Big Problem with the Universal Healthcare Movement or WTF is Single Payer?

"Single Payer" is some anonymously coined term (as far as I know) that supposedly describes the concept of a single government entity, such as a national government healthcare agency (not unlike the Veterans Administration), which would replace all commercial healthcare insurance companies. More accurately it has been called Medicare for All, which, in fact, is the title of a piece of legislation that has been kicked around for years in Congress, yet never killed. And why? Because the government in its infinite wisdom must appease any growing outcry from all the little people out there so they can continue to receive "campaign contributions" from the sickness industries. It is my considered opinion that the term was coined, probably well thought out in advance, by our paranoid little government in its never ending fear of losing control over all its people, as if it ever owned all its people.

Who came up with the ridiculous phrase? Some secret think tank or New England university choir boys group who decided that mommy and daddy's never ending money supply might be in danger of deflating by a few percent due to a few undesirables who have a problem with being considered dispensable for the sake of the multi-trillion dollar sickness industries in America, that's who. Tens of thousands die annually in America due to the lack of real heath care. They suffer and die for corporate profits. And insurance proves time and again that it is not health care. It is the denial of care. It is a profit center. 

Cancer alone is a multi-trillion dollar annual industry. But you won't hear "Single Payer" advocates or activists (as they think of themselves); you will rarely ever hear them refer to an American sickness conglomerate of industries or the fact than even just one arm of it profits in the trillions on the sickness, suffering, and deaths of their so precious free American co-citizens. No, you will never hear that. Why? Because the US government ultimately controls activist groups and has notoriously infiltrated each and every activist group in this country. This is a known fact regardless of whether you call it conspiracy theory or not. American agencies place infiltrators at the highest levels of activists groups. That is why there are ridiculously misunderstood terms like "single payer" used to describe the crux of activists' concern. No. That is not their concern. Their concern is human life, the forsaking of human life for profit. Greed rules America. People die. Insurance is not healthcare. Those are the concerns.

Now if so called activists really wanted to end this criminality, this forsaking of life, this outrage that flies in the face of American freedom, this dispensing of people for profit; if indeed they wanted to be true activists, they would drop all their insurance polices. They wine and moan about how the insurance industry denies care, costs so much overhead, allows people to die and what do they do? They willing buy insurance from the criminals they fight.  Ludicrous. And then when they need insurance they get denied. They too suffer. Wake up! You are educated people. Think for yourself. Your money is your control.

If you want to go up against big insurance, you drop your insurance. You don't pay. You don't pay outrageous bills. You vote with your feet and your wallet. You allow yourself to get bad credit ratings because that's what true activists do. Going to a sit-in at the local insurance tower and getting arrested is not a sacrifice. That's a show with minimal effect. Forsake your credit ratings. Show your true power and commitment. Until you do that you will never have respect. Because money is all they understand. Nothing else matters. Not life. Not politics. Not freedom. Not this country or its ideals. No way in hell does any of that matter to American industry. All that matters is money. And the people have the power to cut off the money. You have that power. It's your money! You are funding your own doom. Are you freaking nuts? Or are you an investor in suffering and death? My mistake then.

How many activists out there still have insurance policies. Raise your hands. Yes. 99% of you. You aren't really activists are you.? You're spineless! Yes you work hard and I respect that, but your energy is misplaced and misspent. Work smart. Do something that matters. If a real movement were afoot to drop insurance you can bet it would change things in an instant.

News flash! Change does not happen in government. You will not find a champion to elect in government that gives enough of a flying fart about your life over their own. Would they risk embarrassment? Would they risk making waves? Would they risk their own credit ratings? Their reelection? Their job? Being ostracized? No! You think peoples' lives matter to anyone in government compared to the millions of dollars in donations they can get from industry? You are whacked out of your mind if you do.

Change happens when Martin Luther King marches, or when Rosa Parks gets on a bus, or when Bruce Springsteen drops a concert. It never happens when government signs a bill, because government will never sign a bill until someone forces their hand. Force their hand! Do not pay for insurance. Do not pay ludicrous health costs. Don't do it! It's criminal. 

Two Cents.

Typical Two-Faced Political Bullshit: Fiscal Cliff (The Rich Man's Crisis)

$400 Billion in Cuts over the next decade, to be taken from the rest of the pie (mostly Medicare)

President Obama has proposed a $3.8 trillion 2013 budget.  He is currently negotiating with House Speaker John Boehner (R-Ohio) to make needed cuts in the budget.  First on the chopping block is Medicare and other entitlement programs at a minimum of $400 billion to be cut.

Typical two-faced political bullshit

He has offered this as a bone to conservatives who will have to also deal with increased taxes, which serves as a bone to liberals who now have to deal with deep cuts into Medicare.  

Yet no effective Congressional authority will ever venture to even suggest cutting our health care overhead with a single payer system, a system that works to keep health care costs under control in every other industrialized country.  Medicare, without the corporate insurance industry overhead, would cost the government just 4% as opposed to the current 13% to 20% of health care costs, when the insurance industry takes its cut. Instead of having to pay exorbitant health insurance premiums, people would pay a 4% income tax to cover 100% all their health care needs, medical, dental, vision, and medications.  When they are out of work, they would still be covered.

All employer health care costs are eliminated by a single payer system.  Gone.  

Privatized corporate insurance has an overall 30% overhead for administrative costs (claims denials, advertising, and Wall Street profits).

A single payer system would be a major stimulus for the economy with $2.6 million in new jobs, $317 billion in business revenue, and $100 billion in wages (Single-Payer/Medicare for All. An Economic Stimulus Plan for the Nation; Robert Fountain, IHSP, NNOC/CNA).

Neither does anyone in Congress venture to ever discuss the $600 to $900 billion of future veterans' health care costs.  Over 50% of returning troops are eligible for disability.  600,000 have been treated since 9/11 so far (The True Cost of 9/11; Joseph Stiglitz).  Is this part of the entitlement programs to be cut? 

Doctor's, nurses, and other activists, have been calling for a single payer system for years (got healthcare?; documentary film).  Yet Congressional committees refuse to consider this option or send it to the budget office for fiscal comparison studies.  Nearly 60% of doctors and over half the public are for a single payer system (PNHP).

The aversion to single payer is the dreaded S word: socialism.  But there are many democratic countries that have single payer systems.  A government health care insurance program would cover all people for all medical expenses just like police, fire, highways, libraries, schools and many other government services that serve to guarantee a minimum standard of life.

A recent 2012 Harvard study found that 48,000 Americans die annually for lack of health care, and nearly 50 million Americans have no health insurance. The ACA (Affordable Care Act, a.k.a. Obamacare) is suppose to give health care insurance to an additional 30 million. But some of this will be offset with these budget cuts, plus the unregulated health insurance industry gouging us with exorbitant premiums, deductibles, and denials.

The privatized corporate health care insurance industry is more accurately an American sick care profit center.  The sick care pharmaceutical, health insurance, medical device, and cancer industries serve their investors well by keeping people sick, on medications, chronically ill, and in need of expensive treatments.

People in America, unlike any other country, are forced into medical debt to stay alive.  Many have to sign over their houses.  Medical debt is responsible for over half, and up to 88% of bankruptcies and foreclosures (PNHP on medical debt).

So now Obama proposes to cut Medicare.  How many more will have to die for lack of health care?  What will the impact of Medicare cuts be on health care in America?  Why do we not cut deeply into war, which has cost us trillions and will cost hundreds of billions more in veterans' care?

SUPPORT SB 810 California Universal Healthcare Act of 2011

The following is an email from Maureen Cruise RN (retired) 


SB 810  "The California Universal Healthcare Act of 2011 has been reintroduced in the California legislature.  Healthcare is a human rights issue.  People are really suffering with premium hikes, increased copays, and denials of payment.  These problems will not change with the recently enacted ACA federal reform.  SB810 is advancing to the next logical step.

The State Senate Health Committee  will consider SB810  on April 27th, 2011

Important and crucial measures to support SB 810 RIGHT NOW:

#1.  Send letters from yourself,  a business, any group/organization     http://www.healthcareforall.org/action-center/organizing  has sample letters for individuals , businesses organizations and lots of information to educate oneself.
     1. Sign on as an individual supporter of SB810 and send letter to your legislators.
     2. Any group can send a letter from the organization or  any business.
     3. Encouraging your legislators to co-endorse.

Identify your own State Senator and Assemblymember online by visiting http://www.leginfo.ca.gov/yourleg.html

Also send any copies of support /endorsement letters to:

Senator Mark Leno
c/o Sara Rogers
State Capitol, Room 5100
Sacramento, CA  95814
(916) 445-4722 FAX

And to the State Senate Health Committee before April 27th
The Honorable Ed Hernandez
Chair, Senate Health Committee
State Capitol, Room 2191
Sacramento, CA 95814
Fax: (916) 319-2197

#2 SIGN the online PETITION http://CaliforniaOneCare.org

#3 Download information/ fliers and educate the public.  Set up a table at any public site. In front of a bank or post office or any public corner or sidewalk .  Educate people.  http://www.singlepayernow.net
http://www.healthcareforall.org/
http://CaliforniaOneCare.org

Additional info on federal and state universal healthcare:
www.pnhp.org  Physicians for National Health Program
http://www.nationalnursesunited.org
http://www.laborforsinglepayer.org
www.PDAmerica.org

Be well,
Maureen    
Despair is a greater deceiver than hope.

Sample Letter of Support for SB 810
The California Universal Healthcare Act

Please send letters of support by fax or mail to your State Senator and State Assemblymember and cc Senator Leno’s capitol office.

Identify your own State Senator and Assemblymember online by visiting http://www.leginfo.ca.gov/yourleg.html

Please cc:
Senator Mark Leno
c/o Sara Rogers
State Capitol, Room 5100
Sacramento, CA  95814
(916) 445-4722 FAX


(Date), 2011

The Honorable ___________
State Capitol, Room ____
Sacramento, CA  95814

Re: Support for SB 810 (Leno)

Dear Senator/Assemblymember _____________:

I am a voter in your district and I am writing in support of SB 810 (Leno) the California Universal Healthcare Act.  It’s time for universal healthcare in California!
The single greatest problem facing California’s healthcare system and California’s economy is the growing cost of health insurance.  The number of uninsured Californians has now reached 20%, and most of the newly uninsured are from middle-class families.  It’s easy to see why.
Health insurance premiums have increased over 90% since 2000, with the average employee contributing 143% more to their company-sponsored health insurance. Meanwhile wages have only increased 20% over this time period.  Health care costs have outpaced increases in wages by a ratio of 4:1 since 2000.
Under the single payer finance system in SB 810, the money spent now on health care is enough to provide every resident of the state with excellent healthcare, ensure fair and reliable reimbursements to doctors, nurses and other providers, and guarantee a high quality of care for all.
SB 810 (Leno), the California Universal Healthcare Act would provide fiscally sound, affordable healthcare to all Californians, provide every Californian the right to choose his or her own physician and control health cost inflation.
This plan does five things:

1. It covers everyone.
2. It’s affordable.
3. It guarantees our money goes to care not administration.
4. It provides real choice.
5. It improves quality.

Californians want access to this kind of high-quality, affordable health care.  Please take a stand in support of truly universal health care.

I strongly support SB 810.

(your legal name)
(any organizational affiliations you wish to include)
(your address)

Along the Road with the Mad as Hell Doctors for Medicare for All—the lost part: the Third travelogue

By Marc Sapir

Marc Sapir is a primary care physician in Alameda County, CA and graduate of the Stanford University School of Medicine, M.D. 1970. He has been traveling with the Mad as Hell Doctors on their 2010 California tour. He sent out the following account of his trip.

Dr. Sapir also appears eloquently in the upcoming release of my documentary film, "got healthcare yet?"

Berkeley, Nov 2, 2010 ~ The Mad as Hell Docs tour ended 3 weeks ago today and part IV of my 2010 CA travelogue is long gone. But I promised to find a little part III and here it comes bubbling up:

The MAHD 2010 California tour covered about 2,500 driving miles (though those intrepid Oregon guys—Paul, Mike, Phillip--drove well beyond 3,500 miles in the 18 days). In 2009 the first MAHD tour drove 6,000 miles through the “heartlands” on the way to D.C. Complementing this year’s 2,500 miles, MAHD played to a combined California audience of 2,500 folks, beginning and ending with large audiences (in Arcata—250-- and Chico--300). With the larger audiences the enthusiasm and Mad doc mirth became infectious. In the 18 days running there were, I believe, 28 events. Three or four of these were small group interactions and a slide show that Mike Huntington put together for med students. A few outdoor events—such as at Pasadena and San Diego--precluded showing of any video clips (no socialist plot to protect our homes from fires could be screened). About 22 events were the full bore program. No, not boring, I said “full bore,” at least according to this reporter’s perspective.

The MAHD moderator always asks himself out loud: “self, why are we preaching to the choir?” and gives the answer that “we’re trying to be sure the choir is well armed to make the case for Medicare for All/Single Payer, fully understands how weak the PPACA reform is and how badly the public option would have fared; to help people gain confidence to talk with neighbors, friends, and Uncle Joe (who is a Tea Bagger) at Thanksgiving”. And we’re there to motivate and excite people. That sounds right over here at my desk, but what a number of organizers of events have also reported is that they have actually recruited good numbers of new members to the local organizations from these events, including the smaller ones. Let’s hope the new members’ enthusiasm translates into a lot of activity for those organizations.

Pretty much at every MAHD event there were 2 local docs or a doc and a nurse on the stage as part of the panel (in a few cases there were 3 local health professionals on stage). Audiences particularly appreciated hearing from their own community people. That changes the typical U.S. medical equation of “docs at a distance”. Some of these local docs were true heroes which we learned about only as we heard of their life’s work. In some cases they had set up clinics for people without resources, or successfully gotten smoking removed from prisons and been able to promote health education, or done battle with local institutions to pressure them to provide more services for people who needed them most, and so forth. And in some places, like Chico, by the time we left the locals were already talking about launching their own local mini tours to various outlying communities, towns, cities. Do it, guys.

At USC the audience at the School of Social Work forgot to show up. Maybe that was because MAHD event was set up with only a few days notice and came during exam week (duh!). But we corralled several students coming to and from classes and study groups and held extended one on one or one on 3 discussions in front of the school with our banners splayed all over the place. The response was very positive (I guess that with the word “social” in their line of study they must be just another bunch of damned socialists like Barack Obama); MAHD promised the Rev. Dr. Peter Sabey (the host) not to worry but MAHD will be back, with better notice and collaboration next time.

Back home now, I’ve been wondering where this all leads to. If you heard my own 4 minute talk you may remember words to the effect of turning the Single Payer movement outward and re-creating a good old fashion civil rights movement, like in the 60s, to rejuvenate Martin King’s call to arms on health care. Mike mentions civil disobedience tactics. That is part of the broadening of vision, I think, but a social movement isn’t just about tactics. It’s about culture and strategy--seeing the Single Payer connection between politics and culture, between politics and class, between our goals and racism. I’m ready to get arrested more than once if would help achieve Medicare for all in the U.S. But I know there’s a big difference between symbolic civil disobedience and planning a movement that can use it to great effect. At the present moment I don’t believe that tactics are as important as figuring out how to merge our efforts with the rights struggles of undocumented immigrants, the unemployed workers, youths who are frequently gunned down unarmed by cops in Black urban communities and who gravitate toward gangs for self-preservation, people who are still being evicted and have no place to live, no way to survive, workers who would choose a union but have been denied the Employee right to choose act, and so on. That means first off figuring out how to join the struggles of people of a different class, by and large, and prove to them that their wellbeing is what our cause is about, not just when it comes to access to health care as a right. On the tour I talked with a few HCA/Single Payer chapter leaders who believe as I do and have already tried that kind of outreach, with somewhat mixed and marginal results. It ain’t easy. But what I think I detected from them is that we are usually working from the perspective of trying to get those reached out to “to join us” when it may be that the question is how do we learn how to join them, so that they can then join with us or how to create a broader context.

Since 1994 I have not forgotten that Proposition 186, the California Single Payer initiative campaign which failed dismally at the polls, was not led by people most effected by the lack of access to care. There were docs and union leaders and other mostly white middle class folks carrying out the campaign. And in the final analysis 186 was led by people who could not see the importance of standing firm on inclusion of all—including the undocumented—in their press statements. It was a campaign that did not reach out in any meaningful way to the Black, Latino and Philippino communities, churches, and other organizations. And as I reflect upon how we might move Medicare for All efforts in the right direction and center stage, I never cease believing that now, not later, is the right time to make the turn we could not make in 1994, the turn that King’s echoing words call out to us--to forge a multi-ethnic leadership by using the call to a new civil rights movement that can unite us on multiple rights demands and issues. Sure, doing that practically won’t be easy. But we can do this if we all agree that it’s something that must be done just as much as supporting any particular piece of legislation.

Until we meet again.

Single Payer is NOT Off the Table

Los Angeles 10/15/09 – 12 arrested for a sit-in at Anthem Blue Cross offices as Maureen Cruise, Public Health Nurse, explains why single payer is not off the table. Along with a contingent of doctors, Cruise believes universal health care (a.k.a. single payer or medicare for all) is the only option. As Dr. Jo Olson recently told me, single payer is the only fiscal and moral solution. She has been working for a single payer system for the past five years. Nurse Cruise was an L.A. public health care nurse at numerous clinics until they all closed with the recent economic downturn. As she explains, over 100 people die every day for lack of health care in the U.S. More die every day because they are denied health care from insurance companies despite paying their high premiums. Yet we see public free clinics closing. People are forced into medical debt and foreclosure to pay for health care, unlike every other country. “What kind of country does this to it’s people?” she asks.

Nurse Cruise goes on to say that Pelosi’s announcement to the world that single payer is off the table was a ploy to make everyone forget about it and go for a public option instead, a public option written by and for the insurance industry, which spends over a million dollars per day lobbying Congress. The public option, as she says, is an insurance industry bailout, because with our economic downturn and the insurance industry’s annal retentive (my words) policy of raising rates to make up for losses, they are losing customers and so they look to the deep pockets of our government in the corporate welfare state we call America. But as long as we don’t have a viable health care system without the for profit insurance factor, and as long as we don’t have universal health care, people will continue to rally.

It’s interesting that the right tea baggers agree with the left in this area. Both sides agree that government bailout spending is wrong. But the right has been deluded by the right wing bumper sticker mentality media propaganda into believing that it is an Obama socialism agenda at fault. in fact it is a Wall Street corporate socialist agenda, since as cruise and many others agree, Wall Street owns Congress, and seemingly the Presidency as well.

But the bottom line is that, by law and on paper, this is still a democracy for and by we the people, not the corporations; and so the people have taken to the streets, lead by doctors and health care professionals like nurse Cruise, Dr. Olson and many others. They hold rallies and sit-ins around the country and get arrested in protest. Dr. Susie Baldwin calls the public option a government insurance industry jobs program, which leads me to wonder, why can’t the insurance industry make an honest living selling a service that people need? Why must they resort to living off the government, pushing Congress to make laws forcing people to buy their worthless product which amounts to a mafioso payoff to keep their useless thug industry alive. Why must the insurance industry live on government corporate welfare? Are they too lazy to get a real job and pay their way like the rest of us?

As Dr. Paul Papenek told me, people don’t need actuaries or claims adjusters. People need doctors and nurses. Shouldn’t we forsake the misguided careers of insurance professionals, not only for the 45,000 lost lives every year for lack of health care, but also for the high cost and fiscal deterioration of our country due to the exorbitant waste, fraud and spending on health care due to a corrupt monopolistic health insurance industry.

Parts of this clip will be included in a feature documentary, Got Healthcare?

The Real America

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PASADENA CA - On Thursdays since, June 25, 2009, a group of protesters gathered at the intersection of Orange and Hill Avenues to hold a protest vigil, shown in this film, and which continues there weekly. Drive by and honk if you care to.

So why after 60 years of Republican blocked attempts at nationalized health care are we finally seeing some movement? It looks like things are so bad that the insurance companies aren't even making out. If things get bad enough for people and people can’t afford to pay their bills, guess who gets screwed? The insurance companies who charged the outrageous premiums to begin with. Once again we see the authoritarian right digging their own grave. Keep up the good work guys. With any luck your kind will soon be extinct. Bailouts can't go on forever. At some point these greedy corporations will die if we refuse their services, whether out of necessity or not. The people have the power and always have. It's ultimately about cutting off the money. Now if only we could do this to Wall Street and The Pentagram.

“Health care reform is no longer just a moral imperative, it is a fiscal imperative. If we want to create jobs and rebuild our economy, then we must address the crushing cost of health care this year, in this Administration.” - President Barack Obama, White House Forum on Health Reform, 3/5/09

The following excerpts are from HeathReform.gov:

“With All These People Losing Jobs, A Lot Will Lose Their Health Insurance”
The Wall Street Journal, Thursday, April 23, 2009 - President Obama has said that health reform “cannot wait, must not wait, and will not wait another year.” Today the Wall Street Journal cited evidence that illustrates why so many Americans cannot afford to wait another year for health reform. Layoffs are causing thousands of Americans to lose their health care coverage, and as was reported today, insurance companies are seeing their profits shrink as they lose members.

Insured, but Bankrupted by Health Crises
New York Times, 7/1/09 - It is commonly cited that nearly 50 million Americans go each year without health insurance. What is perhaps less apparent is that millions more are severely under-insured. The unfortunate reality is that even those with insurance are too often brought to financial ruin because of medical expenses.

Medical Bankruptcy
South Florida Sun-Sentinel, 6/23/09 - Americans across the country are struggling to keep up with rising costs of medical bills, high deductibles, increasing premiums, and the escalating costs of prescription drugs. For some Americans health care costs result in medical bankruptcy. According to a new Harvard University study, 62% of bankruptcies in 2007 were caused by medical-related debt.