(We haven’t front-paged anything about this today, probably out of sheer depression. So let this be a conduit for the discussion. Hopefully soon somebody will come by and tell us this is “the best we can do” and we should stop whining! Wouldn’t that be great? – promoted by David Dayen)

The California Nurses Association/National Nurses Organizing Committee said today that it will oppose the latest healthcare plan proposed by Assembly Speaker Fabian Nunez, which would sentence patients to patients to forced insurance, threats to seize wages to pay the premiums of the very for-profit insurance companies who are speedily wrecking our health care system, and mandatory costs.

“As more details continue to emerge, it is apparent that this proposal is riddled with flaws that could exacerbate the healthcare crisis for countless numbers of California families,” said CNA/NNOC Executive Director Rose Ann DeMoro.

More details below, or visit the online home of the Nationanl Nurses Organizing Committee and California Nurses Association, and join the fight for guaranteed healthcare on the single-payer model.

Here’s a look at the rest of the plan:

Individual mandate — forcing Californians to buy insurance

“No matter how you dress up this proposal it still amounts to a huge windfall for the insurance industry, millions of new customers who may get virtually nothing in return,” De Moro said. And, anyone who fails to buy insurance would face “the draconian threat” of having the cost of insurance deducted from their paychecks. “Punishing the uninsured by seizing their wages to pad insurance company profits is not healthcare reform.

No comprehensive coverage

The state’s Managed Risk Medical Insurance Board will establish the basic plan Californians would have to buy. But the plan is likely to only include a bare bones set of benefits, with probable high deductions and caps on coverage. All other medical care, such as dental, vision, mental health, long term care, and more would cost extra. “The likely result is that families with limited resources will self-ration rather than obtain needed medical care,” DeMoro said.

Affordability

DeMoro criticized claims that the bill meets affordability standards as “a sad hoax for Californians desperate for genuine healthcare coverage.”

1- Since the bill fails to set standards for basic plans, “it is likely families would be forced to effectively buy junk insurance, and have to spend thousands of dollars more for a long list of essential care needs.”
2- The plan fails to reign in skyrocketing insurance premiums, deductibles, co-pays, or other rising costs. With costs continuing to escalate, there will be growing pressure on the MRMIB board to further erode the basic plan.
3- The supposed protection for middle income families is tax credits for the cost of buying the forced insurance. But tax credits only benefit those who can afford to buy insurance in the first place, and a once a year tax credit hardly makes up for costly monthly premium payments. The result will almost certainly be more credit card debt for medical bills; “a great boon for the banks and credit card companies but increased financial and health insecurity for Californians,” DeMoro said.
4- The proposed out-of-pocket limit of 6.5% in costs applies only to the bare bones mandatory insurance policy – those with more comprehensive plans will pay much more of their income.

Employer mandate

The new bill makes the extensive problems of the earlier versions by the legislature and the governor even worse, said DeMoro. Under the bill the maximum requirement for employers would be just 6.5 percent of payroll.

But, according to a June 2007 report by the California Healthcare Foundation, California employers in 2005 paid on average 10.4% — and unionized employers paid 14.5 percent of their payroll – for health care benefits.

Especially as there are no controls on rising premium costs, what the bill thus does is create a clear incentive for businesses to sharply erode existing plans or drop coverage entire, DeMoro said.

Unionized employers, for example, would save nearly $5,000 per employee to dump their current benefits and pay the new tax.  “Get ready for more strikes and other labor battles as workers struggle to maintain decent health coverage for their families,” DeMoro said.

Amidst the talk of the 2008 Senate races, Senator Barbara Boxer may be the most endangered incumbent in the class of 2010.

Polling came out this week finding that she narrowly trails Arnold Schwarzenegger in a projected matchup.

And now the health insurance industry has come up with a devilish scheme to prop up Arnold, increase their revenues by hundreds of millions of dollars, end the drive for genuine healthcare reform all in one fell swoop…with Boxer’s Senate seat being collateral damage in this scenario.

We’ll take a look below…cross-posted at daily kos, hence more background than Caliticsians might need!

It all hinges on the drive for health care reform in California.  There’s a fake debate going on right now, with insurers funding both sides.  Governor Arnold’s proposal is to require individuals to purchase expensive, wasteful, private insurance products.  Some Democrats in the legislature are countering with a proposal to force employers to purchase these same products.

Really, what’s not for insurers to like?

And now we are presented with a strange political kabuki between these two proposals.  Advocates on both sides are bashing the other-with arguments that would apply exactly equally to their own proposal.

So yesterday, in a bit of Capitol irony, Schwarzenegger’s health care plan was heard on Halloween-and it is scary and full of treats for insurance donors.  The charge that the legislators made against his plan?  It’s unaffordable!  But their counter-plan, for so-called employer mandates, is just as bad.  That’s the system we have now, but more.  And it’s a recipe out-of-control premiums, rising co-pays and deductibles, and an entire industry devoted to denial of care.  In short, we’d have the healthcare crisis we already do. 

We don’t know the third act of this drama.  But since the sides aren’t really too far apart, there’s a good chance that Schwarzenegger will compromise, look like a conquering hero, bring fake healthcare reform to California, and be all set up to turn the wonderful Barbara Boxer out of the Senate in 2010, with full complicity of a number of legislators who are heavy on the payroll of the big insurance corporations. 

George Skelton, dean of the California press, doesn’t think so, but neither he nor I are privy to the planning sessions that the insurers have convened between Arnold and their Democratic allies. 

The sad part is that after the legislature passed a guaranteed healthcare, single-payer bill last year, Arnold set the terms of this year’s debate by vetoing it.  Now the Capitol insiders are running around saying, “let’s get something, anything done so we look good.”  Malinda Markowitz, RN, a member of CNA/NNOC’s Council of Presidents, takes on this argument, saying:

Sadly, the main beneficiaries of a rushed “compromise” will be the same insurance companies that created the present crisis. They would harvest millions of new customers, with the government using its power and the public purse to further an insurance industry that will continue to be able to profiteer and deny care.
We don’t have to turn just to Massachusetts to see an example of how this can lead to disastrous public policy. A decade ago, the same “consensus” pushed the hurried passage of energy deregulation. That was followed by blackouts, skyrocketing energy costs for consumers, financial calamity for the state, and open thievery by Enron and other energy corporations.
Californians should demand that legislators pull the plug before we plunge into another disaster.

And in case we needed it, here’s one more reason to fight for genuine healthcare reform on the single-payer model: nearly two million veterans, who already face a number of challenges, have no coverage at all.  That’s just not right.

Trick or trick?

It’s not just that Rudy Ghouliani lied about the odds of patients in Britain surviving the kind of prostate cancer he had, in the controversial radio ad and message of the day he’s offering this Halloween.

It’s not just that Rudy asserts the big lie, that “we have the best healthcare system in the world,” better than the “socialized medicine” practiced by scary countries like Canada, Taiwan, France, England, etc.  Or even that he is willing to pimp out his own cancer diagnosis, while dismissing the healthcare inequality that shames our nation.

We’ll look at what’s really scary after the fold…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

What Rudy’s Halloween health care moment highlights is just how scared American patients should be of any of the Republican candidates, and their “it’s your problem” approach to healthcare.  The lot of them are against universal healthcare-let alone guaranteed healthcare. 

We’d be back to square one: the debate would not be over how to guarantee every American can access the health care they need-but whether poor people really need or deserve healthcare.  The debate would no longer be over whether to replace or regulate insurance companies-but instead how to ensure their ongoing profitability.  The debate wouldn’t be about we-it would just be about he.  We wouldn’t be on a path to guaranteed, single-payer care–we’d see be on a fast track to more pain, suffering, and heartache.

What may be even scarier than Rudy this Halloween?  The trend towards health care credit cards.  Already half of all bankruptcies are medical-related…now you can get all that and 19 per cent interest, also!

The good news is that the activist docs at Physicians for a National Health Program continue their sharp advocacy…and nurses striking in Appalachia over patient care issues are still on the picket line.  Go nurses!

The movement for guaranteed healthcare remains centered this week in California, as plans based on huge public subsidies for insurance corporations wend their way through a special session of the legislature.  The good news?  In-fighting has broken out between Governor Schwarzenegger and some of the Dems in the legislature, making it harder for them to reach the anti-patient compromise they’re shooting for.  RNs and patient advocates, among other groups, continue to monitor the situation and work to ensure that any bills hurting patients are defeated. 

Nationally, the Kaiser Daily Health Policy Report looks at the health care angles of the latest Republican Presidential debate.  Seems like they’re more interested in attacking Hillary Clinton than the healthcare crisis.

Clarence Page notes the central confusion over the SCHIP veto:

…the public has been very supportive of Medicare for the elderly, Medicaid for the poor and the State Children’s Health Insurance Program, or SCHIP, for children whose family income is too high for Medicaid but too low to afford private coverage. Nevertheless, the president and his allies are reduced to reminding people that, “Pssst, it’s government health care so you’re supposed to be afraid of it.”

Hopefully, George Bush is right and S-CHIP is the first step towards guaranteeing all people, child or adult, have access to healthcare.

Right now, that’s only true in San Francisco.

Finally, as health insurance takes a bite out of wages, labor unions getting more involved in healthcare issues, and nurses in the Appalachian region Appalachian RNs are striking.  Go, nurses!

…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

H.R. 676 is a bill, co-drafted by Dennis Kucinich, which will enact a true universal health care system for the United States. The bill will create a publicly financed, privately delivered healthcare program that provides all U.S. citizens with comprehensive medical coverage, including office visits, hospitalization, emergency care, long term care, prescription drugs, medical equipment, mental health services, drug and alcohol treatment, dental and vision care; with no co-pays, deductibles, or denial of coverage.

Moreover, H.R. 676 provides this comprehensive coverage to all citizens by spending $56 Billion less each year than the current for-profit, private insurance system; the private insurance system that leaves 46 million Americans uninsured and 50+ million underinsured; the same system that wastes 31% of every healthcare dollar (roughly $600 billion/yr) on non-healthcare related spending, such as marketing/advertising, an inefficient administration, rating and underwriting clients, denying coverage, and generating corporate profit; the system structured around profit that has undermined quality, affordable coverage, leaving Americans vulnerable to financial ruin in times of need because of excessive co-pays, deductibles, and medication costs.

As a not-for-profit system, H.R. 676 eliminates the waste by operating with a much more efficient 3% administration cost, utilizing the roughly $600 billion saved each year for actual healthcare and finally guaranteeing the same high quality care for every American. As a not-for-profit system, H.R. 676 creates a healthcare system structured for the purpose of providing the best care to all in the most economically efficient way, rather than maximizing profit. As a not-for-profit system, H.R. 676 finally presents access to healthcare as a basic human right, rather than just another corporate commodity. And, in his support of H.R. 676, Dennis Kucinich is the only candidate considering what will truly strengthen and provide security for all Americans, rather than the healthcare industry. In supporting H.R. 676 Dennis Kucinich is considering:

Crisis: 46 million Americans uninsured and 50+ million underinsured; medically related bankruptcies, up 2,200% since 1981, account for half of all bankruptcies in this country and, yet ¾ of them were insured at the time. H.R. 676 guarantees full coverage for every American.

Quality: Not only does H.R. 676 provide all Americans with unparalleled quality of coverage, including free choice of provider and complete portability, but it finally allows medical decisions to be made only by those that should: medical professionals. H.R. 676 has the support of over 14,000 physicians and nurses associations because it eliminates the business of private insurance and pharmaceutical companies from influencing medical decisions to save money.

Costs: The private system has utterly failed to control costs as premiums have risen three times faster than inflation and pharmaceuticals go through the roof. H.R. 676 will not only spend $56 billion less, but go further in controlling costs by allocating budgets, eliminating profit and finally having the clout to negotiate fair rates with the pharmaceutical companies.

Families: As H.R. 676 is funded through tax dollars, 95% of families will pay less for health care than they do now. Under the current private system, the average family premium is up to $11,000/yr. However, under H.R.676, a family of three making $40,000/yr. will spend roughly 1,900/yr. For comprehensive coverage without any additional costs, such as co-pays,
deductibles or prescription medications.

Businesses: The current private system places a heavy burden on businesses to provide
healthcare for employees, the average employer contributing $2,600 per employee. Under H.R. 676 the average would drop to about $1,600. This financial strain handicaps U.S. businesses competing in the world market.

The for-profit system requires non-healthcare related spending and waste to operate, the whole system designed to create income, not care. In supporting H.R. 676, Dennis Kucinich is the only presidential candidate who offers a solution for high quality, true universal health care in this country: eliminating the for-profit, private insurance system. In supporting H.R. 676 Dennis Kucinich is able to finally guarantee all Americans the security of affordable and fully comprehensive coverage. And through H.R. 676, Dennis Kucinich is reaching out to all Americans, bringing them together, to face the for-profit, private healthcare system and once again reclaim our responsibility as a great nation.

Great news for the single-payer movement: a majority of state federations of labor have now endorsed guaranteed, single-payer healthcare!  (Well, ok, 25 out of 50, but one of them is MD-DC.)  This follows on the heels of the recent announcement by the national AFL-CIO that they are pushing Medicare for All.  Do not discount how important this is…guaranteed, single-payer healthcare now becomes the only proposal with an organized, powerful constituency pushing for it. 

More labor endorsements are coming every day…Here’s what Oregon has to say:

The resolution continues, “. . . (T)he fundamental principal of the labor movement — that fragmentation leads to weakness while solidarity leads to strength — is a powerful tool that can be applied to create a consolidated, single payer American healthcare system.”

The Rockridge Institute and George Lakoff are also advocating for single-payer healthcare.  They’ve written a very interesting study on the “neo-liberal” biases inherent in how we talk about the debate.  Long story short: the conservatives don’t want you to think of a sick child, they want you to think about the problems with regulating industries like insurance.  Check out their new video…

Don’t forget, Al Gore’s also fighting for single-payer healthcare, and the National Nurses Organizing Committee/California Nurses Association are thanking him for it.

Elsewhere, it seems the public is quite ready to pay for SCHIP.

In case you missed it…HMOs in California?  Not doing such a great job.  But nurses could have told you that.

Finally, when conservatives attack single-payer healthcare, here’s the best they can come up with:

A shift to a single-payer system for all Americans would yield net savings in reported administrative costs of about $100 billion annually, or $2,100 in additional health care benefits for each of the 47 million individuals estimated as uninsured.

Everything else in the article is a bunch of lies written by corporate PR people, so be warned.

…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

So after being peppered with criticism from both term limits groups and the California Nurses Association, the Speaker’s office has chosen which group to strike back at: the nurses, of course, using the exact same standard of judgment that they called a “smear job” when it was used against Nuñez.

This is an argument over improving the delivery and cost of health care, and there’s plenty of ideological rigidity to go around.  What started as a promising “year of health care reform” has devolved into putative allies arguing about how much money the other spends on hotel rooms.  Behind the mere gaining of political points is a serious debate about how to best allow all California citizens, not just the ones with full-time employment (us freelancers need health care too), the highest quality affordable health care they can manage.  And the real truth of the matter, the one that nobody really wants to talk about, is that none of these state-based plans, by definition, have any hope of working and have serious potential consequences, besides.  I think that’s why everyone’s getting so mad at one another, because it’s easier to do so than to face the facts.

We’ve got all these great universal bills passing at the state level, and I’m here to tell you that, well, they are pretty great, but they’re not going to work. It didn’t work in Washington State, when they tried it, and the insurers first jacked up the premiums, and then moved out of the state in order to kill the model. It didn’t work in Hawaii, which saw an economic downturn move more people onto their subsidies exactly as the state’s revenues dropped. It didn’t work in Tennessee, where the Democratic governor, Phil Bredesen, upon killing off Tenncare and leaving 300,000 people uninsured, told his state that, “I say to you with a clear heart that I’ve tried everything. There is no big lump of federal money that will make the problem go away.” Similar plans failed in Oregon, in Massachusetts, and many other states.

The plans fall for a few small reasons, and one big one. The big one is that states don’t have the fiscal stability to run universal health care. 49 of 50 states cant deficit spend. That means that when the state goes into recession and more people need subsidies and the revenues to give them don’t exist the state can’t borrow the money. So they dismantle the program. It’s happened time and time again — in some states, like Oregon, more than once.

Moreover, you don’t really want this being a state-run solution. As a stopgap, increasing coverage through state plans is worthwhile, but health care reform is more than access – it’s actual reform to bring down costs, which are, at the end of the day, the biggest problem in the system. And the states don’t have the regulatory authority, the money, or, save in a few cases, the size to do that. I simply don’t trust them to fundamentally reform the system.

California is obviously one state that has the size, and certainly could float ever more bonds to spend the necessary money.  But we’re almost certainly on the cusp of a new recession, and the combination of massive debt passed on to grandkids and a pay-to-play system that still reigns supreme in Sacramento is unpalatable to reform.

I repsect the efforts of groups like Physicians for a Naitonal Health Plan, who have studied the issue and recommended some of the best possible solutions.  But that word “national” is hard to get around; it’s the only way to create the real economies of scale and managed risk necessary for a solution.  I believe in health care for everyone, not simply in red states or blue states.  As Ezra Klein notes,

You know, whenever you talk about the state reforms, you always hear the old Brandeis quote about the “laboratories of democracy.” But there’s another Brandeis saying that I think is more applicable: “If we would guide by the light of reason,” he said, “we must let our minds be bold.” And that’s what I’m asking: Be bold. Because nothing else will, in the long term, work.

More than SCHIP, the important action in the movement for guaranteed healthcare is happening in California, where the insurance industry almost pulled off the big scam, getting Governor Arnold Schwarzenegger and Speaker Fabian Nunez to cooperate on a plan forcing the sale of more expensive, unworkable insurance products-and blocking the guaranteed, single-payer reform this country needs.

Good news!  The Schwarzenegger-Nunez scam is dead!  This is a major victory for progressives, patients, and nurses.  The Dems have figured out how bad a deal Schwarzenegger is offering, and the plan’s main cheerleader Nunez is near-dead politically by revelations that his wife is now on the hospital industry payroll to the tune of six figures, and that he is struggling with a nasty case of luxury shopaholism with donor money.

…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

The quick background for those of you who missed it…insurance corporations have set the terms of the debate this year in California, with Schwarzenegger proposing that all individuals be forced to purchase private insurance products, and Nunez and certain corporate Dems countering that all employers be forced to purchase them on behalf of their workforce.  Both plans would give more customers, revenue, and medical influence to the very insurance corporations who have ruined our healthcare system…while doing nothing to actually solve our healthcare crisis.

Everything has changed as a broad coalition of mainstream Dems has realized that Arnold’s plan is unaffordable for the average patient.  Of course it is!  Private insurers waste one-third of care dollars on overhead and profits.  You simply cannot do that and provide people with the care they need.  Of course, any plan built on private insurance corporations is unworkable.

What’s politically significant is that these Dems seem to be making it impossible for the grand Schwarzenegger-Nunez deal to be cut.  Personal attacks on the Governor are not the road to compromise.  Even USA Today noted the failure of the industry plan.

The Dems have hired attack dog Chris Lehane to help beat up the Governor, and he says, “the only way you get a health care plan done in this country is making it more affordable, not less – and this plan doesn’t do that.”

Meanwhile, Barbara O’Connor, a noted political commentator, added “clearly the goal is to define the governor as soft on industry, and it’s not going to resolve the conflict – and so health care will not get out.”

But what really kills the deal is the fact that Speaker Nunez’ wife has just gone on the payroll of the hospital industry, having been hired by a lobbying group funded by the California Hospital Association.  It is quite possible that he will be legally required to recuse himself on all healthcare bills…including the one he is trying to push through with Schwarzenegger.  Even if not, the symbolism of doubling his family income through HMO money leaves him with no credibility on the issue.

Or as Zenei Cortez, RN, put it: “Californians can no longer trust that he will represent the public interest and not the financial interest of a large industry that has put his wife on their payroll.”

Of course you gotta feel for the Nunez family…it’s not easy to fund global luxury travel anymore!

To join the fight for guaranteed healthcare (with a “Medicare for All” or SinglePayer financing), visit GuaranteedHealthcare.org, a project of the National Nurses Organizing Committee/California Nurses Association.

Nunez Forced to Recuse Himself from ALL Healthcare Votes??

In a stunning turn, it appears that Speaker Fabian Nunez must recuse himself from any votes on healthcare legislations-including any attempts to revive AB 8, the healthcare bill that Governor Schwarzenegger vetoed this month.

The Sacramento Bee reported this morning that Maria Robles, the wife of Fabian Nunez, has accepted a six-figure salary with Californians for Patient Care, a front group for the hospital industry that receives approximately 99% of its funding from the California Hospital Association.

We’ll take a look at this, and more from the drive for guaranteed, single-payer healthcare…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

Nuñez has already established a precedent for abstaining on issues affecting another of his wife’s employers. In 2006, Robles accepted a six-figure salary to work as a consultant for the South Coast Air Quality Management District.  As a result, Nuñez pledged not to vote on legislation that affected them that year.

Under California law, “no member of the legislature shall… receive or agree to receive, directly or indirectly, any compensation, reward or gift from any source, except the State of California” with very limited exceptions for certain speech fees and expense reimbursements (California Government Code 8920). This broad provision covers a spouse’s income, as Nunez’ prior actions with the Air Quality Management District demonstrate. Additionally, the law specifies that no legislator shall “participate, by voting or any other action, on the floor of either house, in committee, or elsewhere, in the passage or defeat of legislation in which he has a personal interest.”
I don’t have the penalties at hand for violating this law-add them in the comments if you, please.

But does this mean AB 8 is dead?  Has the insurance industry failed in their attempts to create a “forced market” for their products?

Interestingly, this couldn’t happen at a better time.  It appears that the coalitions of Sacramento insiders pushing the grand Nunez-Schwarzenegger compromise may be breaking apart.  Fabian’s backers are now apparently on the warpath against Arnold.  They’ve hired consultant Chris Lehane, a true-blue Democrat and Clinton/Gore/Clinton operative who has no interest in polishing Arnold’s resume as he heads into the possible 2010 showdown against Boxer.

Of course who knows what’s going to happen? Nunez’ wife is working for Arnold’s plan, and his allies are working against it. 

Meanwhile, Al Gore comes out swinging for single-payer healthcare, in a new Current video.  Go Al!

I strongly support universal, single-payer, government-provided-or, government-funded-healthcare….I think it ought to be a matter of right and our current system just doesn’t work, its way too expensive….And I think that to eliminate the incredibly ridiculous cost of all this unnecessary paperwork and different standards for different companies, it is time to have universal health insurance.

And check out the video of these beautiful, powerful, activist nurses on strike against Sutter.

Finally, superstar columnist David Lazarus continues his advocacy on behalf of single-payer healthcare.

To join the fight for guaranteed healthcare (with a “Medicare for All” or SinglePayer financing), visit GuaranteedHealthcare.org, a project of the National Nurses Organizing Committee/California Nurses Association.

Like a slow-motion earthquake the healthcare mess continues to roil the Golden State.  Just this week, California Governor pitches the lottery as his secret weapon for solving the healthcare crisis, Speaker Nunez makes clear why he has to keep taking so much money from health insurance corporations, and mega-chain Sutter Healthcare faces the largest nurses strike in a decade.

…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize to make 2007 the Year of GUARANTEED healthcare on the single-payer model.

A picture beats a thousands words, so just go look at this striking nurse.  Sutter was humiliated this week when 5,000 nurses walked off the job in a revolt against patterns of unsafe care by the chain, which pulled in $587 million in profits just last year.  RNs like Millicent Borland walked out because they are obligated to stand up for their patients. 

Heck-go check out all the pictures of the nurses.  At a dozen facilities, thousands of nurses partied, chanted, fought, and helped give new momentum to the labor movement and the healthcare movement in this incredibly important showdown.  If California nurses can clean up chains out here, patients across the country will get better care as a result.

Sutter responded today by locking out thousands of nurses trying to return to work after the strike.  Unfortunately for Sutter, the more they disrespect, disparage, and attack their nurses-the more momentum Millicent and her RN colleagues will have in their patient and social activism.

Meanwhile, tough times for Sutter’s ally Gov. Arnold Schwarzenegger.  He finally coughed up a plan to fund his plan to force Californians to purchase private and unreliable health insurance products.  Arnold’s brainstorm: a lottery!  On the one hand it makes sense, because he’s gambling with patient health.  On the other hand, what he’s really doing is cutting education funds to subsidize his corporate insurance donors, and that’s just not right.

Arnold is negotiating with his ally, Speaker Fabian Nunez, to come up with a plan that will be acceptable to both the Republican and Democratic wings of the insurance lobby.  And nowwe know why Speaker Nunez is so desperate to stay in the good graces of his insurance industry donors…he’s a shopaholic:

of Núñez’s expenses – covered by campaign funds – include $8,745 at the Hotel Arts in Barcelona, Spain; $5,149 for a meeting at a wine seller in France’s Bordeaux region; and $2,562 for office expenses at Louis Vuitton, a Parisian store that specializes in leather goods, clothing, fashion accessories and jewelry, the Los Angeles Times reported.

Sounds like we need him outta the mall and off the insurance industry payroll.

Finally…A new story finds that even kids with private insurance aren’t getting the care they need.  The tribulations of the Frost family make clear why we need guaranteed healthcare on the single-payer model, although unfortunately the leading Democratic presidential candidates all seem to have given up hope for that.  Maybe they should take a look at Taiwan, which has given itself a tremendous economic boost by moving to a single-payer system…based on U.S. Medicare!