Tuesday, June 30, 2009

Lou Hammann's remarks at Thursday's single payer rally

AfD co-chair Lou Hammann was one of the campaign-finance activists arrested in the Capitol Rotunda Democracy Brigades actions, and in his talk at Thursday's rally in Washington, he reminds us of the corrupting power of money in politics--a problem that's only gotten worse since.

I don’t want to blur the focus of this rally, but indulge me for a moment or two.

Back in 2000 the Alliance for Democracy organized a series of demonstrations in the Rotunda of the Capitol to call attention to the need for campaign finance reform. Over a period of ten or eleven months, I would estimate that close to 100 people were arrested for exercising their rights of free speech. Our method involved civil disobedience. That meant simply that we did not behave in the public arena in a way consistent with some ill-defined “tourist standard.” We should note, however, that in the halls of that Capitol, lobbyists were free to move without any constraints. Why? Because they were engaged in “business as usual.” In practical terms that meant persuading the people who should represent us that the business of corporations has priority over the hopes, needs and judgments of ordinary citizens. Surely, such an army of professional lobbyists was not behaving like any group of “standard tourists.”

One of those demonstrations was meant to expose the virtual bribery of legislators by “healthcare industries” and their lobbyists. In a fact sheet that we had put together, we asked the question, “Can we possibly have Universal Health Care?” Our answer was, “Not when members of Congress and their parties have taken (in’99 – ’00 alone) $66,000,000 in political contributions from insurance and pharmaceutical corporations.” That was nearly a decade ago! There is no need to repeat what many here know about the quantity and distribution of money, privilege and opportunity that tempts (should we say, seduces?) people now in positions of power and authority. It is not the shadow of money that falls over the current effort at healthcare reform. It is real money—and everyone here knows how to track it through the legislative labyrinth.

It is just a fact, a decade later, that corporate money and privilege still flow through the halls and offices of those who govern our country. It would be naïve to suppose that prospective healthcare legislation is an exception to the rule of influence.

The excuse that many who resist a move to universal healthcare invoke is embarrassingly consistent. They tell us that it is simply impossible to create a system that shares risk and cost equitably and distributes services efficiently. But that is not a bona fide reason. “Impossible,” why? Check the money and corporate power that now flows through the halls and offices of government. If you ask for the judgment of many healthcare professionals who live with the inequities of the current healthcare system, they will tell you that it is impossible to endure any longer the unhealthy system of healthcare delivery that now holds us all captive.

And then there are the confusion and anxiety of ordinary citizens who can’t safely maneuver through the system of private healthcare: Surely they deserve a system that is not defined as an “industry” that puts corporate profits above their human needs—and human rights. In the current climate, being “patient” is hardly a virtue. The stories of how so many patients are abused by the strategies of insurance corporations are multiplying dangerously—“dangerously” both for the economy and for the real people whom we here represent. No need to invoke the millions of stories “out there” in the real world where people live with their bodies and minds and resources at constant risk. You can hear those stories in kitchens, living rooms and offices—stories of pain, sadness and disability, exacerbated by the cruelties of profit-driven healthcare.

The Alliance for Democracy has held from its beginning that corporate power has usurped the rights of citizens, the environment and government. Such power too often overrides the legitimate needs and human rights of those of us who live our lives in the real world, where exorbitant money and privileges are not the only things that give life meaning.

I am from Pennsylvania, where bills in both our house and senate are beginning to move the state toward a Single Payer system of Healthcare. The American democracy was born in our state. Surely universal healthcare is a real extension of this democratic polity.

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Click moments

If you haven't had your "click moment" on single payer yet, maybe these will help.

On CommonDreams.org, Donna Smith, of the California Nurses Association and PDA's Healthcare Not Warfare campaign, writes about her husband's heart attack, and how he was denied a blood test because of an unpaid $7 bill with a medical testing company.

And Wendell Potter, a former PR executive for CIGNA Corp., saw the light on a country fairground:

While visiting my folks in northeast Tennessee where I grew up, I read in the local paper about a health "expedition" being held that weekend a few miles up U.S. 23 in Wise, Va. Doctors, nurses and other medical professionals were volunteering their time to provide free medical care to people who lived in the area...I decided to check it out...Nothing could have prepared me for what I saw when I reached the Wise County Fairgrounds... Hundreds of people had camped out all night in the parking lot to be assured of seeing a doctor or dentist when the gates opened. By the time I got there, long lines of people stretched from every animal stall and tent where the volunteers were treating patients...That scene was so visually and emotionally stunning it was all I could do to hold back tears. How could it be that citizens of the richest nation in the world were being treated this way?

Potter is now the senior fellow on health care for the Center for Media and Democracy, and he recently testified before the Senate Committee on Commerce, Science and Transportation in support of bills requiring more transparency in insurance rate-setting. His testimony is an eye-opening, nuts-and-bolts view of how corporation's fiduciary responsibility to maximize profits for shareholders leads to purging the very sick from insurance rolls, dropping employee coverage, and demanding arbitary rate increases that have no relation to the cost of providing care, leaving the US with "a Wall Street-run system that has proven itself an untrustworthy partner to its customers, to the doctors and hospitals who deliver care, and to the state and federal governments that attempt to regulate it."

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Just what we needed--another set of floodgates

As if there wasn't already enough money in politics, this fall the Supreme Court will order a reargument of a case that would enlarge "free speech" rules for corporations, by possibly overruling previous decisions upholding limits on corporate spending in federal elections.

The case involved the corporate-funded group "Citizens United," which produced an anti-Hillary Clinton video which they proposed airing through "on-demand" cable prior to the 2008 primary season. produced an anti-Hillary Clinton documentary. McCain-Feingold bans certain corporate-funded broadcasts in the pre-election period, and requires corporate funders of such ads be disclosed. As part of their case, the lawyers for Citizens United argued in favor of overturning the 1990 case Austin v. Michigan Chamber of Commerce, which upheld limits on corporate spending in candidate elections. Richard L. Hasen, writing on Slate.com, raises the question of whether postponing a decision on the case means that the court intends to overturn this 1990 decision, and others that control the inflow of corporate money into elections. He writes:

If after reargument in September, corporate limits fall—and limits on the money labor unions can spend on campaigns, with them—we may well look back on the 2008 election as a quaint time when the amounts spent on elections were relatively modest. Expect the floodgates to open, and the money to flow freely, as early as next year.

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Monday, June 29, 2009

Not a surprise

The Boston Globe reports that cutbacks will be made in that state's universal health care program. Once hailed as a national model, the individual-mandate-based plan has been criticized for reducing access to care for some of the state's poorest residents and for over-estimating the numbers of uninsured now receiving coverage through the program. From last week's Globe story:

Overseers of Massachusetts’ trailblazing healthcare program made their first cuts yesterday, trimming $115 million, or 12 percent, from Commonwealth Care, which subsidizes premiums for needy residents and is the centerpiece of the 2006 law.

The board of the Connector Authority made the cuts as officials confronted two side effects of the recession: the state budget crisis and a surge in enrollment by the recently unemployed.

The largest share of the savings will come from slowing enrollment. An estimated 18,000 poor residents who qualify for full subsidies, but who forget to designate a health plan, will no longer be automatically assigned a plan and enrolled and thus could face delays in getting care.

Additional cutbacks will be made in coverage to legal immigrants and by eliminating dental care.

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Why not a thank you?

Reps. Charles Rangel and Henry Waxman's invitation of two single payer advocates to committee hearings last week should not go without a thank-you, and 1payer.net, the single payer action site, will let you fax your appreciation. Or you can call their offices. Rep. Charles Rangel's phone is 202-225-4365, Rep. Henry Waxman's is 202-225-3976.

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Healthy people unite! HAARM stands up to change

An inside look as HAARM, Healthy Americans Against Reforming Medicine, shapes the message:



The parody comes from SEIU's Change that Works campaign, but behind the humor on the site there's great info on the fearmongers--people and organizations--obscuring the health care issue, and some of the money behind them.

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People v. Money

A member in San Jose sent this in response to our last alert:

Hi Alliance Friends,

FYI, two top leaders of the Gamaliel Foundation told me that yesterday as 450 of them lobbied for single payer in Washington DC, the US Chamber of Commerce informed the group that they might as well not continue--that the Chamber is putting in $100,000,000 (one hundred million dollars) to stop any universal health care with a public option.

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Friday, June 26, 2009

We know the score--now it's Congress's turn!

Every day, citizen activists are pushing to get single payer into the news, onto the table in Congressional hearings, and before the public. And more people are listening!

On Tuesday, Drs. Quentin D. Young and Steffie Woolhandler, of Physicians for a National Health Program, testified before two congressional committees, pointing up the deficiencies in the proposed Tri-Committee Health Reform Plan. Read their testimony here. And in a recent poll, more than 70% of Americans supported a government-administered health care plan. More than half the respondents trusted a government plan to be more cost-effective.

We know single payer health care will save money--more than $400 billion currently spent by private insurers on unnecessary administrative costs, including fighting claims for care. We know that single payer's "everybody in, nobody out" coverage means care for millions of uninsured or underinsured Americans. Now let's push to get the Congressional Budget Office to take an official look at the facts, too.

Please call Representatives Rangel, Waxman and Miller, and Senators Dodd and Baucus. These House and Senate committee chairs need to know it's time for the Congressional Budget Office to score HR 676 and S 703--to analyze the estimated costs, savings, and improvements to coverage if these bills are passed and compare the costs of single payer to other bills and options. Call the Congressional switchboard toll-free at 1-866-338-1015, or see contact information below.

Also, check committee websites (see links by clicking on "Read more") to see if your representative or senators sit on any of these committees. If so, please contact them to ask that they put pressure on their committee chair to have HR 676 and S 703 scored, and to include single payer advocates in any upcoming committee hearings.  Since not all committee chairs welcome comments from out of district, working through your member of Congress is crucial.

Let your own senators and representative know you want the bills scored (and you want them to co-sponsor HR 676 or S 703, if they haven't already!). Find contact info here.

Lastly, ask President Obama that the Congressional Budget Office evaluate the costs and benefits of single payer. You can leave a comment at www.healthreform.gov/contact/index.html.

Let's not get stuck with budget-busting partial fixes that shore up industry profits at the expense of access to care. Get an early start on celebrating Independence Day by helping to make sure our health care system is independent of corporate rule! 

House Committee on Ways and Means
Membership
Chairman: Rep. Charles Rangel: Phone: 202-225-4365, Fax: 202-225-0816, email 

House Committee on Energy and Commerce
Membership
Chairman: Rep. Henry Waxman: Phone: 202-225-3976; Fax: 202-225-4099; email

House Committee on Education and Labor
Membership
Chairman: Rep. George Miller: Phone: 202-225-2095; Fax: 202-225-5609; email

Senate Committee on Health, Education, Labor and Pensions
Membership (see sidebar on webpage)
Senator Chris Dodd (for Senator Edward Kennedy): Phone: 202-224-2823, Fax: 202-224-1083; email

Senate Finance Committee
Membership 
Senator Max Baucus: Phone: 800-332-6106; Fax: 202-224-9412; email

Call today! We know the score--now let's make sure Congress knows it too! Thanks for your work!

Nancy, Lou, Peter, Ruth W, David D, Rick, Ruth C, and Barbara

p.s. Have you signed Senator Bernie Sanders's petition for single payer yet? If yes, thanks! If not, follow this link now!

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Corporations and democracy in the news...

Lobbyists for the health care industry are pouring cash over Capitol Hill--NPR's All Things Considered aired this piece yesterday, and plans followups on lobbyist activities on finance reform and energy. The web page also features a panorama shot of the audience at a recent Heath, Education, Labor and Pensions hearings with pop-up tags identifying some of the lobbyists in attendance, the firms they work for, and the money they've earned from their health care clients.


Often the deepest line in the sand against corporate rule has been drawn by rural communities with the most to lose--culturally and environmentally--when corporations take charge of the land and water. Here's a coal country example from Orion Magazine's online edition, spotlighting community-based opposition to mountaintop removal coal mining and support of clean energy.

Got a story to share? Post the link in a comment!

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Wednesday, June 24, 2009

Mass Coalition for Healthy Communities: Speak out now on Waxman-Markey

Hat tip to Mass Coalition for Healthy Communities for this alert on the Waxman-Markey climate change bill. Read an op-ed in the Metrowest (Massachusetts) Daily News by organizers Jill Stein and Maggie Zhou here.

Would you flip a coin to determine whether hundreds of millions of people are forced into migration and conflict over desperate food and water shortages? Or how about whether half the species of our planet live or die?

Congress is poised to do 20 times worse than that as it prepares to vote on the American Clean Energy and Security Act (ACESA, also known as Waxman-Markey). This legislation aims for a greenhouse gas (GHG) emission reduction target that is at best 20 times weaker than a 50/50 shot for avoiding catastrophic global warming, while permitting polluters to use "offsets" to increase their pollution for many years to come. And to top it off, this bill shamefully repeals existing EPA power to regulate global warming pollution.

The vote could come to the House floor as soon as this Friday, June 26. Click here to see a sample letter to send to Congress.

Please tell your Congressional representative that ACESA/Waxman-Markey is a fake climate bill and must be withdrawn or voted down. Ask your representative to come up with a real climate solution that:

  1. Cuts greenhouse gas pollution quickly to return to a safe level in the atmosphere - below 350 parts-per-million. (More here)
  2. Includes a switch to 100% renewable electricity in 10 years.
  3. Preserves the ability of the EPA to regulate greenhouse gas pollution.
  4. Does not allow unreliable, fraud-prone "offsets" in place of real emission reductions
  5. Phases out coal, and prohibits the use/extraction of tar sand and oil shale -- all the worst culprits of global warming.

This will produce millions of jobs as we create sustainable, healthy, vibrant, local and resilient low-carbon economies!

After you contact your representative, please call your favorite environmental organizations and ask them to join us in this action. And help spread the word by sharing this alert on blogs, Facebook, Twitter, etc.

FAQ links:

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Tuesday, June 23, 2009

WERU-FM to Broadcast Forum on Health Care System Reform

Maine's WERU Community Radio (89.9 FM Blue Hill and 102.9 Bangor) will present a special live radio broadcast on health care system reform entitled "Single Payer: Fact vs. Fiction" on Tuesday, June 23rd, 6 - 8 p.m. This forum will feature a panel discussion in front of an interactive studio audience at the Alamo Theatre on Main Street in Bucksport and will focus on the single payer option that has largely been left out of the national political debate.

Panelists will include Jerry Call of Midcoast Healthcare Reform, Tarren Bragden of the Maine Heritage Policy Center, single-payer advocate Phil Caper, MD and Joel Allumbaugh of National Worksite Benefit Group and the Maine Association of Health Underwriters.

Panelists will represent different perspectives and positions on healthcare reform and will discuss reform options currently under consideration, especially the pros and cons of a single payer healthcare system. Audience members in the theatre will contribute questions and comments. Jim Fisher, host of the WERU public health program “Common Health” and a planner with the Hancock County Planning Commission, will moderate the forum.

Admission is free and questions and comments may be emailed in advance to info@weru.org for those who cannot attend the event itself. More information and an archive of this special broadcast will be available at www.weru.org.

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The horror! The horror!

Humor from Healthcare for America Now:

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Friday, June 19, 2009

Two Quick Actions for Single Payer!

Through your efforts the grassroots movement for single payer health care is growing stronger and louder every day. But we must keep up the pressure. We're headed into the "endgame" for health care reform, with lobbyists for the health care profiteers swarming over Capitol Hill promoting piecemeal plans and toothless reform.

Please forward this alert to everyone on your lists and take the actions below. And keep making calls, talking to family and friends, sharing your health care stories, responding to the media, and writing letters to the editor. We will be heard!

Action #1: Sign Sen. Bernie Sanders's "A Petition to Congress Supporting Single-Payer Health Care"
Sign the petition, forward the petition, and leave your story on the comments section. More than 20,000 people have already added their names. Join them!

Action #2: Call Secretary of Health and Human Services Kathleen Sebelius at 1-877-696-6775 and email the President.
Tell them that the current proposed health care reforms are not universal (36 million Americans will still be uninsured), and too expensive--with Congressional Budget Office estimates on the Kennedy legislation at $1 trillion over ten years. Adopt single payer, make health care a right, not a commodity, and you cover everyone and save nearly $400 billion.

Finally, thanks to Alliance for Democracy members in Rochester, New York, for their work for single payer, and for Alliance co-chair Lou Hammann, who has been working both nationally and at the state level; check out a slideshow from Healthcare for All PA's single payer rally June 11 in Harrisburg, PA in support of Pennsylvania's two state-level bills. On Friday, June 26, AfD council member Ruth Caplan will speak at a single payer demo in Washington D.C., starting at 5:30 p.m. in front of Union Station. If you're in the area, be part of this action!

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Thursday, June 18, 2009

Slideshow from statewide single payer rally in Harrisburg, PA

Several states are working on their own single-payer initiatives. California's bill was probably the best known nationally, but Pennsylvania also has a strong campaign going, as the slideshow from their June 11 Capital rally shows:



The campaign website is Healthcare for All PA.

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Wednesday, June 17, 2009

Thanks to the nine most recent co-sponsors of HR 676!

It has been a while since we recognized the Representatives who've signed on to this bill. With the total up to 84, including Rep. Conyers, the most recent supporters are:

  • Rep. Donna Christensen, US Virgin Islands
  • Rep. Eleanor Holmes Norton, Washington, DC
  • Rep. Zoe Lofgren, California 16th district
  • Rep. Marcia L. Fudge, Ohio 11th District
  • Rep. Jose Serrano, New York 16th district
  • Rep. Phil Hare, Illinois 17th district
  • Rep. Rush Holt, New Jersey 12th district
  • Rep. Ed Markey, Masschusetts 7th district
  • Rep. Norman Dicks, Washington 6th District
If you're a constituent, call and say thank you!

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Your money at work on the health care debate

Ex-treasury secretary Robert Reich is pro-public option, but has been writing some excellent blog posts exposing just who in Congress is bent on making any emerging public option as lightweight and toothless as possible, and all for the sake of protecting corporate profits. Here's how insurers, pharma, health care and the AMA are investing their money these days, from last Thursday's post:

The big guns are out and they're firing. All major lobbying firms in Washington -- many of them brimming with ex-members of Congress -- are now crawling all over the Hill. Lots of money is on the table. AMA's political action committee has contributed $9.8 million to congressional candidates since 2000, and its lobbying arm is one of the most formidable on the Hill. Meanwhile, Big Insurance and Big Pharma are increasing their firepower. The five largest private insurers and their trade group America's Health Insurance Plans spent a total of $6.4 million on lobbying in the first quarter of this year, up more than $1 million from the first quarter last year, and are spending even more now. United Health Group spent $1.5 million in the first quarter, up 34 percent from the $1.1 million it spent in the first quarter last year. Aetna spent $809,793 between January and the end of March, up 41 percent from last year. Pfizer, the world's biggest drugmaker, spent more than $6.1 million on lobbying between January and March, more than double what it spent last year. It also spent nearly $3.3 million lobbying in the fourth quarter of 2008. Every one of them is upping their spending.

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Tuesday, June 16, 2009

Water news from California

In Davis, Keeping Water Under Local Control
Two multi-million dollar projects to upgrade the wastewater treatment plant and build a pipeline from the Sacramento River to Davis are in the works. Local residents, including AfD members, have committed to ensure that despite the city’s budget crisis, these projects remain public and under local control. They're following the lead of Akron, OH and, most recently, Milwaukee, WI, where residents fought back long-term private lease agreements. (You can read about Akron here; scroll to the last item on page 2.

In Milwaukee, the Keep Public Our Water (KPOW) Coalition wants the Milwaukee Common Council to pass a resolution to permanently suspend the proposal to lease the city’s water system. Faced with budget pressures, the city had been considering leasing its water utility to a private corporation for 75-99 years in return for a one-time payment of up to $550 to $600 million with a hoped-for $30 million per year return to the city’s budget. The current financial melt-down means these deals and giving up local control and oversight to risky and undemocratic.

Human Right to Water Bill Moves Through the Legislature
AB 124, the Human Right to Water Act of 2009 was voted out of the Assembly on May 28 with 54 ayes and 25 nays; four Republicans voted yes. The Senate Natural Resources and Water Committee, chaired by longtime environmental leader and CA legislator Sen. Fran Pavley, hears the bill on June 23.

Find out if your State Senator is on this committee and call his/her office. Ask for the Legislative Assistant assigned to the bill and ask for support. Previously there was no registered opponents. Now, opposition is emerging from the the State Department of Public Health and some water agencies charged to carry out this mandate.

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The Blue Bandana: Tie one on for single-payer visibility, suggest activists

from Floridians for Health Care:
Two thousand years ago a Roman senator suggested that all slaves wear white armbands to better identify them. "No," said a wiser senator. "If they see how many of them there are, they may revolt."

The insurance industry control that has been consolidated at the top of our government, including members of Congress, knows that keeping us unseen and divided about what we can agree upon has worked to their advantage.

We, as a Single Payer Movement, need to let the American people - and our President, Senators and Representatives - know just how many we are by adopting a very simple self empowerment symbolism.

That is why Floridians for Health Care is going national with a proposal that every single payer advocate and supporter begin wearing a BLUE BANDANA as a symbol or “brand” for our movement.

It’s almost too easy - but so effective. It’s a dollar store item that anyone can afford. It is easily seen and can be displayed without difficulty in cars, planes, boats or trains - As a scarf around your neck, or as a pouf in your suit jacket.

Tie it on your car, your briefcase or your bag. Wear it on your head, your neck or your arm. Hang it in a window, tie it to your mailbox--heck, you can even put one on your pet. Be elegant or casual, just make it visible daily.

By wearing something all the time like a bandana, the power of seeing others on the street who have the same beliefs, courage and desires will be visible to all quickly and easily and transforms each participant. Remember, ... we are many but we need to see who we are. Let’s show the world how many of us believe we can change knowing we are not alone.

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Will Mendocino County be an Epicenter of Corporations vs. Local Citizens in 2009?

By Steve Scalmanini, Ukiah, California
One of the battles between corporations and local citizens is heating up in rural Mendocino County, CA, and will almost certainly come to a head on November 3rd of this year. That is when voters will decide whether to approve an initiative on the County-wide ballot to change the zoning of a former industrial plant site to mixed-use so a developer can build the County’s first large retail mall. The battle has been brewing since 2005 when real estate investment trust ("REIT") Developers Diversified Realty, Inc. ("DDR") of Beachwood, Ohio, purchased an industrial plant site that the Masonite Corporation had used for 50 years to make molded siding and doors from sawdust and resins, and which it closed in 2001. The plant is located just a quarter mile outside the City of Ukiah.

DDR's efforts in the ensuing years to have the zoning changed met with resistance from several local interests who want the site to remain zoned industrial for future industry, and who want to direct large chain-store retail development to the south end of the City of Ukiah, adjacent to the few other similar stores like Wal-Mart, Staples, Food 4 Less, and a few regional chain stores.

In last year’s election for the County Board of Supervisors, all three winning candidates were against the proposed zoning change. Likewise for the two candidates reelected to the Ukiah City Council. (Unopposed, actually.) So the developer was headed for defeat in their effort to get their desired zoning changed through normal government processes.

So DDR funded a petition circulation in April to garner enough signatures to qualify an initiative to change the zoning to their desired mixed-use. The campaign was the talk of the County as petition circulators from outside the County badgered the public outside groceries and other businesses more aggressively than anyone had ever seen before to sign the petition. Moreover, the pitches of the circulators were misleading to say the least – downright deceptive to many. The most commonly reported lie to gain signatures was that the petition was "to clean up the Masonite site", which of course appealed to many voters in this environmentally conscious County. But this is not true. The site is required by California State law to be cleaned up before it can be reused for any purpose. Some of the public questioned the circulators about this claim, and pried further into the true intent of the petition, which let to plenty of exchanged words. One of these even led to a fist-fight after which the circulator involved was served with a restraining order.

Within a few weeks their aggressive, deceptive signature gathering had garnered enough signatures to qualify the initiative for an election. On June 9th the County Elections Officer informed the Board of Supervisors that enough signatures were confirmed as valid to qualify the initiative for an election. For what it’s worth, the invalid signature rate was 19%.

Weeks after this invasion of the corporate-funded circulators I found a rational explanation for what they had been up to. The deceptive activities of corporate funded initiatives are explained at www.stopballotfraud.com. You’ll find there a list of the infamous companies that do the bidding of corporations to get initiatives on ballots for the benefit of those corporations. These include Arno consulting, the outfit hired by DDR to do the deed here in Mendocino County.

DDR has already funded their campaign with over $180,000, which is over $2 per voter, and the election is still five months away. If you want to see the latest version of what corporate America is throwing at the public to charm them into supporting sprawl, have a look at www.mendocinocountytomorrow.com and www.mendocinocrossings.com. If you wonder why the former of those two Websites doesn’t even mention the initiative, its "Links" page has no links, its "FAQ" page has no FAQ’s, and members are accepted only as "Recommended By", so do I. Yet their organization sponsored the petition drive. The latter Web site will show you the latest in green-washing a pig-in-a-poke.

The Web site for the "Home Team" defending our local community and economy, known as "Save Our Local Economy" ("SOLE"), is at www.nomegamall.com. Donations are welcome, of course; SOLE is up against big money. Look for an update on the campaigns in next month’s AfD E-Newsletter.

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Monday, June 15, 2009

A good take on the "public option"

If you talk to people who think a so-called "public option" is the only politically possible reform of the American health care system, refer them to this response by Nick Skala, senior research associate with Physicians for a National Health Program, in remarks to the Congressional Progressive Caucus on June 4.

You can also read it on the PNHP site, here, and download an excellent one-page flier comparing a "public option" with single payer, here.

Today the Congressional Progressive Caucus faces a choice. That choice is whether Members should maintain their unflinching support for single-payer, or to accede to intense political pressure to support the plan currently being developed in Congress under the direction of President Obama: a mandate for Americans to purchase an insurance plan from a massive new regulatory “exchange,” with one plan potentially being a “public option.”

The difference between these choices could not be more stark: single-payer has at its core the elimination of U.S.-style private insurance, using huge administrative savings and inherent cost control mechanisms to provide comprehensive, sustainable universal coverage.

The “public option” preserves all of the systemic defects inherent in reliance on a patchwork of private insurance companies to finance health care, a system which has been a miserable failure both in providing health coverage and controlling costs.

Elimination of U.S.-style private insurance has been a prerequisite to the achievement of universal health care in every other industrialized country in the world. In contrast, public program expansions coupled with mandates have failed everywhere they’ve been tried, both domestically and internationally.

Many progressives accept that the “public option” is inferior to a single-payer system, yet support it because of its perceived political expedience. It is my aim today to convince you that the “public option” program currently being developed is not only bad health policy, but bad health politics.

On two separate occasions last month, physicians and nurses were dragged from the Senate Finance Committee in handcuffs for demanding that single-payer be considered in our nation’s health reform debate. These were American doctors and nurses, people who care for patients, people who want to practice medicine, not protest and disrupt Congress.

But these professionals risked their careers and their freedom. They did this not because they thought that the “public option” was “good” and single-payer “better.” They did it because they are firmly convinced, by well-established health policy science, that the so-called “public option” has no hope of remedying the systemic defects that cause their patients to suffer and die, sometimes before their very eyes.

Millions of dollars have been spent by political advocacy groups to commission polls and statistics “proving” that their health reform is “politically feasible.” Yet political winds do not make good health policy. Careful examination of science and experience do. And it is in the science and experience that we see that single-payer offers the only way to truly comprehensive, universal and sustainable health care, and that “public option” schemes offer only more of the same: tens of millions of uninsured, rapidly deteriorating coverage, an epidemic of medical bankruptcy, and skyrocketing costs that will eventually cripple the system.

First, because the “public option” is built around the retention of private insurance companies, it is unable - in contrast to single-payer - to recapture the $400 billion in administrative waste that private insurers currently generate in their drive to fight claims, issue denials and screen out the sick. A single-payer system would redirect these huge savings back into the system, requiring no net increase in health spending.

In contrast, the “public option” will require huge new sources of revenue, currently estimated at around $1 trillion over the next decade. Rather than cutting this bloat, the public option adds yet another layer of useless and complicated bureaucracy in the form of an “exchange,” which serves no useful function other than to police and broker private insurance companies.

Second, because the “public option” fails to contain the cost control mechanism inherent in single-payer, such as global budgeting, bulk purchasing and planned capital expenditures, any gains in coverage will quickly be erased as costs skyrocket and government is forced to choose between raising revenue and cutting benefits.

Third, because of this inability to control costs or realize administrative savings, the coverage and benefits that can be offered will be of the same type currently offered by private carriers, which cause millions of insured Americans to go without needed care due to costs and have led to an epidemic of medical bankruptcies.

Supporters of incremental reform once again promise us universal coverage without structural reform, but we’ve heard this promise dozens of times before.

Virtually all of the reforms being floated by President Obama and other centrist Democrats have been tried, and have failed repeatedly. Plans that combined mandates to purchase coverage with Medicaid expansions fell apart in Massachusetts (1988), Oregon (1992), and Washington state (1993); the latest iteration (Massachusetts, 2006) is already stumbling, with uninsurance again rising and costs soaring. Tennessee’s experiment with a massive Medicaid expansion and a public plan option worked - for one year, until rising costs sank it.

The Federal Employee Health Benefit Program (the model for a health insurance exchange) leaves hundreds of thousands of federal workers uninsured, and has proven unable to contain costs.

Negative results in a recent series of randomized trials explodes the hope that chronic disease management will cut costs. And the CBO has thrown a wet blanket on the notion that electronic medical records save money.

As Drs. David Himmelstein and Steffie Woolhandler, co-founders of Physicians for a National Health Program, have remarked, a public plan option does not lead toward single-payer, but toward the segregation of patients, with profitable ones in private plans and unprofitable ones in the public plan. A quarter-century of experience with public/private competition in the Medicare program demonstrates that the private plans will not allow a level playing field. Despite strict regulation, private insurers have successfully cherry-picked healthier seniors, and have exploited regional health spending differences to their advantage. They have progressively undermined the public plan - which started as a single-payer system for seniors and have now become a funding mechanism for HMOs - and a place to dump the unprofitably ill.

Progressive supporters of the “public option” readily concede that single-payer is a superior system. Indeed, their response to evidence that their plan won’t work is to commission more charts and graphs emphasizing its political feasibility.

The “public option” is truly the embodiment of health policy designed by sound bytes, cobbled together from snippets of information gathered from focus groups and public opinion polls, and centered around well-polling buzzwords such as “choice” and “shared responsibility.”

Such a plan may be enough to excite the political classes in Washington, who care more about what they think can pass the Congress than what will actually deliver universal, comprehensive health care for all. But doctors and nurses, the people who actually work in the health system, see right through it. They are going to jail because they know that this plan won’t work for their patients.

Nobody is going to jail for the “public option,” because the American people cannot be inspired by band-aids and half-measures it is impossible to believe in.

These doctors and nurses are the manifestation of a social movement, millions strong, that is waiting to be mobilized by the leadership of the Members in this room. Polls consistently show that two-thirds of the American people want single-payer. At a recent hearing in Montana convened by Sen. Max Baucus, only 10 people of three hundred said they were happy with the insurance they have. Sixty percent of physicians support single-payer, as do the U.S. Conference of Mayors and 39 state labor federations and hundreds of local unions across the country.

We’re told that holding out for single-payer is politically unwise, but to compromise and accept a bad plan at precisely the time when popular support and grassroots energy are on the side of true reform is the real political miscalculation.

The history of great social achievement is rife with instances in which the forces of institutionalized power told social movements - as they now tell this one - that what they wanted was too much, or too fast, or too soon. I think, of course, of the abolition of human slavery, the enfranchisement of women, the Civil Rights Movement, Social Security, the minimum wage, an end to child labor. In each of these instances, social movements held fast to their principles and soon discovered that they had been told was “politically unfeasible” one moment was political reality the next.

We currently have a better chance to pass single-payer than Lyndon Johnson had when he passed Medicare. Unlike the public option, single-payer - because it holds the potential to finally realize universal, equitable health care - can be a vehicle to inspire the American people for progressive change.

The voices of doctors and nurses can achieve extraordinary resonance when they speak selflessly in their patients’ interest. But your leadership is crucial to inspire the American people. It is my hope that you’ll see fit to provide it.

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Wednesday's House Health subcommittee single payer hearing on CSpan

If you missed the House health subcommittee hearing on Single Payer last Wednesday, you can watch here.

It runs about an hour and 45 minutes. Rep. Conyers came on at about the 9 and ½ minute mark; Cal Nurses rep Geri Jenkins at about the 26 minute mark; Dr. Walter Tsou, from PNHP, at about the 32 minute mark; Harvard Medical School’s Dr. Marcia Angell at about the 43 minute mark. There are also opponents who speak. Hat tip to Frederick W. "Rick" Ford, President of Floridians for Health Care, Inc.

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Wednesday, June 10, 2009

Pay-to-play politics cuts "a hole in the parachute"



Amy Goodman interviews Sen. Bernie Sanders (I-VT) and Rose Ann DeMoro, executive director of the California Nurses Association/National Nurses Organizing Committee on Tuesday's Democracy Now!

Sanders: "So you have the drug companies, the insurance companies, the medical equipment suppliers, who today make huge amounts of money, billions and billions of dollars, off of healthcare, fighting us in an unrelentless way through lobbying, campaign contributions, and advertising to make sure that the ... function of the system is to make profits for the private insurance companies rather than quality healthcare to all people. And, Amy, you cannot begin to imagine the power of these special interests who spend hundreds and hundreds of millions of dollars in lobbying and campaign contributions on the process."

DeMore: "I think our assessment is—excuse me—that he’s [Sen. Ted Kennedy] trying to achieve a smaller hole in the parachute. I mean, I think, at the end of the day, this isn’t going to work. And what’s going to happen—the Republicans, by the way, in terms of Grassley, they’re going to fight a public option just as hard as they would fight single payer. I mean, this is the insurance companies’ influence in politics."

More on the tape!

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Thursday, June 4, 2009

Committee Chairs need calls in support of single payer!

UPDATE: In the alert below we ask you to call House Committee on Energy and Commerce chair Henry A. Waxman, but according to someone who called earlier today, he doesn't take any input or opinions from non-constituents (Reps. Rangel and Miller will take comments from anywhere in the nation). She writes, "The number for him is useless, but spreading around his refusal to hear input from citizens affected by his chairmanship - even though we may not be in his district, this is a country-wide concern - might be useful." So consider yourself informed!

The House of Representatives will be moving forward with health care reform legislation in the coming weeks. The draft bill is scheduled to be released the week of June 15. From there the bill will go to three House committees: Energy and Commerce, Education and Labor, and Ways and Means.

Please call the chairmen of these committees and say that "because the majority of Americans, doctors and nurses support a universal single payer health care system, we hope to see a robust debate on single payer health care--with single payer advocates as witnesses--at the hearings in the People's House."

Remind each of them that it is was disgraceful to see Senator Baucus arrest doctors and nurses at the Senate Finance Committee roundtables. These individuals were blocked from providing their expert analysis and information on health care reform. It would be outrageous for this to occur in the House of Representatives as well.

Here are the chairmen to call:

  • Energy and Commerce Chairman: Rep. Henry Waxman (202) 225-2927 (but see above!)
  • Education and Labor Chairman: Rep. George Miller (202)-225-3725
  • Ways and Means Chairman: Rep. Charles Rangel Phone: (202) 225-3625
In Mid-May, Representatives John Conyers, Jr. (D-MI), Raul Grijalva (D-AZ), and Donna Edwards (D-MD), along with Michael Lighty and Donna Smith from the California Nurses Association and Tim Carpenter of the Progressive Democrats of America, met with House Democratic Majority Leader Steny H. Hoyer. Rep. Hoyer indicated that he was supportive of "robust, deep debate on single payer" in the House during the 111th Congress. Let's hold him to it!

On June 3, Sen. Baucus finally met with single payer advocates, although he told them he would not be inviting their participation in reform discussions. Read about it here, as well as President Obama's June 3 letter to Senators Baucus and Kennedy, in which he outlines his coverage and cost-cutting goals for health care reform.

AfD's team for single payer thanks you for your calls to Congress. In the coming weeks, you--we all--can make a difference in the debate when the House takes up health care reform.

Nancy, Lou, Peter, Ruth W., David D., Rick, Ruth W. and Barbara

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Monday, June 1, 2009

Portland (OR) Alliance for Democracy action for single payer

Alliance for Democracy's Portland chapter participated in a "die-in" at Rep. Earl Blumenauer's district office last weekend. The event was organized by Single Payer Action and other groups including AfD Portland.

Portland chapter president David Delk wrote, "The die-in lasted 22 minutes, symbolizing the 22,000 people who die each year due to our for-profit health insurance industry. We, (between 75 and 100 people) delivered about 60 signatures called on Earl to co-sponsor Single Payer Healthcare (HB676). Some of us 'died in' in his office while others of us remained on the street in front of his office.

"A couple of weeks ago Rep. Blumenauer spoke at the First Unitarian Church in a forum on health care policy. He stated then that single payer was not politically feasible and therefore he would not support it. In response to a question from the audience asking for a show of hands of who supports single payer, every hand in the audience went up. But Earl continues to believe that it is not politically feasible. Maybe not in his world but it sure is here in the streets of Portland."

Pictures below!





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