"Lupus Isn't the Only Thing Eating Me Up About Health Care"

by: Bertha Lewis

Wed May 20, 2009 at 20:45


Since 1948, when Congress defeated one of the best chances had at a universal health care bill, the issue has not diminished in its importance to the country or its influence in all aspects of our economy. Right now we are facing what I think is best opportunity of my lifetime to reshape the health care system to insure the uninsured, control costs, and remove health care coverage from its linkage to employment.

ACORN, through its partnership with Health Care for America Now (HCAN), is heavily involved in pushing out elected representatives to take advantage of this moment and enacting lasting, comprehensive health care reform. While we may not end up with the perfect system, from a progressive point of view, whatever we do get will be a vast improvement over what we have now. Today, in a direct shot at the insurance industry fighting the changes, HCAN and its partners, including ACORN, released a study on the consolidation of the industry and its near monopolistic practices in many states. Below I've written more about this, through the prism of Tamecka Pierce, one of Florida ACORN's strongest leaders. We can win real health care reform this year. But we need to fight for it. --Bertha

When Florida ACORN member Tamecka Pierce first got her employer-provided health insurance, she was ecstatic. No more dealing with the limitations and bureaucracy of the Medicaid system, which had been her sole option as an unemployed single mother with three children.

That joy was short lived. Just after she was accepted into the Blue Cross/Blue Shield program, she was diagnosed with lupus, an auto-immune disease in which the body slowly eats away at itself. The treatment is complex, ever-shifting, and life-long as there is no cure.

Predictably, Blue Cross/Blue Shield spent months fighting not to cover Tamecka. When she finally won, her problems didn't end. As the sole breadwinner, money is always an issue. On a monthly basis, Tamecka found herself choosing between medications and visits to specialist, or between health care and other bills.

But it doesn't have to be this way. Follow me on the flip to find out how.

Bertha Lewis :: "Lupus Isn't the Only Thing Eating Me Up About Health Care"
If there were an adequate public health care plan, there’s a good chance that Tamecka could manage her lupus without having to make the kinds of choices she’s had to make to date. That’s why she and Florida ACORN are members of Health Care for America Now (HCAN) (ACORN members are a part of 16 state HCAN coalitions, playing the lead role in six) and are helping to fight for real health care reform.

Today, ACORN and HCAN are releasing a report documenting the way in which the increasing consolidation in the health insurance industry in driving up premiums and how the resulting profits are being used to compensate top executives and shareholders rather than provide adequate coverage for people like Tamecka.

As the report makes clear, a primary factor in the skyrocketing costs of health care – premiums have increased 87% over the past 6 years – is the stunning lack of competition. The American Medical Association reports 95 percent of insurance markets in the United States are now highly concentrated.

Where are our premiums going in this non-competitive marketplace? Straight into corporate profits. According to the Securities and Exchange Commission, profits at 13 of the country’s largest publicly-traded health insurance companies in 2007 rose 405 percent from 2000 to 2007, from $3.7 billion to $15 billion.

ACORN and HCAN are proposing the creation of a public health insurance option, which would introduce a healthy dose of competition in the arenas of cost and quality.

As Senator Charles Schumer said today,

“This is the starkest evidence yet that the private health care insurance market is in bad need of some healthy competition,” Senator Schumer said. “A public health insurance option is critical to ensure the greatest amount of choice possible for consumers. We believe that it is fully possible to create a public health insurance plan that delivers all the benefits of increased competition without relying on unfair, built-in advantages. If a level playing field exists, then private insurers will have to compete based on quality of care and pricing, instead of just competing for the healthiest consumers.”

 

Importantly, a public health insurance plan would challenge the profit-driven industry consolidation while building upon the current health care delivery system in this country. By pursuing this approach, we'd be guaranteeing that the 47 million people now without coverage in this country will have health care, while increasing the overall likelihood of success in reforming the health care system.

You can help fight back against insurance companies and their obscene profits by contacting your elected representatives and letting them know that, at a minimum, real health care reform MUST include a public health plan.

Tamecka Pierce is doing it for herself and her children. As she said, “Lupus isn’t the only thing eating me up about health care!”

Let’s stand with her and seize our best opportunity in decades for health care reform.


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Sorry, no sale. (4.00 / 1)
HCAN is opposed to any of the proven single-payer solutions used in the rest of the industrialized nations, and instead supports the "Obama Plan" according to their website. As far as I can tell, that plan changes from day to day and includes a public option Mondays, Wednesdays and Fridays, and doesn't Tuesdays, Thursdays and Saturdays.

There is no reason we citizens shouldn't fight for the best option, H.R. 676, unless and until we are forced to compromise.  If we start with the bare minimum we'll end up with something close to what we have now, and that unfortunate young woman with lupus will still have to fight for adequate care.


I was ready to disagree with you after reading your 1st paragraph (4.00 / 1)
but after reading your entire post I think you make a good point

There is no reason we citizens shouldn't fight for the best option, H.R. 676, unless and until we are forced to compromise.  If we start with the bare minimum we'll end up with something close to what we have now, and that unfortunate young woman with lupus will still have to fight for adequate care.

didn't obama pre-compromise on the stimulus and we all yelled at him for doing that?

maybe it's better to start with the best option and compromise on the end so we at least get a good public option

thoughts?


[ Parent ]
Single payer. Period. (0.00 / 0)
This is not acceptable. And Im sorry but this is far from a progressive solution to a greed caused problem.

This is a progressive site: and the best we can do is call for Schumer's bloody plan that sets up a arms length health corporation owned by the government so they can compete with health companies and maybe keep the price down. Yip-effing-pee.

Here is press release from the Government of Ontario, which at the moment is Liberal (Liberal Party of Ontario) which I have worked hard often to keep from power, because they are too far right for a lot of what Canada wants. (More on that if you like later) But here is what goes for mother's milk here. This is center of the road stuff. This is a government press release. It reads like they have invented this stuff. Inreality they passing laws to clean some compaines that "extra bill," adding some patient fees when they are in general disallowed. What are called copay in the US. Read it and begin to understand what you can demand. Or just cry.


Location: Government of Ontario Home > CNW Group - Ontario Newsroom

Ministry of Health and Long-Term Care

McGuinty government moves to outlaw two-tier health care in Ontario

   New Bill Would Stop Creeping Privatization Of Health Care

   TORONTO, Nov. 27 CNW - George Smitherman, Minister of Health and  Long-Term Care, introduced a bill today that would make universal, public medicare the law in Ontario and put an end to the creeping privatization of
the system in recent years.
   "We are slamming the door shut on two-tier, pay-your-way-to-the-front-of-the-line health care in Ontario," said Minister Smitherman. "This bill would
enshrine into law what we already deeply believe in our hearts -- that every member of our society has an equal right to quality health care based on need,
not income."
   The Commitment to the Future of Medicare Act would also entrench accountability as a principle of medicare in Ontario and create a provincial health council to keep an eye on the system.
   "Unlike the previous government, our commitment to medicare is total," said Minister Smitherman. "That's why we strongly support the creation of a national health council, which they opposed; and that's why we overturned
their plans and moved quickly to ensure that new hospitals in Ottawa and Brampton will be publicly owned, publicly controlled, and publicly accountable."
   The Health Minister said the bill reflects the public's overwhelming desire for quality, accessible health care, now and into the future.
   "On October 2nd, Ontarians voted for positive change in health care," said Minister Smitherman. "That means making medicare more public, universal, and accountable -- not dismantling it brick by brick."

   This news release is available on our website at:
   http://www.health.gov.on.ca

   Version française disponible
   Att: Backgrounder

Below are some points of the actual act (which by the way are not negotiated with the Conservatives, they are merely passed in a vote, in the Parliament.)

   -  Making it illegal for people to pay to get faster medical care for insured services

   -  Enhancing the Ministry of Health and Long-Term Care's ability to collect, use and disclose information about extra billing

   -  Giving providers and consumers whistle-blowing protection should they report extra billing or queue jumping and

   -  Ensuring that all health care providers who are covered by OHIP are responsible for OHIP billings made under their OHIP number.


OHIP is the Ontario Health Insurance Plan
http://ogov.newswire.ca/ontari...

--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


that should not be crossed out (0.00 / 0)
bill," adding some patient fees when they are in general disallowed. What are called copay

Its a 'feature' of the editing system to alow strike outs using just a dash, but I dont like it. sorry for the problem.
This wouldnt happen if we could have a little time to edit after posting too.

I know I know I should be more careful.

--

The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky


[ Parent ]
One more single payer voice here (0.00 / 0)
"whatever we do get will be a vast improvement over what we have now."
I'm afraid that statement is quite wrong.  It is very possible, by creating a system that forces Americans to pay more than they can afford for insurance that helps them very little, enriching the insurers even more at public expense to create a system worse than what we have now.
HCAN, since its very beginning was created for the primary purpose of marginalizing single payer and has explicitly refused to discuss single payer or open a real dialogue with those who believe in single payer.
The type of "universal health care" that keeps private insurance at its center has been tried before and has always failed - in Hawaii, in Maine, in Tennessee and in Massachusetts.  Meanwhile, various forms of single payer are working very well indeed in every other industrialized country in the world.  But for some reason the political elites are determined to replicate proven failure and fight off proven success all in the service of the insurance companies.

This "public plan" is what President Romney (0.00 / 0)
would have provided. I thought I was a member of the opposing party, which happened to win the election across the board.

Massachusetts is no model for national health care reform
http://www.pnhp.org/news/2009/...

We know the MA model will not work. Why the hell even consider it on a national scale?

As one of the 47 million working poor. I know no private insurer will take what I am capable of chipping in and provide me a non soiled band aid without a fight.

When they say "Public" Plan they mean to protect the privateers above all else. The word Health has been dropped from far to many peoples conversation.

I want unfair competition with privateers. I want them crushed while we are at it.

But it looks like I will be forced by law to contribute to somebody's bottom line over and above my or my neighbors health/ best interests.

The only thing I have to say to everything seemingly on the table at this point is, NO... just don't do anything if all you are going to do is mandate I buy private insurance.


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