Monday, June 01, 2009

Howard Dean on Single Payer Health Care

Probably the top priorities at "America's Future Now" conference (formerly Take Back America) is getting universal health care adopted this year.

Progressive groups announced plans to spend $82 million to press for adoption of Obama's health care plan. The coalition, made up of MoveOn.org, Americans United for Change, USAction, Campaign for Community Change, Rock the Vote, AFL-CIO, SEIU, the Children's Defense Fund, and others, together represent 30 million Americans.

Making sure the "public option" is contained in health care legislation is a top priority of the coalition. Likewise for the congressional Progressive Caucus and the Black, Hispanic, and Asia Pacific American caucuses, which recently sent joint letters to President Obama and House and Senate leadership emphasizing that they would only support health care reform if it contains the public option.

The public option allows Americans to choose between private insurance and a public plan. (I wrote about the public option here.)

The momentum is strong -- in June, there will be petitions, lobby days in Congress, and the beginnings of a grassroots and eventually an advertising campaign.

The public option is not enough to satisfy single-payer advocates. But if Congress can withstand intense pressure from the private health care industry -- which doesn't want to have to compete with a more efficient public plan -- and if Congress can refrain from watering it down, it does represent an enormous step toward universal, quality health coverage.

This approach may be a good way to go. But that is no reason for Senator Baucus, chair of the Senate Finance Committee, House Speaker Nancy Pelosi, and President Barack Obama to exclude single-payer health care advocates from the summits, forums, and hearings on health care reform. Even the "America's Future Now" conference had no speakers advocating for single-payer health care.

At a press conference today, I got a chance to ask Howard Dean why single-payer advocates are not at the table. Here's his responses, followed by what I think (but did not say):
Dr. Dean: We really weren't anticipating that question...
Me: Really? Everywhere there is a public forum on health care, people are shouting from the audience about single-payer since they are almost never included on the official panels.
Dr. Dean: They should be at the table.
The Right has managed to turn "single-payer" into a bad word, like "liberal."
Me: All the more reason to insist on considering the policy on its merits, not based on a foregone conclusion about what is politically plausible. After all, if you have the insurance and medical-industrial complex pushing for no public plan, wouldn't you want the single-payer movement pushing from the other side? Then the Obama plan can take its place as a centrist policy, which is what it is.
Dr. Dean: Opponents have used confusion to sow doubt. People may not like the health care system, but they like their doctor or hospital.
Me: in other words, we need to keep everyone on message. Not sure I buy that when public opinion polls show a majority of Americans favoring single-payer health care -- even if they have to pay higher taxes. That's extraordinary support for a proposal with few public figures advocating it and a virtual media blackout on the topic.

In his opening remarks, Robert Borosage of Campaign for America's Future, said: "We need to build independent movements, organizing outside of Washington, demanding real change." Let's start by including members of the movement for single-payer health care in the dialogue.
Dr. Dean: President Obama's plan is realistic. Even in Britain, where medicine really is socialized [doctors offices and hospitals are publicly owned] 15% of health care dollars go to private insurance. Private insurance isn't going away. Americans should be the ones to choose. If they like their current, private insurance, they can keep it. If they aren't satisfied, they should be able to choose a public plan. Respect Americans' ability to decide.
Me: Respect for Americans' ability to decide. Just what the doctor ordered.

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3 Comments:

At 6:10 PM, Anonymous jacksmith said...

Howard Dean is correct.

"a"(Toothy, Robust)"public health insurance option is more important than bipartisanship, and Democrats should pass health-care legislation that includes the option with 51 votes if necessary."

"Democrats should have "no intention" of working with Republicans if it's not the strongest possible legislation that could be passed with a simple majority." (Howard Dean)

This is what WE THE PEOPLE gave the Democrats all that power to do for ALL of us.

You see, Dr. Dean knows that in medicine and healthcare there is only one acceptable standard. And that standard is the HIGHEST level of EXCELLENCE you can provide for everyone. Nothing less has ever been acceptable in caring for a precious human life.

And the White House is right too. "Good health care reform is essentially good economic policy." (Christina Romer)

jacksmith -- WORKING CLASS

 
At 10:17 PM, Blogger vanmungo said...

ONLY SINGLE PAYER can solve this nation's health-care crisis. The "public-option" plan being pushed by the mainstream corporate liberals (HCAN, Obama/Baucus/Pelosi) is NOT a half-step toward single payer: in fact, it is among the most insidious frauds being perpetrated by the Beltway Democrats. Here's why: The advantage of single-payer is in risk pooling--everyone is in the same pool: well, sick, young, old, sick, and poor, thus averaging out the risks and costs of guaranteeing coverage to everyone. In the "public-option plan," everyone is NOT in the same risk pool, as they would be in single payer. In a "pub-op" plan, the oldest, sickest, and poorest would end up in the public plan; the youngest and healthiest--and hence most profitable--cohort would aggressively marketed by the private HMOs. Hence the whole advantage of single-payer risk pooling would be lost: combining EVERYONE's resources (through a modest tax rather than bloated private premiums) so that the currently healthy 80 percent subsidize the unhealthy 20 percent and thus achieve cost efficiencies not obtainable if these two groups are in separate pools. Moreover, the "pub-op" public plan will have to charge premiums and impose deductibles, just like the private plans--more of the same, notwithstanding the "public" branding. This is the Democrats' sham reform: game the system so that the public sector founders, thus discrediting the idea of publicly funded health care for another generation. STAND UP FOR SINGLE PAYER!

Go to www.pnhp.org or www.singlepayeraction.org

 
At 6:28 AM, Blogger rania123456 said...

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