Saturday, September 26, 2009

Medicare for All: Yes We Can


Published on Saturday, September 26, 2009 by CommonDreams.org

Medicare for All: Yes We Can

by Holly Sklar

More Americans die of lack of health insurance than terrorism, homicide, drunk driving and HIV combined.

Grandma could be dead from lack of health insurance before she turns 65 and gets Medicare - 80 percent of first-time grandparents are in their 40s and 50s.

America is the only country that rations the right to health care to those 65 and older.

Lack of health insurance kills 45,000 American adults a year, according to a new study published in the American Journal of Public Health. One out of three Americans under age 65 had no private or public health insurance for some or all of 2007-2008.

You can't go the emergency room for the screening that will catch cancer or heart disease early, or ongoing treatment to manage chronic kidney disease or asthma. And even emergency care is different for the insured and uninsured. Studies show uninsured car crash victims receive less care in the hospital, for example.

Even with health insurance, many Americans are a medical crisis away from bankruptcy. Research shows 62 percent of all bankruptcies in 2007 were medical, a share up 50 percent since 2001. Most of the medically bankrupt had health insurance - the kind insuring profits, not health care.

Health insurance executives don't worry about going bankrupt from getting sick. Forbes reports that CIGNA's CEO made $121 million in the last five years and Humana's CEO made $57 million.

We're harmed by health industry and political leaders following the Hypocritic Oath: Promise a lot, and deliver as little as possible.

Wendell Potter, CIGNA's chief of corporate communications until quitting in 2008, testified to Congress, "The status quo for most Americans is that health insurance bureaucrats stand between them and their doctors right now, and maximizing profit is the mandate." He said, "Every time you hear about the shortcomings of what they call 'government-run' health care, remember this: what we have now ... and what the insurers are determined to keep in place, is Wall Street-run health care."

Premiums for employer-sponsored family health insurance jumped 131 percent between 1999 and 2009 - from $5,791 to $13,375 - hurting businesses, employees and families.

Contrary to myth, the United States does not have the world's best health care. We're No. 1 in health care spending, but No. 50 in life expectancy, just before Albania, according to the CIA World Factbook. In Japan, people live four years longer than Americans. Canadians live three years longer. Forty-three countries have better infant mortality rates.

One or two health insurance companies dominate most metropolitan areas in the United States.

Health industry lobbyists and campaign contributors have gotten between you and your congressperson so they can keep getting between you and your doctor. There are 3,098 health sector lobbyists swarming Capitol Hill - nearly six for every member of Congress.

As Business Week put it in August, "Health insurers are winning." They "have succeeded in redefining the terms of the reform debate to such a degree that no matter what specifics emerge in the voluminous bill Congress may send to President Obama this fall, the insurance industry will emerge more profitable."

President Obama should listen to his doctor. Dr. David Scheiner was Obama's doctor for 22 years in Chicago. On the July 30 anniversary of Medicare, Scheiner said, "I have never encountered an instance where Medicare has prevented proper medical care ... Insurance companies frequently interfere and block appropriate care."

Scheiner belongs to Physicians for a National Health Program, which, like a majority of Americans, favors Medicare for All - 58 percent favored "Having a national health plan in which all Americans would get their insurance through an expanded, universal form of Medicare-for-all" in the July 2009 Kaiser Health Tracking Poll, for example.

Tell President Obama and Congress, Yes we can have Medicare for All. Rep. Anthony Weiner's amendment would substitute the text of the Expanded and Improved Medicare for All Act (HR 676), which has 86 co-sponsors, for House legislation HR 3200. Like the even worse Baucus bill in the Senate, HR 3200 would feed for-profit insurers more customers without providing the universal health care Medicare could provide at much lower cost.

It's time to stop peddling health reform snake oil.

Medicare for All won't kill Grandma, but it may save her children and grandchildren.

Distributed by McClatchy-Tribune News Service

Holly Sklar is co-author of "Raise the Floor: Wages and Policies That Work for All of Us" and "A Just Minimum Wage: Good for Workers, Business and Our Future." She can be reached at hsklar@aol.com.

Wednesday, September 2, 2009

Single-payer Everywhere! To members of Progressive Democrats of America


Conor Boylan September 2 at 12:20am Reply
Leaders in the movement for the only real solution for health care reform—Medicare for All—met in the Medina, Ohio, at the home of PDA member, supporter, and always gracious host, Dave Kelley for strategy sessions and a panel discussion on August 23-24.

Joining members of the PDA national team at the weekend gathering were Rep. Dennis Kucinich, community organizer and legislative advocate Donna Smith of the California Nurses Association, Healthcare-Now’s assistant national coordinator and “Baucus 8” arrestee Katie Robbins, and the tireless executive director of HealthCare4AllPA, Chuck Pennacchio. Dozens of members of Single-Payer Action Network of Ohio (SPAN Ohio) also attended the weekend events, along with Midwest PDA leadership, to organize future plans. Read the full report here


And, there are more events coming up in which PDA national team members will be particpating--please try to attend:

On September 12, Tim Carpenter will be a panelist at the Fighting Bob Fest VIII. https://www.thedatabank.com/dpg/309/mtgdetail.asp?formid=meet&caleventid=15426

On October 20, join us at the Single-Payer Rally in Harrisburg, Penn.https://www.thedatabank.com/dpg/309/personalopt1.asp?formid=meet&c=9799962

Keep an eye out for the Mad as Hell Doctors Care-a-Van coming to a city near you. https://madashelldoctorstour.com/Our_Route.html

We're in constant communication with our friends at California Nurses Association, Healthcare NOW!, Physicians for a National Health Program and the member groups of the Leadership Conference on Guaranteed Healthcare as we follow the healthcare reform debate, and the progress of the Kucinich and Weiner amendments. We'll keep you informed!


In solidarity,

Tim Carpenter, National Director,
Laura Bonham, Deputy Director,
Conor Boylan, Field Coordinator.

Wednesday, August 26, 2009

Upgrading the Way We Do Politics


Upgrading the Way We Do Politics

by Sandy Heierbacher

Town hall meetings being held on health care legislation across the country are exploding with emotion, frustration, and conflict. Citizens are showing up in throngs to speak out, and sometimes to shout, about health care—turning the meetings into a vivid demonstration of what's missing from American democracy.

Many of the most vocal protesters at town hall meetings are motivated not by the legislation itself, but by their fears and sense of exclusion from the process. The health care debate has illustrated the need for a better method of public input–not only to help prevent those feelings of alienation, but also to produce legislation that actually meets the needs of citizens.

At the National Coalition for Dialogue and Deliberation (NCDD), our members are involved in a flurry of discussion about how we can encourage public engagement that’s more participatory and more productive than what we’ve seen in the news lately.

Scrap the typical “town hall meeting” format

"The term 'town hall' conjures up images of townsfolk gathering in some New England hamlet, writes deliberative democracy scholar Jim Fishkin. But today's typical "town hall meetings" don't live up to that tradition. They don't allow citizens to feel they've been truly heard, or to discuss issues in any depth. Like public hearings, town hall meetings tend to largely be gripe sessions, where the most passionate and bold attendees take turns giving three-minute speeches—usually after enduring long speeches from the front of the room.

Arkansas Senator Blanche Lincoln, one of the members of Congress who did not plan a large town hall meeting during the recess, has suggested that the raucous nature of the town-hall-style sessions has made them counterproductive. “If people genuinely wanted to have a constructive conversation, then that would be a different thing,” she said. “But that has not been what we’ve seen.”

She's right on one count: the town hall design sets the stage for activist groups and special interest groups to try to 'game' the system and sideline other concerned citizens in the process. As Martin Carcasson, director of Colorado State University’s Center for Public Deliberation, recently pointed out, “the loudest voices are the ones that get heard, and typically the majority voices in the middle don't even show up because it becomes a shouting match.”

False accusations and misinformation have certainly played a role in fueling the furor, but they might not be as effective if people hadn’t already felt cut off from the process. As Tom Atlee, founder of the Co-Intelligence Institute noted, many of the recent town meetings were originally organized to promote the Democratic health care agenda, not to provide opportunities for real dialogue with and among citizens. “So in a sense they invited disruption from those who felt unheard,” he said. And when a person or group feels ignored, their frustration often shows up later “with increasing and often dysfunctional energy.”

Upgrade to higher-quality meeting formats

So how can officials hold more effective open-to-the-public meetings with their constituents? Dozens of effective public engagement techniques have been developed to enable citizens to have authentic, civil, productive discussions at public meetings—even on highly contentious issues. These techniques have names like National Issues Forums, Study Circles, 21st Century Town Meetings, Open Space Technology, and World Cafe, to name just a few.

When done well, these techniques create the space for real dialogue, so everyone who shows up can tell their story and share their perspective on the topic at hand. Dialogue builds trust and enables people to be open to listening to perspectives that are very different from their own. Deliberation is often key to public engagement work as well, enabling people to discuss the consequences, costs, and trade-offs of various policy options, and to work through the emotions that tough public decisions raise.

Skilled facilitation is key to almost all forms of dialogue and deliberation. Alexander Moll, who is facilitating a health care deliberation using the National Issues Forums method in Washington, D.C. later this month, describes his role this way: “My job is to elicit the best ideas from each of you, regardless of ideology... I do not ask 'leading' or 'loaded' questions that bias the conversations; instead I'll ask questions like, 'Why do you believe this to be true?' or 'Can you explain your position further?’” Skilled facilitators know how to translate conflict and anger into specific interests, needs and concerns so that what's behind the emotion can actually be understood and addressed.

“Ground rules” or “agreements” are also par for the course in dialogue and deliberation. Typical agreements establish a kind of golden rule for everyone present, asking people to treat each other as they would want to be treated. By refraining from interrupting each other and by listening with the intent to understand rather than to seek points to argue with (two typical ground rules), participants are more likely to be heard and to hear each other.

To involve a broader representation of the public, events should be publicized widely and thoughtfully enough so a variety of people attend (not just the usual suspects). Furthermore, it’s helpful to organize participants into smaller groups (fewer than 10 at a table is ideal) to ensure each person gets the chance to speak and to make it less likely that one individual or interest group will dominate the whole meeting.

No matter what technique is used, legislators can help all attendees feel heard by diligently recording what citizens say, and being clear about how they plan to use the information gathered (perhaps to share with other constituents or with fellow legislators). Another proven strategy is to “reflect back” the concerns, values, and desires they are hearing. Ideally, public officials join in the dialogue as participants, after which they can publicly reflect on some of the things they've heard. The more thorough and authentic they are in doing this, the more impact it will have on those attending.

Reflecting back, using ground rules, working with facilitators, and having people engage with each other in small groups are all basic but critical elements of quality public engagement. To allow people to deliberate, or wrestle with the complexities of the issue, some important work must also be completed before the public meeting. Balanced information must be provided about the issue at hand, and a fairly-framed spectrum of possible policy choices can be put on the table for attendees to discuss.

Perhaps most importantly, the legislator hosting the meeting must genuinely be open to learning from what his or her constituents think should be done to address the issue at hand. One major barrier to putting these ideas to play right now is that public input should be requested—and heeded—much earlier in the policy-making process. Now that there are draft bills floating around, citizens (rightly) would not trust that their nuanced input would have much impact on what happens in Washington. At this point in the policy process, loud voices and outrageous accusations actually are more likely to impact health care policy—but not necessarily in a productive way.

Atlee observed that “when people are only invited to participate when there is a final battle between (for example) Republican and Democratic proposals for health care, this fact alone invites polarization. When an issue is in crisis mode, it is easier to manipulate people with fear and extreme language and imagery; there is less time to get information and issues clarified; there is less patience on all sides to delve into the actual complexities; and nonpartisans get the sense they are being sold false alternatives.”

One NCDD member recommended asking two legislators from different parties to co-host deliberative events on contentious issues like health care reform. Many citizens on the right distrust politicians on the left—and vice versa. A joint deliberative forum held early in the decision-making process can help build trust beyond party lines, and help legislators get a sense of what their constituents are willing and unwilling to support, and why.

It is also vital to find ways for attendees to wrestle with the trade-offs inherent in all complex policy issues. As President Obama said at a town hall meeting in Grand Junction, Colorado, “there is no perfect, painless silver bullet out there that solves every problem, gives everybody perfect health care for free. There isn't.” Americans need to discuss the trade-offs involved (in the proposals as well as the current system) with each other and with policy-makers, to clarify the values that are embodied in different approaches to health care reform, and to identify the needs that are most important to them. Legislators need to trust us enough to listen.

Most Americans feel strongly that the voice of the people should have an influence on public policy and that the right to speak up and dissent is anything but “un-American.” A recent joint statement by several leading organizations in the field of participatory democracy noted that “beyond simply having a voice, people should have a chance to be informed, to hear each other, to work through tough decisions with each other and their elected officials, and to use democratic processes to figure out how to solve the problems that face us.”

Though it may not seem like it when we watch clips from health care town halls, the truth is that people can come together to have a positive impact on national policy, not only in spite of our differences, but because we can use those differences to make better decisions. It is my hope that what may have seemed like a utopian ideal a few weeks ago—democratic debate in which the people are informed and involved from the beginning—may now seem like a necessary but long-overdue upgrade in the way we do politics.

Sandy Heierbacher wrote this article for YES! Magazine. Sandy is the co-founder and director of the National Coalition for Dialogue & Deliberation (NCDD), a network of 1200 groups and professionals who bring together Americans of all stripes to discuss, decide and act together on today's toughest issues.

This work is licensed under a Creative Commons License

Sunday, August 9, 2009

Making It In America


Making It In America

Robert Borosage's picture

Monday, July 20, 2009

Action Alert: Single Payer on the Table




Representative Weiner goes for broke with single-payer proposal


Today, Monday July 20, the silence in the House of Representatives around single payer and H.R. 676 will end. Rep. Anthony Weiner, (D-NY09), who has already rankled Republicans and Blue Dogs with his no-nonsense statements before the House Energy and Commerce hearing on H.R. 3200, will move to amend the current bill. His proposal is essentially to replace H.R. 3200 with H.R. 676—single payer Medicare for All.

This exciting and potentially monumental move needs our support. We pushed Rep. Dennis Kucinich’s amendment to victory last Friday, and we can do it for Representative Weiner, too.

The full committee and its five subcommittees are spending the next three days debating the bill and performing their markups. This is the time to act, and Representative Weiner is making his move.

Call or fax the committee members and tell them you want them to support Representative Weiner’s proposal. Listen to his blunt analysis in Friday’s session of what real healthcare reform is made of, and you’ll get some good ideas of what to say when you call or fax. It’s a no-holds-barred, take-no-prisoners approach to the legislative process almost never heard on the House floor.

Energy and Commerce Committee Phone: (202) 225-2927, Fax: (202) 225-2525
Henry A. Waxman, CA, Chair Phone: (202) 225-3976, Fax: (202) 225-4099
John D. Dingell, MI Phone: (202) 225-4071, Fax: (202) 226-0371
Edward J. Markey, MA Phone: (202) 225-2836, Fax: (202) 226-0092
Rick Boucher, VA Phone: (202) 225-3861, Fax: (202) 225-0442
Frank Pallone, Jr., NJ Phone: (202) 225-4671, Fax: (202) 225-9665
Bart Gordon, TN Phone: (202) 225-4231, Fax: (202) 225-6887
Bobby L. Rush, IL Phone: (202) 225-4372, Fax: (202) 226-0333
Anna G. Eshoo, CA Phone: (202) 225-8104, Fax: (202) 225-8890
Bart Stupak, MI Phone: (202) 225-4735, Fax: (202) 225-4744
Eliot L. Engel, NY Phone: (202) 225-2464, Fax: (202) 225-5513
Gene Green, TX Phone: (202) 225-1688, Fax: (202) 225-9903
Diana DeGette, CO Phone: (202) 225-4431, Fax: (202) 225-5657
Lois Capps, CA Phone: (202) 225-3601, Fax: (202) 225-5632
Mike Doyle, PA Phone: (202) 225-2135, Fax: (202) 225-3084
Jane Harman, CA Phone: (202) 225-8220, Fax: (202) 226-7290
Jan Schakowsky, IL Phone: (202) 225-2111, Fax: (202) 226-6890
Charles A. Gonzalez, TX Phone: (202) 225-3236, Fax: (202) 225-1915
Jay Inslee, WA Phone: (202) 225-6311, Fax: (202) 226-1606
Tammy Baldwin, WI Phone: (202) 225-2906, Fax: (202) 225-6942
Mike Ross, AR Phone: (202) 225-3772, Fax: (202) 225-1314
Anthony D. Weiner, NY Phone: (202) 225-6616, Fax: (202) 226-0218
Jim Matheson, UT Phone: (202) 225-3011, Fax: (202) 225-5638
G.K. Butterfield, NC Phone: (202) 225-3101, Fax: (202) 225-3354
Charlie Melancon, LA Phone: (202) 225-4031, Fax: (202) 226-3944
John Barrow, GA Phone: (202) 225-2823, Fax: (202) 225-3377
Baron P. Hill, IN Phone: (202) 225-5315, Fax: (202) 226-6866
Doris O. Matsui, CA Phone: (202) 225-7163, Fax: (202) 225-0566
Donna M. Christensen, VI Phone: (202) 225-1790, Fax: (202) 225-5517
Kathy Castor, FL Phone: (202) 225-3376, Fax: (202) 225-5652
John P. Sarbanes, MD Phone: (202) 225-4016, Fax: (202) 225-9219
Christopher S. Murphy, CT Phone: (202) 225-4476, Fax: (202) 225-5933
Zachary T. Space, OH Phone: (202) 225-6265, Fax: (202) 225-3394
Jerry McNerney, CA Phone: (202) 225-1947, Fax: (202) 225-4060
Betty Sutton, OH Phone: (202) 225-3401, Fax: (202) 225-2266
Bruce L. Braley, IA Phone: (202) 225-2911, Fax: (202) 225-6666
Peter Welch, VT Phone: (202) 225-4115, Fax: (202) 225-6790

Check out PDA’s Healthcare for All Issue Organizing Team (IOT) pages for recent news on healthcare reform and single payer, as well as resources on legislation and issues.

In solidarity,

Tim Carpenter, National Director
Laura Bonham, Deputy Director
Conor Boylan, Field Coordinator

Progressive Democrats of America is a grassroots PAC that works both inside the Democratic Party and outside in movements for peace and justice. Our goal in 2009: Expand progressive influence in Congress as we build on our 2008 electoral successes. PDA's advisory board includes seven members of Congress and activist leaders such as Tom Hayden, Medea Benjamin, Thom Hartmann, Jim Hightower, and Lila Garrett.

Spread the Progressive Word

Thursday, July 16, 2009

Stop Dirty Coal in Michigan



Stop Dirty Coal in Michigan

The skies are getting darker in Michigan.

Right now, while Congress is debating climate change, the coal industry is moving quickly to build two more expensive, dirty coal plants in Michigan. Why the push to build more coal plants now, when Michigan's energy use is declining?

Coal industry lobbyists have been successful in introducing gaping loopholes into the climate change bill pending in Congress. As a result, most of the provisions aimed at reducing coal's massive effect on climate change only apply to new plants coming online As a result, most of the provisions aimed at reducing coal's massive effect on climate change only apply to new plants coming online years from now. That means Big Coal will try to build as many dirty plants as possible before these rules go into effect.

It gets even worse. The coal industry is trying to build these plants without full public hearings on the matter. People in Michigan deserve the right to speak out.

The Department of Environmental Quality and the Public Service Commission are taking public comments right now on the proposed coal plants, and we need to let them know that Michiganders want a clean energy future, and no new dirty coal plants. We've got to tell them: No new coal.

It's now or never in the fight against climate change The more people who respond with the message "No New Coal," the more chance we have at stopping these dirty and expensive coal plants, and moving Michigan towards a clean energy future.

Sign this petition now to tell the Department of Environmental Quality and the Public Service Commission: Michigan needs a clean energy future. No more coal.

Participate with your State PIRGs


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Standing Up To Powerful Interests

U.S. PIRG, the federation of state Public Interest Research Groups (PIRGs), takes on powerful interests on behalf of the American public, working to win concrete results for our health and our well-being. The state PIRGs are independent, state-based, citizen-funded organizations that advocate for the public interest. Since 1970, we have been delivering results-oriented citizen activism to protect our environment, encourage a fair and sustainable economy, and foster a responsive democratic government. We uncover threats to public health and well-being and fight to end them, using the time-tested tools of investigative research, media exposés, grassroots organizing, advocacy and litigation.

At each state PIRG, the staff works to achieve concrete, practical changes on issues ranging from air and water pollution to campaign finance reform, from genetic engineering to consumer privacy.

The state PIRGs employ close to 400 organizers, policy analysts, scientists and attorneys, and are active in 47 states and Washington, D.C.

Read more about the work of individual state PIRGs at their Web sites: