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Submitted by Sandy M on Fri, 11/06/2009 - 2:00pm.

Please forward widely ….

Health Care Reform: No bill is better than a bad bill

… and HR 3962 is plenty bad enough that Olympia Single Payer Action (OSPA) is calling on the citizens of this community to contact their Congress members and urge them to vote NO on this bill or any bill which does not contain the Kucinich amendment, which would allow states to adopt their own single-payer system if they chose to do so. (See Congressional contact info below.)

We appreciate the hard work of local Progressive Democrats, in particular, Linda Sternhill Davis, in their efforts on behalf of health care reform. Unfortunately, we believe that in the long run the bill they have endorsed will do far more harm to that cause than good.

HR 3962 falls far short of the Democratic Party’s stated goal of significantly reducing costs while providing affordable access to quality health care for all Americans. The Kucinich amendment is an essential remedy to the bill’s shortcomings and, as stated in a recent letter from House progressives, it is a compromise which “allows the country to move incrementally in the direction that is needed.”

In a letter dated Nov 4, Rep. Kucinich stated:

“The Kucinich amendment represents the most powerful challenge to the insurance companies’ control of our health care system. Even the possibility of a state single payer system will make the insurance companies think twice before they raise premiums. The higher the insurance premiums, the more vulnerable companies are to citizens’ efforts to create alternatives such as a single payer system. We should never be locked into higher and higher premiums!”

The Kucinich amendment should not be confused with the Weiner amendment, which essentially called for the text of the current bill to be replaced with HR 676, establishing a national single-payer program, Medicare for All. Speaker Pelosi had promised a vote on the House floor, but today Rep. Weiner withdrew the amendment.

While Rep. Weiner cited the need to pass the House bill as his reason for withdrawing his amendment, a more compelling rationale was offered today by David Swanson  who said that “the single-payer vote was going to be used as cover for voting for a bad bill.” Unfortunately, that now appears to have been the case.

Again, OSPA is calling on the citizens of this community to call their Congress members and urge them to vote NO on this bill or any bill which does not contain the Kucinich amendment.

It is important to contact Senators Cantwell and Murray as well. As Rep. Kucinich points out:

“Once the health care bill passes the House, and the Senate passes its version, the two bills will go to a Conference Committee. It is at this point that we will have one more chance. We need to insist that the Kucinich Amendment be included in the Conference Committee report, since that is what will ultimately become law.”

Last week, OSPA delivered 90 hand-written notes to Rep. Baird’s office asking him to support the single payer amendments, along with a letter asking him to vote NO on any bill that does not include the Kucinich amendment. We collected these cards in just two afternoons at the Olympia Farmer’s Market. We'll be collecting more cards and paying more visits to Rep. Baird's office – and hopefully, Rep. Smith's too. But we need more people.

Please consider joining this effort.

Next Olympia Single Payer Action (OSPA) meeting:
THIS Sunday, Nov 8, at 11:00 AM
Mixx 96 Meeting room at 119 Washington Street NE
(SW corner of State and Washington St, to the right of the old Otto's)

Contact us at olysinglepayer@gmail.com .

And finally, there is a good article posted today at CommonDreams by Tom Gallagher which takes a position virtually identical to the one OSPA has articulated here.

###

Congressional contacts:

Brian Baird – Phone: (202) 225-3536 • Fax: (202) 225-3478
https://forms.house.gov/baird/webforms/issue_subscribe.htm

Adam Smith – Phone: (202) 225-8901 • Fax: (202) 225-5893
http://adamsmith.house.gov/Contact/

Patty Murray – Phone: (202) 224-2621 or Toll Free: (866) 481-9186 • Fax: (202) 224-0238 http://murray.senate.gov/email/index.cfm

Maria Cantwell – Phone: (202) 224-3441 • Fax: (202) 228-0514
http://cantwell.senate.gov/contact/

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Am I missing something?

Doesn't every state currently have the option to create a single payer system if if so desires?
»

Excellent question, thank you.

From the Center for Policy Analysis:

Saturday, October 03, 2009

State Single Payer Amendments

1. Kucinich Amendment Grants ERISA Waiver for Single Payer States.

2. Sanders Senate Amendment Would Expand Support for Single Payer States.

The Center for Policy Analysis worked closely with Congressional staff to craft the two amendments to health reform legislation that offer the greatest prospects for single payer supporters.

Summary
Some state and local governments that have attempted to expand health care coverage have been successfully challenged in court under the terms of the Employee Retirement Income Security Act of 1974 (ERISA). ERISA pre-empts states from enacting legislation if it is "related to" employee benefit plans. It reserves that right to the federal government. Section 514 of ERISA states that Title V (Administration and Enforcement) and Title IV (Fiduciary Responsibility) of ERISA “shall supercede any and all State laws insofar as they may… relate to any employee benefit plan.” There is no provision for an administrative waiver of these rules.

The Kucinich amendment to HR 3200, approved by a recorded vote of the House Education and Labor Committee, would remove this barrier for states that have enacted and signed into law a single payer system.

What the Amendment Does
The Secretary of Labor, in consultation with the Secretary of Health and Human Services, would be authorized and required to waive the ERISA pre-emption (Sec. 514) for states that have enacted a state single payer system. In this case, the Secretary could decline to grant the waiver only under extraordinary circumstances. The system would have to meet requirements, and the Secretary could revoke the waiver if it fails to do so.

Read the remainder of the article here.

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Thanks Sandy

...
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If the health care bill

If the health care bill fails because progressives oppose it for not including single-payer, then I'm going to forward my not-covered-by-insurance medical bills to Olympia Single Payer Action.
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What then?

Where will you forward your not-covered-by-insurance medical bills and your unaffordable premiums if the bill does pass?
»

Probably

the same place they go now, collections. At least with some kind of bill, we're better off than we are today.
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Not very many of us and not by much.

More than anything, this bill is a windfall for the medical industrial complex. If this is the best we can do, the best we can hope for -- it is a sad, sad state of affairs.
»

This bill is also a windfall

This bill is also a windfall for the poor, who will get subsidized coverage.  I am unwilling to oppose a program that benefits the poor merely because it goes against my anti-corporate ideology (which I still hold to).  It would be patently unfair to allow my anger at corporate America to hurt a disadvantaged people.

And yes, it is a sad, sad state of affairs.  Single payer is the only proper way to deal with our health care problems, but it doesn't have the votes.  It's not even within distance for a "hail-mary pass" possibility. 

Bread & Roses

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Single Payer Possibilities...

Single Payer may not have the support it needs in Congress. But I have heard (please correct me if I'm wrong) that single payer has a lot of public support - perhaps even a majority of the public are in favor of taking the profiteering out of the health care system and going to single payer.

Now that may be an optimistic assessment, but it's important to understand that there is a vast and major disconnect between the people, and the congress. Why is Congress so unrepresentative?

Maybe because our system is essentially corrupt. Due to our electoral system, most politicians are beholden to those people who control the greatest wealth.

The situation with health care does a good job of showing the problem we have with campaign financing. It also goes to make a good argument for public campaign financing.

Toward Real Democracy!


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Depends on poll wording & who is polled

The New York Times/CBS (links to PDF) found that 49% of all Americans support a full national single payer system (not quite a majority).  An additional 10% believe the government should provide coverage for emergencies

Some progressive activists have collapsed these numbers and proclaimed that "60% support a single payer system".  This just isn't accurate - we have more work to do in convincing our fellow citizens.

Another important point to note is that not all citizens' opinions are important to politicians.  A Rasmussen Poll found that only 32% of likely voters support a single payer system and 57% are opposed.  More people have got to start voting if we want single payer.

The tendency to use poll numbers as cudgels has led to a certain disregard for reality among activists.  This disregard results in very poor strategies for change.  We don't need to abolish the Senate in order to get a single payer system - what we need is to be doing more voter registration/turnout campaigns, and to do a bit more education about single payer systems.

Bread & Roses

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word

I'd be up for running numbers and looking at coverage that is offered-

-I'll work for change but I won't be part of overthrowing the government.

chad360

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Chad you Tool!

Preservin the Law, Preservin the Law. :)
»

Our Undemocratic Constitution

This is a topic I have become more interested in the last day. Two points: One is to point out FDR's Economic Bill of Rights, a very interesting document. Two is Sanford Levinson's book title, Our Undemocratic Constitution - which leads me to the rally cry, "Abolish the Senate!"

Peace,
Berd


»

Excellent Article by Marcia Angell

This article is available in various locations on the Internet:

Is the House Health Care "Reform" Better Than Nothing?

The House Health Care "Reform" may be worse than nothing at all, argues this former editor of the New England Journal of Medicine. And she doesn't even mention the anti-choice elements of the bill!

Is the House Health Care Bill Better than Nothing?

by Marcia Angell

Published on Monday, November 9, 2009

Well, the House health reform bill -- known to Republicans as the Government Takeover -- finally passed after one of Congress's longer, less enlightening debates. Two stalwarts of the single-payer movement split their votes; John Conyers voted for it; Dennis Kucinich against. Kucinich was right.

Conservative rhetoric notwithstanding, the House bill is not a "government takeover." I wish it were. Instead, it enshrines and subsidizes the "takeover" by the investor-owned insurance industry that occurred after the failure of the Clinton reform effort in 1994. To be sure, the bill has a few good provisions (expansion of Medicaid, for example), but they are marginal. It also provides for some regulation of the industry (no denial of coverage because of pre-existing conditions, for example), but since it doesn't regulate premiums, the industry can respond to any regulation that threatens its profits by simply raising its rates. The bill also does very little to curb the perverse incentives that lead doctors to over-treat the well-insured. And quite apart from its content, the bill is so complicated and convoluted that it would take a staggering apparatus to administer it and try to enforce its regulations.

What does the insurance industry get out of it? Tens of millions of new customers, courtesy of the mandate and taxpayer subsidies. And not just any kind of customer, but the youngest, healthiest customers -- those least likely to use their insurance. The bill permits insurers to charge twice as much for older people as for younger ones.

...

Is the House bill better than nothing? I don't think so. It simply throws more money into a dysfunctional and unsustainable system, with only a few improvements at the edges, and it augments the central role of the investor-owned insurance industry. The danger is that as costs continue to rise and coverage becomes less comprehensive, people will conclude that we've tried health reform and it didn't work. But the real problem will be that we didn't really try it. I would rather see us do nothing now, and have a better chance of trying again later and then doing it right.


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