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Marcy Winograd

Marcy Winograd

Posted: July 1, 2009 04:26 PM

Single-Payers Crashing the Gates


One of the many frustrations for advocates of single-payer health care is the relentless drive to marginalize us, not only by conservatives but also by members of our own party.

Case in point: the accounting arm of Congress, the Congressional Budget Office, has yet to perform a financial analysis of the cost of implementing single payer, a system whereby taxpayers--businesses and individuals--pay into a single general fund which covers everyone's health care for the rest of their lives, regardless of job or health status. Studies in California and Colorado have shown that a single payer system would save money for businesses, families, and government by eliminating private insurance overhead and creating enormous purchasing power that would drive down the costs of care.

I wanted to know why we don't have federal government cost projections for single payer, so I called the Congressional Budget Office -- and reached an answering machine.

Two days later, Melissa Merson, the Communications Director with the CBO, called me back and left a polite message, explaining that the CBO takes its orders from Congress, specifically the leadership, (House Speaker and Senate Majority Leader), as well as the chairs of various committees:

Finance (H-Barney Frank, D. Massachusetts; S-Max Baucus, D. Montana)
Health, Education, and Labor (S-Ted Kennedy, D. Massachusetts)
Budget (H-John Spratt, D. South Carolina; S-Kent Conrad, D. North Dakota)
Appropriations (H-David Obey, D. Wisconsin; S-Daniel Inouye, D. Hawaii)
Ways and Means (H-Charles Rangel, D. New York)
Energy and Commerce (H-Waxman, D. Los Angeles)

"We are fully aware there are members of the public who would like us to provide a cost estimate of single-payer," said Merson, "but we are inundated with requests from committees of jurisdiction. The priorities are set for us by the Congress."

Now, single-payer activists, rallying behind Progressive Democrats of America and the California Nurses Association, are demanding the congressional leadership request a CBO analysis of single-payer. Not projecting the costs is another way to marginalize the growing single-payer movement.

On the other hand, we do know the cost projections for the current proposal, the Affordable Choices Act, a hybrid concoction of private insurance and the so-called "public option" which funnels $2 billions into private for-profit insurance companies. In a June 15th letter to Senator Kennedy, the primary sponsor of this legislative effort, Douglas Elmendorf, the Director of the Congressional Budget Office, estimated the proposal would result in a trillion-dollar federal deficit over a ten year period. And that amount could only be offset by increased taxes, payment penalties for the uninsured, and cuts in Medicaid--hardly the way toward health care for all.

Instead of taxpayer money paying for actual health care under the public option, most of it, according to the CBO letter, would pay insurance companies to pay for health care. To make matters worse, this subsidy to the insurance industry requires dramatic cuts in Medicare, a program that should be expanded, not curtailed.

But here's the real kicker. At the end of the decade, in 2019, under a private insurance/public option proposal, 36,000,000 Americans, as opposed to the current 45,000,000, would still be uninsured, according to the CBO. Because the draft legislation includes an "individual responsibility" clause, anyone who couldn't afford to pay for coverage could face steep fines. Much like mandated drivers' insurance, this system would be a boon to private insurers reaping the benefits of the new law requiring everyone to get health coverage.

On top of that there would be more marginalization. Cancer patients who couldn't get private insurance coverage on their own would be pushed onto the public rolls, thereby saddling taxpayers with having to subsidize insurance policies for the seriously ill. In time, the public option, weighed down by this tax burden and unable to fully exercise bulk purchasing power, would collapse amidst a fiery congressional storm over the cost of the public option, thus legitimizing arguments that publicly-funded health care is a failed idea.

Which begs the question, why is the health insurance industry pushing back if the public option would be such a bonanza? Is it because the insurance industry is scared of the unknown or is it because the industry would prefer to narrow the debate to two choices: the public option or business as usual? I would argue the industry's biggest fear is a frank and open discussion about the merits of single payer -- a system that would put health insurers out of business. Hence, the insurance industry, in Academy-award winning style, paints the public option as the false boogie man and bores in for the kill -- the death of anything public.

HCAN (Health Care for America Now) television commercials pitching the public option urge Americans to embrace this hybrid solution--a moderate, reasoned approach--because others "would like the government to take over health care." We know who those marginalized "others" are -- the single payer advocates who can tell a snow job when they see one.

For those hoping the "public option" will be a vehicle for getting single payer, Health and Human Services Secretary Kathleen Sebelius recently set us straight.

From National Public Radio:

Asked if the administration's program will be drafted specifically to prevent it from evolving into a single-payer plan, Sebelius says, "I think that's very much the case and again if you want anybody to convince people of that, talk to the single-payer proponents who are furious that the single-payer idea is not part of the discussion."


Fox News, the Republican Party, and the insurance industry charge the public option is an attempt to "socialize" health care.

Please.

Last time I checked we had publicly funded the fire department, police department, national parks, libraries, universities and the highways of America. Though the government pays the bills for these services, fire departments are still free to purchase equipment made by private vendors; libraries purchase books from for-profit publishing houses. The same would be true under a single-payer system, which though funded by taxpayers would allow for individual choice: choose any doctor, hospital, lab, or clinic you wish. Ironically, a free market approach in the delivery of health care.

So, let us not adopt the Republican Party's talking points to marginalize the oracles; instead, we must marginalize those who make a killing off of health care.

If politicians in Washington pass a bill that precludes single-payer on the federal level, so be it. If those same lawmakers, however, pass a bill that preempts the states from forming their own single payer systems or multi-state single-payer consortiums, then we're in real trouble.

But we are not defeated. Losing patience with the congressional run-around, single-payer advocates are not just getting arrested in Washington, but also planning in-your-face actions in their districts. "Wear your hospital gown and bring your gurney" protests in front of the Los Angeles office of Congressman Henry Waxman are planned for July 11th. Waxman, chair of the House Energy and Commerce Committee, was a previous co-sponsor of HR 676, Conyers' bill for single-payer, but has since reneged. A few weeks ago Waxman steadfastly refused to hold hearings on single-payer, but that changed when Conyers called out Waxman publicly and single-payer activists crashed Waxman's Health Care for America Now (HCAN) forum at UCLA on the public option. Since then, Waxman's Energy and Commerce's Subcommittee on Health held hearings (click on "Hearings" tab, Day II, Part II), with single-payer advocates, such as Congressman Conyers and representatives from Harvard Medical School and the Physicians for a National Health Program, testifying for a more comprehensive overhaul.

Politics, of course, is the art of compromise. So I call on Congressman Waxman--my former representative, Congresswoman Harman--my current representative and the one I am challenging in 2010, and Congressman Conyers--the sponsor of HR676, to join forces to introduce a new health care bill that immediately enrolls every American in Medicare while allowing for those who prefer private insurance to opt out, pay their taxes, and cough up the added cost of boutique health care if they so choose.

One of the main reasons I am running for Congress is to get single payer health care for all Americans. To push for it, I am running prime-time cable ads round-the-clock on CNN and MSNBC, including spots on Olbermann's Countdown and the Rachel Maddow show, challenging my opponent, long-time incumbent Jane Harman (D-CA), to sign on to Congressman John Conyers' bill, HR 676, for single-payer.

Perhaps someone else, another primary candidate, will issue the same challenge in a different race, so that together, through district-targeted cable ads, we can amplify the message to not only put single-payer on the table, but to make it the main course.

Marcy Winograd is a 2010 congressional candidate running to unseat Jane Harman in southern California's 36th district, a 30-mile stretch that spans West Los Angeles to the harbor. Winograd is currently airing commercials on CNN and MSNBC that challenge Harman to sign on to Congressman Conyers' bill for single-payer health care. For more on the campaign, visit www.winograd4congress.com or Marcy Winograd for Congress on Facebook.


 
 
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09:12 AM on 07/27/2009
Just heard a story (from our traveling teacher/storyteller friend from Tinian) about Chinese medicine, back to about 3000-4000BC; the village doctor got paid as long as you were well. It was a tiny stipend, from everybody in the village. When you got sick, your payment stopped until you were well again.

Does that strike you as an *incentive*?
03:45 PM on 07/11/2009
Thank you Marcy for your article and your work to gain decent healthcare for all. This week on the JOURNAL, Bill Moyers spoke with Wendell Potter, a former health insurance executive who left the industry to become an advocate for health care reform. Potter discussed the industry’s history of denying care to members and its extensive efforts to prevent the federal government from creating a “public option” for health insurance to compete with private plans.
The PBS website will post the full show soon at: http://www.pbs.org/moyers . Between this interview and Michael Moore's "Sicko", I feel the insurance industry has operated in a criminal fashion.
05:53 PM on 07/07/2009
It boggles my mind that there has not yet been a study to evaluate the comparative cost of single payer health care vs public healthcare. OF COURSE IT WILL BE CHEAPER!!! There is no deep pocketed insurance company to pay! OF COURSE THEY WILL BE AGAINST IT! It essentially puts them out of business. Good riddance, and here here for single payer!
I have lived in England, France and Sweden, and have used their health coverage. I can assure you that it is far superior to what we have here.
12:42 PM on 07/07/2009
Thanks, Marcy. If only all of Congress was this insightful, this articulate--and this courageous. Heck, if just the Democratic Rep's had those qualities...

Hopefully, your tenure in Congress will provide an example of what the Rep. for a Democratic district should truly be.
12:41 PM on 07/07/2009
Clearly, private health insurance is an expensive experiment that has failed. To get the health care we average Americans need, we should require all members of Congress to give up their publicly provided coverage -- particularly those members who describe public health care as "socialism." We should require them to get coverage on the private market. Let's see how many of these old folks with pre-existing conditions can even get covered, and if so, at what price. If they don't abuse the process by exchanging influence for coverage, then I'd bet we'd see a public plan implemented within weeks.
12:33 PM on 07/07/2009
This is a great article and it addresses the fact that Congress continues to go along business as usual being influenced by lobbyists/special interest groups instead of the American people! They need move forward on the single payer option with the first step being to request a single-payer financial analysis/cost projection from the Congressional Budget Office. Let's get this ball rolling!!! Hello Mr Waxman and all of you committee leaders!!! Can you spell S-I-N-G-L-E P-A-Y-E-R????? Make it happen!!!
11:43 PM on 07/05/2009
Great post, Marcy.

All I can add is an anecdotal aside to your comment ...

'...instead, we must marginalize those who make a killing off of health care.'

By 'those' I would assume you mean the big insurance companies, like Aetna and United.

Insurance companies make the largest single amounts but most American medicine is delivered by individual and small group practices that, aggregated, make more profits from health care than even the insurers.

As a private practice health care provider myself, I see duplication, over-utilization, self-referral and plain of waste that adds costs daily.

30-40% of costs in these settings is estimated to be 'fat' that can be cut from the system without compromising health outcomes, without rationing and without increasing taxes. (Gawande, The Cost Conundrum, June 2009).

The current administration is loathe to change a system that works well for most of the people who participate - thus single payer is seen as a solution that 'breaks' the current system.

If the public option in the Affordable Choices Act passes in 2009 then Obama will need a second term to finish the job (ie: purchasing power reforms).

Tim
timrichpt@physicaltherapydiagnosis.com
www.physicaltherapydiagnosis.com
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bluevistas
01:39 PM on 07/05/2009
Marcy,

Right on! I sent you a little money. I wish you were my Rep. I think you are so correct in your analysis. I wish you well in your Congressional race. I'll send more money as I can. Thank you for your voice and actions. We are with you in the struggle to get single payer.

I'm uninsured and a healthcare practitioner! Sad. and scary....
06:55 PM on 07/02/2009
There should be a separate tax category, just like Social Security that is deducted from paychecks and matched by employers that would pay for the public option. That's how it would be paid for. And private insurance would have no part in it.
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kimk3
02:32 PM on 07/02/2009
Good post. It's always good to lay out the facts clearly on this issue. Thom Hartmann said today on his show that, according to someone I forget who, the right wing, per their Right Wing Radio Masters, are calling the White House 10-1. So we gotta keep calling more than they do!
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JustBNice
make friends with everyone
02:06 PM on 07/02/2009
Great work Marcy, I hope you can get yourself on NATIONAL CABLE TV SHOWS somehow. Your efforts and ideas need to be heard !

I call and email my Senators and Representative daily and pass on some comments I read here. They are more eloquent than I could ever be.

We need a BIG MARCH on DC ! I'm 60 , never been in one yet, but I'm ready. It needs to be soon.
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Marcy Winograd
02:48 PM on 07/02/2009
You are 60 years young and I expect you to be at the front of the march,
waving the placard that reads, "Health Care for People, Not for Profit!"
I'll look for you, JustBNice. Best wishes, Marcy
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Cunningham
I intend to live forever, or die trying. GrouchoM
12:35 PM on 07/02/2009
"President Obama and our leaders in Congress believe in universal health care. If they could flip a switch and make it a reality, they probably would."

I think you're engaging in wishful thinking. Actions speak louder than words. Single-payer has been blocked by our president and congressional "leaders". When "everyone" was brought to the table, single-payer advocates didn't even get a seat at the children's table.
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Marcy Winograd
02:51 PM on 07/02/2009
Dear Fan of Cunningham,

I understand your skepticism, as change -- real systemic change -- often seems impossible to implement. We must always remember, however, that our history is the history of ground-breaking grassroots change, from the abolitionist movement to the suffrage movement to the civil rights movement. Never give up, never surrender, onward! Marcy
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ThePeoplesKey
Writer/General Disreputable Rogue
09:03 AM on 07/02/2009
The only solution to health care in the US is to adopt a single payer universal plan paid for by taxes.

One risk pool, everybody in, nobody out, everyone pays something (including seniors), pharmaceutical companies outlawed from charging US citizens more for medicine than they charge in other country's markets.

Further, everything required to administrate such a program is already in place and for the most part already working successfully. (Medicare) The only thing required that I see is to reverse the changes made by the republitards (Specifically, part D) and to include prescriptions at a reasonable co-pay.

Some simple math: If 261,800,000 out of 308,000,000 people currently have insurance at a cost on average of $7,500.00 per year, that's $1,963,500,000,000.00 currently available to fund a single payer plan. That's not money currently being spent on health care services. No, that's just for insurance premiums! In Canada, their citizens are currently spending approximately $720.00 per year. If we add in the uninsured at that premium amount we'd realize a savings on insurance premiums alone of a whopping $1,739,892,000,000.00!

That's trillion with a "T" folks.

The money saved could be used to actually purchase health care services. (Or increase wages for the middle class)

Simple. Problem solved. No negotiation with the health care industry required. No bipartisanship required.

Private insurance companies could then get into banking to continue to scam the general public and maintain their exorbitant salaries, dividends, profit margin, and 30% administrative costs.
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Marcy Winograd
02:53 PM on 07/02/2009
Thanks for the math analysis. We need you in the Congressional Budget Office, but
more importantly we need you on the Hill, walking those numbers into the offices
of committee chairs, then over to the White House. With numbers like those, who
can argue with single-payer? I mean besides the health insurance industry. Hmm ...
Keep calculating. Best wishes, Marcy
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ThePeoplesKey
Writer/General Disreputable Rogue
05:56 PM on 07/02/2009
Thanks. I've been out actually working for a while and just got back. Now that I see the post I realize the figures aren't exactly right. If I remember correctly, I think the $7,500.00 figure is for a family of four. Therefore I should have divided it by four before doing my calculations. Canada uses a per person figure of between $55.00 - $70.00 per month so that's easy.

Still if I just take the per person savings and divide by four that's still $434,973,000,000.00 in savings. Enough for a pretty capable peace time defense budget anyway.

So . . . That's still . . . Billion with a "B" folks!

And that ain't chump change around these parts . . .
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Linda Milazzo
Participatory Journalist, Educator
01:53 AM on 07/02/2009
Thank you, Marcy, for this hopeful, cogent and brilliantly stated post. You're correct on all counts - especially on your insistence that the CBO perform a cost analysis on single payer. The fact that this has not been done is derelict. The Legislative and Executive branches are sacrificing the health and personal finances of millions across this nation as they pay homage to private insurers who fill their campaigns with profits gained from human loss.

Just moments ago I learned my Congressman, PUBLIC SERVANT Henry Waxman, is resting comfortably in Cedars Sinai Hospital where he's undergoing tests after fainting. As with all who fall ill, I hope the Congressman recovers quickly. I also hope Mr. Waxman considers what it would be like if he were amongst the millions of uninsured and considers extending his same quality healthcare to every American through a single payer system. Healthcare, after all, is OUR RIGHT as much as his.

One more thing, Marcy, thank you for running against blue-dog Jane Harman. Our Congress needs heroes like you!
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Marcy Winograd
02:57 PM on 07/02/2009
Linda, thank you for your encouragement and support -- and for your many excellent
blog posts on the war crimes of the Bush administration. I appreciate your
cheers on the campaign trail -- one that promises to be replete with grassroots
activism. We have over 400 precincts to staff in a year, so we're off and running.
Best always, Marcy Winograd Winograd4Congress.com
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captaincrawley
If Canada is socialist, then so am I.
12:15 AM on 07/02/2009
"Two days later, Melissa Merson, the Communications Director with the CBO, called me back and left a polite message, explaining that the CBO takes its orders from Congress..."

And congress takes its order from the corporations through their mouthpieces (lobbyists).

Think we'll ever see a single-payer system in America in your lifetime?

More likely to see "euthanasia machines" for the chronically ill....
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Marcy Winograd
03:00 PM on 07/02/2009
Actually, I do think I'll see a single-payer system in my lifetime -- and, hey, I'm not
20 or even 30. Okay, 50ish. We may see single-payer in the states first, then
the federal level. In California, we're just waiting for Governor Schwarzenegger to
go back to Hollywood and then we can elect a Democrat who believes in health care
for all. In the meantime, let's make sure the politicians in Washington don't cut
backroom deals that pre-empt the states. Best wishes, Marcy Winograd4Congress.com