Showing posts with label Medicare for all. Show all posts
Showing posts with label Medicare for all. Show all posts

December 23, 2015

Bernie Sanders: single-payer health care

From the Bernie Sanders campaign:

I want to talk with you about one of the very real differences between Secretary Clinton and me that surfaced during last weekend's debate, and that is our approach to health care in this country.

I was, and all progressives should be, deeply disappointed in some of her attacks on a Medicare-for-all, single-payer health care system. The health insurance lobbyists and big pharmaceutical companies try to make "national health care" sound scary. It is not.

In fact, a large single-payer system already exists in the United States. It's called Medicare and the people enrolled give it high marks. More importantly, it has succeeded in providing near-universal coverage to Americans over age 65 in a very cost-effective manner.

So I want to go over some facts with you and ask that you take action on this important issue:

Right now, because of the gains made under the Affordable Care Act, 17 million people have health care who did not before the law was passed. This is a good start, and something we should be proud of. But we can do better.

The truth is, it is a national disgrace that the United States is the only major country that does not guarantee health care to all people as a right. Today, 29 million of our sisters and brothers are without care. Not only are deductibles rising, but the cost of prescription drugs is skyrocketing as well. There is a major crisis in primary health care in the United States.

So I start my approach to health care from two very simple premises:

1. Health care must be recognized as a right, not a privilege -- every man, woman and child in our country should be able to access quality care regardless of their income.

2. We must create a national system to provide care for every single American in the most cost-effective way possible.

I expected to take some heat on these fundamental beliefs during a general election, but since it is already happening in the Democratic primary, I want to address some of the critiques made by Secretary Clinton and Rupert Murdoch's Wall Street Journal directly:

Under my plan, we will lower the cost of health care for the average family making $50,000 a year by nearly $5,000 a year. It is unfair to say simply how much more a program will cost without letting people know we are doing away with the cost of private insurance and that the middle class will be paying substantially less for health care under a single-payer system than Hillary Clinton's program. Attacking the cost of the plan without acknowledging the bottom-line savings is the way Republicans have attacked this idea for decades. Taking that approach in a Democratic Primary undermines the hard work of so many who have fought to guarantee health care as a right in this country, and it hurts our prospects for achieving that goal in the near future. I hope that it stops.

Let me also be clear that a Medicare-for-all, single-payer health care system will expand employment by lifting a major financial weight off of the businesses burdened by employee health expenses. And for the millions of Americans who are currently in jobs they don't like but must stay put because of health care access, they would be free to explore more productive opportunities as they desire.

So, what is stopping us from guaranteeing free, quality health care as a basic fundamental right for all Americans? I believe the answer ties into campaign finance reform.

The truth is, the insurance companies and the drug companies are bribing the United States Congress.

Now, I don't go around asking millionaires and billionaires for money. You know that. I don't think I'm going to get a whole lot of contributions from the health care and pharmaceutical industries. I don't like to kick a man when he is down, but when some bad actors have tried to contribute to our campaign, like the pharmaceutical CEO Martin Shkreli who jacked up the price of a life saving drug for AIDS patients, I donated his contribution to an AIDS clinic in Washington, D.C.

Secretary Clinton, on the other hand, has received millions of dollars from the health care and pharmaceutical industries, a number that is sure to rise as time goes on. Since 1998, there are no industries that have spent more money to influence legislators than these two. Billions of dollars! An absolutely obscene amount of money. And in this election cycle alone, Secretary Clinton has raised more money from the health care industry than did the top 3 Republicans -- combined.

Now, and let's not be naive about this, maybe they are dumb and don't know what they are going to get? But I don't think that's the case, and I don't believe you do either.

So, what can we do about it?

Changing the health care laws in this country in such a way that guarantees health care as a right and not a privilege will require nothing short of a political revolution. That's what this campaign is about and it is work we must continue long after I am elected the next President of the United States.

And because of the success we have enjoyed so far, I am more convinced today than ever before that universal quality health care as a right for all Americans will eventually become the law of the land.

It is the only way forward.

BernieSanders.com

November 30, 2012

Solutions

To resolve the federal deficit:
Reverse what caused it, mainly, regressive tax cuts for the rich and the worldwide war machine.
To provide health insurance to all:
Expand Medicare to everyone, as was originally intended.
[Also see:  Tax the Rich! End the Wars!]

March 23, 2010

The 3% Nonsolution

A common figure for annual health care spending in the U.S. is 2.5 trillion dollars (according to the Dept. of Health and Human Services (HHS), it was 2.34 trillion dollars in 2008 and projected to have been 2.47 trillion in 2009 and to be 2.57 trillion in 2010).

The "historic" health care bill just signed into law has an estimated cost of just under 1 trillion dollars (938 billion). But that's over 10 years. So make it 100 billion dollars annually, or about half the cost of the crusades in Iraq and Afghanistan.

Thus, the bill will represent less than 4% of the country's health care spending.

Small change indeed.

Especially as HHS projects total spending to increase to almost 4.5 trillion dollars by 2019.

This "monumental" reform bill will represent less than 2.7% of the next 10 years' health care spending.

Its only significance is criminalizing not having insurance and forcing people into private "coverage". A cruel mockery of care, this is blatant extortion on behalf of corporate profits.

March 22, 2010

On the big medical insurance bill

Ironic Times House Passes Mild Modification to Health Care System -- After 100-year debate.

Ralph Nader, "A Remnant of Reform": 

The health insurance legislation is a major political symbol wrapped around a shredded substance. It does not provide coverage that is universal, comprehensive or affordable. It is a remnant even of its own initially compromised self — bereft of any public option, any safeguard for states desiring a single payer approach, any adequate antitrust protections, any shift of power toward consumers to defend themselves, any regulation of insurance prices, any authority for Uncle Sam to bargain with drug companies, and any reimportation of lower-priced drugs.

Most of the health insurance coverage mandated by this legislation does not come into effect until 2014, by which time 180,000 Americans will die because they were unable to afford health insurance to cover treatment and diagnosis, according to Harvard Medical School researchers.

The bill’s 2,000 pages afford many opportunities for insurance companies to further their strategy of maximizing profits by denying claims, restricting the benefits of their present customers, and the benefits of the new customers who are mandated to buy their policies, all backed by hundreds of billions of dollars of federal subsidies.

Its main saving grace is that it is so inadequate and so delayed in implementation that the position supported by the majority of people, physicians and nurses –- full Medicare for all –- will have abundant opportunities to build around the country. The spiraling price hikes by the insurance industry are sure to spur the single payer movement to new popularity. (See singlepayeraction.org.)

Chris Hedges

This bill is not about fiscal responsibility or the common good. The bill is about increasing corporate profit at taxpayer expense. It is the health care industry’s version of the Wall Street bailout. It lavishes hundreds of billions in government subsidies on insurance and drug companies. The some 3,000 health care lobbyists in Washington, whose dirty little hands are all over the bill, have once more betrayed the American people for money. The bill is another example of why change will never come from within the Democratic Party. The party is owned and managed by corporations. The five largest private health insurers and their trade group, America’s Health Insurance Plans, spent more than $6 million on lobbying in the first quarter of 2009. Pfizer, the world’s biggest drug maker, spent more than $9 million during the last quarter of 2008 and the first three months of 2009. The Washington Post reported that up to 30 members of Congress from both parties who hold key committee memberships have major investments in health care companies totaling between $11 million and $27 million. President Barack Obama’s director of health care policy, who will not discuss single payer as an option, has served on the boards of several health care corporations. And as salaries for most Americans have stagnated or declined during the past decade, health insurance profits have risen by 480 percent.

Obama and the congressional leadership have consciously shut out advocates of single payer from the debate. The press, including papers such as The New York Times, treats single payer as a fringe movement. The television networks rarely mention it. And yet between 45 and 60 percent of doctors favor single payer. Between 40 and 62 percent of the American people, including 80 percent of registered Democrats, want universal, single-payer not-for-profit health care for all Americans. The ability of the corporations to discredit and silence voices that represent at least half of the population is another sad testament to the power of our corporate state to frame all discussions.

Margaret Flowers, Physicians for a National Health Program, in response to Howard Dean saying "Americans want choice ... Nobody in America likes the government telling them what to do":

The American people want a choice of health care provider and choice of treatment. This bill does neither. Let people choose their doctor and treatment. Under private insurance, the private insurers make the decision. This bill would entrench that system of private insurance. It’s going to continue to leave people out – with the resulting suffering, bankruptcy, foreclosure and preventable death. And that’s not acceptable.

We were excluded from this conversation. This was not a conversation based on data or evidence. It was based on the fact that the industry had their hand in this throughout this legislation and it was written in their favor.

[One might also point out that making it illegal to not have insurance and not providing a nonprofit public alternative to the private insurance market are in fact mockeries of choice. Medicare for All would maximize choice.]

March 10, 2010

Medicare for all!

Stop the medical insurance bail-out bill! Dave Lindorff writes at Counterpunch:

When Obama came to my neighborhood this week to press for public support for his health “reform” bill, he wasn’t just greeted by tea-party hecklers. Speaking to a large group of mostly supportive students and local residents at Arcadia University in Glenside, the president at one point mentioned that “people on the left” want “single-payer.” But before he could add that that approach wasn’t going to happen, he found himself drowned out by cheers calling for Medicare for all and single-payer.

That kind of says it all.

I’m with Marcia Angell, editor of the New England Journal of Medicine. The Obama plan for health care “reform”, as well as the two versions passed by the House and the Senate, are all devious disasters that do nothing to solve the nation’s burgeoning health care crisis, and in fact, will make it worse.

The only thing to do at this point is to take the whole stinking pile of paper and put it in the compost heap. Kill it.

This whole effort was never about reform from the day last March when the new president called on Congress to begin deliberations on health care reform. It was about catering to the wishes of the big players in the Medical Industrial Complex--the big pharmaceutical multinationals, the hospital companies, the physicians and, most of all, the insurance industry. People and their health care needs had little or nothing to do with this.

That’s why we’ve ended up with proposals that would do nothing to control costs, that would force health young people to buy unregulated, high-cost and high-profit plans that would be money in the bank for the insurance industry, and that would finance any subsidies for the poor by cutting back on benefits for the only group of Americans who currently have a form of single-payer insurance--the elderly with their Medicare.

President Obama began this whole obscene nightmare with a lie, when he said that even though single-payer systems clearly work to open access to all and keep costs down while providing better overall health results in places like Canada and some European countries, they cannot be applied in America “because that would mean starting over from scratch.” He knew when he said it that this was a lie. America already has a well-run and successful single-payer healthcare program in place that is bigger than the entire Canadian health care system, and that’s Medicare, which was established in 1965, and which currently finances the care of 45 million Americans. You just have to be 65 or disabled to be eligible for it.

As Dr. Angell pointed out on a recent Bill Moyers Journal segment, the simplest way to solve America’s health care crisis would be to just start a gradual expansion of Medicare, say by lowering the age of coverage to 55, and then 45, and then 35, until everyone was covered and the insurance industry was pushed out of the health sector. ... Medicare gives the elderly a freer choice of physician and treatment than any but the most gold-plated private insurance executive health care plan.

Obama continued this lie when he claimed, in his last mention of the issue during his State of the Union address to Congress, that he and Congress had considered every idea. In fact, he and Congress have for the last year, carefully prevented any consideration of the idea of single-payer, or of expanding Medicare to cover every American. Bills that would do that, authored by Rep. John Conyers (D-MI) in the House and Sen. Bernie Sanders (I-VT) in the Senate, were blocked from hearings or votes in both Houses by Democratic leaders, at the White House’s urging, while the White House itself barred single-payer advocates from any of its discussions.

Instead the president met behind closed doors with the lobbyists of the various health care industries, to cut deals with each sector in order to gain their support for his “reform” plan. It was as if the Department of Justice had called meetings with the various crime families of the Cosa Nostra in order to cut deals before developing a plan to “tackle” the Mafia. ...

The US currently devotes 17.5 percent of Gross Domestic Product to health care, and if this “reform” in any of its guises is passed, that share of the economy devoted to health care will quickly rise past 20 percent, with no end in sight. This is madness. Expanding Medicare to cover everyone, as I have written earlier, would actually save everyone money immediately, and the country as a whole. Consider that the most expensive consumers of health care--the elderly--are already in the system. Adding younger, healthier people to Medicare would cost incrementally much less. That’s why the Canadians spend about 9 percent of their GDP on healthcare, while covering every Canadian, while we spend nearly twice as much and leave 47 million of our citizens uninsured and unable to visit a doctor.

How could it be cheaper to add everyone to Medicare? Expanding Medicare to cover everyone would probably cost somewhere between $800 billion and $1 trillion a year. That sounds like a lot of money, until you consider that we already spend $100 billion a year to care for veterans through the Veterans Administration, and $400 billion a year to care for the poor through Medicaid. We also spend $300 billion a year subsidizing hospitals that have to provide “free” charity care to the poor who don’t qualify for Medicaid, too. Since all those people would be covered by Medicare under Medicare-for-All, that’s $800 billion a year in current expenditures saved right there.

... You don’t want to pay more taxes? Well wait. If you were covered by Medicare, you and your employer would no longer have to pay for private insurance, which would mean a savings to workers of thousands of dollars a year, and even more to employers who currently pay the majority of health insurance premiums for employees. The net savings would be enormous.

Nobody has talked about this.

Universal Medicare would make American companies more competitive in the global marketplace, where other companies are not responsible for health care costs of their workers. It would make Americans wealthier, because they would no longer be paying for health care out of their own pockets. It would make everyone more secure, because they would no longer have to fear losing access to health care if they lost their job, and would eliminate most bankrupties, which are reportedly caused by medical bills.

So we know what needs to be done.

And we know that the current “reforms” on offer don’t do it.

So Dr. Angell is right. Obamacare needs to die.

There is reason to hope that it will die. Republicans oppose it, though not for any decent reason. They want unregulated private insurance and unlimited profits for health care industries. Ditto some conservative Democrats, who are also anti-government ideologues whose wallets are stuffed with health industry swag. But their reasons for oppposing health bill don’t matter. All that is needed is for a few progressive members of the House and Senate to admit that the health bills being considered are not reform, but the antithesis of reform, and to also vote against it, and Obamacare will be dead.

At that point we can start seriously demanding that the Congress and the President act to bring us real health reform in the way that really works: expanding Medicare to cover everyone.

November 16, 2009

The enemy of the good

There is an excellent essay at Counterpunch today by Alan Nasser: "Obama's Flawed Case Against Single Payer".

Similar to what he notes about Obama, it seems to be a motto for the sometimes slightly progressive neoliberal politicians in Vermont that "We can't let the perfect be the enemy of the good [so let's not even consider it, or for that matter whether what I'm going along with actually is any good]." It's one big antidemocratic thumbing of their collective nose and most people just nod at this signature wisdom.

And so by dismissing actual good as too "perfect", as irresponsible madness, all that is usually left is quite a bit less than good.

And so we have health insurance reform from our Congress and President: the same lousy system, only more punitive.

human rights, Vermont, anarchism, anarchosyndicalism

June 16, 2009

A PETITION TO CONGRESS Supporting Single-Payer Health Care

Whereas:
  • 46 million Americans are currently without health insurance;

  • 60 million Americans, both insured and uninsured, have inadequate access to primary care due to a shortage of physicians and other health service providers in their community;

  • 100 million Americans have no insurance to cover dental needs;

  • 116 million adults, nearly two-thirds of all non-seniors, struggled to pay medical bills, went without needed care because of cost, were uninsured for a time, or were underinsured in the last year;

  • The United States spends $2.3 trillion each year on health care, 16 percent of its Gross Domestic Product;

  • Americans spend $7,129 per person on health care, 50 percent more than other industrialized countries, including those with universal care;

  • The U.S. does not get what it pays for. We rank among the lowest in the health outcome rankings of developed countries, and on several major indices rank below some third-world nations;

  • The number of health insurance industry bureaucrats has grown at 25 times the growth of physicians in the past 30 years;

  • In 2006, the six largest insurance companies made $11 billion in profits even after paying for direct health care costs, administrative costs and marketing costs.

And, whereas:
  • Medicare has administrative costs far lower than any private health insurance plan;

  • The potential savings on health insurance paperwork, more than $350 billion per year, is enough to provide comprehensive coverage to every uninsured American;

  • Only a single-payer Medicare-for-all plan can realize these enormous savings and provide comprehensive and affordable health care to every citizen.

Now, therefore:
  • We, the undersigned, urge the United States Congress to pass a single-payer Medicare-for-all program which will provide quality, comprehensive health care for all Americans.