September, 16 2015, 12:30pm EDT
For Immediate Release
Contact:
Clare Fauke, Communications Specialist,,clare@pnhp.org
More Americans Gain Health Coverage, But Many Can't Afford to Use It: Doctors Group
WASHINGTON
Census Bureau says number of uninsured has dropped to 33 million in wake of Affordable Care Act, but is silent on problems of rising deductibles, copays, coinsurance and narrow networks that deter people from seeking care
"The Census Bureau's official estimate that 33 million Americans lacked health insurance in 2014 reflects a significant and welcome drop from the 42 million it reported as uninsured in 2013," said Dr. Robert Zarr, president of Physicians for a National Health Program, today. "But the number of people who remain without coverage is still intolerably high. And the Census Bureau report leaves entirely unmentioned the millions of people who have health insurance but who can't afford to use it because of high deductibles and copays."
"Having health insurance is better than not having coverage, as several research studies have shown," Zarr, a Washington, D.C.-based pediatrician, continued. "For example, the 33 million people the Census Bureau says were uninsured in 2014 means that approximately 33,000 people died needlessly last year because they couldn't get access to timely and appropriate care." He cited a landmark study in the American Journal of Public Health showing that for every 1 million persons who are uninsured in a given year, there are about 1,000 deaths linked chiefly to that factor.
"That's an unnecessary death every 16 minutes," Zarr said. "That's completely unacceptable. Moreover, the Congressional Budget Office predicts at least 27 million people will be uninsured every year for the next 10 years - so that's tens of thousands of preventable deaths, year in and year out.
"And keep in mind that even if all the states had accepted the Medicaid expansion, about 24 million people would still be uninsured under the Affordable Care Act," he said. "We simply can't go on like this."
Zarr pointed out that the problem of underinsurance - i.e. of people having skimpy policies with high deductibles, copays, and other forms of cost sharing that deter them from seeking care and that leave them vulnerable to financial distress and medical bankruptcy in the event of serious illness - is not something the Census Bureau addresses in its annual reports. But it should take this question up, he said, especially in view of how rapidly the problem is worsening.
"A recent study by the Commonwealth Fund shows that about 31 million people who have health insurance - nearly a quarter of all insured non-elderly adults - are underinsured, nearly double the rate in 2003," Zarr said. "Of these, 44 percent went without a doctor's visit, medical test, or prescription due to cost, while 51 percent had problems paying off medical bills or were paying off medical debt over time.
"The average deductible - i.e. before insurance kicks in - for families with popular silver plans in 2015 is estimated to be $6,010, and out-of-pocket costs for copayments and deductibles, after premium payments, for a family of four with an income of about $60,000 per year can be as high as $13,200," he said. "And of course this applies to 'in network' services only. Out-of-network costs can go much, much higher. Such financial barriers are untenable, economically and morally."
"In short, under the new health law we're witnessing a dramatic acceleration of the trend of shifting more and more medical costs onto the shoulders of patients and their families, even as medical costs and premiums rise and as private health insurance companies reap record profits.
"How is it possible that in 2015 one of the richest countries in the world still does not guarantee every resident the right to health care?" Zarr continued. "This question would not be necessary if we had a health care system worthy of the name - single-payer national health insurance, or an improved and expanded Medicare for All."
"A single-payer system would achieve truly universal care, affordability, and effective cost control. It would put the interests of our patients - and our nation's health - first."
Zarr continued: "Our patients, our people and our national economy cannot wait any longer for an effective remedy to our health care woes. The stakes are too high. We need to move beyond the administratively wasteful, complex and inadequate ACA to a more fundamental, comprehensive single-payer national health program for all."
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
LATEST NEWS
'Chilling Attempt to Normalize Fascism': Groups Decry Trump Official's Arrest Threats
"We must not allow intimidation and authoritarian tactics to take root in our political system."
May 04, 2025
A coalition of advocacy organizations on Saturday expressed support for Wisconsin Gov. Tony Evers and warned that the Trump border czar's threat against the Democratic leader marks a "dangerous escalation" of the administration's assault on the rule of law across the United States.
The groups—including All Voting Is Local and the ACLU of Wisconsin—said in a joint statement that Evers' guidance to state officials on how to handle being confronted by federal agents was "a prudent measure aimed at ensuring compliance with state and federal laws while protecting the rights of state employees."
The suggestion by Tom Homan, a leader of President Donald Trump's mass deportation campaign, that Evers could be arrested for issuing such guidance undermines "the foundational principles of our democracy, including the separation of powers, the rule of law, and the right of state governments to operate without undue federal interference," the groups said Saturday.
"To threaten our governor over his legal directive is gross overreach by our federal government, and it is not occurring in a vacuum," they continued, warning that the administration's rhetoric and actions represent a "chilling attempt to normalize fascism."
"Similar occurrences are happening across the nation, including within our academic systems," the groups added. "If we do not reject these actions now, states and other institutions will only lose more and more of their autonomy and power. This is exactly why we underscore Gov. Evers' claim that this event is 'chilling.'"
The threats against Gov. Evers in Wisconsin undermine the foundational principles of our democracy: the separation of powers, the rule of law, and the right of state governments to operate without undue federal interference. We must reject this overreach. allvotingislocal.org/statements/w...
[image or embed]
— All Voting is Local (@allvotingislocal.bsky.social) May 3, 2025 at 9:58 AM
Trump administration officials and the president himself have repeatedly threatened state and local officials as the White House rushes ahead with its lawless mass deportation campaign, which has ensnared tens of thousands of undocumented immigrants and at least over a dozen U.S. citizens—including children.
In an executive order signed late last month, Trump accused "some state and local officials" of engaging in a "lawless insurrection" against the federal government by refusing to cooperate with the administration's deportation efforts.
But as Temple University law professor Jennifer Lee recently noted, localities "can legally decide not to cooperate with federal immigration enforcement."
"Cities, like states, have constitutional protections against being forced to administer or enforce federal programs," Lee wrote. "The Trump administration cannot force any state or local official to assist in enforcing federal immigration law."
Administration officials have also leveled threats against members of Congress, with Homan suggesting earlier this year that he would refer Rep. Alexandria Ocasio-Cortez (D-N.Y.) to the U.S. Justice Department for holding a webinar informing constituents of their rights.
During a town hall on Friday, Ocasio-Cortez dared Homan to do so.
"To that I say: Come for me," she said to cheers from the audience. "We need to challenge them. So don't let them intimidate you."
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Republicans Caught Copy-Pasting Koch-Funded Group's Letter Demanding Medicaid Cuts
"You'd be hard pressed to find a more shameless example of congressional Republicans taking their cues from special interests at the cost of the American people than Chip Roy copying and pasting a letter directly from... special interests."
May 03, 2025
A letter that a group of 20 far-right House Republicans released earlier this week as part of a campaign in support of slashing Medicaid appears to have been authored by the head of a research institute with ties to the Koch network.
Politicoreported Friday that "digital metadata embedded in a PDF copy" of the letter that was circulated inside the House of Representatives "lists the author as Brian Blase, president of Paragon Health Institute."
InfluenceWatch notes that in 2021, Paragon received a nearly $2 million donation from Stand Together, "a right-libertarian funding organization that acts as the umbrella organization for the political network that is largely funded by right-leaning businessman and political donor Charles Koch."
Paragon recently urged federal policymakers to require states to conduct more frequent eligibility checks for Medicaid recipients in a purported effort to root out improper payments. Health policy advocates say such a change would make it more difficult for eligible enrollees to keep their Medicaid coverage.
The letter signed by Rep. Chip Roy (R-Texas) and other House Republicans aligns with Paragon's objectives, claiming that "political abuse" of Medicaid "is helping to bankrupt the federal government" and calling for "structural Medicaid reform" in the party's forthcoming reconciliation package.
Tony Carrk, executive director of the watchdog group Accountable.US, said in a statement that "you'd be hard pressed to find a more shameless example of congressional Republicans taking their cues from special interests at the cost of the American people than Chip Roy copying and pasting a letter directly from... special interests."
"This remarkably blatant kowtowing to conservative billionaires is a sad reflection of the congressional Republicans' willingness to make devastating cuts to Americans' healthcare to pay for lower taxes for the richest," said Carrk.
The letter was released as congressional Republicans grappled internally with how and how much to cut Medicaid as they seek to offset the massive projected costs of another round of tax breaks for the rich.
Earlier this week, as Common Dreamsreported, Rep. Don Bacon (R-Neb.) said he would not accept more than $500 billion in cuts to Medicaid over the next decade. Cuts of that magnitude would still be the largest in the program's history and would strip health coverage from tens of millions of people.
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'Disgusted' But 'Not Afraid': Wisconsin Governor Rips Arrest Threat From Trump Border Czar
"We now have a federal government that will threaten or arrest an elected official—or even everyday American citizens—who have broken no laws, committed no crimes, and done nothing wrong."
May 03, 2025
Wisconsin Gov. Tony Evers hit back Friday after U.S. President Donald Trump's border czar suggested the Democratic leader could be arrested for distributing guidance to state employees on what to do if confronted by federal immigration agents.
The guidance is straightforward and unremarkable, instructing state employees to "stay calm," ask federal agents for their name and badge, contact an attorney, and decline to answer questions or provide agents access to any documents without a lawyer present.
"State employees may not grant [Immigration and Customs Enforcement] or another agent access to any such data or information absent authorization from their legal counsel pursuant to a valid judicial warrant," the guidance reads.
In a speech addressed to Wisconsinites and the nation, Evers said that the "goal of this guidance was simple—to provide clear, consistent instructions to state employees and ensure they have a lawyer to help them comply with all federal and state laws."
"But Republicans and their right-wing allies, including Elon Musk, lied about this guidance, spread misinformation, accused me of doing things I didn't do or say, and fueled a fake controversy of their own creation," Evers said.
One Republican member of the Wisconsin State Assembly on Friday morning posted an AI-generated image of Evers in handcuffs at the state capitol, with Trump standing behind him in police uniform.
"I'm used to Republicans and the right wing lying about me. It comes with the job," Evers said Friday. "But, this time, these lies came at a cost. I haven't broken the law. I haven't committed a crime. And I've never encouraged or directed anyone to break any laws or commit any crimes."
"But when President Trump's hand-picked appointee, Tom Homan, was asked about me and this guidance after he apparently threatened to arrest elected officials across the country, he said, 'Wait 'til you see what's coming,'" the governor continued. "Overnight, Republican lawmakers piled on, encouraging the Trump administration to arrest me."
Watch Homan's comments to reporters:
NEW: When asked about Wisconsin Governor Tony Evers telling state officials not to cooperate with ICE, Border Czar Tom Homan seems to signal arrests could be imminent:
“Wait until you see what’s coming. I meant what I said.” pic.twitter.com/xJxw5sBVY6
— Charlie Kirk (@charliekirk11) May 1, 2025
Homan's thinly veiled threat against Evers and other officials came days after FBI agents arrested Wisconsin Judge Hannah Dugan on obstruction charges alleging that she helped an undocumented immigrant evade arrest by misdirecting federal authorities. Dugan's legal team says she is innocent and will be vindicated in court.
Evers said Friday that Homan's threats are "chilling" and "should be of concern to every Wisconsinite and every American who cares about this country and the values we hold dear."
"These threats represent a concerning trajectory in this country," said Evers. "We now have a federal government that will threaten or arrest an elected official—or even everyday American citizens—who have broken no laws, committed no crimes, and done nothing wrong."
"And as disgusted as I am about the continued actions of the Trump administration, I am not afraid," he added. "I have never once been discouraged from doing the right thing, and I will not start today."
Watch Evers' remarks in full:
The Wisconsin governor's full address is transcribed below:
Good morning, Wisconsin. Governor Tony Evers here.
I’m speaking to you today as your governor but also as a concerned American.
Yesterday, a Trump administration official, in not so many words, apparently threatened to arrest me for distributing guidance that asked state agency employees to consult with an attorney if federal agents show up at state buildings with legal documents.
The goal of this guidance was simple—to provide clear, consistent instructions to state employees and ensure they have a lawyer to help them comply with all federal and state laws. Nothing more, nothing less.
But Republicans and their right-wing allies, including Elon Musk, lied about this guidance, spread misinformation, accused me of doing things I didn’t do or say, and fueled a fake controversy of their own creation.
Now, I’m used to Republicans and the right wing lying about me. It comes with the job. But, this time, these lies came at a cost. I haven't broken the law. I haven't committed a crime. And I’ve never encouraged or directed anyone to break any laws or commit any crimes.
But when President Trump's hand-picked appointee, Tom Homan, was asked about me and this guidance after he apparently threatened to arrest elected officials across the country, he said, "Wait 'til you see what's coming." Overnight, Republican lawmakers piled on, encouraging the Trump administration to arrest me.
Chilling threats like this should be of concern to every Wisconsinite and every American who cares about this country and the values we hold dear.
We live in the United States of America, folks. We are a country of laws. The rule of law matters. Following the law matters.
In this country, the federal government doesn't get to abuse its power to threaten everyday Americans. In this country, the federal government doesn’t get to arrest American citizens who have not committed a crime. In this country, we don't threaten to persecute people just because they belong to a different political party.
These threats represent a concerning trajectory in this country. We now have a federal government that will threaten or arrest an elected official—or even everyday American citizens—who have broken no laws, committed no crimes, and done nothing wrong.
And as disgusted as I am about the continued actions of the Trump administration, I am not afraid. I have never once been discouraged from doing the right thing, and I will not start today.
I swore an oath when I took this office to support the Constitution of the United States and the Constitution of the state of Wisconsin and to faithfully discharge the duties of this office to the best of my ability. I will never waver from that promise.
I hope and pray every elected and appointed official in this country, including the president of the United States of America, will do the same.
Forward, and for Wisconsin, always.
Thank you.
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