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Wisconsin and Massachusetts Urge Federal Action on Health Care

Posted: 07/27/09 01:22 PM ET

Our country faces the best opportunity in decades to provide affordable, quality health care for all our citizens and contain spiraling costs. Our states serve as models for national reform. Building on some of the lessons we have learned, we need federal action now.

Massachusetts and Wisconsin have been innovation leaders in health care coverage. Both of our states have worked hard to address costs, and increase access and quality. That means that in Wisconsin, every child has access to health care coverage, as does 98 percent of the state. In Massachusetts, virtually all of our residents are currently insured.

We have seen how smart, modest investments can prevent more costly expenditures down the road. We have worked to expand coverage while at the same time saving money in the Medicaid program. We have promoted cost-effective, preventative, evidence-based care to drive out inefficiency. And we have achieved these gains in spite of unprecedented budget challenges, often by keeping the rate of health care cost increases far below national averages.

And while we are proud of our successes, we are deeply committed to seeing federal action that will move us further forward.

The case for change is clear. We have a health care system that costs our families and our businesses too much for what it delivers. Continually rising health care costs are hurting families working to make ends meet and businesses trying to compete and create jobs. And here's the rub: escalating costs are a national problem with or without expanded coverage. Everyone has a stake in health care reform.

Now is no time to shrink from the challenge or to let health reform fail again because of politics. Tough budget times are no excuse: both Wisconsin and Massachusetts are required by law to pass balanced budgets, and the economic crisis has meant we face the same kinds of enormous financial strains as the critics of reform. But health care reforms are themselves essential to improve our economy and the lives of working families. In fact, the current economic difficulty is reason to move forward. And political expedience is a poor answer to the need for change.

There is one other lesson we learned in the course of reforming health care in our states that is worth remembering in the midst of the current health reform debate: that a perfect solution and no solution were not our only choices. A broad coalition of health care providers, medical experts, business leaders, policy makers and advocates came together to develop our respective reforms, and stayed together to refine them as we moved forward. Because of that, residents of our states get better care at better rates.

President Obama and Congressional leaders are moving in the right direction, and the opportunity to reform health care is within reach. The rest of the nation should rally to their support.

 
 
 
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HUFFPOST SUPER USER
Timma
...paulatim crescam...
09:46 PM on 07/28/2009
Watch and see - If Obama doesn't get single payer or public option, health care reform will be owned politically by the Republicans. Democrats can say goodbye to the issue. Time is critical and Obama needs to dig in with all he has if he's going to leave any legacy besides being the first African American president.
05:45 PM on 07/29/2009
That's because Obama cannot see past Nancy Pelosi's skirt on the issue of single payer.
We can, and should be able to achieve single payer the way many other nations have done it: make it be a competitive contract. A competitive contract, offered by the government to any bidders, be they a single company, like Blue Cross Blue Shield, an agency, like Social Security Administration, or partnerships that could even involve both private firms and government agencies.
The contract would be awarded for lowest operating cost, period. Health insurance is not brain surgery. It is moving money from the left hand to the right (collecting from subscribers and disbursing to providers). But the President cannot see beyond the ideological, and neither can the Republicans. Single payer is not socialized medicine. It is simply the most efficient way to run the insurance part of our health care system.
07:04 PM on 07/28/2009
Would someone tell President Obama that a "pain pill" is not an effective treatment for cardiac arrythmia ? A pacemaker would be the correct intervention if you want the person to survive.
11:35 PM on 07/28/2009
Ah. 'If.'
06:59 PM on 07/28/2009
i THINK THE U.S. NEEDS A SINGLE PAYER HEALTH PLAN ADMINISTERED TOTALLY BY THE GOVERNMENT. PRIVATE INSURANCE COMPANIES ARE MAKING MONEY LIKE CRAZY AND IS A GREAT PART OF THE COSTS. CONGRESS IS NOT ACTING BECAUSE THEY ALSO GET MONEY FROM THE INSURANCE COMPANIES. FROM WHAT I READ, EVERY INDUSTRIAL COUNTRY THAT HAS A SIMILAR HEALTH PLAN LIKE SINGLE PAYER IS DOING VERY WELL. EVERY PERSON IS COVERED AND THEIR COSTS ARE MUCH LESS THAN OURS WITH THE PRIVATE INSURANCE COMPANIES. PROCESSING CLAIM BY SO MANY DIFFERENT COMPANIES IS A NIGHTMARE AND PEOPLE DON'T KNOW THEY ARE NOT COVERED UNTIL THEY FILE A CLAIM. THE DEMOCRATIC CAUCUS HAS TO STOP THEIR NONSENSE AND PROPOSE A SINGLE PAYER PLAN ADMINISTERED BY THE GOVERNMENT - NOT PRIVATE INSURANCE COMPANIES.
06:57 PM on 07/28/2009
They have both figured out how expensive it is and would dearly love having someone else pick up the tab asap.
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HUFFPOST SUPER USER
gabemill
11:02 AM on 07/29/2009
What tab? Did you read that they balanced their own budgets?
Isn't there a nice tea party somewhere that you could be attending?
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HUFFPOST COMMUNITY MODERATOR
IzzyCA
05:50 PM on 07/28/2009
Contact the White House, so you can tell President Obama to veto any bill that doesn't contain the public option:

* 1600 Pennsylvania Ave NW
Washington, DC 20500-0004
* Phone Numbers
Comments: 202-456-1111
Switchboard: 202-456-1414
FAX: 202-456-2461

TTY/TDD
Comments: 202-456-6213

Email form: http://www.whitehouse.gov/CONTACT/
05:49 PM on 07/28/2009
No reform would be better than the convoluted mess being proposed by the President.



Here is a better way to go.

Real reform that would serve every individual asking for public care with totally free care and medications, funded by a national sales tax, distributed through government owned and operated hospitals and clinics, and would relieve businesses of all health care obligations, financial, record keeping, everything eliminated, would be healthy for everyone and the greatest national economic stimulus ever.

A new dual choice system, you choose, either public, or private if you like what you have keep it, would save the government hundreds of billions annually distributing all government funded services through public facilities, and government savings would be even larger compared to spending called for in the new proposed reform boondoggles.

All government mandated programs could be distributed through government hospitals at a fraction of the costs spent now by taxpayers to private systems.
10:00 PM on 07/28/2009
It already IS a convoluted mess...spaghetti code with no comments
This user has chosen to opt out of the Badges program
06:05 PM on 07/29/2009
Those damn GOTOs.
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HUFFPOST SUPER USER
Donnie4488
11:42 PM on 07/28/2009
I like your style,Billl.
05:13 PM on 07/28/2009
I have called the office of EACH Blue Dog Democrat on the House Energy & Commerce Committee regarding healthcare. My comment: "I would like to encourage Congress person _(name)_, in the most emphatic of terms, to support a healthcare plan WITH a public option. This issue is so important, that I will personally commit funds to defeat any Democratic Congressperson who impedes this effort.”

Zack Space (OH-18) (202) 225-6265 Staffer will pass it on.
Mike Ross (AR-04) (202) 225-3772 Mailbox full. Can't leave message.
Charlie Melancon (LA-03) (202) 225-4031 Staffer will pass it on.
James Matheson (UT-02) (202) 225-3011 Phone hangs up on answering. This is how he serves?
Jane Harman (CA-36) (202) 225-8220 Staffer says congresswoman is committed to a public option "so she is right there with you".
Baron Hill (IN-09) (202) 225-5315 Staffer will pass it on.
Bart Gordon (TN-06) (202) 225-4231 Staffer will pass it on.
John Barrow (GA-12) (202) 225-2823 Paraphrasing: "Congressman Barrow is NOT opposed to a public option, he just wants to make sure it doesn't wreak havoc in the private sector." Me: "Congress has been working on this for 75 years. I have friends who are staying married, living apart, instead of divorcing, because one person's health coverage depends upon the other. It's time to do something now! Staffer: " The Congressman is working with the President to see that something gets done."
04:17 PM on 07/28/2009
Ahem! If MA offers a model on health insurance, slap some butter on me and call me a buiscuit!

The MA options is one of the most repressive, asinine, discriminatory and burdensome policies of all times. How can fining people who can't afford to buy health insurance because they don't have the money be the solution to the problem? Oh, surely, I can see how the insurance companies must love that because it gives them a captive audience, whether they like it or not but for the people...well, not so much!
HUFFPOST SUPER USER
devildog21
"War is a Racket" -Smedley D. Butler MajGen USMC
03:38 PM on 07/28/2009
In fairness to the governors and their state's respective efforts at providing health care, there is simply no way any state could possibly fund something like this without federal assistance. I will say this much, at least they tried.
05:39 PM on 07/28/2009
How can it be that no single state can do it, even the rich ones, but when you add the poor ones in, somehow it's affordable? My math is a little rusty.
10:02 PM on 07/28/2009
WI does it by expanding Medicaid..it is called BadgerCare...and it does get federal money.
07:44 AM on 07/29/2009
PS: WI has wicked high taxes
03:33 PM on 07/28/2009
If we want a real health plan for everyone we must act. The senate and congress will give in, are giving in, to the demands of insurance and drug industries.
For the two days following Labor Day (September 8 and 9) join a nationwide strike to demand a public health plan.
This comes from a concerned citizen. There is no organization, group or special interest promoting this. You don’t need to protest or parade – just stay home. Don’t shop, don’t go to work unless you are police, firefighter or medical worker. Close the schools, large pharmacies, grocery stores and department stories. Avoid gas stations, movies, restaurant chains, etc. If you must get a staple go to a small local store. Let’s let our representative and big business know we have had it!
Please take the risk. It will work.
Pass this on…
TED GUHL
New Britain, CT
03:33 PM on 07/28/2009
"in Wisconsin, every child has access to health care coverage"

Forget the beer and cheese. Now that's something to be proud of. There is no reason we shouldn't be able to replace the word 'Wisconsin" with the words "The United States of America". One role of government is to keep us safe. How can our citizens be safe without proper healthcare?
05:38 PM on 07/28/2009
"Citizen" was never mentioned. Only "every child".
10:02 PM on 07/28/2009
you would be correct
02:44 PM on 07/29/2009
I didn't say it was. It was a separate question. One that, apparently, you can't or won't answer.
03:31 PM on 07/28/2009
Another voice from Massachusetts. All of the critics are right and I as a small business owner add another: the medical insurance premiums are indeed rising ridiculously, to the point where those employees who take advantage of our plan have not gotten raises, since the company's contribution to the premium well exceeds any raise I could give them! So they have actually gotten a pay CUT: they earn the same wages, and pay more in premiums for their share. Dumb Huh? I took myself off the company's plan when t his all started to keep the census low, since I am older and raised the premiums. Stupid, but there it is. This year, our premiums went up 27%. and last year they were 15% higher than the year before. So, MA is losing tax revenue from reduced wages, essentially, employees have less money to spend, while the insurance companies are just pleased as punch.
06:52 PM on 07/28/2009
You've summed up the whole problem very well. It's mind-boggling that premiums can keep going higher and higher, and no one has done anything to stop it. I was very optimistic last November, but I fear the insurance companies will still be the ones coming out on top, even if there is "reform". Why is this getting so complicated? It shouldn't be this hard. It shouldn't be, but when it's all about money we don't stand a chance.
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HUFFPOST SUPER USER
CTC123
03:18 PM on 07/28/2009
Consider the Connection to:
A Plug'in for Health Care Reform 2009
Please plug'in (search):
Consumers Union United States
Health Care Profiteers & Lobbyists
www.aft.org/fight4america
www.WeWantThePublicOption
CTC123GREEN
HUFFPOST SUPER USER
devildog21
"War is a Racket" -Smedley D. Butler MajGen USMC
02:35 PM on 07/28/2009
This issue has nothing to do with the nation's support, it has everything to do with a corrupt form of government that allows insurance companys and big pharma to bribe our representatives out of doing the right thing.

You should try sending this letter to Max Baucus and the rest of the corporate puppets gentlemen; although I'm sure it will have the same effect as the letters they've already received...not a damn thing.
justobserve
Not left nor right or center. Just a free thinker!
12:09 PM on 07/28/2009
Do they have the choice of a public option there? For me, only a public option is suitable for me because I don't want to pay for the private insurer's profit. Period! Whatever the argument about costs of the government-run, the equation is clear to me: take out the profit and the costs have to be cheaper for the government-run. If the congressmen and women are OK with their government-paid health care insurance, it's fine to other people too. We got to have public option for people like me to choose. If there is no choice, the mandatory insurance is just that: you give the private insurers the monopoly.
12:46 PM on 07/28/2009
You do know that Congress members will not be on the same plan as you right?
12:51 PM on 07/28/2009
The government actually pays a private insurance company to cover Fed employees they don't handle it themselves. Why do you think that is?