Medicare for All: Yes We Can

More Americans die of lack of health insurance than terrorism, homicide, drunk driving and HIV combined.

Grandma could be dead from lack of health insurance before she turns 65 and gets Medicare — 80 percent of first-time grandparents are in their 40s and 50s.

America is the only country that rations the right to health care to those 65 and older.

Lack of health insurance kills 45,000 American adults a year, according to a new study published in the American Journal of Public Health. One out of three Americans under age 65 had no private or public health insurance for some or all of 2007-2008.

You can’t go the emergency room for the screening that will catch cancer or heart disease early, or ongoing treatment to manage chronic kidney disease or asthma. And even emergency care is different for the insured and uninsured. Studies show uninsured car crash victims receive less care in the hospital, for example.

Even with health insurance, many Americans are a medical crisis away from bankruptcy. Research shows 62 percent of all bankruptcies in 2007 were medical, a share up 50 percent since 2001. Most of the medically bankrupt had health insurance — the kind insuring profits, not health care.

Health insurance executives don’t worry about going bankrupt from getting sick. Forbes reports that CIGNA’s CEO made $121 million in the last five years and Humana’s CEO made $57 million.

We’re harmed by health industry and political leaders following the Hypocritic Oath: Promise a lot, and deliver as little as possible.

Wendell Potter, CIGNA’s chief of corporate communications until quitting in 2008, testified to Congress, “The status quo for most Americans is that health insurance bureaucrats stand between them and their doctors right now, and maximizing profit is the mandate.” He said, “Every time you hear about the shortcomings of what they call ‘government-run’ health care, remember this: what we have now … and what the insurers are determined to keep in place, is Wall Street-run health care.”

Premiums for employer-sponsored family health insurance jumped 131 percent between 1999 and 2009 — from $5,791 to $13,375 — hurting businesses, employees and families.

Contrary to myth, the United States does not have the world’s best health care. We’re No. 1 in health care spending, but No. 50 in life expectancy, just before Albania, according to the CIA World Factbook. In Japan, people live four years longer than Americans. Canadians live three years longer. Forty-three countries have better infant mortality rates.

One or two health insurance companies dominate most metropolitan areas in the United States.

Health industry lobbyists and campaign contributors have gotten between you and your congressperson so they can keep getting between you and your doctor. There are 3,098 health sector lobbyists swarming Capitol Hill — nearly six for every member of Congress.

As Business Week put it in August, “Health insurers are winning.” They “have succeeded in redefining the terms of the reform debate to such a degree that no matter what specifics emerge in the voluminous bill Congress may send to President Obama this fall, the insurance industry will emerge more profitable.”

President Obama should listen to his doctor. Dr. David Scheiner was Obama’s doctor for 22 years in Chicago. On the July 30 anniversary of Medicare, Scheiner said, “I have never encountered an instance where Medicare has prevented proper medical care … Insurance companies frequently interfere and block appropriate care.”

Scheiner belongs to Physicians for a National Health Program, which, like a majority of Americans, favors Medicare for All — 58 percent favored “Having a national health plan in which all Americans would get their insurance through an expanded, universal form of Medicare-for-all” in the July 2009 Kaiser Health Tracking Poll, for example.

Tell President Obama and Congress: Yes we can have Medicare for All. Rep. Anthony Weiner’s amendment would substitute the text of the Expanded and Improved Medicare for All Act (HR 676), which has 86 co-sponsors, for House legislation HR 3200. Like the even worse Baucus bill in the Senate, HR 3200 would feed for-profit insurers more customers without providing the universal health care Medicare could provide at much lower cost.

It’s time to stop peddling health reform snake oil.

Medicare for All won’t kill Grandma, but it may save her children and grandchildren.

Holly Sklar is co-author of A Just Minimum Wage: Good for Workers, Business and Our Future and Raise the Floor: Wages and Policies That Work for All of Us. She can be reached at: hsklar@aol.com. Read other articles by Holly, or visit Holly's website.

17 comments on this article so far ...

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  1. rosemarie jackowski said on September 26th, 2009 at 1:16pm #

    Medicare for all is not the answer. Medicare does not pay for dental, vision, or long term care.

    The real answer is SINGLE PAYER that is universal and comprehensive – covering all medical needs. It would save money because it would eliminate Wall Street and the need for profits.

    Here is another problem that is never discussed – do you know how much the CEO of your hospital is paid – including benefits, golden parachute, etc.?

  2. lichen said on September 26th, 2009 at 1:28pm #

    Rosemarie, people call HR676 both ‘medicare for all’ and single payer, because it expands medicare not only to cover everyone but also to include dental and mental health, naturopath benefits, etc. You definitely make a good point about the bloated salaries of the hospital CEO’s. I think the training and crushing hierarchy of the feild of medicine also has to change so that doctors can empathize with their patients.

  3. rosemarie jackowski said on September 26th, 2009 at 3:26pm #

    lichen…I have not read HR676, but I have been watching the Congressional hearings on C-span. Everything is being discussed – including fining and jailing those who do not have insurance. I am not optimistic. There is no organized effort in all of Vermont – in fact, some ‘progressive’ groups have refused to use the words “Single Payer”. They say that those words are too controversial.

    I am advocating for a movement to make a massive plea to other countries so that they will send doctors, dentists, and other medical personnel here. Cuba made an offer after Katrina. The US government refused the help and tried to keep it secret that an offer of humanitarian aid came from Cuba.

  4. Don Hawkins said on September 26th, 2009 at 3:44pm #

    Rosemarie health care reform is an illusion as in just a few years and they know it things the system is not going to work real well. You don’t keep putting carbon into the atmosphere at 10,000 times the natural rate and think it will be ok. Cap and trade next is the best they can do well the decision has been made and I guess our best hope is maybe a strong Republican in 2012. Bring this country back to normal on second thought a new way of thinking might be better. Forgive all debt now that’s a new way of thinking. Start over everything should be made as simple as possible but not simpler.

  5. Deadbeat said on September 26th, 2009 at 3:54pm #

    I am advocating for a movement to make a massive plea to other countries so that they will send doctors, dentists, and other medical personnel here

    There has been articles about the Aussie doctor and his team that caravans across the U.S. providing humanitarian health service to American citizens. I think he originally appeared on Mutual of Omaha Wild Kingdom and started providing humanitarian health care to third world countries but then realized that the U.S. is pretty much “third world” in its own health care provisions.

    That being said, while HR 676 is a good bill there is no real power to get this bill passed. At this point the bill is “a dream” rather than a reality. Obama’s initially started with a compromised position and if like many of his critics stated had started with single payer then the compromised position would be still a lot less than single payer.

    Single payer will only become a reality when there is a movement that shakes up the ENTIRE system. Right now the Left is no where near such a movement and neither is the general public. Single payer as a demand is too isolated and insufficient. It needs to be integrated with the other needs like housing, debt forgiveness, income security, redistribution of wealth and an overall repudiation of capitalism.

    The piecemeal approach especially in this time of dislocation and crisis will not move the powers that be because going piecemeal automatically is coming from a position of weakness. And weakness doesn’t win you anything.

  6. Deadbeat said on September 26th, 2009 at 4:06pm #

    Don Hawkins writes …

    Forgive all debt now that’s a new way of thinking. Start over everything should be made as simple as possible but not simpler.

    Don YOU HIT THE NAIL ON THE HEAD. That is the movement that is needed — DEBT REPUDIATION. The government is not going to forgive the people’s debt like they did the banks. 12 trillion dollars of tax payer money has been committed to rescue the banks while $0.00 for the people.

    Thus what is needed is civil disobedience to repudiate ALL individual DEBT (mortgages, credit cards, etc). Such a movement would have enormous impact on the system that the power that be would then have to yield to the public.

    In fact why isn’t the LEFT coming up with new ways to allocate housing like the are coming up with chatter about health care. Why should people have to put themselves into hundreds of thousand of dollars into debt just to have a basic human right to shelter. These are question that are missing from the health care discussion.

    How many people die every year from stress due to debt or bankruptcy or unemployment or divorce or pollution. Stress cause increases in cortisol and adrenaline thus having negative health effects. These important aspects are missing from the health care debate.

    Health care is not just about seeing a doctor — allopath or naturopath. Health care is not just about single payer.
    Health care demand that we analyze and integrate the POLITICAL ECONOMY.

  7. lichen said on September 26th, 2009 at 4:32pm #

    Rosemarie, I’m not optimistic either, not to any extent. Murder and ruination as usual.

  8. Shabnam said on September 26th, 2009 at 4:35pm #

    [I am advocating for a movement to make a massive plea to other countries so that they will send doctors, dentists, and other medical personnel here. Cuba made an offer after Katrina. The US government refused the help and tried to keep it secret that an offer of humanitarian aid came from Cuba.]

    The United States and the western governments like Canada, Britain, Germany and other nations have already stolen the skilled workers of the developing countries including medical doctors and Nurses from the continent of Asia and Africa. Iran has lost many Doctors and engineers who were trained on billions of dollars from Iranian national treasury but could not benefit from her investment made earlier because of your double standard foreign policy where creates an unstable situation in these countries and makes life difficult to live so the skilled workers are the first to go abroad and you are the first to benefit from billions of dollars where we have spent to train our educated labor force. These people cannot find a job due to your illegal sanction which makes you rich since you will benefit from the investment of other people in these countries.

    This is very unfair and is an imperialist way of robbing other countries of their investments where have been made years earlier.
    You should be advocating, instead, for more resources with the support of mass movement, if they don’t honor your demand, then turn against them with an organized movement.
    Please stop stealing other people’s resources and call that a ‘solution.’

  9. lichen said on September 26th, 2009 at 4:37pm #

    Don, republicans are climate-change deniers who are against regulation; how exactly do you see a “strong republican” coming to save the world from climate change? We need civil society and mass movements to enforce the most radical climate change prevention methods on the governments of the world. And, actually, the country is currently in it’s “normal” state; nothing has changed, so republicans aren’t needed to make things “normal”.

  10. Don Hawkins said on September 26th, 2009 at 4:46pm #

    Lichen I know I was trying to be funny in dark times. If we take that path a republican or what we see now game over that simple.

  11. Don Hawkins said on September 26th, 2009 at 4:59pm #

    Republicans are climate-change deniers and Democrats are the same. Policy makers are addicted to a system that is now in control. Does it look to anybody that so called leaders Worldwide are in control of much of anything maybe some large bombs. To face the biggest problem, problems the human race has ever faced will take working together, wisdom hard choices, the money is not the object getting elected or holding on to an illusion of power is meaningless. Do we see anything close to that just one? Not yet but the next few months about 8 will not be boring.

  12. Don Hawkins said on September 26th, 2009 at 5:12pm #

    ALL individual DEBT (mortgages, credit cards, etc). and with that a new way of thinking for sure nomore credit cards and compound interest a thing of the past. Maybe we could get the conversation started and the people I see on CNBC could give this thinking a try. A secret it’s going to happen anyway if we start now is much much better. The people on Wall Street our short term thinkers now they get a chance to use it for good. 9 years or there about’s to level things out balance or at least heading in that direction.

  13. Deadbeat said on September 26th, 2009 at 5:25pm #

    The United States and the western governments like Canada, Britain, Germany and other nations have already stolen the skilled workers of the developing countries including medical doctors and Nurses from the continent of Asia and Africa … This is very unfair and is an imperialist way of robbing other countries of their investments where have been made years earlier.

    Thanks Shabnam for posting your perspectives here. I hadn’t considered this aspect. That is why this open forum on DV is important.

  14. lichen said on September 26th, 2009 at 5:26pm #

    I see Don; all kinds of people post here, so it isn’t always easy to tell who is joking and who isn’t. The democrats, and in fact, the various ruling parties in the wealthiest/most polluting countries are not prepared nor willing to stop catastrophic climate change, but I just don’t see any better solutions coming from the far-right in the US.

    I definitely agree that all personal debts–student loans, mortgages, credit cards, etc. should be deleted. There was once a time when you built a house and it was yours, and that was the end of it–you weren’t placed in debt to a bank which you would continue paying for the rest of your life (perhaps paying 2-3 times the original cost) only to have it sold upon your death in order to finally pay off the privelege of having shortened your life through worrying about the fucking mortgage payment every month. There is a huge surplus of housing in this country–more than enough for everyone to have a place to live, but the banks are still throwing people out of homes that will sit and rot. The stock market should be abolished.

  15. rosemarie jackowski said on September 27th, 2009 at 10:12am #

    Shabnam…actually I agree with what you say – BUT having a massive plea on a global scale would expose the dark underside of US Capitalism and be a challenge to the myth makers who constantly tell the world that we are the best.

    In addition – sadly, what is happening is a result of what the voters did. Elections have consequences and 45,000+ per year will die because of those consequences.

  16. Deadbeat said on September 27th, 2009 at 11:33pm #

    In addition – sadly, what is happening is a result of what the voters did. Elections have consequences and 45,000+ per year will die because of those consequences.

    The voters are just as much victims of a corrupt electoral system. Also the Left is too divided and diffuse to have offered an electoral alternative in 2008. The Left chose not to support Nader in 2004 and then ran two alternative candidates in 2008 that split their rank. So for much of the electorate it was really a no-choice election.

  17. Sam said on September 28th, 2009 at 7:28am #

    If you would like to help pressure Congress to pass single payer health care please join our voting bloc at votingbloc.org