Posts Tagged ‘California’

Spring 2013: You Are Key to a Better Way

May 22nd, 2013

Dear California OneCare Supporters,

I live at the northeast edge of the Sacramento Valley, one of the richest agricultural areas in the world, where the beginning of spring heralds an explosion of blossoms. We look forward to it every winter and revel in it until we’re overcome by sneezing and coughing, as pollen fills the air and allergies are triggered. That floral beauty comes at a high price.

Which brings me to the expectations Americans have had for the Affordable Care Act, also known as ACA or Obamacare. Although ACA will dramatically expand Medicaid coverage and provide some other necessary improvements in health care, many health policy researchers now recognize that it is not the solution to our health care crisis. It does NOT control rising costs and, even after it is fully implemented, over 3 million Californians will still lack health care (CBO Report).

As single payer avtivists have said all along, access to health insurance is not the same as access to health care. For the uninsured, who will be mandated to purchase insurance, high co-pays and deductibles will render it too expensive since no cost controls are included in ACA. The reality is that, since the insurance industry strongly influenced the drafting of the legislation that created ACA, it follows that they will benefit the most from its implementation. In fact, they’re already looking to take advantage of loopholes that benefit them (click here).

As Californians recognize more and more that ACA is much less than the solution to our health care maze, and will cost a lot more than they expected, we have an opportunity to let them know there is a better way.

Call it single payer or call it Medicare for All Californians. Whatever we call it, now is the time to recharge our campaign and make sure that more Californians understand how it differs from ACA and, importantly, how it can build upon it.

Working with California Health Professional Student Alliance and Physicians for a National Health Plan – California, we are moving ahead with our plan to win health care justice by 2017*. We’re now enlisting other statewide organizations as partners in a broad and diverse coalition, dedicated to bringing single payer to all Californians.

There’s no single way to make this happen, so we offer different opportunities for you to show your support and build the movement:

1. Like us on Facebook. Believe it or not, this increases our visibility and public support for the movement.

2. Become a monthly donor. It’s an easy, convenient and efficient way to help the campaign. It ensures dependable monthly support that allows us to focus on what matters – strengthening the movement for a single payer health care system in California. Plus, you can ignore any future fundraising messages you receive from us – guiltfree!

3. Ask three friends to sign up on the California OneCare website (click here).

4. Follow your passion. Get together with a like-minded friend and start a OneCare Team in your community. For more information or if you need help finding others in your area who may be interested, give me a call at 530-892-1333.

By the way, guess what industry benefits from all that sneezing and coughing up my way?
That would be the Pharmaceutical Industry, another beneficiary of ACA.

I look forward to hearing from you and working with you to do what we ought to have done decades ago – create an affordable, cost effective health care system that covers everyone with comprehensive benefits.

Thank you for your continuing support of this important work.

Sincerely,

Jeanne Ertle
Vice Chair, Board of Directors, California OneCare

* This is the date that ACA allows states to apply for a State Innovation Waiver, which  will make it possible for California to set up its own single payer health care system.

Activists gather in Sacramento and Los Angeles to support Medicare for all

February 22nd, 2013

On Feb. 11, 2013, single payer health care supporters rallied in Sacramento and in Los Angeles in support of the California Professional Student Alliance’s Annual Lobby Day.

Sylvia@californiaonecare.org

Medicare for All Rallies in Sacramento & Los Angeles to Celebrate Lobby Day, Feb. 11

February 4th, 2013

From Campaign for a Healthy California:

Insurance companies are raising their rates on individual policy holders by 20%. It’s time to tell legislators to PUT PEOPLE FIRST!
Lobby Day/Rally

February 11 at Noon, Join the Campaign for a Healthy California in supporting the California Health Professional Student Alliance Lobby (CaHPSA) rally for single payer!
Free bus rides to Sacramento available from Bay Area locations. Please call to reserve!

Noon Join the students on the north steps of the Capitol
1:00 PM March to the California Association of Health Plans at 14th and L Streets.
(A bus will be available for those unable to walk that distance.)

■ San Francisco: San Francisco Main Library, Larkin and Fulton at 9 am. Reserve a seat through Don Bechler at Single Payer Now, 415-810-5826.
■ Richmond: Target, 42nd and MacDonald Avenue at 9:45 am. Reserve a seat through Cara at 510-663-4086.
■ Berkeley: Ashby Bart at 9:15 am. This bus will pick up in Richmond after the Berkeley stop. Reserve a seat through Cara at 510-663-4086.
■ San Jose: South Bay Labor Council, 2102 Almaden Road at 9:00 am. Reserve a seat through Greg Miller – (408) 254-3311.
■ Grass Valley: KMart, 111 W. McKnight Way at 9:30 am. Reserve a seat through Mindy’s email.
■ Roseville: UDW office, 800 Sunrise Avenue Suite C at 10:15 am. Reserve a seat through Diana at 916-435-9760.
■ Fresno: Mervyn’s Parking Lot, Ashlan and Shields at 7:30 am. Reserve a seat through Judy Hess – 559-907-0279.
■ Modesto: Old Krispy Kreme, Briggsmoore at Highway 99 at 9:15 am. Reserve a seat through Carol Bailey at 209-951-0499.
■ Stockton: Clarion Hotel, Highway 99 at Waterloo at 10 am. Reserve a seat through Carol Bailey at 209-951-0499.

Email Questions (info@Healthycaliforniacampaign.org) or call 800-745-3090

Share the ENGLISH flyer
Share the SPANISH flyer

Information below for Los Angeles satellite rally:

hc-cahpsa-rally-la-0211132

 

Don McCanne, MD: Enough specialists for Medicare, but not Medicaid

January 14th, 2013

Healthcare crisis: not enough specialists for the poor

By Anna Gorman

Los Angeles Times, December 15, 2012

By the end of the decade, the nation will be short more than 46,000 surgeons and specialists, a nearly tenfold increase from 2010, according to the Assn. of American Medical Colleges. Healthcare reform is expected to worsen the problem as more patients — many with complex and deferred health needs — become insured and seek specialized treatment.

Many of the newly insured will receive Medi-Cal, the government plan for the needy as administered through the state of California. Clinics already struggle to get private specialists to see Medicaid patients because of the low payments to doctors. Last week, an appellate court decision that authorized the state to move forward with 10% cuts in Medi-Cal reimbursement, which could make finding doctors for those patients even more difficult.

“Specialists are paid so poorly that they don’t want to take Medi-Cal patients,” said Mark Dressner, a Long Beach clinic doctor and president-elect of the California Academy of Family Physicians. “We’re really disappointed and concerned what it’s going to do for patient access.”

In Los Angeles County, the sheer volume of poor or uninsured patients needing specialist services has long overwhelmed the public health system, creating costly inefficiencies and appointment delays that can stretch as long as a year and half.

Patients’ conditions often must be dire for them to see a neurologist, cardiologist or other specialist quickly. Community clinics try to bypass the backed-up formal government referral system by pleading, cajoling and negotiating to get less critically ill patients moved up on waiting lists.

At times, clinic staff members are forced to work against one of their key missions by sending patients to emergency rooms to increase the odds of their seeing a specialist more quickly.

http://www.latimes.com/health/la-me-clinic-specialists-20121216,0,5422442,full.story

Comment:

By Don McCanne, MD

My career in private practice began with the introduction of Medicare and Medi-Cal (Medicaid). At that time, I had no problems referring Medicare and privately insured patients to specialists, but the majority of them refused to see my Medi-Cal patients. The stigma of “welfare patient” was there right from the beginning.

Quite a few years later, my Medicare patients continued to be accepted without question, but some of the managed care patients were rejected, and, of course, Medi-Cal patients continued to be rejected, except by a few very dedicated specialists. Eventually with EMTALA, at least I could force unwanted referrals for patients requiring specialized emergency services by sending them directly to the Emergency Department. What a terrible way to practice medicine.

As stated in my last message, there will be about 10,000,000 Medi-Cal patients in California, once the Affordable Care Act is fully implemented. Can you imagine the specialists suddenly opening their doors and welcoming these patients into their practices?

I’ll say it once again. If we had an improved Medicare single payer system that treated everyone equitably, we would not have this problem.

Re-posted with permission from pnhp.org.