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Dr. Quentin Young

Dr. Quentin Young

Posted: April 14, 2010 04:47 PM

No Time to 'Wait and See' on Health Law

What's Your Reaction:

Building the Single-Payer Movement

Having just gone through a grueling, frequently raucous debate on health reform, capped by the narrowest of votes to pass the Obama administration's bill, many activists are now tempted to adopt a "wait and see" attitude on how the new law plays out.

A few others are putting their emphasis on helping the administration implement the law, in some cases enthusiastically trumpeting their strange-bedfellow partnership with the profit-hungry health insurers and Big Pharma.

Still others - the hostile, noisy Know-Nothings associated with the Republicans and Tea Party crowd - continue to rail against President Obama's "socialized medicine" plan (a misnomer if there ever was one), and pledge to obstruct or overturn it. Conservatives vow to make political hay out of the law in the run-up to the midterm elections.

Wall Street, on the other hand, is very comfortable with the new legislation. Mutual fund analysts now say it's increasingly clear that the law is beneficial for health industry stocks, particularly for pharmaceutical and medical equipment companies, because there are no "onerous cost controls" in the law. And health insurance company stocks continue to a yearlong trend upward, and the industry's CEO salaries continue to be astronomical.

After all, the health insurers wrote the bill. Sen. Max Baucus was recently caught on tape heaping effusive praise on his aide Elizabeth Fowler for her pivotal role in crafting the legislation. Fowler is a former vice president of WellPoint, the giant health insurer.

Baucus himself, a key actor in this bad movie, was surrounded by health industry lobbyists from the very beginning, and has received over $2.8 million in campaign contributions from these toxic sources over the past few years. That he earned his payoff was demonstrated when Karen Ignagni, the president of America's Health Insurance Plans, congratulated him (during this week's episode of "Frontline") on his handling of the single-payer nonviolent disruption of his Senate Finance Committee hearing after single-payer advocates like Dr. Margaret Flowers were excluded from giving testimony.

Supporters of single-payer national health insurance face several challenges, the chief of which is how to transform the various efforts of single-payer Medicare-for-All activists into a movement for political and legislative success. Among the key tasks are these:

* Educating candidates for political office (and current officeholders) from all political parties about the merits of the single-payer proposal, and offering to advise them on health policy matters.

* Ensuring the reintroduction and largest possible legislative sponsorship for national single-payer bills like Rep. John Conyers' H.R. 676 and Sen. Bernie Sanders' S. 703.

* Supporting efforts (including a change in the new law) to permit states to experiment with their own, independent single-payer models of reform right away.

* Defending Medicare from harmful budget cuts and educating Medicare beneficiaries about their self-interest in improving and expanding the program to cover everyone, i.e. embracing the slogan, "Everybody in, nobody out."

* Continuing our educational work about the merits - nay, the necessity - of adopting a single-payer system. The sooner we initiate a truly universal, egalitarian, humane and efficient system, the sooner the American people will enjoy the high-quality health care our nation and our health professionals are capable of providing.

A major burden the enactment of the new law imposes on single-payer advocates is its timeline. Specifically, major elements in the legislation do not kick in for two, four or even eight years' time.

But "wait and see" is not an option for us. The legislation just passed is completely inadequate to the task at hand.

Under the new law, the suffering and financial hardship imposed on Americans by our private-insurance-based system will largely continue unabated for four more years, and only then be subject to very modest regulation. (Loopholes in the law abound.) Over 50 million people will remain uninsured each year until 2014, which translates into 50,000 preventable deaths annually. A comparable number will remain underinsured, with many vulnerable to medical bankruptcy when serious illness strikes, even after 2014.

Even if the new law works as planned, at least 23 million people will remain uninsured at 2019. So "universal health care" remains a dream deferred.

That spells human misery. This week a new Harvard-based study showed that people with migraine who lack health insurance, or who are on Medicaid, disproportionately suffer from their condition because they can't get access to the standard medications they need to reduce their pain and other symptoms. And that's just one example of the unnecessary suffering that lies in wait.

Meanwhile costs, including for health insurance premiums, will continue to escalate.

The unrelenting advocacy of single payer by Physicians for a National Health Program also stems from a careful study of repeatedly unsuccessful experiments with state-based reforms based on private insurance, including the Massachusetts plan (upon which the new law is modeled). The evidence is clear: incremental reforms of this type - based on the private-insurance model - will not work. They invariably succumb to skyrocketing costs.

Single-payer Medicare for All is the reform that's required. Just like almost all other major areas of progress in American life, fundamental health reform requires a movement based on equity, justice, prudence and science that is free of market greed. That movement today is single payer.

 
 
 
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08:39 AM on 04/21/2010
As I implied in my last post, those who want an improved Medicare for All can best contribute with a positive mental attitude that focuses an the objective of informing individual Americans and inviting them to take positive action (http://www.mforall.org).

That attitude and set of actions will prepare Americans for the very positive change that is coming in our society. That positive change has already been experienced by some Americans, but those Americans live and work in other countries, not ours. They've written many testimonials about their experiences. They know how it is .... in the other countries, not ours.
http://www.mforall.org/pages/howitis

Yes, indeed, it is possible to focus on the positive and get the following results:
--- Get More, including More Freedoms.
--- Pay Less, including Fewer Hardships.
--- Reduce Government Programs.
--- Cover Everyone.
--- Recover & Add Businesses and Jobs.
--- Have Better Health via Better Access.

Something for everyone, even the Tea Party folks.

Bob the Health and Health Care Advocate
10:22 AM on 04/18/2010
I am very pleased to see Dr. Young's list of what he calls "key tasks" due to what is INCLUDED and what is EXCLUDED.

First, what is INCLUDED >>> education about the merits and necessity of establishing an improved Medicare for All via the best solution: single-payer health care.

Next, what is EXCLUDED: health insurance companies. Yeah, Dr. Young! We need to focus on what we want, not on what we don't want. A big question for Americans to consider is this: why do any of us spend even one minute advocating hate for insurance companies?

The numbers do speak for themselves, (as commenter Tompoe observed), so we have plenty of solid ground for spending time educating people and preparing them for a positive change to our society.

By the way, speaking of those health insurance companies, good people work for those insurance companies and will be given great support during the transition from the current complex way to pay for health care to our new simple way to pay for health care.

Know that we can and will have an improved Medicare for All. A Million Citizens: More Power Than Lobbyists. Let's move forward positively to what we want and need. Go to http://www.mforall.org.

- Bob Haiducek, Bob the Health and Health Care Advocate
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Rob Stone M.D.
04:23 PM on 04/17/2010
Dr Quentin Young is a national treasure. We should expand Medicare to cover everyone. Medicare isn't perfect, but with over 40 years experience with it, it is tried and true. Improving Medicare is a far cry easier than this 2000+ page behemoth bill and who knows what sorts of unintended consequences it will lead to. Or, for that matter, what intended but still hidden consequences will be uncovered, too late to change them.
Dr Young will be speaking on May 18 in Indianapolis, across the street from WellPoint/Anthem's corporate headquarters. For more on the latest shenanigans of that corporate behemoth, please see my recent HuffPosting "WellPoint/Anthem Shareholders Revolt!" http://www.huffingtonpost.com/rob-stone-md/wellpointanthem-sharehold_b_534099.html.
04:01 PM on 04/16/2010
I agree that there is no true substitute for the benefits of single-payer. I also agree that the recently-passed legislation is very flawed in many ways, particularly in its fundamental continued reliance on private health-insurance.

However, short of single-payer, and in preparation for it, there other possibilities that are worth considering, including the “Starr Plan”. Basically, it is:

1) Improve funding, reimbursement levels, and coverage standards for Medicaid.
2) Establish a designated tax to support this.
3) Open enrollment to everyone on a sliding fee scale basis, scaled by income level.

This would bring affordable health-insurance within reach of all; create a specific and predictable funding basis for it; bypass private insurance companies and all of their extra costs and problems; increase the political constituency and participant pool for Medicaid; improve benefits for present participants in the program; utilize an existing administrative and programmatic structure for delivering these services; and use the existing federal-state compromise on funding abortion services. Also, it would be a step towards single-payer, preparing people for that prospect.

Please consider supporting this. Thanks.
11:56 AM on 04/15/2010
Dr.,it seems to me that more and more Washington is trying to tell you Drs how to treat your patients.
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Spoons
03:15 PM on 04/15/2010
Why do so many American seniors say they "don't want government messing with our Medicare"? For the rest of us, health unsurance bureaucrats and their underlings dictate how doctors treat their patients (us), which more often than not is not very well at all. The more serous the illness and the smaller the employer, the worse the coverage.
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Spoons
03:21 PM on 04/15/2010
Why do so many American seniors say they "don't want government messing with our Medicare"? For the rest of us, health unsurance bureaucrats and their underlings dictate how doctors treat their patients, which often is not very well at all. The more serious the illness and the smaller the employer, the worse the coverage.
11:09 AM on 04/15/2010
So, who's going to arrange a CBO report on Single Payer? The numbers will speak for themselves. Who's going to argue with 36 nations that prove over and over again why Single Payer works? And, more importantly, who's going to force Obama to explain to Americans why he deliberately took Single Payer off the table?
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Spoons
03:18 PM on 04/15/2010
CBO only counts government spending and does not subtract private savings, so a CBO score for SP won't look as good as it should.
04:23 PM on 04/15/2010
Government spending translates easily to private savings. Example: Single Payer represents $800 less for tax refunds for most Americans. The numbers are so outrageous, Obama had to take Single Payer off the table, as not to risk total chaos in the streets. Which, of course, is exactly what we need at this point.
09:20 AM on 04/18/2010
Tompoe, what you suggest was completed via a report by the Government Accounting Office dated June 1991. Yes, the numbers speak for themselves, as per the conclusion of the report. Here is more information: http://www.medicareforall.org/pages/Economic_Studies
--- including the 1991 GAO report and others.

But that's just one example of many of our U.S. Congress to respond to the numbers.

The U.S. Congress failed many times to implement health care for all while the other countries implemented it decades ago. See the activities around the world, including the U.S. failures.
http://www.medicareforall.org/pages/World_View#worldactivity

- Bob Haiducek, Bob the Health and Health Care Advocate
- http://www.mforall.org
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darkstar528
07:26 AM on 04/15/2010
Access is great, but since they didn't address costs, it will stay unaffordable, but hey, they can say they made it accessible though!
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darkstar528
07:24 AM on 04/15/2010
>>>>After all, the health insurers wrote the bill. Sen. Max Baucus was recently caught on tape heaping effusive praise on his aide Elizabeth Fowler for her pivotal role in crafting the legislation. Fowler is a former vice president of WellPoint, the giant health insurer.

No wonder the insurance companies were so well taken care of...Now that we're letting bankers help draft the finance reform bill, I'm sure they'll be heavily punished as well...

We got so screwed on this deal, $1T in cost and NO reform...
12:46 AM on 04/15/2010
There are many valid reasons for a Single Payer a.k.a. Public Option. Yet surely Dr. Young realizes that this alone will not solve the healthcare fiscal crises. A single payer (with heavy govt. involvement) is not likely to control cost any better than the current single payer system for seniors (a.k.a. Medicare).

For nearly a decade Medicare has been trying to introduce a "Medicare fix" with no success. This is thanks to political pressure generated at the grassroots by doctors. In fact with Single Payer, any attempt to rein in medical costs will be more difficult that reining in the insolvent Social Security system.

Dr. Young's efforts would be better spent by helping his colleagues introduce "Best Practice Patterns" to eliminate the 40% of over-, under- and in-appropriate treatment in the current system.

Newsweek magazine March 15, 2010 has a good article (link below) by Sharon Begley on over-treatment - the why and how to get it under control. It is one of few articles in the general media quoting doctors on how to medically reform the healthcare system. More of such informed articles, holding all stakeholders in healthcare responsible to do their part, will help make REAL CHANGES in the climate and cost. Yet, the big challenge is how to and who will "bell the cat".

http://www.newsweek.com/id/234514
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Spoons
03:31 PM on 04/15/2010
Single Payer and Public Option are two entirely different things, and Single Payer would save at least $400-450 Billion yearly just on things like reduced CEO salaries, bureacratic overhead, marketing and advertising, underwriting, etc. The concept is called "eliminating unnecessary (greedy, immoral) middlemen and utilizing efficiencies of scale" (common business sense). Not until we are all united and covered under one not-for-profit public plan utilizing one set of non-discriminatory rules, will we have created the transparency we need first in order to begin to tackle the other problems you mention. The elephant in the room is the health unsurance industry. Follow the money and you will find tons (hundreds of Billions) of wasted health care dollars on its doorstep.
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LeftLeanWing
Ah.. I said..Ah Said I said... Proceed Guv'nah
09:18 PM on 04/14/2010
If there was no plan this estimate for 2019 is 65 Million..people sans health insurance.

29 million is not good but as a %ercentage.. it not a crisis either.
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TheBaffler
a long the riverrun
05:09 AM on 04/15/2010
29 million uninsured people isn't a crisis? Really? Quit apologizing for this half-baked, ineffectual plan.
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LeftLeanWing
Ah.. I said..Ah Said I said... Proceed Guv'nah
10:20 AM on 04/15/2010
Currently we have 37 million / 310 Million People uninsured.Now

By 2020, another -80 million people will likely be added to the U.S. population = 405 million.

37 / 310

29 / 390(estimate)

Of this 29 Million most would choose to pay the fine instead providing money to compensate for their non payment of care... some will pay out of pocket --- some folks are just Lost to the system ...

So Yes.... I stand by my statement....

The only thing that would cover ALL Americans is Single Payer... and that ain't happening.
08:31 PM on 04/14/2010
Dr.Young is so right. Now is the time to pressure Congress to act. Speaker Pelosi was counting votes for a future P.O. vote, and Sen. Reid has committed in writing for one. Kept as simple as a Medicare Buy-in with drug price negotiation/re-importation, we'd really have something to be proud of and thankful for.

1) Sen. Harry Reid promised a future public option vote to stop the Senate P.O. petition drive. http://www.huffingtonpost.com/2010/03/19/reid-promises-separate-pu_n_506272.html

2) Adopt either Sen. Bernie Sanders' Amendment 2837 or Rep. Alan Grayson's Medicare Buy-in bill H.R. 4789 in both houses. http://www.huffingtonpost.com/2010/03/19/grayson-pushes-public-opt_n_506052.html

3) Amend chosen bill to include Medicare drug price negotiation and drug re-importation.
Hundreds of billions in savings right there.

4) Whip both houses (get medieval), without media or W.H. consultation, to adopt and pass this in reconciliation.

A simple, explainable, Medicare Buy-in could co-opt the elder Tbag/GOP factions, re-engage independents and energize the depressed base, mabe enough to shift attention from the bad law just passed and swing the midterms. Prescription drug prices have got to be dealt with for sheer fiscal commonsense and solvency.

Please Contact:

Speaker Pelosi http://www.speaker.gov/contact/

Majority Leader Reid http://reid.senate.gov/contact/index.cfm

Change Campaign Committee http://boldprogressives.org/home They're actively pushing Grayson's MedicareBuyin.
09:24 AM on 04/15/2010
Dr Young is way off base. Most physicians, whether in private practice or academia, are opposed to government take over of health-care for the following reasons: reduction in quality of care, reduction in patient autonomy, reduction in innovation, prolonged wait times, two tiered health-care system (if you think it exists now, it will only get worse with Dr Young's ideas), rationing (already happens in the UK where no cancer patient can get Avastin), reduced standard of living in the US as we pay more in taxes to support the welfare state we will have less to purchase (see Denmark), and many other reasons.
Yes the AMA, representing less than 20% of all physicians, made a deal with the White House for two reasons: the get a fix to the Medicare SGR (sustainable growth rate) and tort reform. Have either happenned?

I'm an oncologist in private practice - for my bio, go to:
http://doctors-takecharge-healthcare-reform.blogspot.com/
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Spoons
04:28 PM on 04/15/2010
IF what you say is true, then most physicians do not understand that in a nutshell United Protection without discrimination (AKA Single Payer or Improved Medicare for All) would essentially transfer about $400-450 billion currently wasted health care dollars from covering the health unsurance industry's unnecessary bureaucratic overhead to covering medically necessary care for patients by medical care providers. That's how we pay for it, take it from the "Beast That IS the Problem".

And 20% of everyone in the private market in America has already been rationed to zero with wait times until after it's too late. We win all the Booby Prizes for both rationing and wait times, by FAR.
05:15 PM on 04/15/2010
Your link led to a lot of unintended reading, Doc. Thanks. Had to look up SGR and Fed Employees Health Benefits Program, which I always thought was the intended model of the exchanges. I know tort reform got a cursory "demonstration projects" nod in the new law. Should national caps be set? Would it pass legal muster? The scrapped House bill seemed to have addressed the SGR formula. Fixing it is on the docket; you're better informed than I on congressional action/inaction,* here. Another punt coming?

Powerful constituencies crafted the new law. No one favors the creation of new bureaucracies; as your blog states existing ones should cover functions of those being created. This is why I favor a Medicare buy-in:

Medicare infrastructure already exists. No new bureaucracy.

It should reimburse healthcare providers equitably, with incentives for quality over quantity. Providers should be the last to be squeezed. (I've no skin in this game, but 2 RN ex-wives.) Remove the insurance middleman.

Buy-in policies should be competitive with the private sector and preferably revenue positive to shore up Medicare's longterm solvency. Bringing in a younger cohort might do this?

Prescription drug price negotiation is a free-market no-brainer. Pharma got a lot of goodies in this law.

I realize any government expansion into your field may make your life more susceptible to political tides and governmental intrusion, but you needn't worry about a public option. *There probably won't be one.