The issue of universal healthcare is a moral and spiritual issue. There's the concept of the chironic healer. We can't feel another person's pain unless we know pain. We can't identify with another person's grief unless we experience grief. Only as an outcome of our own suffering do we commit to ameliorate the suffering of others. Healthcare policy is less about budgets and more about humanity.

As others around the Mediterranean, the early Christians accepted reincarnation as a given. As one doesn't need to address the issue of breathing, the topic of reincarnation was never addressed until Emperor Constantine banned the concept at the Council of Nicea in 325 AD. Those who are anti-universal healthcare have younger, immature souls that have yet to perceive the world through chironic eyes.

Single-payer Universal Medicare, Now

 
1 - We need a single-payer public healthcare system that combines the best of the systems currently enjoyed in France and Germany.
2 - Healthcare, not health insurance.
3 - We need to send to Washington candidates who are Christian enough and humane enough to appreciate Universal healthcare. (And be uncorrupt enough to understand that health insurance does NOT mean health care.)

10 Oct 09 - Copyright 1999-2009 by Andrew Homer - Webmeister StarHeart Web Designs - Health - What Would Jesus Do? PAC - Progressive Society

Health CARE for All

Political Action Committee

(in formation)

Healthcare.MSNBC.com HealthCareCantWait.Com

Revamp health system HealthReform.Gov

"Money-Driven Medicine: The Real Reason Health Care Costs So Much" by Maggie Mahar

Daily Kos TV : Healthcare Policy

2009 Sep 30 If the Republicans in Congress and the Senate think that govenment-run medical care is so bad, why do they use the healthcare plans available to members of Congress? Why do they go to the doctors at Bethesda Naval Hopital? I'll believe the Republicans in Congress are honest AFTER they reject THEIR use of government-run healthcare!!

Special Health Care for Congress: Lawmakers' Health Care Perks FactsAboutReform.Org Obama And Big Health: Who's Co-Opting Whom?

2009 Sep 18 Between 1999 and 2009, premiums for healthcare insurance has gone up 131%. - CBS News

2009 Sep 17 45,000 Americans die each year because of a lack of healthcare insurance. - Harvard Medical School

2009 Sep 15 Today, every delegate at the AFL-CIO convention voted for a resolution supporting government single-payer healthcare.

When Getting Beaten By Your Husband Is A Pre-Existing Condition

Billionaires for Wealthcare

Progressive Religious Groups Line Up Behind Obama On Health Care

Comparing Single-Payer with the Public Option

2009 Aug 09 We currently DO have "death panels."

They're called the Republican Party. Keeping the status quo, 22,000 Americans died last year unnecessarily, because of a lack of affordable healthcare. But the Republinazis don't give a damn. Carl Jung gave us the term "projecting." Republicans are accusing Democrats for what they themselves are doing: condoning the death of those not able to protect themselves.

$4 TRILLION can be saved over the next 10 years by paying for healthcare by ignoring health insurance companies.

Two great healthcare policy talking points:

1 - Why are Republicans so afraid of a public option? Don't they have faith in the marketplace?

2 - Why don't the Republicans give Obama what he wants regarding universal healthcare? If the Democrats fall on their collective face, the Republicans can trounce in the 2012 election.

2009 Jul 26 Wow. Pinch me. Both Big Pharma & the AMA are, now, for healthcare reform!?!

2009 Jul 24 Write, call, email your U.S. Representatives to support HR 676.

The documentarian Michael Moore has an online petition that makes contacting your reps easy: http://www.michaelmoore.com/sicko/what-can-i-do/petitions/pnum649.php

2009 Jun 14 - Why does every country in the world that has a cross on their flag NOT have the death penalty? Why does every country in the world that has a cross on their flag HAVE single payer healthcare?

Since 1999, employment-based health insurance premiums have increased by 120%, 4 times more than wages. - Kaiser Family Foundation

Approximately 1,500,000 families lose their homes to foreclosure each year due to medical costs. - Health Matrix

2008 Dec 15 - Universal health care just makes sense according to Christianity ("What you do to the least of these you do to me."), the Constitution ("LIFE, Liberty and the Pursuit of Happiness") AND capitalism (we need the workplace to be operating at maximum efficiency don't we? That calls for preventive medical attention). Read Steven Hill, of The New America Foundation, in Yes! magazine. - Andrew Homer

Alliance for Health Reform Physicians for a National Health Program Healthcare-NOW

Citizen Action Health Action New Mexico - Links

Cover Kids Now American Patients for Universal Health Care

Best Discounts for Medicine Available Online

BestBuyDrugs.Org Drugstore.Com Express-scripts.Com.

Administration hides true cost analysis until after passage of Medicare Prescription Drug Act

by Union of Concerned Scientists

"Healthcare, Guaranteed: A Simple, Secure Solution for America" by Ezekiel Emanuel and Victor Fuchs

MoveOn members talk about why they chose "Universal health care" for 2009

Assisted Senior Living

Synopsis of : Americans Pay More, Die Sooner by Eugene Robinson, syndicated columnist

The Commonwealth Fund and Harris Interactive surveyed adults in Australia, Canada, Germany, Great Britain, the Netherlands, New Zealand (all of which have a single-payer healthcare system) and the United States.

Fewer Americans had regular doctors than in the other countries, 80% vs 84-100%.

Only in Canada is it more difficult to get to see the doctor within 48 hours.

The United States spends $6,697 per capita annually on health care, more than twice as much as any of the other countries surveyed.

16% of Americans reported being uninsured as opposed to essentially none being uninsured in the other surveyed countries.

The United States ranks dead last in life expectancy at 77.9 years, while Australians are first at 80.6 years.

With an infant mortality rate of 6.89 per 1,000 live births, the United States is the worst country surveyed. Second worst is New Zealand at 5.7 per 1,000.

* Big 3 Dems' Health Insurance Unfriendly to Women

Hilary Clinton, Democratic Presidential candidate, wants Americans to have universal healthcare with the requirement for businesses to obtain insurance for employees. She puts the government's cost at $110 billion a year. Those content with their current medical provider can keep their coverage. No new government bureaucracy would be created. Her plan would require every American to purchase insurance or contribute to a pool that would expand coverage. Individuals and small businesses would be offered tax credits to make insurance more affordable. - 18 Sep 07

Washington Monthly's Special Healthcare Issue

"Best Care Anywhere: Why VA Health Care is Better Than Yours" by Phillip Longman

We want universal healthcare (without insurance companies, ie non-profit): What If You Knew (NM) - Al Franken for U.S. Senate - Elizabeth Kucinich for First Lady (Medicare for All & A Healthy Nation) - Democracy for America - Progressive Democrats of America.

Precis of Universal Healthcare Issue Show of "In Focus" on KNME-TV

* 400,000 New Mexicans do not have medical insurance. 43 million Americans don't have medical coverage.

* Emergency medical services are so expensive, that to switch to Universal Healthcare w/ a focus on preventative healthcare would only cost a little more than current costs.

* Too much focus on helping insurance companies to get richer rather than focus on paying medical bills directly.

* For us to do nothing will cost more than to make changes toward Universal Healthcare, according to research by Mathematica Policy Research.

- 27 July 2007

Socialized Medicine vs. the Anti-Socials

: review of Michael Moore's movie SICKO!

- Copyright 2007 by Andrew Homer, 06/27/07

* The movie, Sicko!, isn't about inadequate healthcare for the 45 million Americans without medical insurance, but about how the middle class in America are being shafted, including being deliberately short-changed by the healthcare medical organizations we all know and love.

* A woodwork hobbyist lost 2 finger tips. Without medical insurance, he was given the option to re-attach the tip of the ring finger at $12,000; to re-attach the tip of the middle finger at $60,000; or re-attach both finger tips at $72,000. When Michael Moore told this story to people in Canada, Britain, France, and Cuba; they couldn't believe that the American medical system is so callous.

* Going back to U.S. President Richard Nixon's 1971 endorsement of Henry Kaiser's strategy to deny payment of legitimate medical claims under his Permante program, the American medical system has been focused on maximizing profit while minimizing providing medical treatment.

* Folk who were'nt police, EMT, or firefighters who helped with the rescue and recovery at the World Trade Center immediately after the 09/11/01 terrorist attacks, have been denied any compensation for the treatment of their medical problems acquired at ground zero, ie cancer and lung ailments.

* When Michael Moore heard that the imprisoned terrorist suspects at the Guatanamo Naval Base, in Cuba, were getting free comprehensive healthcare he took 3 boat loads of chronically ill Americans to Guantanamo. They were denied entry. So, knowing that Cuba has Universal Healthcare, Moore took his entourage to Havana. They all got free medical treatment.

* For me, the most moving scene in Sicko! was about the Havana firemen who heard that 3 firefighters from ground zero were in Havana. They invited the Americans to visit their fire station. The Havana firefighters stood at attention and saluted the 3 American rescuers from 9/11. The Havana firechief said, "Firefighters all over the world are a member of one family." Too bad the anti-socials in America, who crush legislation for Universal Healthcare, don't believe all of us Americans deserve equal medical attention.

* (Not in the movie: Every Christian country (those with a cross on their flag) do NOT have the death penalty, but DO have Universal Healthcare. Obviously, there aren't any Christians in the United States. America has the death penalty, but NOT Universal Healthcare.)

* American anti-socials lie about Canada's healthcare system, claiming hours to wait for appointments and claiming lack of essential equipment - claims which are false. American anti-socials can't explain why the French; with their 35 hour work week, socialized medicine, free university, and socialized nanny assistance; are more productive than Americans, with their 40 hour work week.

* The World Health Organization ranks the quality of healthcare services in the United States at 36 when compared to other countries. It's attributed to their Universal Healthcare systems, that the poorer 1/3rd in Canada and the United Kingdom live at least 3 years longer than do the wealthier 1/3rd in the United States.

* In the movie, an engaging British gent got a hearty applause from Albuquerque's Rio 24 Theater audience when he said, "If you can find the money to kill people (in legislated warfare), then you can find the money for healthcare." (Not in the movie: Bill Richardson, New Mexico Governor and Presidential candidate, has stated that the cost of the unnecessary war in Iraq could cover all the medical costs for every American.)

* "SiCKO" Offers Activists a Cure

Presidential candidate, Dennis Kucinich, Democratic Representative from Ohio, has the wisest position on healthcare policy : rather than have tax money go toward paying premiums to medical insurance companies, as with the new Massachusetts law; instead, pay directly for medical services. This would be the best way to keep medical expenses down.

Foster Care

Cover the Uninsured

Whole Health Education

John Edwards on Health-Care Policy - a path to UHC without private Insurance involvement.

"As for healthcare, I am personally taking a position that Medicare should be expanded for all. Only problem with that, and even Kucinich doesn't seem to be aware of this -- is that advocacy groups run by healthcare professionals want DOCTORS to run the new health care system.

After my experience with my ob/gyn I trust doctors about as much as I can throw them. Doctors are priviledged individuals with interests they would like to protect as well. In particular, alternative health practices are stifled under most single payer plans -- like in Canada. Say yes to Medicare for all, but be wary of medical/pharmaceutical industrial complex." - Syria Boyd, 05/11/07

Public Citizen: WorstPills.Org & Healthcare Delivery Information Center

Foreign Affairs forum: How to Promote Global Health

Bill Richardson, New Mexico's Governor who's a Democratic Presidential candidate, supports universal healthcare. He says all Americans can have it without having to raise taxes. We can pay for universal healthcare by ending the war in Iraq and curb the over-spending in the military budget. - 25 Mar 2007

"Do No Harm: the Global Health Challenge" by Laurie Garrett, Jan-Feb '07 Foreign Affairs

Baby's Health

"National health insurance is not only the best answer, it is the only answer to eliminating health disparities." - U.S. Representative John Conyers, Jr., State of the Black Union 2005

John Edwards on Universal Healthcare & National Day of Health Care Action

Nearly 30% of Realtors® Lack Health Insurance

WalMart Corporation, the world's largest employer, advocates universal healthcare. - 08 Feb 2007

46.6 million Americans do not have medical insurance, including 8.3 million children. - 27 Jan 2007, Census Bureau

Medicare Hot Air: Can the Democrats' bill bring lower drug prices? Don't count on it. - 17 Jan 2007

The United States National Health Insurance Act, H.R. 676
(“Expanded & Improved Medicare For All”)

Arnold Offers Plan To Cover Uninsured: Governor Schwarzenegger wants all of California's 6.5 million uninsured, including illegal immigrants, to have healthcare insurance. Promising to share the cost among businesses, individuals, hospitals, doctors, insurers and government, Schwarzenegger believes this proposal could save California $10-billion annually. - 08 Jan 2007 AP

California Healthline

The Health Disparity Gap In New Mexico

Those thinking that universal healthcare is a very good idea: U. S. Senator Hillary Clinton, John Edwards, Al Franken, Ohio Congressman Dennis Kucinich, Princeton Proffesor Uwe Reinhardt, New Mexico Gov. Bill Richardson, & EVERY OTHER industrialized country.

Subscribe: get the Fall 2006 issue of YES! Magazine: Health Care for All - 6 articles.

Congress heading in the wrong direction on health care

The United States spends far more per capita on health care than any comparable country. In fact, the gap is so enormous that a recent study estimates that the U.S. would save over $161 billion every year in paperwork alone if it switched to a singlepayer system as Canada's. These billions of dollars are not abstract amounts deducted from government budgets; they come directly out of the pockets of people who are sick. - University of California, San Francisco

Has Canada Got the Cure?

If the U.S. infant mortality rate were the same as Canada's, almost 15,000 more babies would survive in the United States every year. - Yes Magazine

To Your Health - Affordable Healthcare

60% of Americans who file for bankruptcy do so because of medical expenses. 75% of those families had medical insurance when their medical problem was discovered. So, we have medical providers' price gouging to thank for the majority of credit default in America. The medical industry has gotten out of hand and is destroying middle income America.

Healthcare Abroad

New America Foundation on Health Care Policy

Democratic Socialist Alliance on Health Care for All


UNIVERSAL HEALTHCARE WOULD PAY FOR ITSELF!

Healthcare Crisis in America:
The United States spends far more on healthcare per person than any other country in the world
- 47% more than Switzerland, the next largest spender on healthcare.
- Over $1.5 trillion on healthcare and still over 45 million uninsured
- About half of all bankruptcies in the US (1.9-2.2 million) are due to illness, injury, and medical expenses
- Eighty percent of the uninsured are working or in families with current workers - it’s the working poor and middle class who are left out of the social contract.

Our expensive healthcare system is failing for millions of us, as its cost rises at close to twice the rate of growth of the economy. Much of the rising cost is due to our profit-driven, inefficient and fragmented private insurance system.

Universal healthcare coverage would gain $65-$130 billion in terms of lives saved, better health, reduced Medicare and disability costs, and gains in workplace productivity. The amount to cover the uninsured is small compared to the cost of tax breaks for employer based insurance, estimated at $125 billion in 1988 and probably higher than $175 billion today.

The high cost of employer paid health insurance is undermining the competitiveness of the U.S. economy and eliminating good jobs. http://www.fguide.org/Bulletin/uninsured.htm

Universal Healthcare Pays for Itself in Savings

USA wastes more on corporate health care bureaucracy than it would cost to provide health care to all of the uninsured

Streamlining administrative overhead to Canadian levels would save approximately $286.0 billion, $6,940 for each of the 41.2 million Americans who were uninsured as of 2001. This is substantially more than would be needed to provide them with full insurance coverage.
- Canada has a universal or “single-payer” system, the U.S. has a complex and inefficient payment structure built around thousands of different insurance plans, each with its own regulations on coverage, eligibility, and documentation.
- In 1999, corporate administrative spending consumed at least 31.0 percent of US health spending…Administrative costs in Canada, which has had a national health program since 1971, are about 16.7% of health spending.

Private insurance raises administrative costs:
- Spending on underwriting, marketing, and corporate services account for about two-thirds of private insurers' overhead.
- Private insurers have incentives to complicate and stall payment so that they can hold premiums longer, boosting their interest income. Such frustrating practices discourage many patients and providers from even bothering to pursue their rightful claims.

* http://www.medicalnewstoday.com/medicalnews.php?newsid=8800

Per Capita U.S. Health Care Costs are Triple Canada's!

* http://www.consumeraffairs.com/news03/health_costs.html

‘Socialized’ Medicine in US is More Efficient than Private Insurance! More Services, Less Spending Since 1970, the Medicare program has done a better job at controlling overall costs than the private sector while serving the highest cost populations, seniors and the disabled.

* http://www.cmwf.org/Publications/Publications_show.htm?doc_id=221498

* http://www.urban.org/publications/900595.html

A Strong Majority of Americans Want Universal Healthcare Coverage!

- 62% Americans said that they preferred a universal system (that would provide coverage to EVERYONE under a government program) over the current employer-based system.

- 72% Americans agree government should guarantee health insurance for all citizens.

- 80% Americans overwhelmingly agree that access to health care should be a right.

* http://www.motherjones.com/commentary/columns/2005/09/universal_healthcare.html

“It is clear from the findings of this survey and from prior research that the health care—and ultimately the health and productivity—of the U.S. population is being damaged as the nation's insurance problem continues to grow.”

* http://www.cmwf.org/publications/publications_show.htm?doc_id=367876

Medical Bills Leading Cause of Bankruptcy, Harvard Study Finds

* http://www.consumeraffairs.com/news04/2005/bankruptcy_study.html

What can you do?

Tell your congress people you want Universal Healthcare: http://www.visi.com/juan/congress/, toll free US Congress switchboard 888-355-3588 or 888-818-6641 (ask for member by name).

Pass this message on to others!

If universal healthcare coverage is a no-brainer, why isn’t a reality in the US already?

Answer: FOLLOW THE MONEY!

Who pays for our politicians’ campaigns?

- Pharmaceutical, Insurance Industries Lead Way In Lobbying Spending: New Study Provides Comprehensive Look at Washington's $1.26 billion Influence Industry

* http://www.commondreams.org/pressreleases/Dec98/120398a.htm

- Drug Lobby Second to None: How the pharmaceutical industry gets its way in Washington

* http://www.publicintegrity.org/rx/report.aspx?aid=723

- Insurance Industry: Campaign Contribution Trends

* http://www.opensecrets.org/industries/indus.asp?Ind=F09

- Break the Insurance Lobby Choke-hold on Health Care: There will be no health care for all Americans until our political leaders are willing to take on a health insurance industry that showers them with cash. http://www.pnhp.org/news/2004/october/break_the_insurance_.php

Campaign finance reform is ESSENTIAL to cleaning up the rampant corruption in Washington!

- Outlawing Legal Bribery http://www.inthesetimes.com/site/main/article/2964/

- Public financing of elections means that our elected officials work for the voters, and not for the special interests. http://www.commoncause.org/site/pp.asp?c=dkLNK1MQIwG&b=1415173

OK – but why is this not a big story in our media?

Answer: FOLLOW THE MONEY!

Who owns our media?

- What's Wrong With the News? http://www.fair.org/index.php?page=101

- The Media’s Conflict of interest http://www.corpwatch.org/article.php?id=11947

- The dominant political force of our time is the media. http://mediamatters.org/items/200605260016

- Corporate Media and the Threat to Democracy

* http://www.thirdworldtraveler.com/Media/CorpMedia_McChesney.html

- Media Reform Information Center http://www.corporations.org/media/

http://wake-up-usa.blogspot.com/

posted by: "Terry McCarthy" tmccarth1973@yahoo.com tmccarth1973

Massachusetts Bill Requires Health Insurance for All

by Richard Knox

Boston (AP) -- Lawmakers overwhelmingly approved a bill Tuesday that would make Massachusetts the first state to require that all of its citizens have some form of health insurance.

The plan -- hailed as a national model and approved just 24 hours after the final details were released -- would dramatically expand access to health care during the next three years.

If all goes as the supporters hope, those already insured will see a modest drop in their premiums, lower-income residents will be offered new, more-affordable plans and subsidies to help them pay for coverage, and those who can afford insurance but refuse will face increasing tax penalties until they obtain coverage.

The House approved the bill on a 154-2 vote. The Senate endorsed it 37-0.

A final procedural vote is needed in both chambers before the bill can head to the desk of Gov. Mitt Romney, a potential Republican candidate for president in 2008. Romney has expressed support for the measure but has not said whether he will sign it.

"It's only fitting that Massachusetts would set forward and produce the most comprehensive, all-encompassing health-care reform bill in the country," said House Speaker Salvatore DiMasi, a Democrat. "Do we know whether this is perfect or not? No, because it's never been done before."

"Healthcare, not health insurance" - PDA bumper sticker

Key Points of the Bill by Vikki Valentine

State legislators say by that by providing every Massachusetts resident with health insurance, the costs of health care are actually lowered.

For instance, the way the system works now, employers who offer insurance also have to pick up part of the tab for the cost of care for the uninsured at hospitals. By having more employers provide insurance, and having fewer uninsured people, these costs to employers go down. Analysts also say that adding more healthy people -- who use less care -- into the insurance system keeps deductibles and premiums down for all.



A look at how the bill would affect employers and individuals:

Individuals

As of July 1, 2007, all individuals must have coverage.

-- Those below 300 percent of the federal poverty level (about $38,500 for a family of three), but not eligible for Medicaid, will have their private insurance plans subsidized at a sliding-scale rate.

-- Children whose families earn below 300 percent of the federal poverty level (FPL) will be given free coverage through Medicaid.

-- Individuals with incomes below the FPL ($9,600) will have premiums waived on private insurance. (Currently most childless adults are not eligible for coverage under the state's Medicaid plan.)

-- Those who can afford insurance will be increasingly penalized for not buying coverage. In the first year, they'll lose their state personal income tax exemption.

-- Family coverage will be extended to cover young adults up to the age of 25.

-- Allows the use of "health savings accounts" with cheaper high-deductible "catastrophic" coverage plans. HSAs allow consumers to invest money and withdraw it "tax free" to cover health-care costs.



Businesses

All employers who have more than 10 employees must contribute to employee health-care costs.

-- Employers who don't provide insurance will pay an annual fee of $295 per full-time employee.

-- Encourages private insurers to offer more low-cost options.

-- Creates a "health insurance connector" to help individuals and businesses find affordable private coverage.

Health Care Reform: Maine Becomes the First State to Enact Universal Health Care
by Maine State Senator Michael Brennan

Earlier this year, the Legislature enacted and Governor John Baldacci signed into law the nation's first universal health care program. Over the next five years, the Dirigo Health Program will provide coverage to the 180,000 Mainers who are currently without health insurance and, equally important, reduce health care costs for everyone. By utilizing a innovative blend of private and public resources, Maine has catapult itself to the forefront of progressive health care reform.

A statewide poll conducted in 2000 revealed that health care was as the most pressing concern to Maine citizens. Further analysis of the poll showed that 69 percent of respondents were very concerned about the cost of health insurance, placing that issue at the top of the list of concerns. The cost of medical care came in second followed by prescription drug costs and the cost of caring for the elderly. These issues all ranked ahead of education, taxes, crime and the environment. A survey of Maine small businesses, also released in 2000, indicated that they too were concerned about the rising cost of providing health care coverage to workers. A large majority, 81%, indicated health insurance was important in their efforts to attract and retain employees.

For the past several years, Mainers have been subject to annual double digit increases in health insurance premiums. In fact, this year it is projected that across the country employers will experience a 15% increase in health care costs. Given escalating premiums, and confronted by a slow economy, employers have been challenged to maintain their current level of employer-based coverage. Already, workers have been asked to bear more of the cost of coverage, either in the form of higher co-payments or deductibles, or to forego wage increases in an effort to maintain health coverage.

Very tight state and local government budgets have further compounded the problem. With annual double-digit increases in health care costs for government, school systems, and university employees, flat-funded, balanced budgets require real cuts in programs to offset the increases. For a rural state such as Maine, these spiraling health insurance costs have become a major drain on the state's human and financial capital.

Faced with this dire situation, two years ago the Maine Legislature authorized the creation of a Commission to examine a single payer system. This proposal was hotly debated in the 2002 Gubernatorial election that included Democratic, Republican, Independent and Green candidates. Shortly after taking office, Democratic Governor John Baldacci announced his intention not to pursue a single payer system and, instead, to introduce the Dirigo Health Plan and created the Office of Health Policy and Finance to shepherd the bill through the Legislature.

When the bill was first introduced in May, it was widely supported by consumer groups and health care activists but faced strong opposition from the hospitals, insurance companies and physicians. In order to avoid a potential stalemate between organizations who want progressive reforms and the status quo, Maine's Legislative leadership took the unusual step of establishing a bipartisan Joint Select Committee on Health Care Reform. Members were selected from the Legislature's Health and Human Services, Insurance and Financial Affairs, and Appropriations Committees. The Committee, which had broad authority, was given just over a month to fashion a compromise and revamp the state's health care system. Following a series of public hearings and late night negotiations, the Joint Select Committee unanimously approved a rewritten version of the Governor's proposal.

The newly created Dirigo Health is based on the premise that by providing health coverage to all residents, the health care system can recapture a major portion of the $270 million that is now lost in emergency room and uncompensated care. Dirigo Health will:

* Provide an affordable, comprehensive benefit plan to individuals and small businesses by July 2004.
* Help control the cost of health insurance through more rigorous rate setting.
* Allow insurers more flexibility in negotiating rates based on quality standards.
* Improve health care planning by developing quality data.
* Help contain costs through voluntary caps on health care providers for a period of one year.
* Enroll 14,000 new persons in Maine Care (Medicaid) by expanding eligibility for individuals without children and working parents.

Dirigo Health is a quasi state agency with a five member Board nominated by the Governor and approved by the Legislature. The Board is now in the process of developing a benefit plan and will issue a request for proposal next year for a private carrier to administer the plan. By this time next year, Dirigo Health expects to enroll over 30,000 uninsured Mainers.

In addition to Dirigo Health, the U.S. Supreme Court also awarded Maine a significant victory this spring when it ruled that the Maine Rx Program could be implemented. The program, passed by the legislature in 2000 was immediately challenged in court by the pharmaceutical companies. Due to the Courts ruling, Maine will be the first state in the country to extend prescription discounts to an additional quarter of a million of its citizens.

In Maine we waited for help from the federal government. Help to reduce the cost of health care, help for those without coverage and help to lower the cost of prescription drugs. We decided not to wait any longer. Instead, we are on the cusp of transforming health care in this state to ensure that all residents-regardless of income or education-have access to quality health care. We look forward to making Dirigo Health a success and we would welcome the opportunity to work with other states or organizations interested in pursuing progressive health care reform.

Senator Michael Brennan represents Maine Senate District 27, which includes Portland, Falmouth and Long Island. He is Senate Chair of the Joint Select Committee on Health Care Reform and the Standing Committee on Health and Human Services. He can be reached at SenMichael.Brennan@legislature.maine.gov or at the Maine Senate Majority Office at 207-287-1515.
For more information visit the Maine Senate Majority website: www.mainesenate.org

Language, process, and history for the Dirigo Health legislation, LD 1611 in the 121st Legislature: http://janus.state.me.us/legis/LawMakerWeb/summary.asp?LD=1611

Public Law Chapter 469, the Dirigo Health statutory language as enacted and signed into law (go to this site and scroll down to Chapter 469, click on the various subchapter parts for the language): http://janus.state.me.us/legis/ros/lom/LOM121st/10Pub451-500/TableofContents.htm

- November 14, 2003 - CommonDreams.org

 

 

Literacy Needed for Good Health

March 3, 2001 by Brigitte Greenberg, Washington (AP) - Millions of Americans are risking their health because they cannot understand medical forms, even prescriptions, and many doctors are too harried to provide simple directions, experts said Saturday.

"This enormous problem has gone largely unrecognized and rarely discussed," said Dr. Herman I. Abromowitz, an American Medical Association trustee who participated in a discussion of health literacy at an AMA national leadership conference.

"Take away the fear of your white coat and stethoscope. Let your patients know it's OK not to understand and to ask questions," he said, reminding his colleagues they have an ethical responsibility to ensure that patients understand them.

Among the problems cited: the growing number of senior citizens who have problems with vision, hearing and cognitive skills; more and more patients for whom English is not their first language; patients unable to read or with learning disabilities, such as dyslexia.

Also, doctors busier than ever are not taking the time to adequately explain patient consent forms, instructions, prescriptions and other vital information. And when they can take the time, many physicians lapse into "doctor-speak," rather than using plain English.

The AMA estimates about 90 million Americans have difficulty comprehending medical information and acting on it.

That means an inability to follow instructions on pill bottles, understand health advice, complete office forms or insurance applications, or give informed consent to have an operation or office medical procedure.

The results can be devastating - visits to emergency rooms, increased likelihood of complications, even death.

The country's largest organization of physicians estimates that low health literacy costs the health care system $73 billion per year in unnecessary doctor visits, hospitalizations and longer hospital stays, and that estimate does not factor in expenses associated with malpractice lawsuits.

Last year, the AMA, and its philanthropy arm, began a first step toward addressing the problem - educating doctors about how to recognize patients with low health literacy.

The foundation recently started distributing kits to doctors that include an 18-minute video showing patients struggling to keep up with their medications.

On the video, one patient, a fifth-grade dropout who can barely read, admits he has problems following labeling directions for the nine medications he must take each day and the three inhalers he uses. A second patient says, "You're just like a bird out there, you're lost."

At the discussion Saturday, Dr. Mark V. Williams, director of the hospital medical unit at the Emory University School of Medicine, told about 35 doctors that his research shows many patients are simply too embarrassed to let the doctor know they do not understand what they are being asked or told.

"There is shame involved. We need to be sensitive," he said.

Dr. Patrick E. Brookhouser, an otolaryngologist - or specialist in disorders of the ear, nose, and throat - said patients just told of a cancer diagnosis or other unanticipated news cannot be expected to comprehend the information that comes next.

Dr. Bruce Scott, also an ear, nose and throat specialist, said he changed all of his office forms to make them easier to read after realizing that many patients were giving incorrect answers to such basic questions as whether they had had any previous surgery.

"Here I was wondering, 'Why aren't you cooperating with me?" he said.

Psychologist Terry C. Davis, a professor at Louisiana State University's School of Medicine, challenged the panel to simplify lengthy consent forms that contain what she described as incomprehensible legal and medical terms.

"What we say to ourselves is legally this is the way it is, and we just throw up our hands," said Davis, shaking her head. "Patients are asked to sign these every day, and they don't understand what they're signing."


Lack of health insurance is not a problem that affects only poor people in this country. The Census Bureau says that more employers are cutting health insurance. In households with incomes of more than $50,000 a year, the number of people without health insurance increased last year by 1.7 million to more than 12 million.

"This is a troubling trend," said Chris Jennings, the health policy coordinator for President Clinton, in happy understatement.

But of course the biggest increase was among children under 6, to 23.6 percent nationally last year from 20.1 percent in 1997. Ever been around a 3-year-old with a bad ear ache?

Low-income families lack healthcare, despite economic boom

6 September 6 1999, New York (Reuters Health)

Despite a healthy US economy, nearly a third of low-income Americans still lack health insurance, according to a new survey.

"In the midst of the best economy in 30 years, health care costs remain a significant financial burden for many low- and middle-income families," concludes a statement from the philanthropic organization The Commonwealth Fund.

In their survey, conducted by John Budetti of Princeton Survey Research Associates, over 5,000 Americans between the ages of 18 and 64 were asked about income, access to healthcare insurance and options for employer-based health coverage during the first half of 1999.


The survey results show that 19% of working-age adults lack health insurance. Of 'low-income' respondents (median income below $35,000), 32% were uninsured and 41% of those earning $20,000 or less annually were uninsured. Of those earning more than $35,000, only 7% were uninsured.

The Commonwealth Fund survey found that "many working Americans with below average incomes do not have the option of obtaining coverage from their jobs, a problem that is particularly acute for low-wage workers." The researchers found that Hispanics are at particularly high risk of being uninsured or for lacking access to employer-based plans.

The survey also found that 24% of Americans failed to either see a physician, fill a prescription, or undergo a recommended test or treatment because "they could not afford it."

This percentage works out at about 40 million people, the researchers say. Nearly half -- 45% -- of Americans who ranked in the bottom fourth of the population in terms of income went without needed medical care in the previous year, the Commonwealth Fund investigators say.

Those at the Commonwealth Fund predict that the problem will worsen. As a result, the group has created the Task Force on the Future of Health Insurance for Working Americans. They describe the Task Force as a "nonpartisan expert panel (that) will comprise individuals nationally recognized for their contributions in the fields of business, government, public policy, economics and medicine."

The Commonwealth Fund (
www.cmwf.org), founded in 1918, is a philanthropy focusing on "improving health care services... and promoting healthy behavior."

Thomas Calls for End to Employer-based Health Insurance
13 October 1999

Washington, DC (Reuters Health) -- The employer-based healthcare system in the United States is "fatally flawed" and needs to be replaced, a leading health policymaker told the US Chamber of Commerce Wednesday.

"If you start with a fatally flawed concept, no matter how good the execution, you will never, ever succeed," House Ways and Means Health Subcommittee Chairman Bill Thomas (R-CA) told a forum on the uninsured.

By continuing to try to fix the current system by defining people in terms of their relationship to work, he said "you're on a slippery slope to the government running not just health insurance, but the entire health system.
"

Thomas has been working for the last year on a proposal that would restructure the tax system so that individuals would become responsible for purchasing their own insurance. "The only way out of this dilemma is to have informed consumers," he said, "out in the healthcare marketplace with their own, after-tax dollars."


Thomas' plan, which is still being drafted, would include an "individual mandate" requiring everyone to have a basic level of coverage, would limit the ability of insurers to 'cherry pick' by charging lower premiums to healthier individuals, and would provide tax credits to those with high incomes and subsidies to those less able to pay for their own insurance.

"I believe that to save the private healthcare system, you need to have universal coverage," he said.

In the meantime, however, Thomas for the first time said he was willing to support interim steps, such as limited tax credits or deductions for those who currently get no tax advantage for buying their own coverage. Such changes, he said, "are like putting money in bank accounts that we would eventually cash in for the real solution -- health insurance for all Americans."

Breast Cancer and Money
by Fran Visco 08 Aug 99
Copyright © 1999 Scripps Howard News Service


The National Breast and Cervical Cancer Early Detection Program approved by Congress in 1990 was intended to be a tool in the fight against cancer. Unfortunately, for too many poor women it has turned out to be a woefully incomplete tool.

The bill created a screening program that works - low-income women get mammograms and sometimes find that they have cancer. When the diagnosis is bad news, however, far too many women find that they have no funds for treatment and many others discover there is a distressing shortage of treatment facilities.

In essence, it says to women diagnosed with cancer through the screening program: "Thanks for coming in for a mammogram or cervical exam. You have cancer but there is no guarantee of treatment."

The early detection program provides funding for all 50 states to conduct breast and cervical cancer screenings for low-income women who do not have private health insurance and either earn too much or are too young to qualify for Medicare.

I was one of the lucky ones. I had health insurance that covered my diagnosis and my treatment and, fortunately, survived to become a member of one of the world's closest-knit and least exclusive sororities - the nearly 2.6 million American women living with breast cancer in the United States.

Many working poor woman are not nearly as fortunate. Once these women have been diagnosed with breast cancer, they must depend on charity and donated care when it is available.

Some end up destitute or seriously ill simply because they ran out of resources on the road to a potential cure.

Others who do get care often find their treatment decisions are dependent on their financial resources. Physicians who treat these women say that the women often make decisions based on what they can afford - rather than what they need. For example, a patient may opt for a radical mastectomy rather than breast-conserving surgery simply because she can't afford expensive radiation and chemotherapy treatments.

That's why the National Breast Cancer Coalition has made passage of the Breast and Cervical Cancer Treatment Act a priority.

The legislation, sponsored by Reps. Rick Lazio, R-N.Y.; Anna Eshoo, D-Calif.; Ileana Ros-Lehtinen, R-Fla., and Lois Capps, D-Calif., would guarantee treatment for women diagnosed with cancer through the screening program. Passage of this bill will allow women whose poverty level makes them eligible for the CDC early detection program to also be eligible for Medicaid treatment of breast or cervical cancer.

Under this legislation, states would not be required to participate, but states that do will receive an enhanced match - 75 percent federal dollars and 25 percent state dollars.

NBCC members have witnessed the delay that can result from having to scramble to find the resources for treatment - and the physical and emotional trauma that delay inflicts on women diagnosed with cancer. Our members also have seen the resources of the screening programs being drained to help find treatment for patients. Here are a few examples:

-- A woman in Florida had to wait five months before a volunteer found her treatment dollars. This woman live
five agonizing months knowing she was sick and having no way to get the treatment she so desperately needed. It's impossible to determine the precise impact the delay had on her disease progression, but it certainly wasn't good.

-- A woman in Massachusetts already has spent her children's college fund for her treatment and is paying off more than $20,000 in medical bills. During her treatment, her conversations with her doctors were more often about the bills than their efforts to save her life.

-- After her initial visit, a woman in California found she couldn't afford to continue the medication and radiation recommended by her physician.

Other women whose mammograms indicated they need further diagnosis often don't seek it because they are, understandably, afraid of finding out they have cancer, knowing full well they don't have money to pay for treatment. And some women don't even go for screening, knowing that if cancer is diagnosed, there is no way for them to afford treatment.

What a horrible situation for anyone to face in a nation riding the crest of an economic boom that is unprecedented in human history. As policy-makers debate how to spend our significant national surplus, many working poor women in this country are relying on charity care, donated services by physicians or funds from bake sales and quilting bees to treat their breast cancer.

Fran Visco is president of the National Breast Cancer Coalition, an advocacy organization of 500 member organizations and more than 60,000 individual women, their families and friends. Readers may write her at: NBCC, 1707 L Street NW, Suite 1060, Washington, DC 20036.


Immigrants in the 21st century will help save both Social Security and Medicare: Social Security because their tax payments will help finance the retirement of the baby boomers, and Medicare because their willingness to accept relatively low wages for difficult jobs -- picture all those orderlies in the nursing homes of the future -- will mean decent care for the elderly without exploding costs. - Worth Magazine, Sept '99

Las Cruces 'David' Takes On 'Goliath' Task
Tiny Firm Invents Medical Bill Code
by Meredith Rolley, for The Journal
13 September 1999

LAS CRUCES -- A local firm's patented electronic billing system, which specializes in claims for alternative medical treatments, is being considered for a national standard by federal health agencies.

Alternative Link Inc. of Las Cruces was granted its patent in June for its "Alternative Healthcare Provider Billing" system. It covers claims processing, for the first time in detail and by specialty, for what is called complementary and alternative medicine. Those treatments include acupuncture, chiropractic care, holistic care, homeopathy, massage therapy, naturopathy and midwifery.

"The bottom line is that managed-care organizations and traditional insurers are lining up to begin covering nontraditional medicine. To do that, they need a coding system," said Joe Gallagher, vice president of the small firm.

The new billing system is a "crosswalk" that can link the detailed conventional health-care codes of the American Medical Association with those covering untraditional medicine, he said.

The new system will allow health insurers:

* To easily incorporate complementary and alternative medical services into their benefits;
* Avoid liability by identifying which services are allowable under different laws in each state;
* Track the efficacy of those services and treatments as well as monitoring the performance of care providers.

The U.S. Department of Health and Human Services in November will choose a national standard for billing codes, and Alternative Link's system is under review for acceptance. Once a standard is chosen, it will be used by the Health Care Finance Administration, which administers the Medicare and Medicaid programs. The company was the only one to testify before federal health officials and submit a system for complementary and alternative medicine.


The AMA, the Center for Communicable Disease and the American Dental Association have submitted billing systems for conventional health care. Jo Melinna Giannini, a former Albuquerque resident and president of Alternative Link, said she likes the David-vs.-Goliath chances for her billing system. One reason for her optimism, she said, is that there are shortcomings in the present AMA codes, which basically handle alternative medical procedures in a one-size-fits-all approach. Her company's process includes codes that define each procedure used by 13 complementary and alternative medical
specialties and identifies the rule in each state governing delivery of that care, she said.


The actual processing of a medical claim costs about 20 percent of the total claim payment, and an average claim has a 50-day turnaround time, she said. Alternative Link's system should help reduce costs to about 5 percent of the total claim payment and complete processing in about three days.

Robert Mills, public information officer for the AMA in Chicago, said the organization would not discuss Alternative Link's system. If the Las Cruces business' system is accepted, that should encourage more health insurers to expand their alternative medical offerings or adopt them for the first time, Giannini said.
"These codes not only level the playing field for
complementary and alternative medicine providers by letting them bill for services in a language that conforms to current health plan practices, but it also paves the way for consumer access," Giannini said. The data that will be gathered and provided by Alternative Link's process should encourage more insurers to cover alternative medicine, said Brian Klepper, the president of health-care consulting firm Healthcare Performance in Jacksonville, Fla. Caregivers can accurately describe their services for health plans, which solves a past problem in which complementary and alternative medical treatments were coded on claims forms as "unlisted procedures," Klepper said. In laymen's terms, Giannini explained how electronic billing works. "The insurance industry has gone electronic," Giannini said.

"To use a banking analogy, standardization of electronic messages makes it so everybody can use ATM cards any place in the world, saving you time and money. "Insurance is going through the same standardization. Imagine if every bank had an ATM card exclusive for its own transactions," she said. "At this time, among complementary and alternative medicine payers and providers, there is no standard claims form." Alternative Link's system provides just that.

"Remember that a claims form is more than just a way to approve or deny payment. It also collects data, what we call outcome studies, including medical effectiveness, cost effectiveness, state-by-state legal compliance, and much more," she said. "Outcome data allow insurance companies to predict the exposure," she said. "This is comparable in existing software to conventional treatment patterns, which basically answer the questions, 'What's the cost, what's the outcome?' ''

Giannini, who was born and raised in Albuquerque and attended Highland High School, began learning the medical insurance trade working for the New England Financial Group in Albuquerque in 1987. She began working on her billing system of nearly 4,000 codes three years ago. Since the patent was granted in June, Alternative Link's system has been voted into the American National Standards Institute Implementation Guide For Electronic Standards and accepted into the National Library of Medicine's Unified Medical Language System.

The system has the potential to generate as much revenue as the estimated $40 million a year now produced by the AMA code system, Giannini said. The Las Cruces company also is in the process of getting the word out about its product to health insurers and providers and plans to sell the product from business to business. The company's official title for its system is "Method & System Encoding & Processing Alternative Healthcare Provider Billing."


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