Wednesday, December 18, 2013

Central Labor Council Breakfast Builds Support for Single Payer, HR 676

From UnionsForSinglePayer.org –

U.S. Congressman John Conyers (D MI), chief sponsor of HR 676, was honored at a December 6th Labor Breakfast co-hosted by the New York City Central Labor Council and the Progressive Democrats of America in celebration of the endorsement by the 1.3 million member NYC CLC of HR 676, Expanded and Improved Medicare for All.

Congressman Conyers told of the energy that the endorsement of HR 676 by the NYC CLC brings to the movement of healthcare for all, reports Robert Score, Recording-Corresponding Secretary of IATSE Local One. Score has played a leadership role in advancing HR 676 within New York labor and in union locals across the country.

NYC CLC President Vincent Alvarez, a member of IBEW Local 3, delivered the opening remarks. He said that the forces within the industrial-insurance complex, although powerful, must be confronted before the working class families of our country are completely decimated by the ever increasing costs of health care. He spoke of the necessity for all working people, union and non-union, to have proper healthcare.

Stephen Shaff spoke on behalf of PDA, and special guest television broadcaster Phil Donohue, introduced Congressman John Conyers who has sponsored HR 676 in every Congress since 2003. The legislation currently has a total of 54 co-sponsors, the most recent being Rep. Betty McCollum of Minnesota who has signed on for the first time even though she is in her 4th term.

Conyers noted that four days after Dr. Martin Luther King Jr. was assassinated in 1968, he introduced a bill to make King�s birthday a national holiday.

�It took 15 years before Congress joined with me to make Dr. King�s birthday a national legal holiday. So I�m in this for the long run,� said Congressman Conyers.

Wednesday, December 11, 2013

Health Exchange Enrollment By State, In 2 Charts

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Monday, December 9, 2013

Will Obamacare Play Big In 2014? Keep An Eye On N.H. Senate Race

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Sen. Jeanne Shaheen, D-N.H., on Capitol Hill earlier this year.

J. Scott Applewhite/AP

Sen. Jeanne Shaheen, D-N.H., on Capitol Hill earlier this year.

J. Scott Applewhite/AP

With a new White House push to promote the Affordable Care Act well underway, the question is whether an improved HealthCare.gov site and onslaught of positive talking points will be enough to bolster Senate Democrats facing tough races in 2014.

One re-election fight to watch is Democratic Sen. Jeanne Shaheen's in New Hampshire, where she's been taking heat for supporting the new health care law.

Step inside a small diner called Chez Vachon in a working-class section of Manchester, N.H., and you'd never guess the White House is actually regaining its footing on the health care rollout. The president is reporting promising enrollment numbers and a faster website, but John Hill couldn't care less. He says the price of his insurance has skyrocketed.

"We asked why the price of the insurance was so high," says Hill. "They said, 'Well, the new Obamacare law. That's the reason why.' "

That law had some pretty severe repercussions in New Hampshire. A strong Tea Party faction in the state legislature voted down a state health insurance exchange, so everyone in the state applying for insurance under the Affordable Care Act has to sign up on the federal government website.

But that federal exchange has drawn only one insurance provider for New Hampshire: Anthem Blue Cross and Blue Shield. And Anthem shut out 10 of the state's 26 hospitals from its health plans on the exchange, which means traveling in a car for an hour or more for many people in northern New Hampshire who need to see a doctor.

Hill says he's absolutely not voting for Shaheen next year.

"She voted for this. She knew what she was getting into," says Hill. "Now she realizes, 'Oh, this is a big mistake.' "

Shaheen was one of most vocal Democrats to criticize the launch of HealthCare.gov. She's demanded an extension of the enrollment period, and asked President Obama to appoint someone to oversee website fixes into next year.

Theresa Avard says Shaheen's just trying to have it both ways by distancing herself from a law that so many people in New Hampshire hate.

"You can't be a yo-yo," says Avard. "I'm sorry, you know. That's what I call my grandchildren when they don't do right. They yo-yo, up and down."

But Shaheen rejects the suggestion that she's just protecting herself for the next election cycle.

"This should not be about politics. This should be about good policy," says Shaheen. "I've been working on health care issues since I first was elected to the state senate from the seacoast of New Hampshire over 20 years ago."

On this day, she's touring the National Visa Center in Portsmouth to draw attention to a program granting visas for Iraqis and Afghans who risked their lives working for the U.S. Since the rollout of the new health care law, Shaheen hasn't hosted any town hall meetings. But she says her office has been inundated with angry complaints from people upset about the launch.

Still, Shaheen says: "It's a long time from now to [November of] 2014. And I think we're going to get the problems fixed with the health care law.

"I think there will probably be other things that come up, just as there are when we're making that significant of policy change," says Shaheen. "But the way to deal with it [is] to find those fixes."

Toppling Shaheen in 2014 is going to take a formidable force. She was a popular three-term governor who's still enjoying pretty solid poll numbers.

"For Shaheen, right now, Obamacare is the only cloud in the sky in New Hampshire," says Dante Scala, a political scientist at the University of New Hampshire. "So what she needs to do is just keep guard and not become complacent with what is clearly a winning position at this point."

Former Sen. Scott Brown of Massachusetts keeps flirting with the idea of running against her, and he has the star power, but he still won't commit.

Bob Smith, a former U.S. senator, has announced his candidacy, but he still needs to move back to New Hampshire from Florida, where he failed twice to win a Senate seat. And the other Republican candidates just don't have much name recognition.

As split as New Hampshire is over the health care law, it's a big question whether people are going to be focusing on other things by next fall.

Back at Chez Vachon, Bob Garon says Republicans need to give up on their obsession with the Affordable Care Act.

"I really don't think that we are going to elect a politician because of Obamacare," says Garon. "I think what's going to sink in is it's the law � whether you like it or not. You can bounce it around and play tennis with it all you want, but it's the damn law."

But the New Hampshire state Republican Party says it plans to make Obamacare a central issue next fall.

"There's no question that what voters care about right now is the collapse of Obamacare � the failed rollout, the increased costs, the decreased access to quality health insurance," says Jennifer Horn, chair of the New Hampshire Republican Party. "So absolutely that is something we will be talking about."

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Saturday, December 7, 2013

Canceled In California: People Eye Health Plans Off Exchange

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Thursday, December 5, 2013

White House Cites Pre-Existing Condition Case From Its Own Ranks

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White House Cites Pre-Existing Condition Case From Its Own Ranks

More From Shots - Health News HealthMedical Journal Goes To The DogsHealth CareWhite House Cites Pre-Existing Condition Case From Its Own RanksHealthFDA Expected To Approve New, Gentler Cure For Hepatitis CHealthHealthCare.gov Now Allows Window Shopping, And A Do-Over

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Wednesday, December 4, 2013

Administration Says You Can Now Escape HealthCare.Gov 'Prison'

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Administration Says You Can Now Escape HealthCare.Gov 'Prison'

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Monday, December 2, 2013

Could A Tech Giant Build A Better Health Exchange? Maybe Not

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The Real Fix for Obamacare’s Flaws: Medicare for All

Lost amidst the well-chronicled travails of the Affordable Care Act rollout are the long term effects of people struggling to get the health coverage they need without going bankrupt.

If that sounds familiar, it’s because that’s been the main story line of the US healthcare system for several decades. Sadly, little has changed.

Still, with all the ACA’s highly publicized snafus, and less discussed systemic flaws, there’s no reason to welcome the cynical efforts to repeal or defund the law by politicians whose only alternative is more of the same callous, existing market-based healthcare system.

US nurses oppose the rollback and appreciate that several million Americans who are now uninsured may finally get coverage, principally through the expansion of Medicaid, or access to private insurance they’ve been denied because of their prior health status.

At the same time, nurses will never stop campaigning for a fundamental transformation to a more humane single-payer, expanded Medicare for all system not based on ability to pay and obeisance to the policy confines of insurance claims adjustors.

Website delays � the most unwelcome news for computer acolytes since the tech boom crashed � are not the biggest problem with the ACA, as will become increasingly apparent long after the signup headaches are a distant memory.

What prompted the ACA was a rapidly escalating healthcare nightmare, seen in 50 million uninsured, medical bills plunging millions into un-payable debt or bankruptcy, long delays in access to care, and record numbers skipping needed treatment due to cost.

The main culprit was our profit-focused system, with rising profiteering by a massive health care industry, and an increasing number of employers dropping coverage or just dumping more costs onto workers.

The ACA tackles some of the most egregious inequities: lack of access for many of the working poor who will now be eligible for Medicaid or subsidies to offset some of their costs for buying private insurance through the exchanges, a crackdown on several especially notorious insurance abuses, and encouragement of preventive care.

But the law actually further entrenches the insurance-based system through the requirement that uncovered individuals buy private insurance. It’s also chock full of loopholes.

Some consumers who have made it through the website labyrinth have found confusing choices among plans which vary widely in both premium and out of pocket costs even with the subsidies, a pass through of public funds to the private insurers.

The minimum benefits are also somewhat illusory. Insurance companies have decades of experience at gaming the system and warehouses full of experts to design ways to limit coverage options.

The ACA allows insurers to cherry pick healthier enrollees by the way benefit packages are designed, and as a Washington Post article noted on 21 November, consumers are discovering insurers are restricting their choice of doctors and excluding many top ranked hospitals from their approved “network”.

The wide disparity between the healthcare you need, what your policy will cover, and what the insurer will actually pay for remains.

Far less reported is what registered nurses increasingly see � financial incentives within the ACA for hospitals to prematurely push patients out of hospitals to cheaper, less regulated settings or back to their homes. It also encourages shifting more care delivery from nurses and doctors to robots and other technology that undermines individual patient care, and that may work no better than the dysfunctional ACA websites.

Is there an alternative? Most other developed nations have discovered it, a single-payer or national healthcare system.

Without the imperative of prioritizing profits over care, Medicare for all streamlines the administrative waste and complex insurance billing operations endemic to private insurance. That waste is a major reason why the US has more than double the per capita cost of healthcare of other developed nations, yet lower life expectancies than many.

Medicare for all eliminates the multi-tiered health plans that plague both the individual and group insurance markets that are tied to the girth of your wallet not your need for care. Class, gender, and racial disparities in access and quality of care vanish under Medicare for all.

It’s beyond time that we stop vilifying government and perpetuating a corporatized healthcare system that has abandoned so many. We can, with a system of Medicare for all, we can cut healthcare costs and promote a much more humane society.