[Peace-discuss] [OccupyCU] [CentralILJwJ] Fw: [CCDS Members] Quote of the Day
Michael Weissman
mbwmbwmbw at gmail.com
Mon Jul 2 17:19:01 UTC 2012
Pat- Thanks for the very constructive thoughts.
On Mon, Jul 2, 2012 at 4:12 PM, <pat.simpson at comcast.net> wrote:
> Brothers and Sisters,
>
>
> At the risk of sounding hopelessly mambi-pambi, let me suggest that the
> two different perspectives being offered here may actually be reconciled by
> way of addressing the question: “Where do we go from here?” Both sides
> in this email debate want to achieve a single-payer system. One side is
> a bit more optimistic about ACA, regarding it as a stepping stone in the
> path to single payer. The other is much more pessimistic (okay, David J.
> is very pessimistic), but certainly they would be supportive of all serious
> efforts to move the country towards single-payer.
>
>
>
> As John Nichols argues (see his article below), currently the most viable
> approach towards implementing single-payer is at the state level. Both
> Vermont and Montana have applied for waivers from ACA in order to implement
> single-payer systems in their states. Waivers are required because
> single-payer approaches are not included among ACA’s identified delivery
> systems and approaches – and it is, of course, a solid bet that the
> insurance companies are going to lobby to prevent such waivers from being
> granted. Alternately, if waivers can be granted and if the Federal
> “matching” dollars that ACA offers can be channeled into these programs,
> then in a very real sense ACA does become a platform for advancing
> single-payer. Beyond this kind of a scenario – a kind of sneaking
> single-payer in at the state level through the back door of ACA – I am not
> hearing much by way of practical strategies for achieving single-payer in
> the current political context. But others may have more info in this
> regard.
>
>
>
> But to increase the probability that waivers can be granted and that
> federal funds can be tapped in the face of insurance industry power
> requires mobilization. This means both sides of this email debate have
> to work together in the very near term to identify and advance an agenda in
> support of state experiments in single-payer. What that agenda might be
> for residents in our area is obviously yet to be identified. What is
> even more obvious, however, is the harm done by questioning the progressive
> credentials of long-time social justice activists over what amounts to
> differences in tactical positions. These charges take a toll. They also
> make it even harder to move forward together in future.
>
>
> Solidarity,
>
>
> Pat Simpson
>
>
>
>
>
>
>
>
> There have been few steadier Congressional hands throughout he debate over
> healthcare reform than that of Vermont Senator Bernie Sanders<http://www.sanders.senate.gov/>.
> Principled in his support for the real reform of “Medicare for All,” yet
> pragmatic in his advocacy for Affordable Care Act provisions that expand
> public health programs and allow states to experiment with single-payer
> options, Sanders has been in the thick of every fight over President
> Obama’s signature reform. And the ensuing legislative and legal battles
> over its implementation.
>
> What Sanders says about Thursday’s Supreme Court decision upholding the
> ACA provides important insights for progressives as they respond to a
> complex decision that, in the words of the National Nurses United union,<http://www.nationalnursesunited.org/>“should not be seen as the end of the efforts by health care activists for
> a permanent fix of our broken health-care system.”
>
> So what does Sanders say?
>
> On the ruling, his line is upbeat<http://www.sanders.senate.gov/newsroom/news/?id=8beaca2a-ede7-4add-97ca-18865c0eb0c3>
> :
>
> Today is a good day for millions of Americans who have pre-existing
> conditions who can no longer be rejected by insurance companies. It is a
> good day for families with children under 26 who can keep their children on
> their health insurance policies. It is a good day for women who can no
> longer be charged far higher premiums than men.
>
> It is a good day for 30 million uninsured Americans who will have access
> to healthcare. It is a good day for seniors who will continue to see their
> prescription drug costs go down as the so-called doughnut hole goes away.
> It is a good day for small businesses who simply cannot continue to afford
> the escalating costs of providing insurance for their employees. It is a
> good day for 20 million Americans who will soon be able to find access to
> community health centers.
>
> But that does not mean that Sanders is satisfied.
>
> “In my view, while the Affordable Care Act is an important step in the
> right direction and I am glad that the Supreme Court upheld it, we
> ultimately need to do better,” the independent senator says. “If we are
> serious about providing high-quality, affordable healthcare as a right, not
> a privilege, the real solution to America’s health care crisis is a
> Medicare-for-all, single-payer system. Until then, we will remain the only
> major nation that does not provide health care for every man, woman and
> child as a right of citizenship.”
>
> Sanders’s Vermont is taking the lead in seeking to implement a
> state-level single-payer system<http://www.burlingtonfreepress.com/article/20120627/NEWS/306270017/Supreme-Court-decision-not-expected-derail-Vermont-s-single-payer-experiment?odyssey=tab%7Ctopnews%7Ctext%7CFRONTPAGE>—much
> as Canadian provinces too the lead in the 1940s and 1950s in developing who
> would eventually be that country’s national healthcare system. The court’s
> ruling won’t slow that push down, and it could actually speed it up, as
> attention focuses on fights over state-run Medicaid programs. Sanders says,
> “I hope our state will be a model to show the rest of the nation how to
> provide better care at less cost to more people.”
>
> Agreed. Amid the celebration of the Supreme Court ruling by those who did
> not want to go backward, there is a need for a firm focus on going forward.
> “Stepping up the fight for Medicare for All is even more critical in the
> midst of the still persistent economic crisis,” notes National Nurses
> United co-president Deborah Burger, RN, who noted that nurses have seen
> deep declines in health status among patients suffered the loss of jobs,
> homes and insurance coverage.
>
> NNU notes that
> <http://www.nationalnursesunited.org/blog/entry/lets-get-healthcare-reform-right-with-medicare-for-all/>“the
> Affordable Care Act still leaves some 27 million people without health
> coverage, does little to constrain rising out of pocket health care costs,
> or to stop the all too routine denials of needed medical care by insurance
> companies because they don’t want to pay for it.”
>
> It is for that reason that NNU co-president Jean Ross, RN, echoes Sanders:
> “The continuing fiscal crisis at all levels of government and the anemic
> economic recovery remind us that rising healthcare costs and shifting costs
> to workers burden our society, cause much of these fiscal problems, and
> limit the opportunities for working people. Only real cost control through
> a national health program can solve this crisis. Improved Medicare meets
> that challenge.”
>
> “Medicare is far more effective than the broken private system in
> controlling costs and the waste that goes to insurance paperwork and
> profits, and it is universally popular, even among those who bitterly
> opposed the Obama law,” adds NNU co-president Karen Higgins, RN. “Let’s
> open it up to everyone, no one should have to wait to be 65 to be
> guaranteed healthcare.”
>
> That’s correct.
>
> The Supreme Court’s ruling can be celebrated on some levels, as Sanders
> well notes.
>
> But the senator and his allies in the struggle for the real reform of
> Medicare for All speak a profound truth when they say, “We ultimately need
> to do better.… the real solution to America’s health care crisis is a
> Medicare-for-all, single-payer system.”
>
> Related Topics: Congress <http://www.thenation.com/section/congress> |
> Government <http://www.thenation.com/section/government> | Healthcare
> Policy <http://www.thenation.com/section/healthcare-policy> | Health<http://www.thenation.com/section/health>|
> States <http://www.thenation.com/section/states> | Politics<http://www.thenation.com/section/politics>
>
> -
> - |
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> - Text Size A | A | A
>
> Vermont’s Road to Single Payer: Waivers, Waivers and More Waivers<http://fdlaction.firedoglake.com/2011/05/26/vermonts-road-to-single-payer-waivers-waivers-and-more-waivers/>
>
> By: Jon Walker <http://fdlaction.firedoglake.com/author/jon-walker/>Thursday May 26, 2011 10:22 am
>
>
> Tweet<http://fdlaction.firedoglake.com/2011/05/26/vermonts-road-to-single-payer-waivers-waivers-and-more-waivers/>
> 40
>
>
> <http://digg.com/submit?phase=2&url=http://fdl.me/jitINX&title=Vermont%27s+Road+to+Single+Payer%3A+Waivers%2C+Waivers+and+More+Waivers><http://www.stumbleupon.com/submit?url=http://fdl.me/jitINX&title=Vermont%27s+Road+to+Single+Payer%3A+Waivers%2C+Waivers+and+More+Waivers>
> <http://fdlaction.firedoglake.com/?p=18259&akst_action=share-this>
>
> *Tell HHS Secretary Sebelius:
> Help Vermont Achieve
> Affordable Healthcare for All
> <http://action.firedoglake.com/page/s/vermont_waivers?source=widget>*
>
> Sign our petition telling Kathleen Sebelius to give VT all the flexibility
> it needs to improve its health care system.
>
> *» Read the whole letter<http://action.firedoglake.com/page/s/vermont_waivers?source=web&subsource=postWIDGET>
> *
>
> Today Vermont Governor Peter Shumlin signed a truly historic law<http://news.consumerreports.org/health/2011/05/vermont-establishes-road-map-for-single-payer-health-care.html>that will put Vermont on the path towards being the first state in America
> with a progressive and unified health care system.
>
> The goal of the Vermont law is to integrate all the pieces of America’s
> byzantine health insurance system into one system overseen by the state,
> and to achieve the benefits of single payer. This universal, publicly
> financed system will be called Green Mountain Care.
>
> While the law puts Vermont on the path to achieving this goal, there are
> still some major hurdles. By 2013 the state will need to decide on revenue
> sources to pay for some parts of it. An integral part of addressing the
> funding issue will be the need for multiple waivers from several federal
> laws that will allow the state to fold the administration and funding of
> federal insurance programs into Green Mountain Care.
>
> Some of the potential waivers include:
>
> - Medicaid waiver
> - SCHIP waiver
> - Waiver to locally manage traditional Medicare
> - Medicare Part D waiver to include seniors in single drug formulary
> for the state
> - Waiver from some workers compensation laws
> - Waivers for multiple provision of the Affordable Care Act
>
> The more favorable terms of the the waivers, the better Vermont will be
> able to fund the program and increase efficiency by streamlining the system
> in the state.
>
> While waivers from many of the provisions of the ACA need congressional
> approval, others are at the discretion of the Department of Health and
> Human Services. HHS has been granting waivers freely to corporations
> like McDonalds<http://my.firedoglake.com/kevinzeese/2011/03/21/one-year-anniversary-the-incredible-shrinking-obama-health-care-law/>that want to offer worse coverage to their employees than the ACA mandates.
> They’ve also been granting waivers to states seeking lower medical loss
> ratios<http://www.delawareonline.com/article/20110526/BUSINESS/105260325/Delaware-seeks-health-care-law-waiver>,
> which basically allows them to offer junk insurance on the exchanges.
>
> Under current law, it’s not possible to get waivers from the exchange/tax
> credit provisions of the Affordable Care Act until 2017 unless the Congress
> passes the Wyden-Brown “Empowering States to Innovate Act<http://fdlaction.firedoglake.com/2010/11/18/wyden-brown-head-bipartisan-effort-to-move-up-start-date-for-state-health-plan-innovation/>.”
> This will likely be what delays Vermont from fully realize its goal until
> 2017. But the other federal waivers are equally if not more important to
> the plan’s success.
>
> For example, Medicaid and Medicare cover roughly 35 percent of people in
> the state, while the individual exchange created by the ACA will likely
> only cover about 5 percent. Since the goal of the Vermont plan is to
> produce greater efficiency by centralizing, standardizing, and simplify the
> administration of the health care system, the more people that can be
> brought into the new unified Green Mountain Care plan,the better it will
> function. If HHS does not grant those waivers, it will leave a third of
> the state outside the plan and it will serious hamper its effectiveness.
>
> Getting waivers from HHS is going to be an important part of any state
> plan to implement their own system. And President Obama has already
> expressed his support<http://pnhpcalifornia.org/2011/02/obama-backs-moving-up-state-health-care-waiver-to-2014/>for allowing states to begin receiving waivers from the ACA in 2014 rather
> than waiting until 2017. That’s why FDL is joining with PNHP to ask HHS
> Secretary Kathleen Sebelius to commit to granting Vermont the waivers it
> needs to make Green Mountain Care the best program it can possibly be for
> the people of Vermont.
>
> *You can sign the petition here.<http://action.firedoglake.com/VThealthcare>
> *
>
> 25 Comments<http://fdlaction.firedoglake.com/2011/05/26/vermonts-road-to-single-payer-waivers-waivers-and-more-waivers/#comments>
>
>
>
>
> ------------------------------
> *From: *"Claudia Lennhoff" <claudia at shout.net>
> *To: *"Gene Vanderport" <lightport at sbcglobal.net>
> *Cc: *"JWJ C-U" <centralILJwJ at yahoogroups.com>, "Dave Powers" <
> pengdust at aol.com>, "Neil Parthun" <lennybrucefan at gmail.com>, "sf-core" <
> sf-core at yahoogroups.com>, "Colm Mistéil" <colmmisteil at gmail.com>,
> "Claudia Lennhoff" <claudia at shout.net>, "Ricky Baldwin" <
> baldwinricky at yahoo.com>, occupycu at lists.chambana.net, "stefen robinson" <
> stefenrobinson at yahoo.com>, "Peace-discuss" <
> peace-discuss at lists.chambana.net>, "William Bloomington Campbell" <
> bill at campbellkording.com>, "Bill Gorrell" <laborer at mchsi.com>
>
> *Sent: *Sunday, July 1, 2012 10:04:49 PM
> *Subject: *Re: [OccupyCU] [CentralILJwJ] Fw: [CCDS Members] Quote of the
> Day
>
>
> Dear All,
>
> Gene, I agree with you.
>
> For what it's worth, I believe that you can be both a single payer
> supporter/activist, and someone who ALSO sees how the health reform law
> will benefit millions of people, AND how it will help pave the way for
> universal health care and even single payer in our country (both through
> the content of the law, and also through the community organizing
> possibilities implementation of health reform presents).
>
> Saying that the ACA will benefit people in real ways does not mean you
> should lose your single-payer supporter/activist credentials. It just
> means that you realistically understand that millions of people in our
> country, and thousands in our cities and county locally, WILL have their
> lives improved by having access to insurance and therefore to health care.
>
> I see people's lives and health improve every single day when they
> qualify for health insurance -- whether it's Medicaid or Medicare
> (socialized health insurance) or whether it's a private for-profit plan
> such as Health Alliance, by virtue of gaining coverage through a new job.
>
> Illinois' own great programs (that have now been slashed in the budget
> butchery), FamilyCare and All Kids, offered both public and private
> health coverage (private was subsidized), and those programs DID help
> thousands of people, the same way that the ACA will. I didn't see the
> single-payer activists (and I am one) up in arms about those programs
> when IL created and implemented them. I saw first hand how those
> programs improved the lives of parents and their children.
>
> Also, I work closely with the activists and advocates in Mass. who
> played a big role in getting that program up and going (and many of them
> are single-payer activists), and I personally know quite a few residents
> of Mass. who have benefited from the health coverage they got because of
> that state's program. Those benefits are real and do improve people's
> lives.
>
> Is the ACA the way I would have designed universal health care for the
> United States? No, of course not. I would have designed universal health
> care as a single payer system -- a modification and expansion of
> Medicare (Medicare for All!).
>
> However, it is important to note that even Medicare relies on private
> health insurance companies. There is no big central Medicare office
> where Medicare processes all of its health insurance claims. That
> processing of Part A, Part B, etc. claims takes place through private
> health insurance companies that bid for, and get the federal government
> contracts for processing claims in the various regions of the country.
> So, even with the hallowed Medicare program, there IS a role for private
> health insurance companies within that program.
>
> That's a bit of a digression.
>
> Despite my critiques and disappointments with the health reform law
> (namely that it so heavily benefits and depends upon private health
> insurance companies, and continues to commodify health care and health
> insurance and retain the profit motive in those), I DO believe that the
> law DOES and WILL provide very important benefits to the people of our
> nation, and the people in our community.
>
> It's not helpful to just say that the ACA is bad, just because it's not
> single-payer. In fact, understanding the ACA inside and out, in a real
> way, helps us advocates see the opportunities for pushing for
> single-payer, or pushing for non-profit insurance opportunities which
> could be transformative for our health care system.
>
> Here are some facts about the health reform law:
>
> 1. More people WILL be insured because of this bill.
>
> 2. More people ARE ALREADY insured because of this bill -- for example:
>
> - adult children (up to age 26) who have been able to get on to their
> parents' health insurance;
>
> - children who insurance companies could no longer deny coverage for
> pre-existing conditions;
>
> - people who got to keep their health insurance when they got diagnosed
> with a serious illness because health insurance companies are now
> prohibited from rescinding coverage;
>
> - people who can not get insurance coverage through the states'
> pre-existing conditions health insurance plans for the "uninsurable"
> (Illinois' plan is at: http://insurance.illinois.gov/ipxp/)
>
> 3. Health insurance coverage will expand tremendously in 2014 for
> millions of previously uninsured individuals. Some will get health
> insurance through Medicaid (when categorical eligibility will be done
> away with, and people will qualify solely on the basis of their income
> -- for example, single, non-disabled adults will be able to qualify).
> Others will get private health insurance, and many will get that private
> health insurance subsidized so that it will be affordable for them. The
> subsidy will be a sliding scale subsidy available to folks who have
> incomes of up to 400% of the federal poverty level.
>
> Here is a link to the health insurance premium subsidy calculator:
> http://healthreform.kff.org/SubsidyCalculator.aspx
>
> 4. Non-profit health insurance CO-OPs (encouraged and supported under
> the ACA), have tremendous potential to transform the health care system
> and health care markets, to move them away from the dominance of
> profit-driven systems
> (see this opinion piece by Wendell Potter:
>
> http://njtoday.net/2012/05/29/opinion-could-nonprofit-health-insurance-plans-be-the-real-reformers/
> )
>
> Lastly, as a community organizer, I want to say that being knowledgeable
> of the ACA and helping people enroll in insurance, provides a foundation
> for future organizing and for building support for single-payer health
> care.
>
> If you continually tell people that the ACA is a piece of crap and that
> they are being hoodwinked even as they live the new benefits they've
> gotten, how much credibility will you have? Versus, how much credibility
> will you have when you say, "this is good, but there's an even better
> way, and you can help..."
>
> The Supreme Court decision was a tremendous victory. Gene is right -- it
> is a step in the right direction (an awkward, complicated, lurching
> step, but still a step), and we must use it.
>
> Those are my 2 cents (times 1,000). I won't respond to this thread of
> e-mails; just wanted to weigh in, as someone who works on this day in
> and day out and has been fighting for single-payer and universal health
> care for lots and lots of years.
>
> Sincerely,
> Claudia Lennhoff, Executive Director
> Champaign County Health Care Consumers
>
>
>
> On 7/1/12 7:28 PM, Gene Vanderport wrote:
> > More people are insured b'c of this bill than there were insured without
> > it. It is a step in the right direction, if we use it so.......
> >
> > ------------------------------------------------------------------------
> > *From:* David Johnson <dlj725 at hughes.net>
> > *To:* Gene Vanderport <lightport at sbcglobal.net>
> > *Cc:* sf-core <sf-core at yahoogroups.com>; Peace-discuss
> > <peace-discuss at lists.chambana.net>; occupycu at lists.chambana.net; JWJ C-U
> > <centralILJwJ at yahoogroups.com>; William Bloomington Campbell
> > <bill at campbellkording.com>; Bill Gorrell <laborer at mchsi.com>; Colm
> > Mistéil <colmmisteil at gmail.com>; Dave Powers <pengdust at aol.com>; david
> > johnson <dlj725 at hughes.net>; Jim Eyman <banjogramps at gmail.com>; Neil
> > Parthun <lennybrucefan at gmail.com>; Ricky Baldwin
> > <baldwinricky at yahoo.com>; stefen robinson <stefenrobinson at yahoo.com>
> > *Sent:* Sun, July 1, 2012 7:24:18 PM
> > *Subject:* Re: [CentralILJwJ] Fw: [CCDS Members] Quote of the Day
> >
> > *I respect Michael Moore but this statement from him is DELUSIONAL !*
> > **
> > *" Obama moving the ball down the court ", " a victory for the people "
> ?*
> > *What planet is he living on ?*
> > **
> > *This is NOT the reality of most Working people in this counrty !*
> > **
> > *Read my previous post from Doctors for National Healthcare.*
> > **
> > *It is easy for Michael Moore, a millionaire, to make such a superfical
> > statement to defend Obama and the DNC, which he has obviously bought
> into.*
> > **
> > *This phoney Obama healthcare bill does NOTHING to further the cause of
> > national healthcare for all, in fact in protects and entrenches the
> > private capitalist health insurance industry and the Pharmacetucial
> > industry, and will make working people WORSE OFF , with less money and
> > no and / or inadequate health insurance and it will make OUR work, that
> > is those who are TRUELY " Socialists " and " Progressives" more
> > difficult !*
> > *Which side are YOU TRUELY on ?*
> > *Working people or the corporate contolled democratic party ?*
> > *David Johnson*
> > *'*
> > ----- Original Message -----
> >
> > *From:* Gene Vanderport <mailto:lightport at sbcglobal.net>
> > *To:* central il jwj <mailto:CentralILJwJ at yahoogroups.com>
> > *Cc:* Socialist Forum <mailto:sf-core at yahoogroups.com> ; ISO
> > Champaign <mailto:iso.champaign at gmail.com> ; Central IL Wobs
> > <mailto:cigmb at iww.org> ; occupycu-bounces at lists.chambana.net
> > <mailto:occupycu-bounces at lists.chambana.net> ; Occupy Champaign
> > Urbana <mailto:occupy.cu at gmail.com>
> > *Sent:* Sunday, July 01, 2012 6:29 PM
> > *Subject:* [CentralILJwJ] Fw: [CCDS Members] Quote of the Day
> >
> >
> > Plese check out the quote below........from Michael Moore......
> > Germaine
> > ----- Forwarded Message ----
> > *From:* "cbloice at comcast.net <mailto:cbloice at comcast.net>"
> > <cbloice at comcast.net <mailto:cbloice at comcast.net>>
> > *To:* CCDS - Members <Members at lists.cc-ds.org
> > <mailto:Members at lists.cc-ds.org>>
> > *Sent:* Sun, July 1, 2012 2:58:33 PM
> > *Subject:* [CCDS Members] Quote of the Day
> >
> > Quote of the Day
> > July 1, 2012
> >
> > 'So take some time tonight to celebrate; this is a
> > victory for the people. Actually, more than a victory,
> > it is a mandate that all of us must now make sure
> > that a second-term Obama continues to move the
> > ball down the field, toward a system like they have
> > in every other First World country on the planet. He
> > simply has to improve Medicare and then expand it
> > to every citizen in the country. The countries that do
> > this, their people live an average of two to four years
> > longer than we do. Is there a reason anyone doesn't
> > want an extra four years of their lives? Or that our
> > babies would have a better chance of surviving their
> > first year like they do in the 48 countries that have a
> > better infant mortality rate than we do? Exactly who
> > is opposed to this? You'd have to be a bit.crazy. '
> >
> > Filmmaker/Activist Michael Moore
> > June 28, 2012
> >
> > http://tinyurl.com/ckuylaw
> >
> >
> ------------------------------------------------------------------------
> >
> > _______________________________________________
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> >
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> >
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> ***********************************************
> Claudia Lennhoff, Executive Director
> Champaign County Health Care Consumers (CCHCC)
> 44 E. Main Street, Suite 208
> Champaign, IL 61820
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> Phone: 217/352-6533, ext. 6501
> Fax: 217/352-9745
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Michael Weissman
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