[Peace-discuss] Illinois World Labor Hour this week

Tue Jul 3 18:35:53 UTC 2012

Hello all. 

This week's Illinois World Labor Hour on WEFT 90.1 FM (11 to noon) will honor Woody Guthrie on the upcoming 100th anniversary of his birth by featuring songs written by the great master himself. Special guest artist will be John Elder, known locally for his great acoustic guitar work. 

Tune in if you can. 

Pat Simpson 

----- Original Message -----
From: "Colan Holmes" <colanholmes at gmail.com> 
To: "Michael Weissman" <mbwmbwmbw at gmail.com> 
Cc: "pat simpson" <pat.simpson at comcast.net>, "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: Monday, July 2, 2012 12:42:04 PM 
Subject: Re: [OccupyCU] [CentralILJwJ] Fw: [CCDS Members] Quote of the Day 

Pat, 

Articles like the one you linked to are exactly what I am looking for in moving forward constructively. If anyone has links to articles which utilize the ACA to squeeze the private insurance industry, please forward them to me. 

I have been toying with the idea that we might fight to include Medicare as an option in the health exchanges, but am not sure how widely held such an idea is held (if it is "widely held" at all). 

I would greatly appreciate the opportunity to discuss this more and gather as much factual information as possible. 

Live long and prosper (lol), 
Chandler 

On Mon, Jul 2, 2012 at 12:19 PM, Michael Weissman < mbwmbwmbw at gmail.com > wrote: 

Pat- Thanks for the very constructive thoughts. 

On Mon, Jul 2, 2012 at 4:12 PM, < pat.simpson at comcast.net > wrote: 

<blockquote>

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 . 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, “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 : 

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 —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 “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 | Government | Healthcare Policy | Health | States | Politics 

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	Vermont’s Road to Single Payer: Waivers, Waivers and More Waivers 

By: Jon Walker Thursday May 26, 2011 10:22 am 	

Tweet 40 

Tell HHS Secretary Sebelius: 
Help Vermont Achieve 
Affordable Healthcare for All 

Sign our petition telling Kathleen Sebelius to give VT all the flexibility it needs to improve its health care system. 

» Read the whole letter 

Today Vermont Governor Peter Shumlin signed a truly historic law 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 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 , 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 .” 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 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. 

25 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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-- 
*********************************************** 
Claudia Lennhoff, Executive Director 
Champaign County Health Care Consumers (CCHCC) 
44 E. Main Street, Suite 208 
Champaign, IL 61820 

Phone: 217/352-6533, ext. 6501 
Fax: 217/352-9745 
E-Mail: claudia at shout.net 

Web: http://www.healthcareconsumers.org 
*********************************************** 

_______________________________________________ 
OccupyCU mailing list 
OccupyCU at lists.chambana.net 
http://lists.chambana.net/mailman/listinfo/occupycu 

_______________________________________________ 
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OccupyCU at lists.chambana.net 
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-- 
Michael Weissman 

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</blockquote>

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