January, 28 2009, 01:22pm EDT
From the Front Lines: Single-Payer System Is the Sole Solution
Statement of James Floyd, M.D., Health Researcher, Public Citizen
WASHINGTON
Public Citizen has joined the Leadership Conference for
Guaranteed Health Care because a single-payer national health insurance
program is the only viable solution to our health care crisis.
We have a fragmented health care system that is driven
by corporate profit and greed. Although private insurers provide
coverage for less than two-thirds of Americans, they drive up
administrative costs for everyone so that, on average, 30 cents of
every health care dollar is spent on administration, much of this
wasted. As a result, costs are skyrocketing and 50 million Americans
are left without health insurance. Tens of millions more have insurance
but are still unable to afford the care they need.
I am a health researcher with Public Citizen and a
practicing internist. It is common for my patients to be taking 10 or
more medications, some of which are life-sustaining, and for them to
require frequent visits with their physicians. With frightening
regularity, I see patients who cannot get their prescriptions filled or
afford co-payments for office visits.
As a result, many become ill enough to require
hospitalization, and some even die. I recall taking care of a veteran
who developed nearly fatal kidney failure from an enlarged prostate
because he was too poor to afford private coverage but made too much to
be covered by Medicaid or the Veterans Health Administration. And I
think of a young woman with diabetes who is admitted to the hospital
every month with a complication or new infection because she cannot
afford the insulin that keeps her out of the hospital. It is sad and
unconscionable that cases like this have become commonplace.
During this recession, we can expect even more people
to lose their health care coverage, resulting in more missed doctor
appointments and unfilled prescriptions. The estimated 20,000 people
who die each year because of a lack of health insurance will rise
faster than we could have feared. Also, illness due to a lack of health
care only feeds the cycle of missed work days and lost jobs, reducing
our economic productivity. Our country cannot recover from this
recession if we become sicker with every passing year.
The time for delaying meaningful health care reform
because of narrow interests is over. We must eliminate private
insurance companies as middlemen who divert health care dollars from
real care and are responsible for massive administrative waste. Other
proposals for health care reform do not address this fundamental
problem of waste and will not reduce costs. A single-payer system is
the only way to provide everyone with comprehensive care, regardless of
their ability to pay, while keeping costs down. It is also the most
just one.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000LATEST NEWS
UN Panel Says IDF Appears Set on 'Physical Destruction of Palestinian Children'
"Children in Gaza can no longer wait, as each passing minute risks another child dying of hunger as the world looks on," said the United Nations Committee on the Rights of the Child.
Mar 22, 2024
A United Nations panel said Thursday that the Israeli military's siege of Gaza appears "calculated to bring about the physical destruction of Palestinian children," pointing to the growing number of kids starving to death as Israel obstructs the delivery of humanitarian aid.
"They are cut off from food, even crumbs are not easy to find," the U.N. Committee on the Rights of the Child said in a statement. "A little girl wept in front of the BBC's camera, crying, 'I miss bread.' The occupying power has blocked or severely restricted food and other life-essential supplies and aid."
At least 27 children have died of malnutrition or dehydration in recent weeks, a toll that the U.N. panel said is "likely to be significantly higher" and is "set to rise" as Israel's blockade and attacks on aid convoys continue. An alarming analysis released earlier this week by the Integrated Food Security Phase Classification found that Gaza's entire population—roughly half of which is children—is "facing high levels of acute food insecurity."
"Children in Gaza can no longer wait, as each passing minute risks another child dying of hunger as the world looks on," the U.N. committee said.
Children are also at high risk from ongoing Israeli bombings, which have inflicted immense physical and psychological suffering on Gaza's children. Israel's military has killed more than 13,000 children in the territory since October 7, a figure that the United Nations Children's Fund (UNICEF) called "astronomically horrifying." Save the Children estimated that between October and January, an average of more than 10 children per day in Gaza lost one or both of their legs due to Israeli attacks.
"I think these numbers that we're seeing out of Gaza are just staggering," Catherine Russell, UNICEF's executive director, said earlier this week. "We haven't seen that rate of death among children in almost any other conflict in the world."
The UN Committee on the Rights of the Child #UNCRC delivers its strongest statement. Gaza: Halt the war now to save children from dying of imminent famine. #childrensrights @lexpsy pic.twitter.com/uXHtxonlVz
— UNChildRights (@UNChildRights1) March 21, 2024
The U.N. panel on children's rights called attention to the International Court of Justice's (ICJ) January ruling ordering the Israeli government to "enable the provision" of humanitarian aid and do everything in its power to prevent acts of genocide—directives that Israel has been accused of systematically violating.
"Since the ICJ order on 26 January, and as of 19 March, an average of over 108 Palestinians have been killed and another 178 injured every day in Gaza, and children are amongst them," the committee said Thursday. "The looming invasion of Rafah will take the fragile situation to the breaking point, putting the lives of 600,000 children at immediate risk, and will rapidly reach the tipping point of famine."
"While reiterating its calls for the remaining children held hostage to be released immediately," the panel added, "the committee also calls on all parties, including the General Assembly and the Security Council, for an immediate humanitarian cease-fire to protect hundreds of thousands of innocent children's lives."
The statement came as the United States, Israel's chief arms supplier, proposed a draft U.N. Security Council resolution calling for an "immediate cease-fire" and a hostage deal. The U.S. has repeatedly stonewalled and vetoed cease-fire resolutions at the Security Council in recent months even as its top officials, including President Joe Biden, have expressed concerns about the grisly civilian death toll in Gaza.
In a scathing op-ed for The Guardian on Thursday, U.N. Special Rapporteur on Human Rights Defenders Mary Lawlor wrote that "the international human rights architecture is creaking under the weight of the hypocrisy of countries who profess support for a rules-based order yet continue to provide weapons to Israel that kill more innocent Palestinians."
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Adding to the mountain of evidence that Israel is engaged in a genocidal war on the Gaza Strip, Al Jazeera on Thursday aired footage of what the news outlet reported was an Israeli drone targeting four Palestinians in Khan Younis last month.
Those killed by the unmanned aerial vehicle in the rubble of the southern Gaza city appear to be unarmed teenagers or young men. According to a translation of the coverage, they were not identified in the reporting.
While Al Jazeera deemed footage "too graphic" to be included on its daily live blog covering the war, a clip of it quickly spread on social media, where critics of the Israel Defense Forces operation expressed outrage.
"OUTRAGEOUS even after months of outrages," declared Palestinian American political analyst Yousef Munayyer. "This video shows an Israeli military drone literally stalking four unarmed civilians posing no threat and eliminating them one after the other!!!"
Tariq Kenney-Shawa, Al-Shabaka's U.S. policy fellow, said: "This is among the worst footage I've seen. Not only were these boys clearly unarmed and present no threat whatsoever, but they were struck multiple times even after stumbling/crawling away. There is no way they could have been considered combatants. This is unreal."
Note: The following video contains graphic images.
Assal Rad, an author with a Ph.D. in Middle East history, said: "Have we ever seen so many war crimes take place right before our eyes? Any country still providing weapons and aid to Israel is complicit in these crimes."
Exiled American whistleblower Edward Snowden asserted that "everyone in the world needs to see this. Note that this footage permits no room for 'it was a mistake,' showing repeated, specifically targeted strikes on the unarmed and even wounded."
"The sort of behavior the ICJ explicitly forbid in the genocide ruling against Israel," added Snowden, referencing the International Court of Justice's preliminary order in January for an ongoing case led by South Africa.
Since the ruling, rights groups around the world have accused Israel of ignoring the ICJ order by continuing to bomb and starve people across Gaza. The mounting casualties—at least 31,988 killed and 74,188 wounded—have elevated demands for the U.S. government to end arms transfers to Israel.
The United States gives its Middle East ally $3.8 billion in annual military aid and since the Israeli assault was launched in retaliation for a Hamas-led attack on October 7, the Biden administration has sought $14.3 billion more while bypassing Congress to send more weapons. U.S. President Joe Biden, Secretary of State Antony Blinken, and Secretary of Defense Lloyd Austin face a genocide complicity case in federal court.
While the Biden administration has repeatedly vetoed and opposed cease-fire resolutions at the United Nations Security Council and General Assembly, Nate Evans, a spokesperson for Linda Thomas-Greenfield, the U.S. ambassador to the U.N., confirmed Thursday that the United States plans to unveil a new one on Friday.
The resolution will "unequivocally support ongoing diplomatic efforts aimed at securing an immediate cease-fire in Gaza as part of a hostage deal, which would get hostages released and help enable a surge in humanitarian aid," Evans told Al Jazeera. "This resolution is an opportunity for the council to speak with one voice to support the diplomacy happening on the ground and pressure Hamas to accept the deal on the table."
Blinken said Thursday that "there's a clear consensus around a number of shared priorities. First, the need for an immediate, sustained cease-fire, with the release of hostages. That would create space to surge more humanitarian assistance, to relieve the suffering of many people, and to build something more enduring."
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"Our leaders must act to kick insurance companies to the curb and enact Medicare for All now," said one advocate.
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Single-payer advocates on Thursday pointed to new federal life expectancy data—which shows Americans live shorter lives than people in any other major most-developed nation—as the latest proof of the need to enact a Medicare for All-type universal healthcare program.
According to the Centers for Disease Control and Prevention (CDC), U.S. life expectancy was 77.5 years in 2022, an increase of 1.1 years from the previous year. The leading U.S. causes of death in 2022 were heart disease, cancer, unintentional injuries, and Covid-19.
The 2022 figures reversed two consecutive years of declining U.S. life expectancy, largely due to Covid-19, which has killed nearly 1.2 million people in the country. However, U.S. life expectancy in 2022 was still below its pre-pandemic high of 78.8 years in 2019.
"Despite spending the most per capita on healthcare, we have a consistently lower life expectancy than our peers in comparably wealthy countries."
"While it is good news that U.S. life expectancy is finally rising again, it is important to remember that despite spending the most per capita on healthcare, we have a consistently lower life expectancy than our peers in comparably wealthy countries with universal healthcare," said Eagan Kemp, the healthcare policy advocate at Public Citizen.
The United States is the only developed nation in the world without guaranteed universal healthcare.
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One 2022 study found that more than 338,000 U.S. Covid-19 deaths could have been prevented if the country had a single-payer universal healthcare system like Medicare for All.
While opponents—including U.S. lawmakers who take substantial donations from the for-profit healthcare and insurance industry—often argue that Medicare for All would be too expensive, a 2020 Congressional Budget Office analysis found that such a program would save between $300 billion and $650 billion annually.
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Meanwhile, millions of American families face bankruptcy and financial ruin due to healthcare expenses, as the CEOs of 300 major U.S. healthcare companies made $4.5 billion in collective compensation in 2022.
The United States has the lowest life expectancy of any large rich country while spending far more on healthcare than comparable nations. Figures vary by source and year, but according to the 2023 edition of the CIA Factbook, the U.S. ranked 48th in worldwide life expectancy, while 2021 World Bank figures place the U.S. in 59th place globally, between Algeria and Panama.
U.S. Sen. Bernie Sanders (I-Vt.) and Congressional Progressive Caucus Chair Pramila Jayapal (D-Wash.) last year led more than 120 lawmakers in reintroducing bicameral Medicare for All legislation.
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