Posts Tagged ‘Califronia OneCare’

We Don’t Need No Stinkin’ Insurance Companies

July 7th, 2010

This essay is in response to the article, “Checkup” by Ryan Burns in The Journal (Humboldt County, CA):

Thank you, Ryan Burns, for “Checkup” on the new health care law.  Oh, yes, it’s true:  It IS “better than nuthin’.”  But, wait!  Doesn’t any one stop to wonder why we must settle for such a pittance when our economy, our health and often our very lives depend on finding a real solution to the healthcare crisis?

Yes, there are some very good features in the new legislation.  Medi-Cal and Healthy Families in Humboldt County are rescued temporarily, and there will be some controls put on the mega-powered insurance companies that make life altering, financial judgments on our healthcare needs.  Naughty insurance companies!  They will have to pay fines now if they abrogate these new rules!

But guess what choices they’ll make when the fines they pay are cheaper than playing by the rules (giving you the health care you need)? Did anyone wonder why the stock values of the big insurance companies shot up when the legislation was passed?  Did anyone wonder why they were so willing to get on board with the new law?  Could it be the thousands and thousands of new customers who must soon buy health insurance?

Insurance companies will make even more money under this new deal.  They will continue to raise rates across the nation and here in California, despite a new bill before our Senate that seeks to examine their rationale for rate hikes. And costs for health care will continue to spiral out of control.

The fact is, for-profit health insurance is the deal breaker.  There is no feasible way to offer low-cost, effective, universal health care to the public with private insurance as a middleman.  As much as 30% of every dollar we spend on insurance is eaten up by administrative costs, advertising, bonuses, mega-salaries, etc.  Everything our governing bodies try to do to co-exist with this paradigm is nothing more than fingers in the dike.  Because the insurance companies suck up the healthiest and wealthiest of the population, the burden of care and risk is borne by our government, which means, in case you have forgotten – US, the taxpayers.

We are already paying for health care for the poor and ill among us who are denied preventive care, and are driven to use emergency rooms for primary care.  We are already paying through the state’s endless stop-gap programs that take up the slack created by Big Insurance hoarding all the no-risk clients.

There is only one rational solution.  Everybody in, nobody out.  We are all in this together. Together we can make it work by creating a single-payer model similar to systems adopted by many other developed nations, but tailored to our specific needs.  There is currently a bill before our state legislature that would institute such a program.  SB 810 (sponsored by Sen. Mark Leno) is NOT socialized medicine, but a gold-standard system.  It offers full-choice, private delivery of care, public funding and stewardship.

SB 810 is fiscally sound, will control cost increases, is affordable for all, promotes better health, and will stimulate business by creating jobs, promoting productivity, and delivering the state from its financial meltdown. California can no longer afford NOT to adopt this kind of system.  Check it out at http://californiaonecare.org and let’s join the rest of the civilized world that sees taking care of its citizens not as a means to obscene profits for some, but as a moral obligation to all.

Patty Harvey

SB 810 Clears Assembly Health Committee

July 6th, 2010

Daniel Weintraub of the healthcare policy blog HealthyCal.org reports on SB 810’s success in advancing out of the state Assembly Health Committee:

The California Legislature is moving on two fronts when it comes to health care reform. On a bipartisan basis, lawmakers have passed two bills to create a high-risk pool that will expand access to health insurance for people who have been denied coverage due to pre-existing conditions. At the same time, though, the Democrats who control the Legislature are pushing forward with doomed legislation that would create a Canadian-style single payer health plan.

The Assembly Health Committee was the latest hurdle cleared by SB 810, by Sen. Mark Leno. The bill would do away with health insurance as we know it and gather the estimated $200 billion Californians spend now in premiums, co-pays and deductibles, plus government subsidies, and put all of that money into one health care plan managed by the government. A state commission would define benefits and any cost-sharing and then negotiate with doctors, hospitals, labs and drug companies to provide the care and services for everyone.

You can read the rest of the article here. Weintraub suggests that single-payer legislation in California faces long odds to passage. However, I don’t think the legislation is necessarily “doomed.” Twice, the state legislature approved a single-payer program. It can happen again with a strong grassroots movement. SB 810 can survive the inevitable political hurdles if ordinary Californians sweep into office this November political leaders who have the courage to fight for the only real solution to our healthcare crisis. What is doomed is the current, unsustainable, insurance-based model, which will eventually collapse under the weight of out-of-control costs and unbridled greed.

My Healthcare Story – Andrea Viel

July 5th, 2010

My son, who graduated from college a year ago in May, has been turned down for an individual health insurance policy by the same company that had insured him for years. He never had a claim beyond an occasional checkup. Johnny is 23, 6’ 2’’, athletic, slim, a non-smoker and doesn’t drink more than an occasional beer.

Because I’m involved in healthcare at my job, I’m aware of the darker side of the big health insurance companies. Daily, I face denials for necessary care, co-pays that prohibit a patient from receiving needed care, and delays in payment. We encounter people who have no insurance who desperately need care. Others have a high deductible that they aren’t aware of, and when their bill comes, they walk away from the charges. They have now received “free” medical care and satisfied their deductible. Walking away from the bill is not uncommon in any medical practice. When you, as a medical practice owner, are faced with losses such as these, your only alternative is to make a profit on those patients with “good” insurance that come for treatment. The system encourages over-treatment of those with “good” insurance. I truly believe that every healthcare provider would welcome a modest, but fair, payment for every patient that came through the doors. Obviously, the system is broken. ….but I’ve digressed from my topic!

I knew my son was going to be applying for individual coverage upon his graduation, so I advised him to have a checkup at his university. I didn’t want coverage delayed in any way, pending a medical exam. The physician “flagged” a lymph node that protruded from Johnny’s neck, something he’d had since birth and is completely benign. Johnny was denied coverage because of the doctor mentioning the lymph node.

The policy Johnny was applying for was a major medical policy and would have cost him about $50 a month. Instead, he was forced to rely on COBRA, which costs us – his parents – about $350 a month. Is it possible that his insurer did the math? I’d hate to think that the reviewers would be so devious, but I do know that employees are rewarded for actions that improve profitability.

Soon he will have to once again seek coverage, and he will have to answer “yes” when the question of whether he’d been denied by another insurance company comes up. Obama’s reforms will help us all, but they won’t control the health insurance industry. By 2014, no one will be turned down for health insurance. If the plan offered to you is six times the cost of that of a healthy person, I don’t think we’ve made progress. We absolutely need to challenge private insurance with Universal Healthcare.

Andrea Viel

California OneCare Campaign Appoints a Web Blog Editor, ME!

July 2nd, 2010

You’re now invited to tell the world about your reform ideas or share your health care story.

You can take on big pharma or the health insurance moguls and you can help us explain why single payer is the right solution to our health care crisis.

I will now monitor and edit this Blog space each and every day going forward.

To submit your own Posts, please send them as a Word file via email to Sylvia@californiaonecare.org.

The California OneCare Campaign and the State Strategy Group coalition of supporting organizations has been spreading the word about California’s single payer California OneCare SB 810 legislation. More than ever, the web is our strongest educational tool and your participation in our new blog effort will help the cause. Your blog post could well be shared by millions on blogs, Facebook and Twitter postings happening each day.

Each step we take brings us closer to the level of mass public understanding of single payer we’ll need to match the awesome power of the insurance and pharmaceutical corporations.

While we’ve applauded all efforts at reform, we know that anything short of single payer is unsustainable and, frankly, unconscionable.

And we know that California is ready to lead the nation in the one true reform solution that will work for everyone: full care, for all, for less.

Sylvia Moore, Blog Editor
California OneCare Campaign for SB 810