News & Opinion

Rx for America: a national health plan

Fewer workers each year receive health insurance from their employers
By Ron Gettelfinger / Special to The Detroit News

In recent weeks, members and retirees of our union have confronted a new set of challenges in the field of health care.

The roots of this problem, however, are hardly new. As Walter Reuther said during an address to the American Public Health Association in 1968:


"We must first free ourselves of the illusion that we really have a health care system in America. What we have is a disorganized, disjointed, antiquated, obsolete non-system of health care. Consumers are being required to subsidize a non-system that fails to deal with their basic health care needs and the cost of that system is continuing to skyrocket."


Unfortunately, the problems have only become more serious in the intervening years. We now have nearly 46 million Americans -- including more than 8 million children -- with no health insurance at all.


Current system is wasteful


The U.S. has the best doctors, nurses and health care professionals anywhere in the world. But they are hindered by an ineffective, wasteful bureaucratic system. Our nation spends approximately $1.7 trillion, or 15.4 percent of our gross domestic product, on health care. Four hundred billion of this sum is absorbed by the cost of paperwork and administration.


Additionally, prescription drugs cost more in the United States than in any other country. One reason for these high costs is that pharmaceutical companies spend more than any other industry on lobbying, with more than 1,200 lobbyists in Washington. These lobbyists are doing well for their employers, crafting laws and regulations to protect an industry which earns tens of billions in profits each year. But what are they accomplishing for the rest of us?


For all our health care spending, the United States ranks near the bottom among industrialized countries on life expectancy, infant mortality and virtually every other measure. In fact, the infant mortality rate in our nation's capital is more than double the infant mortality rate in Beijing.


America deserves better.


Fewer workers covered


Our health care is based on employment, but each year, fewer employers are providing company sponsored insurance. The figure is now down to 60 percent, a decline from 69 percent in 2000. Members of our union have learned through hard experience that relying on individual employers to provide health care is inefficient and a drag on our ability to compete in the global economy.


At General Motors, for example, we recently negotiated an agreement intended to preserve the company's ability to provide affordable health care for workers and retirees for many years to come. During this process, we had to confront GM's staggering $61 billion liability for the cost of present and future UAW retiree health care.


Foreign firms have advantage


Global auto companies like Toyota, Honda and Volkswagen have little or no liability for retiree health care because in industrialized nations outside the United States, health insurance is a government responsibility.


With universal health insurance, no employer gains an advantage by offering lower benefits or passing higher costs onto workers. Does it make any sense for the United States to continue on a policy course -- employer-based health care -- which delivers inferior care to our citizens and gives foreign manufacturers a cost advantage worth tens of billions of dollars over U.S. companies that employ U.S. workers?


To be sure, no government policy will help a company that can't make products consumers want to buy. But a modern, competitive national health insurance system would go a long way toward helping U.S. manufacturers make products at affordable prices. We need a uniquely American system, not one that tries to copy a solution from a different country. A workable American plan would be universal, covering every single man, woman and child in the United States. It would be comprehensive, offering a range of medical benefits for workers and families. And it would have only a single payer, creating the leverage needed to negotiate the cost of medical care and keep prices from rising every year.


We've heard time and again that national health insurance might be a good idea, but it's not politically possible in the United States at the present time. One thing is for sure: it's not possible to ignore our current health care crisis any longer. American workers -- and American employers -- can't afford it.


Labor voices Ron Gettelfinger is president of the United Auto Workers union.


Samples of SPAN's printed materials and how to obtain copies for distribution

Organizations and individuals may purchase SPAN’s educational flyers and brochures in quantity; we will provide you with the printer's contact information upon request.

Any purchase arrangements you make will be between you and the printer. SPAN receives no part of your payment—you pay only the actual cost of printing and shipping. [Note: Sample copies can be obtained directly from SPAN Ohio at no cost.]

The following items are available for purchase:

Realizing the Human Right to Health Care
Full-color tri-fold brochure. (See sample in English in pdf format)

Small Business Benefits
Full-color (See sample in English in .pdf format)

Single Payer Primer
Full-color (See sample in English in .pdf format)

LABOR and Publicly Funded, Universal Access To Health Care
Full-color (See sample in English in .pdf format)

Universal Health Care and the Faith Community
Full-color (See sample in English in .pdf format)

The Conservative Case for Single Payer Health Care


Health Economics 101

November 14, 2005

New York Times
Op-Ed Columnist


Several readers have asked me a good question: we rely on free markets to deliver most goods and services, so why shouldn't we do the same thing for health care? Some correspondents were belligerent, others honestly curious. Either way, they deserve an answer.

It comes down to three things: risk, selection and social justice.

First, about risk: in any given year, a small fraction of the population accounts for the bulk of medical expenses. In 2002 a mere 5 percent of Americans incurred almost half of U.S. medical costs. If you find yourself one of the unlucky 5 percent, your medical expenses will be crushing, unless you're very wealthy - or you have good insurance.

But good insurance is hard to come by, because private markets for health insurance suffer from a severe case of the economic problem known as "adverse selection," in which bad risks drive out good.

To understand adverse selection, imagine what would happen if there were only one health insurance company, and everyone was required to buy the same insurance policy. In that case, the insurance company could charge a price reflecting the medical costs of the average American, plus a small extra charge for administrative expenses.

But in the real insurance market, a company that offered such a policy to anyone who wanted it would lose money hand over fist. Healthy people, who don't expect to face high medical bills, would go elsewhere, or go without insurance. Meanwhile, those who bought the policy would be a self-selected group of people likely to have high medical costs. And if the company responded to this selection bias by charging a higher price for insurance, it would drive away even more healthy people.

That's why insurance companies don't offer a standard health insurance policy, available to anyone willing to buy it. Instead, they devote a lot of effort and money to screening applicants, selling insurance only to those considered unlikely to have high costs, while rejecting those with pre-existing conditions or other indicators of high future expenses.

This screening process is the main reason private health insurers spend a much higher share of their revenue on administrative costs than do government insurance programs like Medicare, which doesn't try to screen anyone out. That is, private insurance companies spend large sums not on providing medical care, but on denying insurance to those who need it most.

What happens to those denied coverage? Citizens of advanced countries - the United States included - don't believe that their fellow citizens should be denied essential health care because they can't afford it. And this belief in social justice gets translated into action, however imperfectly. Some of those unable to get private health insurance are covered by Medicaid. Others receive "uncompensated" treatment, which ends up being paid for either by the government or by higher medical bills for the insured. So we have a huge private health care bureaucracy whose main purpose is, in effect, to pass the buck to taxpayers.

At this point some readers may object that I'm painting too dark a picture. After all, most Americans too young to receive Medicare do have private health insurance. So does the free market work better than I've suggested? No: to the extent that we do have a working system of private health insurance, it's the result of huge though hidden subsidies.

Private health insurance in America comes almost entirely in the form of employment-based coverage: insurance provided by corporations as part of their pay packages. The key to this coverage is the fact that compensation in the form of health benefits, as opposed to wages, isn't taxed. One recent study suggests that this tax subsidy may be as large as $190 billion per year. And even with this subsidy, employment-based coverage is in rapid decline.

I'm not an opponent of markets. On the contrary, I've spent a lot of my career defending their virtues. But the fact is that the free market doesn't work for health insurance, and never did. All we ever had was a patchwork, semiprivate system supported by large government subsidies.

That system is now failing. And a rigid belief that markets are always superior to government programs - a belief that ignores basic economics as well as experience - stands in the way of rational thinking about what should replace it.


Wiki Page for 2015 SPAN Annual Conference

Healthcare Is a Human Right
Healthcare-NOW! A national grassroots advocacy organization in support of single-payer health care with a network of activists in 42 states.
Illinois Single-Payer Coalition
Kaiser Family Foundation: State Health Facts
Kentuckians for Single-Payer Health Care
Labor Campaign for Single Payer Healthcare
Maryland Chapter PNHP is a chapter of Physicians for a National Health Program, a nonprofit research and education organization of 16,000 physicians, medical students, and health professionals who support single-payer national health insurance.
Maryland Citizens Health Initiative
Massachusetts Campaign for Single Payer Health Care (MASS-CARE)
Minnesota Citizens Organized Acting Together (COACT)
National Nurses United
Our Ailing Health Care
Physicians for a National Health Program (PNHP)
Physicians Working Group Proposal for Single-Payer National Health Insurance
Public Citizen
Single-Minded for Single-Payer: An Interview with Kevin Grumbach
Single-Payer: Answers and Facts About Health Care for All
Single-Payer Action A nonprofit activist-fueled organization based in Washington, D.C.
Single Payer Central
Single Payer New York
Single Payer NOW

SPAN State Council

The following individuals were elected by their respective constituencies to serve on the SPAN State Council for a one-year term ending in April, 2019:

Executive Committee
Deborah Silverstein — SPAN Ohio State Director
Johnathon Ross, M.D.— SPAN Ohio Secretary
Barbara Walden — SPAN Ohio Treasurer
Brad Cotton, M.D. — At Large
Bill Davis — At Large
Marcia Hartman — At Large
Bob Krasen — At Large
Matt Noordsij-Jones, M.D. — At Large
Regional Coordinators
Region 1 — Ted Seuss
Region 2 — Dennis Slotnick
Region 3 — Patty Mercer
Region 4 — Dee Chavez, RN
Region 5 — Bob Krasen
Region 6 — Bonny Graham Esparza
Region 7 — Matt Noordsij-Jones, M.D.
Connie Hammond
Kendall Mays
Dave Pavlick, Sr.
Health Care Community
Richard A. Bozian
Richard C. Bozian, M.D.
Alice Faryna, M.D.
Pia Kanistros, RN, BSN
Katherine Lambes, M.D.
Joan Matyskella
Melanie Moynan-Smith
Don Rucknagel, M.D., Ph.D.
Kimball Stricklin
Marilyn Webster, RN, MSN
Community Organizations
Kathy Guest
Sean Nestor
Faith Groups
Bonny Graham Esparza.
Dennis Lambert
Other Organizations / Individuals
Quo Vadis Ellison
Marcia Hartman
Diana King
Logan Martinez
Bob Parker
Mark Polley
Arlene Sheak
Business Community
Freeda Flynn, M.D.
Tim Kettler
Mayo Makinde

Thank you for signing up!

We have received your information and will add your name to our database. 

Be sure to visit our site on a regular basis to check for the latest news and upcoming events. We also recommend checking out some of the sites on our Links page, which will help give you a sense of how support for single-payer is growing across the nation.

Thank you for your interest in single-payer health care for all.






SPAN Contacts

General Information

PO Box 852
Kent, OH 44240
Email:  — Voice Mail: 216-736-4766

State Director

Debbie Silverstein
Email: — Phone 330-673-8524


Contact the regional coordinator for your county to obtain SPAN material or instructions on how to obtain it, to volunteer to help with the campaign for siingle-payer, or for answers to questions about SPAN Ohio or the single-payer movement in general.

Region 1 (Northeast Ohio)

Ted Seuss  
Phone: 440-590-2427
(Includes Ashtabula, Cuyahoga, Geauga, Lake and Lorain counties)

Region 2 (Northwest Ohio)

Dennis Slotnick
Phone: 419-704-1863
(Includes Allen, Auglaize, Defiance, Erie, Fulton, Hancock, Henry, Huron, Lucas, Mercer, Ottawa, Paulding, Putnam, Sandusky, Seneca, Van Wert, Williams, and Wood counties)

Region 3 (Southeastern Ohio)

Patty Mercer 
Phone: 740-594-2344
(Includes Athens, Belmont, Coshocton, Gallia, Guernsey, Harrison, Hocking, Jackson, Jefferson, Lawrence, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pike, Ross, Scioto, Vinton, and Washington counties)

Region 4 (Southwestern Ohio)

Dee Chavez 
Phone: 513-413-1178
(Includes Adams, Brown, Butler, Clermont, Clinton, Hamilton, Highland and Warren counties)

Region 5 (Central Ohio)

Bob Krasen
Phone: 614-261-0754
(Includes Crawford, Delaware, Fairfield, Fayette, Franklin, Hardin, Knox, Licking, Logan, Madison, Marion, Morrow, Pickaway, Union, and Wyandot counties)

Region 6 (East Central Ohio)

Bonny Graham Esparza
Phone: 330-842-9296
(Includes Ashland, Carroll, Columbiana, Holmes, Mahoning, Medina, Portage, Richland, Stark, Summit, Tuscarawas, Trumbull, and Wayne counties)

Region 7 (West Central Ohio)

Matt Noordsij-Jones
Phone: 937-321-8698
(Includes Champaign, Clark, Darke, Greene, Miami, Montgomery, Preble, and Shelby counties)

SPAN Ohio 9th Annual Conference

Saturday, April 14, 2012
Ramada Plaza Hotel and Conference Center

Columbus, Ohio


Conference Theme: Healthcare for the 99% - Overcoming Roadblocks to a Basic Human Right

Keynote Speaker: Joe Brewer - Founder and Director of Cognitive Policy Works, Project Coordinator for the Seattle Innovators, Former Fellow of George Lakoff's Rockridge Institute. Click here to view the full conference brochure and mail-in registration form, which can be downloaded for printing. Click here if you prefer to register and pay online.


Donations to SPAN Ohio help cover operating and lobbying expenses and are NOT tax deductible. To donate, click the DONATE button below. On the page that appears, type in the amount of your donation. If you want your donation to be recurring, check the box where it says "Make this a monthly donation." If this is a one-time donation, leave that box blank.Then click either "Donate with PayPal" (if you have an account) or."Donate with a Debit or Credit Card." Complete the transaction on the page that follows.

Donations to HCFAO go to our education fund and ARE tax deductible. To donate, click the Donate button below. On the page that appears, type in the amount of your donation. If you want your donation to be recurring, check the box where it says "Make this a monthly donation." If this is a one-time donation, leave that box blank.Then click either "Donate with PayPal" (if you have an account) or."Donate with a Debit or Credit Card." Complete the transaction on the page that follows.


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