January, 22 2016, 11:00am EDT
For Immediate Release
Contact:
Clare Fauke, Communications Specialist,,clare@pnhp.org
Doctors Group Welcomes National Debate on 'Medicare for All'
Nonpartisan physicians group calls single-payer reform ‘the only effective remedy’ for nation’s continuing health care woes and urges focus on facts, not rhetoric
WASHINGTON
The national debate on single-payer health reform, or "Medicare for All," that has emerged in the course of the presidential primaries is a welcome development. But unfortunately a number of misrepresentations about single-payer national health insurance - and the prospects for its attainment - have crept into the dialogue and are potentially misleading the public.
Most of these misrepresentations, or myths, have been decisively refuted by peer-reviewed research. They include the following:
Myth: A single-payer system would impose an unacceptable financial burden on U.S. households. Reality: Single payer is the only health reform that pays for itself. By replacing hundreds of insurers and thousands of different private health plans, each with their own marketing, enrollment, billing, utilization review, actuary and other departments, with a single, streamlined, tax-financed nonprofit program, more than $400 billion in health spending would be freed up to guarantee coverage to all of the 30 million people who are currently uninsured and to upgrade the coverage of everyone else, including the tens of millions who are underinsured. Co-pays and deductibles, which have been rapidly rising under the Affordable Care Act, would be eliminated. Further, the single-payer system's bargaining clout would rein in rising costs for drugs and medical supplies. Lump-sum budgets for hospitals and capital planning would control costs even more.
A recent study shows 95 percent of U.S. households would come out financially ahead under an improved version of Medicare for all. The graduated, progressively structured tax burden would be based on ability to pay, and the heavy cost to average U.S. households of private insurance premiums, co-pays, deductibles, and many currently uncovered services would be eliminated. Patients could go to the doctor or hospital of their choice, and would no longer be restricted to proprietary networks. Multiple studies over a period of several decades, including by the General Accountability Office and the Congressional Budget Office, show that a single-payer system would provide universal coverage at a much lower cost, per capita, than we are spending now. International experience confirms it. Even our traditional Medicare program, which falls short of a true single-payer system, has much lower overhead than private insurance, and shows that publicly financed programs can deliver affordable, reliable care.
A single-payer system would also greatly diminish the administrative burden on our nation's physicians and hospitals, freeing up physicians, in particular, to concentrate on doing what they know best: caring for patients.
Covering everyone for all medically necessary care is affordable; keeping the current private-insurance-based system intact is not.
Myth: The U.S. has a privately financed health care system. Reality: About 64 percent of U.S. health spending is currently financed by taxpayers. (Estimates that are lower than this exclude two large sources of taxpayer-funded care: health insurance for government employees and tax subsidies to employers and individuals for purchasing private health plans.) On a per capita basis, the amount of government-funded health care in the U.S. exceeds the health spending of nations with universal health systems, e.g. Canada. We are paying for a national health program, but not getting it.
Myth: A single-payer system would overturn the gains won under the Affordable Care Act and provide inferior coverage to what people have today. Reality: A single-payer system would go far beyond the modest improvements that the ACA made around the edges of our current private-insurance-based system and ensure truly universal care, affordability and health security. For example, H.R. 676, the Expanded and Improved Medicare for All Act, would guarantee coverage for all necessary medical care, including prescription drugs, hospital, surgical, outpatient services, primary and preventive care, emergency services, dental, mental health, home health, physical therapy, rehabilitation (including for substance abuse), vision care and correction, hearing services including hearing aids, chiropractic, durable medical equipment, palliative care, podiatric care, and long-term care. It would eliminate financial barriers to care like co-pays and deductibles and eliminate restrictive networks. It would end the steady erosion of job-based coverage under our current arrangements and disconnect insurance coverage from employment. H.R. 676 currently has 61 sponsors.
Myth: The American people don't support single payer. Reality: Surveys have repeatedly shown that an improved Medicare for All is the remedy preferred by about two-thirds of the population. A recent Kaiser Family Foundation survey yielded similar results, showing 58 percent of Americans supporting Medicare for All. A solid majority of the medical profession favors such an approach, as well, as do more than 600 labor organizations, and many civic and faith-based groups.
Myth: The goal of establishing a single-payer system in the U.S. is unrealistic, or "politically infeasible."Reality: It's true that single-payer health reform faces formidable opposition, especially from the private insurance industry, Big Pharma, and other for-profit interests in health care, along with their allies in government. This prompts some people to conclude that single payer is out of reach and therefore not worth fighting for. While such moneyed opposition should not be underestimated, there is no reason why a well-informed and organized public, including the medical profession, cannot prevail over these vested interests. We should not sell the American people short. At earlier points in U.S. history, the abolition of slavery and the attainment of women's suffrage were considered unrealistic, and yet the movements to achieve these goals were ultimately victorious and we now wonder how those injustices were allowed to stand for so long.
What is truly "unrealistic" is believing that we can provide universal and affordable health care, and control costs, in a system dominated by private insurers and Big Pharma.
We call upon our nation's lawmakers and the political leaders of all political parties to heed public opinion and to do the right thing by acting swiftly to bring about the only equitable, financially responsible and humane cure for our health care ills: single-payer national health insurance, an expanded and improved Medicare 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
House Dems Voice 'Deep Concern' Over Biden Claim That Israel Is Legally Using US Arms
A letter from 26 lawmakers notes the "stark differences and gaps" between what Biden administration officials say and the opinions of "prominent experts and global institutions" accusing Israel of genocide.
Apr 16, 2024
More than two dozen House Democrats on Tuesday challenged the Biden administration's claim that Israel is using U.S.-supplied weapons in compliance with domestic and international law—an assertion made amid an ongoing World Court probe of "plausibly" genocidal Israeli policies and practices in Gaza.
Citing "mounting credible and deeply troubling reports and allegations" of human rights crimes committed by Israeli troops in Gaza and soldiers and settlers in the occupied West Bank, 26 congressional Democrats led by Texas Reps. Veronica Escobar—who co-chairs President Joe Biden's reelection campaign—and Joaquin Castro asked U.S. Defense Secretary Lloyd Austin, Secretary of State Antony Blinken, and Director of National Intelligence Avril Haines "whether and how" their agencies determined Israel is lawfully using arms provided by Washington.
"We write to express our deep concern regarding the U.S. Department of State's recent comments regarding assurances from the Israeli government, under National Security Memorandum (NSM) 20, that the Israeli government is using U.S.-origin weapons in full compliance with relevant U.S. and international law and is not restricting the delivery of humanitarian assistance," the lawmakers wrote in a letter to the Cabinet members.
The letter acknowledges the "grave concerns" of institutions and experts around the world regarding Israel's "conduct throughout the war in Gaza, its policies regarding civilian harm and military targeting, unauthorized expansion of settlements and settler violence in the West Bank, and potential use of U.S. arms by settlers, in additional to limitations on humanitarian aid supported by the U.S."
The legislators noted Israeli attacks on aid convoys, workers, and recipients—like the February 29 "
Flour Massacre" in which nearly 900 starving Palestinians were killed or wounded at a food distribution site—and "the closure of vital border crossings" as Gazan children starve to death as causes for serious concern.
While the lawmakers didn't mention the International Court of Justice's January 26
preliminary finding that Israel is "plausibly" committing genocide in Gaza, their letter highlights the "stark differences and gaps in the statements" made by Biden administration officials and "those made by prominent experts and global institutions"—many of whom accuse Israel of genocide.
The lawmakers' letter came amid reports of fresh Israeli atrocities, including a drone strike on a playground in the Maghazi refugee camp in northern Gaza that killed at least 11 children. Eyewitnesses described a "horrific scene of children torn apart."
While Biden has called out Israel's "indiscriminate bombing" in Gaza—much of it carried out using U.S.-supplied warplanes and munitions including 2,000-pound bombs that can level whole city blocks—his administration has approved more than 100 arms sales to Israel, has repeatedly sidestepped Congress to fast-track emergency armed aid, and is seeking to provide the key ally with billions of dollars in addition weaponry atop the nearly $4 billion it gets annually from Washington.
This, despite multiple federal laws—and the administration's own rules— prohibiting U.S. arms transfers to human rights violators.
According to Palestinian and international officials, more than 110,000 Palestinians have been killed or wounded by Israeli forces since October 7. Most of the dead are women and children. At least 7,000 Palestinians are also missing and presumed dead and buried beneath the rubble of hundreds of thousands of bombed-out homes and other buildings.
Around 90% of Gaza's 2.3 million people have been forcibly displaced in what many Palestinians are calling a second Nakba, a reference to the ethnic cleansing of over 750,000 Arabs from Palestine during the establishment of the modern state of Israel in 1948.
A growing number of not only progressive lawmakers but also mainstream Democrats are calling for a suspension of U.S. military aid to Israel.
On Tuesday, Sen. Bernie Sanders (I-Vt.)—who was criticized earlier in the war for not calling for a cease-fire—stood beside a photo of a starving Gazan girl while declaring "no more money for" the far-right government of Israeli Prime Minister Benjamin Netanyahu and his "war machine."
Keep ReadingShow Less
'Weasel Words': Julian Assange's Wife Slams US Assurances to UK
"The diplomatic note does nothing to relieve our family's extreme distress about his future—his grim expectation of spending the rest of his life in isolation in U.S. prison for publishing award-winning journalism."
Apr 16, 2024
The wife of jailed WikiLeaks founder Julian Assange sharply criticized "assurances" the U.S. government made as the U.K. High Court considers allowing the 52-year-old Australian's extradition to the United States, where he faces 175 years in prison.
The U.S. document states that if extradited, "Assange will have the ability to raise and seek to rely upon at trial (which includes any sentencing hearing) the rights and protections given under the First Amendment of the Constitution of the United States," though it points out that "a decision as to the applicability of the First Amendment is exclusively within the purview of the U.S. courts."
"A sentence of death will neither be sought nor imposed on Assange," the document adds, noting that he has not been charged with any offense for which that is a possible punishment. It comes after the U.K. court ruled last month that the Biden administration had until Tuesday to confirm that he wouldn't face the death penalty and if it did not, he could continue appealing his extradition.
Responding on social media, his wife, Stella Assange—who is an attorney—blasted the U.S. assurances as "weasel words."
"The United States has issued a nonassurance in relation to the First Amendment, and a standard assurance in relation to the death penalty," she said. "It makes no undertaking to withdraw the prosecution's previous assertion that Julian has no First Amendment rights because he is not a U.S citizen."
"The Biden administration must drop this dangerous prosecution before it is too late."
"Instead, the U.S. has limited itself to blatant weasel words claiming that Julian can 'seek to raise' the First Amendment if extradited," she added. "The diplomatic note does nothing to relieve our family's extreme distress about his future—his grim expectation of spending the rest of his life in isolation in U.S. prison for publishing award-winning journalism. The Biden administration must drop this dangerous prosecution before it is too late."
The U.K. court's next hearing is scheduled for May 20. Last week, reporters asked U.S. President Joe Biden about requests from Australian Prime Minister Anthony Albanese and members of the country's Parliament to drop the extradition effort and charges. He said that "we're considering it."
So far, the Biden administration has ignored significant pressure from Australian and U.S. politicians as well as human rights and press freedom groups, and continued to pursue the extradition of Julian Assange, who was charged under former President Donald Trump—the Republican expected to face the Democratic president in the November election.
Assange was charged under the Espionage Act and Computer Fraud and Abuse Act for publishing classified documents including the "Collateral Murder" video and the Afghan and Iraq war logs. Since British authorities dragged Assange out of the Ecuadorian Embassy in London—where he lived with political asylum for seven years—he has been jailed in the city's Belmarsh Prison.
The WikiLeaks founder's wife, with whom he has two children, was not alone in condemning the U.S. assurances on Tuesday.
"This 'assurance' should make journalists even more worried about how the Assange prosecution could impact press freedom in the U.S. and globally. The U.K. should grant Assange's appeal and refuse to extradite him," said the Freedom of the Press Foundation. "The U.S. doesn't disclaim the ability to argue that the First Amendment doesn't apply to Assange because of his nationality or other reasons, or for a court to rule against a First Amendment challenge to his prosecution."
Jameel Jaffer, director of the Knight First Amendment Institute, similarly said that "no one who cares about press freedom should take any comfort at all from the United States' assurance that Assange will be permitted to 'rely upon' the First Amendment."
"If the prosecution goes forward, the U.S. government will be trying to persuade American courts that the First Amendment poses no bar to the prosecution of a publisher under the Espionage Act," Jaffer warned. "And if the government is successful, no journalist will ever again be able to publish U.S. government secrets without risking her liberty."
"So the government's First Amendment assurances aren't responsive at all to the concerns that press freedom advocates have been raising," he concluded. "This case poses essentially the same threat to press freedom today as it did yesterday."
Keep ReadingShow Less
Workers Stage Sit-Ins to Demand Google End Israeli Cloud Contract
"Just as people of conscience demanded institutions cut ties with apartheid South Africa in the 1980s, the time is now to rise up in support of Palestinian human rights," said Google employees in an open letter.
Apr 16, 2024
Following recent reports that Google may soon expand its tech collaboration with the Israeli government, dozens of the company's employees on Tuesday entered its offices in New York City and Sunnyvale, California and announced that they wouldn't leave until executives pull out of its $1.2 billion cloud services and data contract with the country.
The No Tech for Apartheid coalition—including the Muslim-led MPower Change and the Jewish-led Jewish Voice for Peace—organized the sit-in, which marks an escalation in Google workers' protests against Project Nimbus, the 2021 contract under which Google and Amazon provide cloud infrastructure across Israel's government.
The deal includes a stipulation that the companies cannot prevent Israel from using Project Nimbus for any government agency, including the Israel Defense Forces (IDF)—which means Google employees' work may be directly supporting the country's assault on the Gaza and its killing of at least 33,843 Palestinians since October.
"Workers will NOT allow business as usual while Google continues to profit from the genocide of Palestinians in Gaza," said MPower Change.
In Sunnyvale, workers began occupying the office of Google Cloud CEO Thomas Kurian, while employees in the company's New York office began a sit-in in a common space.
Outdoor rallies were also scheduled to take place in San Francisco and Seattle, with both Amazon and Google employees attending.
Former Google cloud software engineer Eddie Hatfield, who was fired last month for disrupting a Google Israel event, was among those who protested in New York.
The sit-ins came a week after Time magazine reported that Google has entered further negotiations with the Israeli government in recent weeks, even as international human rights experts raise alarm that Israeli officials have directly caused famine to take hold in parts of Gaza by blocking humanitarian aid.
No Tech for Apartheid released an open letter addressed to Kurian and other Google and Amazon executives, saying that as long as the companies' "tech continues to power the Israeli military and government, [they] are actively complicit in this genocide."
"Your workers do not want to be complicit in genocide," reads the letter, which has been signed by 93,000 supporters. "Just as people of conscience demanded institutions cut ties with apartheid South Africa in the 1980s, the time is now to rise up in support of Palestinian human rights, to end the Project Nimbus contract, and join calls to end the Israeli occupation and siege of Gaza. This has never been more urgent. We hope that you will take this opportunity to be on the right side of history. End the Project Nimbus contract and reestablish your companies' commitments to human rights."
Keep ReadingShow Less
Most Popular