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Health Care Now
You can register online now for the August 22-24 super-conference that will bring together Healthcare-NOW!, the Labor Campaign for Single-Payer Health Care, and One Payer States in Oakland, CA!
For the same $60 registration fee we normally charge for our 2-day conference, you can now attend the entire One Payer States conference, workshops being organized jointly by Healthcare-NOW! and the Labor Campaign, as well as a reception and keynote speakers for all three groups. We expect over 300 activists to attend, giving attendees a chance to learn from the best organizing going on around the country, build bridges between labor and community groups, and energize the movements for both state and national single-payer reform.
Please register today, so that you will have time to make travel and housing arrangements!
If cost is a barrier, a limited number of scholarships will be available – just follow the instructions on the registration page for requesting a discount or solidarity housing.
We’re incredibly excited to be joining the Labor Campaign and One Payer States, and we will update you with keynotes, workshops, and panels when the full agenda becomes available!
July 30, 2014 will mark the 49th anniversary of Medicare, our only publicly financed, universal health plan, which lifted a generation of seniors out of poverty. Each year Healthcare-NOW! coordinates Medicare’s birthday as a national day of action for single payer healthcare.
Please email Ben to let us know if you would like to plan or are planning an action this year, so we can email you educational materials, help publicize your event to activists in the area, and put you in touch with others who are planning actions elsewhere in the country.
In years past Healthcare-NOW! has coordinated up to 50 actions on or around July 30th. We want this whole week to be filled with events across the country that will help the movement increase its visibility and outreach. This will be a great organizing opportunity for local and national organizations, and a way for even small actions to become part of a larger movement for the week!
From Unions for Single Payer –
Bryan Aldridge, Chairman, reports that the Brotherhood of Locomotive Engineers-Kentucky State Legislative Board, has endorsed HR 676, national single payer health care legislation introduced by Congressman John Conyers, Jr. The legislation is also known as “Expanded and Improved Medicare for All.”
The BLET-Kentucky State Legislative Board represents approximately 900 members and 12 divisions in the State of Kentucky.
The resolution affirms that BLET-KSLB “will work with other unions and community groups to build a groundswell of popular support and action for… HR 676 until we make what is morally right for our nation into what is also politically possible.”
In other news, Congresswoman Janice Hahn of California’s 44th District and Tim Ryan of Ohio’s 13th District have signed on to HR 676 bringing the total to 57 in addition to chief sponsor Conyers.
By Benjamin Day –
This past Monday melanoma finally took Tim Carpenter, who is best known as the founder and long-time Executive Director of Progressive Democrats of America. Tim was a fierce organizer for social justice. You will hear and read many amazing tributes to Tim, because he was one of those rare individuals who swoops into many people’s lives and leaves an indelible mark. Most of us open ourselves up to a few people, we change them (and they change us) forever, but to everyone else we are just friendly co-workers, neighbors, or friends.
Tim was different.
We spoke a couple days before he died and he was, of course, organizing. Tim only spoke and acted at 100 miles per hour. Whether he was on TV, at a rally, or asking about your family, he communicated on a sort of verbal autobahn that left friends and correspondents breathless and disoriented. His emails consisted of 90% cheer leading and morale boosting for those around him: “Teamwork!”, “Onward!”, “Thanks for stepping up!”, “Building the team!”. Tim always started with thanks, and ended with an exclamation mark.
But what will stay with me forever is how Tim approached organizing as a person. My most vivid memory is meeting with Tim and Russell Freedman a few months ago in downtown Boston, where Tim received specialty care, commuting from Western Mass. We met at Legal Seafoods, and after some brief updates on the campaigns we were working on together, Tim cut work discussion off (as he usually did), and asked how I was really doing. How are my parents? Am I seeing anyone, or am I one of those activists who sacrifices everything for the cause? How am I feeling about my job at Healthcare-NOW? How can he can support me?
Two hours pass, we pay our bill. Tim hugs me, and says “I love you,” as he always does. I tell him I love him, too. Only when I’m seated in my car, in the parking lot, do I realize that Tim is receiving end-of-life care for a terminal illness – his physicians gave him only a few months to live initially, over a year ago – and yet he spends most of our time together asking how I’m doing, trying to support me, and letting me know that he loves me. We were old friends but by no means close friends. This was just how Tim lived his life, and it deeply challenged me to become a better person.
I will miss Tim badly, but I have a feeling that he’ll continue to sit on many of our shoulders for years to come, shouting out encouragement.
It feels truly Orwellian that progressives are applauding the forced purchase of private health insurance — one of the most hated industries in the United States — while the right is opposing a model that originated from their political leaders. The Affordable Care Act (ACA) is a step farther on the path to total privatization of our health care system, not towards the health care system that most Americans support: single payer Medicare for all.
In the months leading up to the March 31 deadline to obtain health insurance, ACA supporters united around their mission to enroll people. Volunteers knocked on doors and tabled in their communities. Celebrities and athletes tweeted and labor unions ran robocalls. The media buzzed with speculation about whether the ACA would succeed or fail. March 31 felt like election night. And after it was over, ACA supporters clapped each other on the back and celebrated.
Obamacare survived. But now that the law is implemented and the dust is settling, it’s time to question what this actually means for health care and what we should do now.
Before President Obama was elected in 2008, Drs. David Himmelstein and Steffie Woolhandler, two of the co-founders of Physicians for a National Health Program, raised a crucial question in their report, “Our Health Care System at the Crossroads: Single Payer or Market Reform?” They outlined the health care crisis and how past reforms were taking us toward increasingly “threadbare insurance coverage.” Knowing that health care reform would be front and center for the next few years, they argued that as a nation, we had a choice to make. We could stay on the same path toward a market-based health care system or take an evidence-based approach and create national single payer health insurance.
With the ACA, we have now passed that crossroads and are headed down the road to a completely market-based system of privatized health care. This is not something to celebrate. Dr. Adam Gaffney recently wrote an excellent history in Jacobin on the turn we have taken away from the concepts of universal health care and economic justice to a neoliberal model. We are inundated with market rhetoric telling us how wonderful it is to have the choice of shiny silver insurance in the brand new marketplace. Insurance plans are called products and we are consumers of them.
The problem with these public relations messages is that having health insurance doesn’t guarantee access to health care and health care doesn’t belong in the marketplace. As patients, we do not have a choice of whether or not to purchase health care when we need it. Delaying or avoiding necessary care can and does have serious consequences. And we can’t predict how much health care we will need or when we’ll need it. In a market-based system, profits are the bottom line and people receive only the amount of health care they can afford, not what they need.
The ACA is transferring hundreds of billions of public dollars to the private insurance industry to subsidize plans that leave people underinsured, unable to afford care and at risk of financial ruin if they have a serious accident or illness. And even at its best, tens of millions of people will remain without insurance.
Most of the 7.5 million people who purchased health insurance on the exchanges were already insured. More than 80 percent bought the lower-tier silver, bronze or catastrophic plans with the hope that they would not get sick. These plans have the lowest premiums but require that patients pay thousands of dollars out of pocket before insurance kicks in, and then pay 30 to 40 percent of the cost of covered care. The result is that underinsured people will continue to self-ration, delay or avoid care due to cost, as 80 million of us did in 2012.
The ACA includes regulations, but as usual the insurance industry has ways to work around them. Many insurers had caps on out-of-pocket costs waived. Insurers also found a way to “cherry pick” the healthiest customers by leaving cancer centers and major medical centers out of their networks. In fact, most of the new plans have narrow and ultra-narrow networks that shift more of the cost of care onto patients because care outside of insurance networks isn’t covered. And while insurance companies cannot drop individuals when they get sick, they can stop selling their plans in areas that don’t make a profit. Some are already doing this, which means the competition that was supposed to emerge did not. Instead, in 515 of the poorest counties in 15 states, only one insurance company is available on the health exchange. And greater consolidation of the health care system is underway through mergers and acquisitions.
Our public insurances, Medicaid and Medicare, are being increasingly taken over by private insurances in the form of Managed Care Organizations and Medicare Advantage. They compete for the healthiest patients and siphon more of the health dollars for profit, salaries and administration than public insurances. Top advisors to the White House expect our public plans to be rolled into the health exchanges in the near future with subsidies, a plan similar to Congressman Paul Ryan’s voucher proposal.
Nations that treat health care as a public good and not a commodity have universal coverage that costs less and produces better health outcomes. And in polls, some two thirds of Americans support single payer. Now our tasks is to shift the national debate away from how many people have insurance to what type of health care system we support. Efforts to do this are taking place at both state and national levels.
State efforts to educate and organize for universal health systems are using a human rights framework. This started with the Health Care is a Human Right campaign in Vermont that is working to create universal coverage, and similar organizing is happening in Maine, Pennsylvania and Maryland. An essential component of this organizing model is to develop leadership within communities that are uninsured or underinsured. States such as Washington, Oregon, Colorado and New Mexico also use human rights messaging in their campaigns.
State health reform faces significant barriers because federal legislation is needed to allow the creation of a state single payer system. However, state campaigns are essential because they push state health policy to be the strongest it can be and build an informed and organized grassroots movement that can also push for solutions at the national level.
Legislation for single payer health systems exists in Congress. In the House, Congressman John Conyers (D-MI) has introduced HR 676, “The Expanded and Improved Medicare for All Act,” in every session since 2003. So far it has 56 co-sponsors. In late 2013, Senator Bernie Sanders (I-VT) introduced SB 1782, “The American Health Security Act,” in the Senate. National organizations are working together to encourage more members to sponsor them and a national lobby day is happening in Washington, D.C., on May 22.
On a personal level, I have chosen to be a conscientious objector to the ACA. I cannot in good conscience give my support to the very industry I am trying to eliminate. Being a conscientious objector is a decision that people have to make for themselves. So far nearly 500 people have joined me by signing a petition at PopularResistance.org.
Some people speculate that the ACA will bring us to single payer some day because it will fail. This will only happen if we fight for it. Every day that we delay, people suffer and die in this country unnecessarily. Neil H. Buchanan says it best, “The ACA is as good as it gets, when it comes to basing a health care system on private insurance, and it is simply not good enough. Even as the ACA takes effect, therefore, we need to start planning to make it disappear.”
Margaret Flowers is a pediatrician and co-chair of the Maryland chapter of Physicians for a National Health Plan. She serves on the board of Healthcare-Now and of the Maryland Health Care is a Human Right campaign. She is also an editor at popularresistance.org.
From Media Mobilizing Project –
Everyone gets sick, but not everyone can access healthcare when they need it. The Affordable Care Act has expanded access, but millions are still left out, and most people with insurance still struggle to afford the care they need. In Pennsylvania and in states across the country, a growing movement is demanding that healthcare become a human right that’s accessible for every person. What will it take to make this happen? Three leaders on the front lines of this struggle share their insights and experiences.
A conversation with Nijmie Dzurinko, a leader of Put People First PA, Mark Dudzic, national organizer with the Labor Campaign for Single Payer, and Marty Harrison, a nurse and member of the Pennsylvania Association of Staff Nurses and Allied Professionals (PASNAP).
Some See Their Compensation Double
Chief executive officers at Fortune 500 health insurance companies, who have opposed new regulations under the Affordable Care Act, emerged this month as one of the ACA’s greatest beneficiaries. Recently filed financial reports show that average compensation for these top nine health insurance CEOs rose by more than 19 percent in 2013, while several of the nation’s largest insurers more than doubled CEO pay.
The biggest winner was Aetna CEO Mark Bertolini, who received a staggering $30.7 million compensation package in 2013. This marks the largest payout to any health insurance executive since passage of the ACA and exceeded the compensation of the next two highest paid health insurer CEOs combined. The Bertolini pay package, which included a large “special one-time performance-based retention award,” represented a 131 percent increase over his $13.3 million compensation in 2012.
Molina Healthcare and Centene, both Fortune 500 insurers that specialize in privately managed Medicaid plans, roughly doubled CEO compensation in 2013. J. Mario Molina received $11.9 million, up from $5 million in 2012, while Centene’s CEO Michael Neidorff made $14.5 million, up from $8.5 million. Overall, average CEO pay across Fortune 500 health insurers rose from $11.6 million in 2012 to $13.9 million in 2013.
The disclosures of higher CEO pay coincided with several of the same companies announcing better-than-expected earnings in the first quarter of 2014, even as they signaled that patients and businesses should prepare for increased insurance premiums in 2015.
“For far too long, private health insurance executives have received outsized compensation packages – subsidized by the ever-increasing premiums of hardworking Americans – while millions of low income individuals and those with pre-existing conditions went uninsured,” says Representative John Conyers, Jr. (D-Mich.). “The United States’ healthcare sector has been in need of repair for decades, and over-the-top executive compensation is emblematic of the failure of our private health insurance system. While the Affordable Care Act is a good first step, truly universal coverage and meaningful reform to our healthcare system can be provided only through a single- payer system. I have introduced H.R. 676 – the Expanded and Improved Medicare for All Act – since 2003 to live up to this aim of universal care and establish health insurance as a basic right rather than a for-profit industry,” he continued.
“Families and patients are being asked to tighten their belts in the face of rising healthcare costs, while our premiums are being used to subsidize even more astronomical compensation for the already wealthy,” said Benjamin Day, Director of Organizing at Healthcare-NOW!, a nonprofit group that advocates for a single-payer system, sometimes called “an improved Medicare for all.”
“In contrast, the top administrator of Medicare – our public, universal health plan for all seniors, which is more efficient, provides better financial protection, and receives higher marks from patients than private health insurers – is paid less than $200,000 per year. The culture of excess at these for-profit corporations is incompatible with the goals of an efficient, ethical health care system, where every dollar diverted from patient care represents a loss of access for real families.”
Day continued: “We face the highest healthcare costs and have among the worst health outcomes of any country in the developed world because we allow private health insurers and dozens of other intermediaries to act as for-profit middlemen in the health care system. Although many backers of the Affordable Care Act said it would rein in insurance company excesses, the law clearly hasn’t curtailed top executive pay.”
“Thirty-million-dollar CEO paychecks – millions that should be spent on saving lives, not making the rich richer – should be a stark reminder that a single-payer, Medicare-for-All program would lower costs by spending every available dollar on patient care, and making access to care an inalienable right for everyone in the United States,” Day said.
1. Securities and Exchange Commission, 10-K Annual Reports
2. Securities and Exchange Commission, DEF 14A Proxy Statements
(Both available at https://www.sec.gov/edgar/searchedgar/companysearch.html)
Aetna’s CEO Mark Bertolini received a 131% pay hike, bringing in $30.7 million: that’s 877 times the $35k that the average worker makes in a year.
Tell him that’s not okay.
Fortune 500 health insurers increased compensation for their CEOs 25% in 2013 over 2012! Aetna’s CEO Mark Bertolini received a 131% pay hike, bringing in $30.7 million: that’s 877 times the $35k that the average worker makes in a year. Centene and Molina Healthcare doubled pay for their CEOs as well.
Can you fathom that these tens of millions of dollars, which are taken from your health premiums and tax dollars, have been diverted towards making some of the wealthiest men in the world even wealthier?
At a time when we are facing sky-rocketing premiums and rising co-payments and deductibles, our healthcare dollars are paying for yachts and second mansions instead of saving lives.
Let’s make them pay for it by emailing Aetna CEO Mark Bertolini directly. Tell him it is immoral for the ultra-wealthy to be pocketing our limited healthcare resources. Each dollar they steal from patients will redouble our efforts to improve and expand Medicare for all.