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PNHP RESOURCES

Single-Payer Health Care Advocates Bring Campaign to D.C.

By Mark Gruenberg
PAI Staff Writer 1/29/2007
PHILADELPHIA (PAI)--At Temple University Hospital in Philadelphia, a 60-year-old woman has been hospitalized for weeks suffering from heart failure. Patricia Eakin says she should not have been in the hospital in the first place.

But the woman is there, at great expense to the hospital and--because she lacked health insurance--ultimately to taxpayers. That's because with no insurance, she did not have enough money to buy enough medicine to prevent or slow the heart disease.

"She had to take it every other day, and not every day, as the prescription said," said Eakin, who is also president of the Pennsylvania Association of Staff Nurses and Allied Professionals, an independent statewide nurses union. "Now she's in the hospital and it'll cost thousands of dollars."

It's cases like that of the woman in Philadelphia, or a 3-year-old hemophiliac child in Colorado whose medical bills are approaching his father's company's lifetime limits on health care coverage, that sent advocates of government-run single-payer health care coverage to Washington in late January to raise the visibility of their cause.

And their timing was perfect, as health insurance--or lack of it--rose to the fore again, due to anti-worker GOP President George W. Bush.

That's because Bush's Jan. 23 state of the union address called for taxing what he termed "gold-plated" health insurance, but also for giving a tax deduction--more usable by wealthier taxpayers--to individuals for their first $7,500 in yearly health insurance spending and $15,000 for families' spending.

His scheme drew scorn, and more, the next day from the single-payer advocates. They said it would only throw more people into the ranks of the uninsured, while lining the pockets of the insurance companies. And even Bush's White House admitted his deductions would only help at most 3 million of the 47 million uninsured--and none of the "underinsured," like the father of the hemophiliac child.

By contrast, they said, their plan, HR 676, the government-run single-payer health care bill crafted by veteran Rep. John Conyers (D-Mich.), would help everyone. The bill, co-sponsored by Rep. Dennis Kucinich (D-Ohio) and 40 other lawmakers, is one of a raft of competing health care proposals--including Bush's--floating around Washington.

HR 676, which then had more than 75 backers, died at the end of the last GOP-run Congress without a hearing, but Kucinich told a Jan. 24 press conference that after it is reintroduced, he'll schedule a House subcommittee hearing on it, possibly in April.

The advocates, led by Deborah Burger, President of the California Nurses Association, and Dr. Oliver Fein of the Physicians for a National Health Plan, contend a government-run single-payer plan would cut costs, eliminate the health insurance companies and their paperwork, denial of coverage and high overhead, and cover everyone, including the uninsured and underinsured. Bush wouldn't do that, they added. And it wouldn't help people like the 60-year-old woman in the Temple University Hospital, added Burger, herself a 35-year veteran nurse for California's Kaiser Permanente, who's a diabetes case manager.

"We see, in many cases, that one little thing that hasn't been done has a snowball effect" on patients, their health, their quality of care, and, ultimately, medical costs, Burger explained. "When they can't take their medicine, for example."

A single-payer system, Burger said, would also encourage preventive care, stopping individuals' health problems before they loom large and expensively. "We sent nurses" as volunteers from California "to areas hit by (Hurricane) Katrina and to the Astrodome" in Houston, which housed refugees from Katrina-ravaged New Orleans, she noted. The nurses expected to treat trauma from the hurricane. They were wrong.

"They were treating hypertension and heart conditions. For many of these people, who were poor and without health insurance, it was their first visit by a health care professional, ever. The nurses were doing primary care--and they saw how our patched-up health care system doesn't work," Burger added.

Speakers said single-payer government-run health care would save money compared to the present system, by eliminating $500 billion-$600 billion in overhead, duplication, high CEO pay, advertising and other costs the insurers impose. Overall, the U.S. spends $2 trillion, one-sixth of its gross national product, on health care.

More than 220 union groups--the latest being unionists in Oklahoma, and the Minnesota Association of Professional Employees--back HR 676, said Kay Tillow, a spokeswoman for the Louisville-based single-payer campaign, organized by union nurses.

Kucinich said single-payer would be financed by small payroll taxes on employers and employees, elimination of overhead, a surtax on the wealthy, a tax on stock and bond transfers and the end of Bush's tax cuts for the rich. In return, backers promised single-payer would let people choose their own doctors, guarantee care, and end deductibles, co-payments and high premiums. "We'll see dramatic savings and redirection of resources from the insurance companies to the general public," he said.