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There is Still Time For Real Reform, Listen to the American People PDF Print E-mail
Written by Dr. Margaret Flowers   
Monday, 01 February 2010 09:47

Dr. Margaret FlowersI was overjoyed to hear you say in your State of the Union address last week:

"But if anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors, and stop insurance company abuses, let me know."

My colleagues, fellow health advocates and I have been trying to meet with you for over a year now because we have an approach which will meet all of your goals and more.

I am a pediatrician who, like many of my primary care colleagues, left practice because it is nearly impossible to deliver high quality health care in this environment. I have been volunteering for Physicians for a National Health Program ever since. For over a year now, I have been working with the Leadership Conference for Guaranteed Health Care/ National Single Payer Alliance. This alliance represents over 20 million people nationwide from doctors to nurses to labor, faith and community groups who advocate on behalf of the majority of Americans, including doctors, who favor

a national Medicare-for-All health system.

I felt very optimistic when Congress took up health care reform last January because I remember when you spoke to the Illinois AFL-CIO in June, 2003 and said:

"I happen to be a proponent of a single-payer universal health care program." (applause) "I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care cannot provide basic health insurance to everybody. And that's what Jim is talking about when he says everybody in, nobody out. A single-payer health care plan, a universal health care plan. And that's what I'd like to see. But as all of you know, we may not get there immediately. Because first we have to take back the White House, we have to take back the Senate, and we have to take back the House."

And that is why I was so surprised when the voices of those who support a national single-payer plan/Medicare for All were excluded in place of the voices of the very health insurance and pharmaceutical industries which profit off the current health care situation.

There was an opportunity this past year to create universal and financially sustainable health care reform rather than expensive health insurance reform. As you well know, the United States spends the most per capita on health care in the world yet leaves millions of people out and receives poor return on those health care dollars in terms of health outcomes and efficiency. This poor value for our health care dollar is due to the waste of having so many insurance companies. At least a third of our health care dollars go towards activities that have nothing to do with health care such as marketing, administration and high executive salaries and bonuses. This represents over $400 billion per year which could be used to pay for health care for all of those Americans who are suffering and dying from preventable causes.

The good news is that it doesn't have to be this way. You said that you wanted to "keep what works" and that would be Medicare. Medicare is an American legacy of which we can feel proud. It has guaranteed health security to all who have it. Medicare has lifted senior citizens out of poverty. Health disparities, which are rising in this nation, begin to disappear as soon as patients reach 65 years of age. And patients and doctors prefer Medicare to private insurance. Why, our Medicare has even been used as a model by other nations which have developed and implemented universal health systems.

Mr. President, we wanted to meet with you because we have the solution to health care reform. The United States has enough money already and we have the resources, including esteemed experts in public health, health policy and health financing. Our very own Dr. William Hsiao at Harvard has designed health systems in five other countries.

I am asking you to meet with me because the solution is simple. Remove all of the industries who profit off of the American health care catastrophe from the table. Replace them with those who are knowledgeable in designing health systems and who are without ties to the for-profit medical industries. And then allow them to design an improved Medicare-for-All national health system. We can implement it within a year of designing such a system.

What are the benefits of doing this?

* It will save tens of thousands (perhaps hundreds of thousands) of American lives each year, not to mention the prevention of unnecessary suffering.

* It will relieve families of medical debt, which is the number one cause of bankruptcy and foreclosure despite the fact that most of those who experienced bankruptcy had health insurance.

* It will relieve businesses of the growing burden of skyrocketing health insurance premiums so that they can invest in innovation, hiring, increased wages and other benefits and so they can compete in the global market.

* It will control health care costs in a rational way through global budgeting and negotiation for fair prices for pharmaceuticals and services.

* It will allow patients the freedom to choose wherever they want to go for health care and will allow patients and their caregivers to determine which care is best without denials by insurance administrators.

* It will restore the physician-patient relationship and bring satisfaction back to the practice of medicine so that more doctors will stay in or return to practice.

* It will allow our people in our nation to be healthy and productive and able to support themselves and their families.

* It will create a legacy for your administration that may someday elevate you to the same hero status as Tommy Douglas has in Canada.

Mr. President, there are more benefits, but I believe you get the point. I look forward to meeting with you and am so pleased that you are open to our ideas. The Medicare-for-All campaign is growing rapidly and is ready to support you as we move forward on health care reform that will provide America with one of the best health systems in the world. And that is something of which all Americans can be proud.

With great anticipation and deep respect,

Margaret Flowers, M.D.
Maryland chapter, Physicians for a National Health Program

http://www.opednews.com/articles/There-is-Still-Time-For-Re-by-Margaret-Flowers--100127-703.html

 

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  • Nearly Half The Public Is ‘Very Uncomfortable’ With Phasing Out Social Security For Private Accounts

    A recently-released Wall Street Journal/NBC News poll surveyed Americans on a variety of issues, including their views on the country’s direction, their approval of the president’s handling of the economy, and what they think of Congress’ performance.

    One section of the poll asked respondents how they would feel about a candidate who ran based on several different policy platforms. Respondents then replied whether they were enthusiastic about the platform, comfortable with it, had reservations about it, were very uncomfortable with the position, if it made no difference, or they weren’t sure. The results were listed numerically responding to each category from left to right.

    The two issues that netted the highest “uncomfortable” rating from poll respondents were Bush’s economic policies and Social Security privatization. 39 percent of those polled responded that they’d be uncomfortable with voting for a candidate who supported the economic polices of former president George W. Bush. But the position that provoked the highest level of opposition was supporting “phasing out Social Security and instead [supporting] allowing workers to invest their Social Security contributions in the stock market,” with 49 percent of respondents saying the position made them “very uncomfortable“:

    poll7

    While the poll shows that only 21 percent of the public is “enthusiastic” or “comfortable” with slowly privatizing Social Security, there are a number of leading Republican officeholders who have endorsed the concept of doing so. Rep. Paul Ryan (R-WI), the “ranking member on the House Budget Committee,” has put together a road map for privatizing the program that is similar to President Bush’s failed 2005 plan. Sen. Jim DeMint (R-SC) has also indicated that he’d like to revive the Bush effort. Rep. Michele Bachmann (R-MN) has talked about the need to “wean” Americans off the program.

    Meanwhile, a number of leading Republicans running for office have also endorsed radical plans to privatize the program. Both Pennsylvania Republican senate candidate Pat Toomey and Rand Paul have endorsed at least partially privatizing Social Security. Nevada Republican senate candidate Sharon Angle has called for the program to be “phased out,” and Alaska Republican senate candidate Joe Miller has gone even further, declaring that the program is simply unconstitutional.

  • NM Corrections Secretary Refusing To Penalize Contract-Breaching Private Prison Company He Used To Work For

    joeThe escape of three detainees from a privately-run prison in Arizona last month “put the spotlight on…private prisons,” as critics of prison privatization pointed to the “lax oversight” of the private prison system as one reason the inmates were able to so easily break out of their facilities.

    Now, the New Mexico Independent (NMI) reports that neighboring state New Mexico is experiencing similar lax oversight as “the New Mexico Corrections Department has not collected penalties from two private prison operators despite repeated contract violations, costing the state potentially millions of dollars in uncollected fines.” The two prison operators in question, GEO Group, and Corrections Corporation of America (CCA), have been found to be understaffing the prisons they operate, not meeting contractual obligations.

    In an interview with NMI, New Mexico Corrections Secretary Joe Williams “acknowledged that the vacancy rates at the prisons GEO and CCA operate often are higher than their contracts allow,” but said he “decided against punishing the firms because the prisons they manage ‘are outstanding.’” He explained that the prisons’ contract doesn’t say that he “shall” fine the companies for violating the terms of the agreement, but rather that he “can”:

    The New Mexico Corrections Department has not collected penalties from two private prison operators despite repeated contract violations, costing the state potentially millions of dollars in uncollected fines, state officials have told The Independent. [...]

    Williams acknowledged that the vacancy rates at the prisons GEO and CCA operate often are higher than their contracts allow, but he decided against punishing the firms because the prisons they manage “are outstanding,” he said. “They are not having escapes; there are no substantial problems. If there were a problem I would be down there penalizing them,” he said. [...]

    “The contract does not say I shall do it. The contract says I can do it,” Williams told The Independent.

    In choosing not to penalize the GEO and CCA prisons for understaffing their facilities, Williams is far from an impartial arbiter. As his biography page on the New Mexico Corrections Department website boasts, in 1999, the “Geo Group, Inc. (formerly known as Wackenhut) hired Joe as the warden for the Lea County Correctional Facility, and charged him with turning around the troubled prison in Hobbs, New Mexico. The facility eventually became a flagship prison. Agreeing to serve as its warden proved to be the right move, both professionally and personally. In fact, Joe liked the city of Hobbs so much, he named his beloved basset hound Sir Hobbs.” It adds that Williams’ experience at GEO gave him “rare insight into the world of private corrections” and made him an “ideal candidate for the job he now holds.” The biography notes that the state’s incarceration system is “44 percent privatized, and leads the nation in prison privatization.”

    The Governor’s website notes that Williams is “the first private sector Warden ever to be selected to head a state correctional system in the nation.” It now appears that Williams still has some loyalty to his former employer, and in refusing to penalize GEO for its clear violation of its contract, is exhibiting a clear conflict of interest.

  • Rick Scott’s Immigrant Running Mate Accused Of ‘Evading’ Questions On Immigration

    Last week, gubernatorial candidate Rick Scott (R-FL) tapped Jennifer Carroll (R-FL), an African American immigrant from Trinidad, to share the Republican ticket with him as lieutenant governor. “Working together, we will broaden the base of our party,” Scott said as he introduced Carroll. However, if Scott hopes to use Carroll to broaden a minority base that includes disgruntled Latino and immigrant voters who he has isolated via his hardline immigration stance, he may want to ask his running mate to brush up on her talking points. The Palm Beach Post published an awkward exchange between one of its reporters and Carroll:

    CARROLL: I agree with Rick and his position on legal immigration. Illegal immigration I do not support because I feel that we should not be rewarding illegal activities.

    PALM BEACH POST: But does that mean you support bringing an Arizona-style immigration enforcement law to Florida?

    CARROLL: Well let me you ask you back, what is your impression about Arizona-style immigration laws?

    PALM BEACH POST:What is my impression?

    CARROLL: Yes.

    PALM BEACH POST:It’s a law that requires police when enforcing other laws to check immigration status if there is a suspicion. [...]

    CARROLL: We haven’t gotten into the nitpicky as to how a bill is going to be crafted. There’s already a bill by Will Snyder that the House has already filed. What the containment of that bill is, how it is going to come out of the House or Senate, is another story

    PALM BEACH POST:Do you support Representative Snyder’s bill?

    CARROLL: I have not read the bill, so I cannot tell you.

    Watch it:

    During his primary against Bob McCollum (R-FL), Scott poured millions of dollars into ads supporting Arizona’s tough immigration law and advocating for one like it in Florida. Snyder’s immigration bill, which McCollum unveiled as part of his campaign platform, was largely a desperate response to Scott’s pandering on the issue. Since then, GOP Latino leaders have been publicly asking Scott to abandon his anti-immigrant rhetoric. So far, there is no indication that either he or his running mate is listening. Read more at the Wonk Room.

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