3

Key Features of Single-Payer

4

Summary: Physicians Proposal for Single-Payer National Health Insurance

6

Single Payer Frequently Asked Questions

14

“Proposal of the Physicians’ Working Group for Single-Payer National Health Insurance”, JAMA, 290(6):798-805

22

How Much Would a Single-Payer System Cost? – National and State Studies

30

Palmer, Karen. “A Brief History: Universal Health Care Efforts in the United States”

38

Types of International Health Systems

39

Clancy, Carolyn, et al. “Questions and Answers about Managed Competition”

44

PNHP Press Release: “Less Than Half of Americans Have Health Insurance Paid for by Private Employers,”

48

Woolhandler, Steffie and Himmelstein, David. “Paying for National Health Insurance – And Not Getting It”, Health Affairs, 21(4):88-98, July/August 2002.

59

Woolhandler, Steffie, et al. “Costs of Health Care Administration in the United States and Canada”, NEJM, 349(8):768-775, 8/21/03.

67

Woolhandler, Steffie and Himmelstein, David. “The High Costs of For-Profit Care,” Journal of the Canadian Medical Association, 170(12):1814-1815, 06/08/04

69

Woolhandler, Steffie, et al “Administrative Costs in U.S. Hospitals,” NEJM, 329:400-403, August 5, 1993

72

Woolhandler, Steffie and Himmelstein, David. “Costs of Care and Administration at For-Profit and Other Hospitals in the United States,” (with PNHP Slides)

77

Rasell, Edith. “Cost Sharing in Health Insurance – A Reexamination,” NEJM April 27, 1995

82

Frankel, Stephen. “Health Needs, Health-Care Requirements, and the Myth of Infinite Demand”, The Lancet, 6/29/91, Vol. 337

84

Evans, Robert. “Going for the Gold: The Redistributive Agenda Behind Market-Based Health Care Reform”, Journal of Health Politics, Policy and Law, 22(2), April 1997.

86

Grumbach, Kevin and Bodenheimer, Thomas. “Reins Or Fences: A Physician’s View of Cost Containment,” Health Affairs Winter 1990

95

Skala, Nicholas and Hellander, Ida. “Health Savings Accounts: No Savings,” PNHP Fact Sheet, September 2005

97

Rodberg, Leonard. “FEHBP: A Feeble Model for Universal Health Care.” PNHP-NY Metro Newsletter, September 2004, pp. 2-3

99

Shearer, Gail.  “Impact of ‘Consumer Driven’ Health Care on Consumers”, Testimony of Gail Shearer – Director, Health Policy Analysis, Washington Office, Consumers Union before the Joint Economic Committee, U.S. Congress 2/25/04.

109

PNHP NY Metro – Policy Brief. “The AMA Health Care Reform Proposal: Shuck and Jive by the AMA Establishment”, September 2003.

100

PNHP Quote of the Day, “Impact of Policies Favoring Tax Credits and Catastrophic Coverage”, Kaiser Family Foundation, 3/15/04.

113

Forget, Evelyn, et al. “Medical Savings Accounts: Will they reduce costs?” Canadian Medical Association Journal, 167(2):143-147, 7/23/02.

118

Peeno, Linda. “The Second Coming of Managed Care: Field Notes from a Health Care Ethicist”, February 9, 2004.

136

Saltman, Richard B. “Medical Savings Accounts: a Notably Uninteresting Policy Idea”, European Journal of Public Health, Vol. 8 (4):276-8, 1998.

141

Light, Donald and Lexchin, Joel. “Will Lower Drug Prices Jeopardize Drug Research?  A Policy Fact Sheet”, The American Journal of Bioethics, 4(1):W3-W6, Winter 2004.

145

Saini, Arvind. “Pharmaceutical Regulation in Four European Union States”

149

Relman, Arnold and Angell, Marcia. “How the Drug Industry Distorts Medicine and Politics. America’s Other Drug Problem.” The New Republic, 12/16/02.

164

Slide Show: Schiff, Gordon. “Out of Control: Ethical Conflicts in Our Professional Addition to Drugs…and How to Detox”

173

Schiff, Gordon, et al. “A Better-Quality Alternative: Single-Payer National Health System Reform”, JAMA, 272(10):803-808, 9/12/94.

179

Schiff Gordon, and Young, Quentin. “You Can’t Leap a Chasm in Two Jumps: The Institute of Medicine Health Care Quality Report”, Public Health Reports, 116:396-403, Sept-Oct 2001.

187

PNHP Brief. “How Single-Payer Health System Reform Improves Quality”, 2001.

189

PNHP NY Metro Forum Report – “Medical Malpractice, Health Care Quality, and Health Care Reform,” May 2003

191

Slide Show: Schiff, Gordon. “Medical Malpractice, Health Care Quality and Health Care Reform”

203

Canadian Malpractice Fee Schedule for 2005, The Canadian Medical Protective Association.

205

Felice, Clara and Lambkros, Litsa. “Medical Liability in Three Single-Payer Countries”

211

“Executive Summary” from Canadian Health Insurance: Lessons for the United States, U.S. General Accounting Office Report to the Chairman, Committee on Government Operations, House of Representatives, June 1991.

218

Romanow, Roy “A Message to Canadians”, Letter from The Commission on the Future of Health Care in Canada, 11/28/02.

225

Evans, Robert and Roose, Noralou. “What is Right About the Canadian Health Care System?” The Millbank Quarterly, 77(3):393-399, 1999.

229

Armstrong, Pat; Armstrong, Hugh and Fegan, Claudia. “Chapter 7 - A Perfect System?” – Excerpt from Universal Healthcare: What the United States Can Learn from the Canadian Experience, The New York Press, New York, 1998.

239

Shortt, Samuel and Shaw, Ralph. “Equity in Canadian health care: Does socioeconomic status affect waiting times for elective surgery?” Canadian Medical Association Journal, 168(4):413-416, 2/18/03.

243

Roos, Noralou P, et al. “Does universal comprehensive insurance encourage unnecessary use? Evidence from Manitoba says no”, Canadian Medical Association Journal, 170(2):209-214, 1/20/04.

249

Joint Letter on Publicly Funded Health Care – Ford, General Motors, Daimler Chrysler, Canadian Auto Workers.

An International Comparison of Cancer Survival: Metropolitan Toronto, Ontario and Honolulu, Hawaii

An International Comparison of Breast Cancer Survival: Winnipeg, Manitoba and Des Moines, Iowa, Metropolitan Areas

252

“Conclusions and Implications” from Bone Marrow Transplantation: International Comparisons of Availability and Appropriateness of Use, U.S. General Accounting Office Report to the Ranking Minority Member, Subcommittee on Health, Committee of Ways and Means, House of Representatives, March 1994.

256

Anderson, Gerard; et al., “It’s the Prices, Stupid: Why the United States is so Different from Other Countries”, Health Affairs, 22(3):89-105, May/June 2003.

273

Anderson, Gerard and Hussey, Peter. “Comparing Health System Performance in OECD Countries”, Health Affairs, May/June 2001.

287

“Policy Brief No. 4 - Funding Health Care: Options for Europe”, European Observatory on Health Care Systems Series, Buckingham, UK.

305

Dr. Marcia Angell Introducing the National Health Insurance Bill – 4 Myths, Washington, D.C., 2/4/03

308

Geyman, John. “Myths as Barriers to Health Care Reform in the United States”, International Journal of Health Services, 33(2):315-329.

323

Ferrer, Robert. “Within the System of No-System”, JAMA, 286(20):2513-2514

Woolhandler, Steffie and Himmelstein, David. "Universal Care? Not From Clinton", The New York Times, 04/11/94

Starfield, Barbara. "Is US Really the Best in the World?", JAMA, 284(4):483-485, 07/26/00.

327
330
336
337
342

What PNHP Members / Med Students Can Do / Talking Points
Notes for Activists (Finding Your Niche / Organizing a Chapter / Building a Movement)
Physicians’ Proposal – Background Fact Sheet
Resources for Single-Payer Activists
Media Tips for Activists

344

PNHP Nationwide Contact List

Statewide Single-Payer Activism

348
349
351
353

Steelworkers’ Resolution for Single-Payer Health Care
“Single-Payer Georgia Health Plan Pushed” The Atlanta Journal Constitution, June 22, 2004
“Fomenting a Medical Care Revolution,” The Denver Post January 02, 2005
Dr. Joseph Jarvis  and The Utah Health Cooperative “A Health Policy Briefing for Campaign 2004,”

Sample Op-Eds

377

Young, Quentin. “Op-Ed: National Health Insurance is the Obvious Prescription”, Chicago Tribune, 6/29/03.

379

McCanne, Don. Nationalize Health Care”, USA Today, 3/6/03.

380

Freeman, Joshua. “As I See It: Single-Payer System Would Fix Health System”, Kansas City Star, 1/26/03.

381

LeBow, Robert. “The Market Has Failed U.S. Health Care”, Idaho Press-Tribune, 9/23/98.

382

Himmelstein, David and Woolhandler, Steffie, “‘Managed Competition’ Is Not Healthy Answer” New York Times, 12/10/92.

Appendix A: Additional Resources        

387

Appendix B: Bibliography on For-Profit Health care and Proposals for Reform

390

Appendix C: PNHP Slide Show, November 2003

442

Appendix D: PNHP Slide Show 2004 Update

458

Appendix E: NHI Presentation Slides