Why not single payer? A letter to the editor in the Baltimore Sun

Written by Correntian Anne! To the editor:

In a Q-and-A recently posted on the Web site Crooks & Liars (http://crooksandliars.com/node/29667), House Speaker Nancy Pelosi responded to one of the questions by saying, "For 30 years I have supported a single-payer plan, but our next best choice is to support an exchange and a public option." The question that her response prompts from me is, why are we giving up on the best solution and settling for something that, from all appearances, is a whole lot less than "next best?"

The House plan is not set to go "live" until January of 2013. No, that is not a typo.

If I told you that in less than a year after the historic Medicare legislation was signed into law, the program was up and running, and millions of older Americans had been enrolled and were getting health care with hardly a hiccup, wouldn't you wonder why it's going to take so long to get essential elements of this version of reform in place? Wouldn't you wonder why the elements that are designed to help the millions of uninsured are the ones that are going to take the longest to implement?

Or, maybe, you wondered if there's a political reason why the plan won't be fully operational until 2013, like the fact that we will have a presidential election in November of 2012, and it might not be good for the fortunes of the current president or the senators and representatives up for re-election if a new health care system is not going well or is not all it was advertised to be.

So, what will the millions of currently uninsured people do between now and 2013? And, with an economy in decline, thousands of people losing their jobs every month and losing their coverage, with more employers changing to plans that cover less and cost the individual more, or dropping coverage altogether, how much more dire will things be in four years?

What will the insurance companies be doing between now and 2013? How will they be positioning themselves to accommodate the changes that are coming? What will we see from them in the next 3 1/2 years that will signal they have even the slightest interest in improving our access to and delivery of actual health care?

What this is really all about, where the focus should have been from the start, is health care, not insurance. Having a shiny new insurance policy will not help if the out-of-pocket costs are such that people still cannot afford to see the doctor or get the medications they need.

All of the major developed nations have some form of single-payer health care. Their spending per-person on health care is less than half what we spend here, and their people are, by most accepted measures, healthier than we are. Why are we writing 1,000-plus-page bills, creating a Rube Goldberg-ian system whose biggest benefit will be to insurance companies that have done nothing in the last several decades to improve the current system - but a lot to assist the political careers of more than a few members of Congress who are crafting this "reform" (and making those who need accessible and affordable care the most wait the longest to get it) - when we have a single-payer model, Medicare, that we know works well and could be expanded or duplicated with relative ease and in a much shorter period of time?

Does it ever feel to you like we've got everybody's attention except the Congressional Democrats?

Well done, Anne! Now, readers, go and do the same thing for your local paper. And then do it again!

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Wonderful!

This is a great letter. You're an inspiration to us all, Anne.

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We can't afford not to have single-payer!

Thanks - I just hope that the

few people who are still reading the Sun are inspired to at least ask some questions. And if you read the other letter that was published today, you will see that it was one that took - of course - the opposite view that mine did; guess we have to have "balance" no matter what, huh? Even if it's the equivalent of saying the earth is flat.

Great Letter Anne

Does it ever feel to you like we've got everybody's attention except the Congressional Democrats?

Let's not let the "Precious" off the hook; him who is fighting to maintain the status-quo.

Thanks, cal - and yes, it does.

But we have some distance to go with ordinary folks, many of whom are still parroting the tried-and-true baloney, like the government will be making your medical decisions for you. When I hear that crap from people, I always mention the fact that the private insurance companies have been doing this for some time - that restricting access to and coverage for care is but one of the ways the private insurance companies have been able to keep theor profits soaring.

What angers and saddens me is that I'm pretty sure the Dems also know this, but they are choosing to close their eyes to single payer - choosing to dismiss even any open and serious discussion about it - to what will be the detriment of the American people. It ought to be obvious to a lot of people who aren't as deeply into this issue as some of us are, that avoidance of even discussing single payer looks like a case of "we can't have them finding out how much better this way would be - and I can't take the hit on the loss in campaign and PAC donations - so we'll just pretend single payer is not being used successfully in all kinds of developed countries."

I have also started asking people if they have any concerns that this rush to reform the health care system is similar to the rush to bailout the banks, with insurance companies likely to reap the lions' share of the benefit - and what they will do or how they will feel once we start seeing headlines about Aetna and Wellpoint and Kaiser and United Health raking in record profits and rewarding their executives with record salaries and bonuses, if their own experience is and what they hear from others is that their own situations have not improved - that they are still fighting for coverage and fighting for treatment.

I think there is little that separates what the Congress did for the banksters from what they may be on the verge of doing with the insurance industry, and I wonder at what point people simply put their collective feet down and refuse to be run over by insurance industry dumptrucks lining up to load up with tons and tons of cash, while their Senator or Representative directs traffic.

Anne, great! This is not the "rec'd" length--I think that means

you really hit some important points and questions. Great going, and thank you.

Nicely Done!

Yay!

"Do what you feel in your heart to be right -- for you'll be criticized anyway. You'll be damned if you do, and damned if you don't. " - Eleanor Roosevelt

My doctor today told me he gets lower reimbursement every year

from the HMO plans. He also said that given the low reimbursement, the only way for docs to make any money is to limit visits to one topic and make the patient come back for additional concerns. He can't do that, he said, bcz it means the discussion is so limited the patient may not mention things which tell him there are other things to look into. In short, cutting office visit time means probably missing clues which might mean the difference between good care and getting blindsided by some ailment or emergency.

He fears what DC is playing around with will mean a revision which simply fails. We also disucssed hipparchia's observation about the length of the House bill, Medicare's original legislation, and the Canadian plan. He thought number of pages was due to the influcence of too many lawyers in Congress!

I told him that I'd had to increase my co-pays and deductibles to lower my monthly premium, and I wondered if the Big Insurer subsequently cut what his office was reimbursed. He didn't know, but then told me that bit about reimbursements getting lower every year.

But our rates keep going up. The parasites are gorging themselves, it seems.

Slightly OT but enemies list

I'm pretty new to this community, and woefully behind the curve on healthcare issues- I found this place b/c lambert gave me some good links in a comment elsewhere. (Also classmate of Kip Sullivan at Pomona)

I dunno if this link will be useful or not, but I found it interesting reading. (Still finding my way around)

http://www.zmag.org/znet/viewArticle/22062

Single-Payer- The Top 10 Enemies

~~Health Care for American Now: The largest coalition of liberal groups promoting a choice between a public plan and private insurance companies. "They are saying - we can't do single payer because Americans don't want it," said Kip Sullivan of the Minnesota chapter of PNHP. "That's based on junk research conducted by Celinda Lake for the Herndon Alliance. It is bad enough to say we can't do single payer because the insurance industry is too powerful to beat. But it is just plain insidious to say we can't do single payer because the American people don't want it. In fact, polling data indicates that two-thirds of Americans support a single payer system. And that level of support exists despite the fact that there is little public discussion about it."~~~

OT ??? disappeared article lambert

Lambert- I have a ??? for you, so check email.

Obama's on NewsHour defending his handling of health care reform

--even CBS Evening News reported that the WH is concerned that the argument is getting away from Obama, that the enemies of reform are getting their arguments out there and sapping public support, that the "coalition" is beginning to fragment.

Well, just about everyone who'd seen the previous takedowns of health care plans said that the BHIP (Big Health Industry Players) usually came out initially all concerned and willing to compromise (within limits), but then, when they didn't get just what they wanted (or got the proponents of reform back against a wall)--, they turned and attacked the plan.

Mr. President, that was predictable...and predicted. The Big Insurers and other for-profit players will destroy whatever doesn't give they just what they want.

You tried to accommodate them, not seem too "disruptive" of their business plans--and now you're going to try to make up lost ground? During the summer when most of the public are into other things than the news and even The One's press conferences?? Sheesh.

He also said that everyone one admits that the Medicare and Medicaid (pretty sure he used Medicaid, not SocSec--or was it all three?) are the things which will bring down the US budget. But! He has plans to reform Medicare. And Medicaid! Hasn't told us about them, but he's got plans.

No mention of all or military spending....

He's going after the social safety net for sure, gang.

According to Robert Reich

the pushback at this point is coming primarily from Blue Dogs (and Rs, I guess) over costs, since the House and Senate have pretty much given away the store to get the insurers and pharma on board (and even the AMA!) - see this post.

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We can't afford not to have single-payer!

And, there was an invitation-only teleconference with bloggers,

according to a post up at TL (I've linked to BTD's post, which links to where the article originally appeared - HuffPo).

I nearly choked when I read this (emphasis is mine):

Peppering the president with questions were some of the progressive community's most prominent netroots voices from Jonathan Singer of MyDD to John Amato of Crooks and Liars. As in interviews and public statements past, the president stressed that the White House had already made major steps toward achieving reform, including bringing key stakeholders in the private sector to the table. Repeating his statement on Monday criticizing the posture of some of his Republican opponents, Obama accused those who sought to delay the bill as trying to kill the prospects of reform and, by extension, his presidency.

"I think it was telling, some of you may have seen, a Republican senator this weekend saying, we are just going to delay and delay because if we can stop Obama on this one, this is going to be his Waterloo. We will break him," he said of the remarks made by Sen. Jim DeMint (R-S.C). "That was a quote. And I think it indicates the degree to which a lot of folks may sincerely think that the more time we take the better off we are going to be but I also think there are some who deliberately want to delay this process because they know the longer the special interests have to run negative ads or lobby members of congress, the more difficult it becomes to get this done."

And some of us think it should be killed because, so far, it seems like really bad legislation.

But for Obama, it's always - always - about him, even when he tells you (maybe especially when he tells you) it isn't.

This seems to confirm what Reich said

As in interviews and public statements past, the president stressed that the White House had already made major steps toward achieving reform, including bringing key stakeholders in the private sector to the table.

Key stakeholders in the private sector, already made happy.

And - killing his presidency? Jebus. Way to ratchet up the rhetoric, Obama.

Let's not try to judge whether or not these bills might actually make things worse for we, the people - because Obama's presidency is at stake.

Sheeeeeee-it.

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We can't afford not to have single-payer!

Like, totally

~~But for Obama, it's always - always - about him, even when he tells you (maybe especially when he tells you) it isn't.~~

Like, totally fer sure (VG speak). Yep. Even before the election- It was the FISA thing lying thing that finally did me in. Something like "I'm gonna filibuster this bill". Not that I had been a fan before.

new Kip Sullivan article at PNHP

Thanks, Valley Girl

It's an excellent article, on the history of the "public option" which began as something that might actually have been a good idea - a large-enrollment, "Medicare-like" option for the under-65 set - and how it got twisted down into what we are seeing in these bills.

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We can't afford not to have single-payer!

Agreed, and Kip put a lot work into it

I find the PHNP site really hard to navigate.

I told Kip in an email the same thing, b/c I just found this piece, which includes Kip's "executive summary" of his longer Celinda Lake piece- which was a total take down of HCAN-

scroll down for Kip Sullivan's "executive summary"

http://www.pnhp.org/news/2008/december/w...

It's a lot punchier than his original at PNHP, here,

http://www.pnhp.org/news/2008/december/a...

I emailed him, encouraging him to do the same for his latest.

I find it easier to navigate from the site map.

I think the main page has so much going on it's hard to know where to start.

Somebody needs to look at this...

... and start pounding on it.

It's such a massive takedown to the Obama blogger phone call, too. Answers the question "What is public option" even more damningly than before.

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

way to go, anne!

good job. thanks for this.

America held hostage -- Day 181.

How long before the GOP declares victory altogether?


We can admit that we’re killers … but we’re not going to kill today. That’s all it takes! ~ Captain James T. Kirk, Stardate 3193.0

1 John 4:18

Obama Today

So today Obama makes an excellent argument for real healthcare reform and a sound attack on its critics while offering up exactly the sort of fake reform his critics would support if it came from a Republican.

There are plenty of possible explanations for the contradiction, but I'd say Occam's Razor applies and Obama is simply a liar and fraud.

Tdraicer

uh, see my comment above.

eom