteed coverage regardless of
employment status or pre-existing conditions. That may sound expensive,
but it's not. The "potential savings on paperwork, more than $400 billion
per year, are enough to provide comprehensive coverage to everyone without
paying any more than we already do," according to Physicians for a
National Health Program.

Every pro-patient measure in the law brings an ugly backlash from
insurance companies, because they want to remain in the driver's seat. For
example, the act says children who have been sick can't be denied
coverage. Insurers have responded by refusing to sell child-only policies.
The act says there must be minimal standards of coverage. Yet hundreds of
companies have obtained waivers after threatening to drop coverage
altogether.

The legislation is designed to expand Medicaid as the main way for states
to cover more people. It prohibits states from dumping people currently
covered. Yet with state budgets in crisis, Medicaid is under the knife.
Arizona plans on dumping 250,000. Many states propose increasing patient
co-pays, thus damaging the ability of patients to find doctors and fatally
undermining rural hospitals.

Some assert that healthcare reform just isn't working. Yet. Give it 10
years, and all will be fixed.

But our new health law is anchored on the private insurance industry--and
that's its fatal flaw. The insurers inflict enormous and unnecessary
administrative costs on our system. This amounts to hundreds of billions
of dollars every year and condemns us to spend about double, per capita,
what other nations spend on health care.

Health care advocates must move beyond the health care reform law. Rep.
John Conyers (D-MI) has reintroduced H.R. 676, the Expanded and Improved
Medicare for All Act, which would bring all medically necessary care to
everyone while assuring choice of physician. The bill is based on sound
single-payer policy and progressive public funding.

If every other industrialized nation can make health care a human right,
we can do it too. Our challenge is to pass effective legislation despite
the powerful private health insurance companies and other corporations
whose influence often trumps democracy.

First, we must have a powerful movement. We can't build it around a
shriveled dream. Only single payer, with its bolder promise of social
justice, can inspire that movement.

Kay Tillow is the coordinator of the All Unions Committee for Single Payer
Health Care, which builds union support for H.R. 676. She lives in
Louisville, Kentucky.

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://unionsforsinglepayer.org/
04/28/2011