Toledo Blade OpEd "Let's celebrate Medicare by expanding it to cover everyone." July 30, 2015
EXPAND IT TO ALL
The Athens News
Sunday, May 17,2015
Community members, officials rally for Social Security and other programs
A large crowd of community members and elected officials gathered at the Athens County Courthouse last Wednesday to wish a happy birthday to Social Security, Medicare and Medicaid.
This year, 2015, marks the 80th anniversary of the passage of Social Security and the 50th anniversary of Medicare and Medicaid.
The Athens County Commissioners, Athens City Council and Nelsonville City Council issued proclamations, while a number of other speakers shared personal stories about how the various programs have impacted, and even saved, their lives.
The event was organized by Athens County resident Warren Haydon, who noted in opening remarks that one in three county residents receives benefits from at least one of the three programs.
He cited figures showing that more than 15,000 county residents, mostly elderly, receive Social Security benefits, while a similar number of residents use Medicaid, and about 9,500 get Medicare benefits.
Resident Carolyn Fisk of New Marshfield told the audience about the long illness of her husband and how Medicare was a crucial factor in handling the bills.
Francine Childs, Ohio University professor emeritus of African-American studies, called health care a human right.
"Civilized people provide resources for other people," she said. "We are civilized."
A total of 17 speakers provided testimony in support of the three programs, while cake was also served, and large cards were available for people to sign. Haydon said the cards will be on display at various libraries in the county.
Haydon quoted President Franklin Roosevelt during the signing of the Social Security Act of 1935.
"We can never insure 100 percent of the population against 100 percent of the hazards and vicissitudes of life, but we have tried to frame a law that gives some measure of protection to the average citizen and to his family against the loss of a job, and against poverty-ridden old age," Haydon quoted Roosevelt.
Haydon argued against those who would push to cut benefits related to these programs, or otherwise reduce access to them by, for instance, raising the retirement age for Social Security.
"We don't need these programs cut. We don't need current or future recipients to have their benefits decreased," he said. "If anything, they need to be increased."
County Commissioner Lenny Eliason read a proclamation sharing the numbers of Athens County residents benefitting from the programs. He said that without Medicare, many of these elderly citizens would face a lack of health insurance and bankruptcy.
Pastor Robert Martin, of the First Presbyterian Church of Athens, paraphrased U.S. Supreme Court Justice Oliver Wendell Holmes, Jr., who said, "Taxes are the price we pay for a civilized society."
"I'm here to celebrate with you today these programs that ensure that we care for the most vulnerable in our society, which is, in the end, all of us," he said.
Various candidates for U.S. President in 2016 have proposed cuts to some of these programs.
On the Republican side, U.S. Sen. Ted Cruz, from Texas, for instance has proposed raising the retirement age and transitioning younger workers to a personal savings system. Former Arkansas Gov. Mike Huckabee has said the same about personal savings systems, also sharing his position that he'd like a "fair tax" system to replace payroll taxes.
U.S. Sen. Rand Paul, from Kentucky, has proposed raising the retirement age gradually, allowing an opt-out, and called Social Security a "Ponzi scheme." U.S. Sen. Marco Rubio, of Florida, has said benefits have to be less generous, and the retirement age should be raised for those currently under 55.
On the side running for the Democratic Party nomination, former Secretary of State Hillary Clinton has given support to the idea of increasing the payroll cap but not if it taxes the middle class. She's also called for a bipartisan commission.
U.S. Sen. Bernie Sanders, of Vermont, an independent running for the Democratic Party nomination, has rejected privatization, and said that despite rhetoric coming from Republicans, the program is not going bankrupt. He voted in favor of strengthening the Social Security trust fund lock box.
The Students for a National Health Program Annual Summit in Chicago just released a short video of students explaining why we need single payer in the US. Here's the link: https://www.youtube.com/watch?v=JtjAFXNJZjc
March 29. 2015 2:01AM
Froma Harrop: Obamacare should be less complex
Next to what we had before, Obamacare has been a spectacular success. The Affordable Care Act has brought medical security to millions of previously uninsured Americans and has helped slow the rise in health-care spending.
But the health reforms would have been more spectacular had they been simpler to understand. Complexity is their big flaw. It was the product of politicians cutting so many private interests into the deal -- and the fear of radically changing a system of health coverage largely based on employment.
Thus, many Americans who received tax credits to buy coverage on the health insurance exchanges now must calculate whether they overestimated or underestimated their 2014 income in determining their subsidy.
If they made more than they expected, they must repay some of the money.
Others are finding that they earned less than they thought they would in the year. They can expect a refund. A nicer surprise, for sure, but still, figuring these things out is a chore.
There's another group. Those folks who did not enroll and do not have health insurance are facing a tax penalty of $95 or 1 percent of their income, whichever number is higher. That penalty will rise with the years. Many can obtain an exemption from this fine but must apply for it.
Some objected to being forced to buy coverage. Others were unaware of the mandate. And many people just couldn't wrap their brains around the concept of exchanges and the choices they offered.
Bringing the entire population into the insurance risk pool is essential to any health reform, and a mandate to buy coverage is one way to get there. But that puts a burden on a lot of ordinary folk.
Medicare brings everyone 65 or older into the program by simply enrolling them. Hospital coverage is automatic. Those wanting coverage for visits to the doctor can pay extra. If they want coverage for drugs, they can buy a drug plan. Or they can sign up with a Medicare Advantage plan.
Medicare does offer subsidies to some low-income people, but they are relatively simple. The program is funded by payroll taxes, premiums and the Treasury. No one needs an accountant to figure what one gets or pays.
There's much waste in Medicare. But the program does curb spending through low administration costs and by setting a price on each service.
Ironically, some of Obamacare's leading critics want to make Medicare more like Obamacare. Rep. Paul Ryan proposes a system whereby the elderly would receive vouchers to buy coverage from a private insurer on ... a health insurance exchange.
Gone would be the guaranteed benefits. Patients of modest means wanting choice of doctor might have to settle for plans with limited provider networks. Those who object would have to fight it out with the insurer. The Ryan plan would give insurers more freedom to determine the benefits offered by their plans. Companies could then tailor their offerings to attract the healthy -- and therefore cheaper -- enrollees and avoid the sickly.
Would some leader in Washington start the wheels turning to bring all Americans into the promised land of Medicare as we now know it? And don't repeal Obamacare. Mend it and bend it to fit into Medicare.
S.B. No. 137, the Ohio Health Care Plan to provide universal health care coverage to all Ohio residents, has been introduced in the 131st General Assembly jointly sponsored by Senator Michael Skindell and Charleta Tavares and co-sponsored by Senators Edna Brown, Cecil Thomas, Sandra Williams and Kenny Yuko.
At an open forum looking at the New York Health Act held near Union Square this week, Gerald Friedman, PhD, chair of the Department of Economics at the University of Massachusetts at Amherst, suggested that clinging to negotiated healthcare benefits is unnecessary under a single payer system, and actually undermining the labor movement in a couple of important ways. Click to read full article.
Single-payer health program would cover all 42 million uninsured, upgrade everyone’s benefits and save $400 billion annually on bureaucracy, physicians say
A national physicians group today hailed the reintroduction of a federal bill that would upgrade the Medicare program and swiftly expand it to cover the entire population.
The “Expanded and Improved Medicare for All Act,” H.R. 676, introduced last night by Rep. John Conyers Jr., D-Mich., with 44 other House members, would replace today’s welter of private health insurance companies with a single, streamlined public agency that would pay all medical claims, much like Medicare works for seniors today.
Proponents say a Medicare-for-all system, also known as a single-payer system, would vastly simplify how the nation pays for care, improve patient health, restore free choice of physician, eliminate copays and deductibles, and yield substantial savings for individuals, families and the national economy.
“The global evidence is very clear: single-payer financing systems are the most equitable and cost-effective way to assure that everyone, without exception, gets high-quality care,” said Dr. Robert Zarr, president of Physicians for a National Health Program, a nonprofit research and educational group of 19,000 doctors nationwide.
“Medicare is a good model to build on, and what better way to observe Medicare’s 50th anniversary year than to improve and extend the program and its benefits to people of all ages?”
Zarr, a Washington, D.C.-based pediatrician, continued: “An expanded and improved Medicare-for-All program would assure truly universal coverage, cover all necessary services, and knock down the growing financial barriers to care – high premiums, co-pays, deductibles and coinsurance – that our nation’s patients and their families are increasingly running up against, often with calamitous results.
“Such a plan would save over $400 billion a year currently wasted on private-insurance-related bureaucracy, paperwork and marketing. That’s enough money to provide first-dollar coverage for everyone in the country – without increasing U.S. health spending by a single penny.
“Such a program would also have the financial clout to negotiate with drug and medical equipment suppliers for lower prices, and would further save money through lump-sum budgeting for hospitals.
“In short,” Zarr said, “the enactment of Rep. Conyers’ bill would take us much further down the road to a humane, just and sustainable health care system than the 2010 health law, which, despite its modest benefits, will not be able to control costs and will still leave 31 million people uninsured in 2024, according to the Congressional Budget Office. Millions more will be inadequately insured, with skimpy coverage.”
Zarr pointed out that the Census Bureau reports there were 5.9 million uninsured children in 2013.
“Surveys have repeatedly shown that about two-thirds of the public supports a Medicare-for-all approach,” he said, “and recent surveys show physician support is also strong and growing. Hundreds of labor, civic and faith-based organizations have endorsed this model of deep-going reform.
“As a doctor who sees the children of hard-pressed parents every day, I can tell you that the need for fundamental health care reform has never been greater,” he said. “It’s time to stop putting the interests of private insurance companies and Big Pharma over patient needs. It’s time to adopt a single-payer, improved-Medicare-for-all program in the United States.”
A summary of the basic provisions of H.R. 676 is available here.
Physicians for a National Health Program (www.pnhp.org) is a nonprofit research and educational organization of 19,000 physicians who support single-payer national health insurance, an improved Medicare for all.