Tag Archives: Universal Health Care

Arnold Schwarzenegger, Health Care

Health Care Special Session Update – A Document Appears

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So out of the “magic fax” in Sacramento where all bills without authors are created comes new “legislative language” on a compromise health care proposal, language that nobody has claimed as their own and that everyone is disavowing, but which looks mysteriously like the Governor’s handiwork.  You can take a look at this language yourself here.

We are disappointed that we seem to back to square one with something very similar to the Governor’s January proposal, with only a few of our comments and concerns raised over the course of the year addressed. While we would have preferred having the Governor’s language much earlier in the year, we do appreciate having the language to seriously respond and react to–if that is what it takes to move the conversation forward.

It’s like when you work really hard on a document, but then the computer crashed, and you have to reboot and start again. It’s frustrating, but the goal doesn’t change.

over…

This could have played out over the regular session if the governor would have distributed this and negotiated at that time.  But as he jets off to China, this gets dropped in everyone’s lap – and look what’s in there:

• The elimination of quarterly complaint and greivance reporting for HMOs, which seems to remove an important oversight over insurers.

• The apparent increase in the permissible premium, for those making 150-200%FPL (federal poverty level), at a level that is still too high–5%, which does not include out-of-pocket costs.

• The lack of any standards for out-of-pocket costs in the subsidized pool. Given that one can drive the cost of a premium down by raising deductibles and cost-sharing, the limit of premiums provides small comfort.

• An exemption from the minimum level of coverage for any and all employer plans. The draft still has, as a placeholder, an unacceptable $5,000 deductible (and $10,000 out-of-pocket max) plan as a minimum level of coverage under the individual mandate… but that even that low minimum does not apply to individuals who take up employer-based coverage, meaning they could have coverage with very skimpy benefits, or no out-of-pocket maximum.

• A weak definition of the minimum Medical Loss Ratio (the amount spent on patient care rather than administration and profit), so that it applies to an insurers’ entire portfolio of business, meaning this rule would no longer provide assurance that any specific product is of good actuarial value. A limit that was product-by-product, or even market-by-market, would be more helpful to consumers.

• The Healthy Action benefit seems to be less than advertised as well, since it only requires an insurer to offer such a product, but does not include smoking cessation or obesity programs as a mandated benefit. With no requirement, the policy seems more likely to be a way for insurers to identify risk, rather than a viable new benefit for consumers. If this is truly a priority, it needs to be a mandated benefit.

• And most concerning, the guaranteed issue protections in the individual market seem hollow with the new details. Only a few high-deductible, low-benefit products will be guaranteed issue to begin with–so those with “pre-existing conditions” will only have access to the coverage in the market that is least suited to them. There would be little assurance that we would ever get to a second phase of having the full market guaranteed issue. Insurers will be able to use benefit design, marketing, and pricing to avoid those California customers that have health risks and needs. In particular, we believe older Californians will simply be priced out of the individual market, and the guaranteed access an illusion.

I can live with an individual mandate if it included guaranteed issue and significant cost controls, in addition to a baseline of coverage for the insured and a cap on prices.  But this proposal seeks to eliminate practically all of those checks on the insurance companies while maintaining the individual mandate.  This is nothing but a license to print money for the insurers.

Since nobody will claim this document, it’s hard to know whether or not this is the result of any negotiation or if it’s the Governor’s response to AB8.  Therefore, it’s hard to know whether or not the end result will be something in the middle, or something pretty close to this orphan document.  If the latter is the case, health reform should be torpedoed in the special session without delay.  These terms are unacceptable.

Health Care

Thousands of Nurses Strike Sutter Chain–For Everyone’s Healthcare

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Thousands of RNs represented by the California Nurses Association will walk off the job October 10 through 12 in a strike against the mammoth Sutter Healthcare Corporation.  This is the largest strike by nurses in this country for at least a decade and the stakes are high.

This Sutter strike affects 5,500 nurses at 16 different facilities.  But it also affects each and every one of us.  Nurses are walking the picket line for the dream of better health care in this country.  Don’t take it from me-listen to the striking nurses in their own words in this video.

You know how you read stories about people victimized by the healthcare industry-[ http://juliepierce-s… say Julie Pierce]-and your eyes tear up and your heart gets heavy?  Registered nurses are on the front line of this crisis every single day and live these stories every day…watching innocent people die because their insurance claim was denied, because they couldn’t afford insurance mark-ups, because they didn’t get preventative medicine.

Sutter Healthcare is the “poster child” for cruel hospital chains.  They have figured out the scam…maximize hospital profits by slashing patient care to the bone.  Sutter takes literally hundreds of millions of dollars of profits out of the healthcare system each year.  Sutter shut down community hospitals that don’t achieve their profit margin-i.e., those serving sub-premium patients, who are sometimes known as poor people.

One of Sutter’s favorite ways to deny care for profit is by routine understaffing of their nurses.  Study after study has shown that nurse staffing is directly tied to patient mortality…if you leave patients alone in a bed, bad things happen to them.  If you make sure patients have access to nursing care, good things happen to them.

Unfortunately, at Sutter, patients are ringing their call button and there is just no nurse on shift to care for them.

That’s deadly for the patients-and heartbreaking for the nurses.  Jan Rodolfo, a pediatric oncology RN at Summit Hospital in Oakland, put it this way: “We are deeply concerned about the quality of care and the availability of patient services in communities that have long supported Sutter hospitals.  Inadequate staffing is a persistent problem at Sutter facilities. No one understands what staffing we need to provide safe patient care better than bedside nurses.”

Other hospital chains are not abusive this way.  Other hospital chains listen to their nurses and write patient safety into the contract.  But not Sutter, and 6,000 nurses have had enough and won’t take it anymore. 

You can help.  Call Sutter’s CEO Pat Fry and tell him you support the nurses-and safe care for all their patients: 916-286-6752.

And just in case you think that a major nurses strike will slow down our national advocacy on behalf of single-payer healthcare….Don’t worry.

…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.

Health Care

Labor & Healthcare–The Issue of Our Time

The UAW’s strike against GM is not just about their members’ healthcare…but also about the healthcare of millions of people not represented by a powerful union.  We’ll look at the potential impact of this historic strike and what it means for workers and the nation that is healthcare increasingly becoming the central issue for labor, both in bargaining and activism…

…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.

You probably know that the UAW has called a national strike against GM.  This is the first auto strike since 1976, the first strike against GM since 1970…and the first strike since the AFL endorse a “Medicare for All” style guaranteed healthcare plan.

And what are they fighting for?

G.M., in return, had pushed for the creation of a trust that would assume responsibility for its $55 billion liability for health care benefits for workers, retirees and their families….Union officials criticized G.M. for continuing to pay bonus compensation to its executives, while pressing U.A.W. members to make concessions.

No one keeps the stats, but about 90 percent of strikes are caused by the issue of healthcare.  The labor movement remains at the heart of the movement to protect and expand access to healthcare for all people, while employers are looking to get out of the healthcare field.  It is cruel and short-sighted of employers to just want to drop benefits rather than look for solutions that are in everbody’s interests.  Don’t take my word for it.  Ask GM Canada:

Just two years ago, GM Canada’s CEO Michael Grimaldi sent a letter co-signed by Canadian Autoworkers Union president Buzz Hargrave to a Crown Commission considering reforms of Canada’s 35-year-old national health program that said, “The public healthcare system significantly reduces total labour costs for automobile manufacturing firms, compared to their cost of equivalent private insurance services purchased by U.S.-based automakers.” That letter also said it was “vitally important that the publicly funded healthcare system be preserved and renewed, on the existing principles of universality, accessibility, portability, comprehensiveness and public administration,” and went on to call not just for preservation but for an “updated range of services.” CEOs of the Canadian units of Ford and DaimlerChrysler wrote similar encomiums endorsing the national health system.

And guess what?  It’s only going to get worse.  Just like GM will try to dump their U.S. employees out of the healthcare system, and end their own interest in solving the healthcare crisis, many of the healthcare reform proposals being floated by politicians will encourage the same thing to happen. 

Let’s look at the emerging deal between Schwarzenegger and the legislature in California:

Employers spend between 12% and 15% of payroll on average for health care, and CNA fears either the 4% or 7.5% plan would encourage them to move to high-deductible insurance policies with limited services, Communications Director Chuck Idelson said.

“If you think we have a lot of labor strife now over health-care benefits, wait until this plan goes into effect,” Idelson said of the Democratic bill.

Unlike employers, labor unions, however, won’t give up the fight for guaranteed healthcare.  Why?  Because more and more employers think of Medicaid and charity care as their health benefit.  And now even healthcare workers are in danger of losing their healthcare. 

Strikes like the UAW’s will help us build momentum for guaranteed, single-payer healthcare-and force corporations to really grapple with the crisis.  The rapid unionization of America’s RNs will also provide the movement with a committed, organized, knowledgable group of activists who are personally committed to improving patient care. 

As UAW is standing up to GM, California’s nurses will take the lead in standing up to the fake healthcare reform bill that is being pushed by a “coalition of the willing” Sacramento insiders.  Healthcare hero Sen. Sheila Kuehl, author of the groundbreaking single-payer bill SB 840, gives an update on the strategy:

  “I continue to believe that the movement that’s been building for single payer, a movement that has seen support for a single payer universal health care system more than double over the last six months alone, will continue to build in ’08 in’09 in 2010,” Kuehl said. “Then, with a new governor, perhaps there might finally be a chance to get a signature on the bill that is actually the best solution for businesses, for employees, and for all the people in California. Because if you take the insurance companies out of the system, and they are the only entity that adds no value at all to the provision of health care, the overall costs for health care in California drop $19 billion in the first year alone, simply because we’re finally not paying their inflated overhead and profit.” 

And finally, Zenei Cortez, RN, a member of the Council of Presidents of the California Nurses Association/National Nurses Organizing Committee issued the following statement on the UAW strike:

America’s registered nurses recognize that the UAW is standing up not just for their own healthcare-but for the healthcare of all our patients.  The California Nurses Association and National Nurses Organizing Committee strongly supports their efforts, and will continue to work to see guaranteed healthcare won for autoworkers and everyone else in this nation.

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.

Uncategorized

While California Dreams- Weekly Update Vol.1 No. 15

This article written by: Former Assemblymember Hannah- Beth Jackson of Speak Out California


A weekly update on the goings-on in Sacramento

For the week ending September 15, 2007

Key bills and issues we’ve been following during the

past week and beyond

The final days of this year’s regular session ended in the wee-hours of the morning, September 13 around 3:30am. At that moment, the Speaker banged the gavel, announced that the session had ended and likely declared victory of some kind for the work that had been done. The drama was somewhat undercut, however, by the fact that the Governor had already called a “Special Session” to consider the healthcare and water issues that were not resolved during the regular legislative year, thus extending the legislative year for some additional period of time.

A variety of bills were sent to the Governor’s desk for signature and veto, a few of which have already been acted upon. With the Term Limits/Extension initiative taking front-and-center in the decisions being made on the floor and behind the scenes, the session produced lots of buzz and intrigue during its final days. Purely political decisions always do play in the equation (various interest groups try to jam bills through at the final hour when few are watching or awake enough to notice). This year the dance was made even more delicate by this all-consuming focus on pleasing the public, enough to justify their vote to extend the terms of current term-out members (particularly the leadership of both houses and both parties) in the February primary.

Ballot initiatives continue to grab headlines as the California Democratic Party has announced an aggressive and pro-active effort to keep the electoral vote-splitting initiative off the June, 2008 ballot. But a redistricting initiative will not be showing up in time for the February ballot, putting the Term Limits/Extension measure at risk. Nor will the Iraq War initiative, since the Governor made short shrift of it by veto earlier in the week. While perhaps restoring some of his lost credibility with his own party, the Gov. dropped the hammer on one of his appointees at the behest of 34 NRA-beholden legislators, further dampening the ability of those given certain responsibilities from carrying them out appropriately—in the Alberto Gonzales/ George Bush mold. But there is so much more, so we’ll get to the details, but first:

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And now for the week’s goings-on :

SB840/Universal Health Care and AB8 and the Governor’s Special Session

The watered down compromise healthcare bill, AB 8, continued front-and-center until the very end of the session and beyond. With too many loose ends, last minute amendments and objections thereto, the Governor promised a veto and AB 8 won’t become law. Nor will Senator Kuehl’s true reform healthcare measure, calling for a Medicare type system to cover all Californians and still have us choose our own doctors. Kuehl has held the bill for the year and didn’t choose to move it to the Governor where he indicated he would veto it for a second time. The best explanation of the real crux of the debate between a universal health care system and the “compromise” in AB 8, is Senator Kuehl’s speech on the Senate floor explaining her “no” vote on that measure. For her remarks click here .

Now the Governor has moved the healthcare reform issue into a special session, which theoretically allows the debate to continue. This way the time period in which the legislature and Governor can try to reach a satisfactory agreement and get a bill signed into law this year continues, even though the final bell has been rung for the 2007 legislative year. In practice, though, it is considered unlikely that anything substantive will come from this extension of time, at least in this special session. While Speaker Nunez is anxious to get something out, so the public will think much has been accomplished by this group of legislators, the Senate doesn’t seem quite so interested in ramming through a bill that isn’t fully cooked, or frankly, viable.

Although we’ve discussed this issue with numerous articles and links to them over the past several months, click here for an excellent update by Adam Thompson. 

Of course there are many commentaries on this hot and very important subject, so if you’re so inclined, click here for another by Steve Wiegand at the Sac Bee that might be of interest as well. 

The Governor also wants the special session to include a discussion on the state’s perennial water problems. Of particular concern is what we can and must do to protect against a Katrina-like disaster with the precarious condition of the state’s levees-particularly in the important Sacramento Delta region. The Governor’s plans for spending $5.9 billion on water projects have stalled almost completely, in part because he is proposing antiquated approaches (damming rivers and building reservoirs) as solutions and because these issues have little connection to dealing with the immediate concerns the state is facing. For more information on this complex and often mind-numbing discussion, click here for the SacBee’s editorial.

Other Bills and Legislative offerings

With more than 2,800 bills offered and about 960 reaching the governor’s desk, the conclusion of whether the session was a success or failure is the question of the day. The answer, though, really depends on who you ask. Did the year end with a bang? Yes, if you’re a legislator hoping to extend your political life by getting the public behind the term-limits/extension initiative in February, 2008. No if you’re a political “expert” or “analyst”.  It’s really the old half-full/half-empty debate. Those who see the glass half-empty have referred to the year as one of “missed opportunities.”

Of course, if you are among those who benefited from a piece of legislation, it was a fine year. And among them would be those wanting to see young people drive without the distraction of cell phones, text messaging and other electronic devices. While this may sound comforting, unfortunately, this behavior alone will not engender a ticket. Rather, a ticket can be written for violating this new law only if there is some other violation that occurs which attracts an officer’s attention.

The Gov signed Senator Joe Simitian’s SB 33, no driving with cell-phone if you’re under 18 law, this past week. While many of us would like to see this no cell phone edict on ALL drivers, the cell phone industry is one tough special interest, and getting this sanity into law has proven a long-term and arduous task for Simitian. I’m sure the Senator’s response would be that this is a good start.

The Governor also took out his veto pencil and cut Senate Leader Don Perata’s bill that would send the question of the Iraqi War to the voters in February. We predicted this veto (not really rocket science, I confess), but the Governor doesn’t disappoint when it comes to hypocrisy. Here’s the Governor “of the people”, who believes the people should decide important issues, which is the reason he spent $40million of public money on a series of misguided ballot measures designed to stifle his opponents back in November, 2005. In this case, though, he vetoed this measure explaining (with a straight face, I’m sure) that to allow this measure on the ballot would be “divisive and shift attention away from other critical issues that must be addressed”. So much for consistency.  Check out the article here.

There are several hundred bills that he’ll be looking to sign or veto over the next 30 days or so. Among the more contentious are bills to require manufacturers of semi-automatic pistols to etch the make, model and serial number on each cartridge fired of each new gun produced after 2010 (AB 1471, by Mike Feuer); Gay-marriage  (Mark Leno’s second go round on this—Schwarzenegger having vetoed it last year); and just about any environmental bill that made its way off the floors of both houses—and very few did. The big exception here is that several key flood control measures did pass, although not the entire package that is required (hence the Gov’s call for a special session to address some of those unresolved issues). But on the whole, opportunities to advance important consumer and environmental protections were defeated by the influx of money and corporate influences. These bills either outright lost or were deferred until next year’s session, even though they should have been passed this year. To see what did get through the legislative process, check out one article from the LA Times and another from the Mercury News .

Shenanigans and other goings-on

Two particularly unsettling events occurred this week that are worthy of note here. The first was the hiring and firing of Erwin Chemerinsky who was to head the newly created UC Irvine Law School, the second was the firing of Fish and Game commissioner, R. Judd Hanna. What marks these two events is the lack of respect or appreciation for differences of opinion and the intimidation effect when experts express opinions that are considered too controversial or don’t follow a party line.

With Erwin Chemerinsky, it seems that this highly respected expert and constitutional scholar was hired by the Chancellor of UC Irvine to be the first dean of its newly created law school. Although well-acknowledged as a liberal, Chemerinsky is nonetheless highly respected by all points of view within the legal community and beyond. This was quite a coup for UC Irvine at the time. However, within a week of the announcement of his hiring, Irvine Chancellor Michael V. Drake withdrew the offer. Although refusing to provide any explanation for the sudden turn-around, it is believed that right-wing pressure was exerted so heavily on the University that it reneged. So much for academic freedom and excellence, it seems. For more on this story, check out our weblog.

This highly publicized and criticized fiasco has created an enormous backlash and there are now sounds that the rescission will be rescinded and if Chemerinsky is so inclined, the offer will be extended again. Who’s on first here?

The other mischief involves the Governor’s own February, 2007 appointment of R. Judd Hanna to the California Fish and Game Commission. What was Hanna’s offense warranting his firing? He performed the duties he was obligated to perform as a member of this commission in sharing information with other commissioners that showed conclusively, in his opinion, that lead ammunition did, indeed put condors and other wildlife at risk of death and illness. This, of course, infuriated the NRA, which was actively opposing a measure that would outlaw lead shots. Doing their bidding, 34 Republican legislators sent a letter to the governor early this week demanding Hanna’s removal from the Commission.

Interestingly, Hanna is a Republican, a retired Navy pilot and Vietnam War veteran. He is also a hunter, fisherman, farmer, former real estate developer and campaign contributor to the Gov. Not exactly your wild-eyed, tree-hugging type. But the truth is apparently short-lived when the NRA and 34 Republican legislators go after you.

In this era when dissent is rewarded by firings and humiliation, we can only hope that our Founding Fathers are far too busy in the after-life to pay any attention to what has happened to the brilliant system of government they envisioned and created back in the days when we valued, indeed encouraged respectful debate and disagreement. What has happened to us that we can no longer tolerate healthy and respectful opposition?

Initiatives on the move and not moving at all

As mentioned earlier, the Legislature adjourned without giving the Gov. the initiative he most badly wanted—redistricting. This outcome is just political reality in today’s world. To expect those in power to give it up willingly just defies history and probably human nature as well. Few, if any groups in history, have willingly or voluntarily given up power once they acquire it. The last time redistricting was taken out of the hands of the legislature in California, it was put in that of a court that ordered redistricting to be done by a body of retired jurists back in the late 80’s. Short of litigation and another court order, it will take an extraordinary act, if not miracle, to accomplish this goal. Of course, if it were to be done uniformly across the country, then we might be talking. But the chances of that happening in the foreseeable future is extremely slim.

Although the current legislature is desperate to get the term limits/extension initiative passed, it is clear that the price for the Governor’s support would be an accompanying measure to take redistricting out of the hands of the legislature and into the hands of some kind of impartial commission. Other than human nature, the problem with crafting this measure really focuses on the details: Who appoints them? Who are they? How many of them will there be? Will Congressional districts be included (an absolute no-no for Speaker Pelosi and the Congressional Dems ) and lastly but by no means least, “Why California and not other states like Texas and  Ohio—where the Republican controlled legislatures have padded the lines to protect themselves in as much an embarrassing, gerrymandering way (if not worse) as here in California?” Too many questions and too little shared political will tanked this one again, even with the enticement of support from the Gov. for the term-limits/extension initiative.

The real explosive measure that we’ve been talking about continues to gain reverse momentum. The California Democratic Party has come out swinging to beat back a Republican party ploy to recast how California electoral votes will be counted in the upcoming presidential election. The CDP is going all-out to confront the paid signature gatherers at the shopping centers and grocery stores where they go to often deceive or mislead registered voters into signing the petitions to qualify initiatives for the ballot. The CD Party’s announced goal is to defeat the measure at the signature gathering stage and ward off what will otherwise be an enormously expensive battle. For the Reps, it would be a win-win. If they qualify the Electoral College vote splitting initiative, and lose, they will still have forced the Dems to siphon off millions of dollars they would otherwise spend on candidates and issues. If the Reps win, they take the whole enchilada—and we’ll have another Republican disaster to contend with in the White House. Of course, the way the Reps are going these days, who knows? But the national Dems don’t want to risk that, no matter how well things may be looking at the moment for a Democratic sweep in ’08.  Here is the Mercury News article covering this.

The Rest of the Story

Our blogging offerings for the week:

How I got through 700 Bills in 7 days —a look into the hectic end-of-session process

Cowardice and fear of honest debate at UC Irvine–the Chemerinsky debacle

To read and comment on these entries, just go to: www.speakoutca.org/weblog/

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Until next week,

Hannah-Beth Jackson and the Speak Out California Team

Arnold Schwarzenegger, Health Care

Whatever You Do, Don’t be Ladylike

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Whatever you do don’t be ladylike:

Barbara Ehrenreich was channelling Mother Jones when she gave this advice to 1,000 nurse activists gathered in California this week, but she really didn’t have to worry. Like her the nurses were channeling the famous labor leader, as the emotional gathering marked the true birth of a national nurses movement, whose women (and men) have made “elegant militancy” their calling card. 

We’ll take a look at some of the glowing press coverage and consider the implications for the important healthcare battles in California and the nation after the flip.
…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.

Here’s the deal: NNOC/CNA is the fastest-growing union in America, and we are dedicated to improving patient care with the kind of guaranteed, single-payer healthcare succeeding in nearly every other industrialized democracy.  In order to make that happen we aim to continue our rapid expansion, and nurses around the country are responding to our themes of patient care and nurse activism, and joining the union. 

In the words of Barbara Ehrenreich:

“Registered nurses have got to be at the forefront of the struggle for a just and egalitarian healthcare system in this country for the simple reason that you are the last generalists in the healthcare field…as well as the strongest, boldest, loudest voice for genuine healthcare reform in this country today.”

Unfortunately, RNs have never had a say at the national level, or any kind of real representation.  That’s why NNOC/CNA’s rapid growth is so important.  Over the last ten years, we’ve grown 350%.  Since 1992, we’ve gone from 17,000 members in California alone to 75,000 members in all 50 states, with nurses now active in numerous healthcare struggles, as well as sponsoring the key single-payer bills.

That’s why Media News Group says,

When the California Nurses Association/National Nurses Organizing Committee opens its convention today in Sacramento, it’ll do so as a darling of the national labor movement.

At a time when labor unions seem to be on the ropes …the CNA/NNOC’s explosive growth seems almost miraculous.
How’d this happen?
“We stopped looking at our role as patient advocates solely at the bedside,” CNA president Deborah Burger RN said Friday. “We’re patient advocates for the entire society, for the community as a whole. 

The LA Times suggests the impressive organizing success fuels the guaranteed healthcare movement:

From intensive care wards to the halls of Congress, they’re exerting growing influence over hospital practices and patient treatment. With the clout they’ve gained through unionization, they’ve raised their incomes and their profession’s profile.

Now they’re lobbying for a radical change to the country’s healthcare system, starting in California.

On Monday, hundreds of members of the California Nurses Assn. marched on the Capitol in Sacramento and pledged to continue to campaign for universal healthcare coverage.

The nurses actually marched *into* the Capitol Monday to protest an insurance-industry-friendly fake healthcare reform proposal, with 1000 nurses participating in the kind of dramatic protest not seen there in recent years.  Pics here.  One reporter called them “militants in tennis shoes.”

Why are we fighting so hard?  Because the insurance industry is about to see a bill passed in California that purports to reform healthcare but will in fact only entrench the failed, for-profit insurance companies right in the heart of our healthcare service. 

It is a concept that has to end here.  Governor Arnold and Assembly Speaker Nunez have between them taken almost $1 million from the insurance industry.  As a result, they’ve set the terms of the debate thus: should employers be forced to purchase expensive, wasterful, corporate health insurance for their employees or should individuals be forced to purchase it on their own?  The problem is neither choice is successful, and each will only delay the arrival of genuine healthcare reform.  We know how to fix this mess; we just need the political will.

The good news?  We’ve likely going to the ballot.  The public trusts nurses, likes unions, and looks to nurse unions for leadership on healthcare questions.  Our polling shows that the legislature’s “healthcare reform plan,” AB 8, starts at 49% support, but drops to just 25% when the public finds out nurses are opposed to it.  We led the defeat of Arnold’s anti-worker ballot measures in 2005 and we’ll do the same thing in 2008.

We’ll still have a healthcare crisis once the fake-reform ballot measure is defeated.  But we will have put the insurance industry in their place, taught politicians they need to grow spines, and further built the national movements of nurses and patients…setting the stage for day we can end the unnecessary pain and suffering inflicted on millions of patients by this cruel, broken system.

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.

Arnold Schwarzenegger, Health Care

Dark Day for CA Patients–Politicians Sell Out

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1000 Registered Nurses storming the Capitol and clogging its halls in one of the most dramatic and militant protests in recent history was not enough to stop Sacramento politicians from selling out patients and rewarding their insurance industry donors with a major financial boon, in the latest step of a complex healthcare dance orchestrated by and for Governor Schwarzenegger

We’ll take a look at what it means for the drive for guaranteed healthcare nationally over the flip, but first take a look at these pictures from inside the Capitol this morning. 

…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 inside-the-Capitol rally was amazing.  While the Democratic leaders of the Assembly and the Senate voted to keep the health insurance companies in the business of profiting from care, a beautiful sea of hands-on caregivers chanted in the hallways, their pleas bouncing off the walls and permeating the entire building.  “Don’t sell out our patients! Single-payer now!”

But for today it wasn’t enough.  Here’s the deal: because they had to do “something” the California Senate just voted to send Governor Arnold a pro-insurance faux healthcare reform bill that nurses and healthcare activists have been trying hard to kill. 

Arnold will veto it–despite the fact that it is based on and basically similar to his own proposal.  Each bill will send more patients to the insurance industry, giving them more revenue and influence over medical decisions…meaning each bill will expose more patients to runaway costs, and force them to beg for healthcare from corporations that make money by denying it.

Here’s the good news: After vetoing the Senate’s bad bill, Arnold will call a special session to push his own bad bill, the next step in the process he’s choreographing.  This will give nurses and patients one more chance to convince politicians to do the right thing…and fix the healthcare crisis by getting rid of the insurance companies

Healthcare hero Sheila Kuehl explained her opposition to both versions of the insurance-centered bill:

Senator Kuehl’s statement in opposing AB 8 was generous in her praise for those who had worked on the bill and their improvements to it. But in the end, she told the Senate that she had learned of the problems caused by any approach that retains insurance. She said that, “For those of you who vote for the bill, I understand you are voting your hopes, knowing it will be vetoed by the Governor.”
Using the analogy of the Titanic for the current health care system, she said she had criticized some measures as rearranging the deck chairs, but that there has been a real attempt in AB 8 to “turn the direction of the ship.” But she said the Titanic was sunk because the ship had tried to turn rather than “facing the iceberg head on” which would have at least kept it afloat longer and saved more lives. I have no idea of the facts about the Titanic, but she made her point.

A former legislator-turned-progressive activist, Hannah-Beth Jackson, summarized the problems with both the Schwarzenegger and legislature’s approaches:

Schwarzenegger is insisting that everyone have health insurance. This is NOT universal healthcare, it is universal insurance- whether people can afford it or not. This deference to the insurance industry is maddening for those who realize the private companies are a major part of the problem and need to come out of the equation completely.

What does it mean nationally?  If the insurance industry can write the rules for healthcare reform in California, they can in many other states around the country as well.  We have to block it here.

Just for fun, here’s an article from this morning calling the California Nurses Association, the “darlings of the national labor movement.”

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.

Uncategorized

While California Dreams- Weekly Update Vol.1, No.14

This article written by: Former Assemblymember, Hannah-Beth Jackson of Speak Out California

A weekly update on the goings-on in Sacramento
For the week ending September 8, 2007

Key bills and issues we’ve been following during the
past week and beyond

The first of the final two weeks of the regular session is now done, with hundreds of bills having been heard and or otherwise disposed of.  Healthcare, predictably continues to be front and center. The environment has seen some good news and bad, while civil rights–for both the gay community and working women round out the headline grabbers for the week.

Ballot initiatives and threats of same continue to be bandied about, while the Republican play to steal yet another presidential election is taking on broader national attention as its implications for Republicans holding the White House become known. Term Limits has dodged a bullet and will now appear on the February ballot, creating greater pressure to get a redistricting measure passed before the coming recess.  And the Perata Iraq initiative sits on the Governor’s desk, most likely facing a veto. Of course, the Gov didn’t endear himself to his party this weekend at the Republican state convention, but that is of little concern as the Reps continue on a downward spiral in this state.

So let’s get to the details:

SB840/Universal Health Care and AB8 .

With all the hype about AB 8, Senator Kuehl’s true reform healthcare measure, calling for a Medicare type system to cover all Californians and still have us choose our own doctors, appears to be DOA on Schwarzenegger’s desk. With the legislature’s leaders heavily in negotiations with the Governor on a bill that keeps the insurance industry well in the game, there is just no way to fix this truly broken health care system. With a private, for-profit health INSURANCE industry in place, the only move that can be made essentially requires us to try to shove a square peg into a round hole. It can’t be done, but that isn’t deterring them from trying. For an excellent piece on why this process is not the answer, please go here: http://blog.bayneweb…

Schwarzenegger is insisting that everyone have health insurance. This is NOT universal healthcare, it is universal insurance- whether people can afford it or not. This deference to the insurance industry is maddening for those who realize the private companies are a major part of the problem and need to come out of the equation completely. Nonetheless, there have been concessions of transparency where the insurance companies would have to reveal what they pay and where the dollars that they rake in go.

The negotiations are complicated and keep changing almost by the minute. Rather than give you a play-by-play on all the moving parts, let’s break this down to the core issue in all this: Who will pay the bulk of the health care costs and who will be covered by the program? With so many major players in the mix –the hospitals, big and small employers, workers, the poor, doctors and healthcare providers, federal dollars, etc. there is real concern that we could be rushing into another end-of-session energy-deregulation type debacle.

With that in mind, there are those who are urging the leadership and legislature to go slow, and allow the governor to call a special session (he can do it anyway) and try to think through the process more carefully and deliberatively. Another option considered is to put an initiative on the ballot that addresses the funding mechanism, since there is no way the obstinate and out-of-touch right wing that has a hold on the Republican Senators will even consider such a mechanism—even if those having to belly-up are willing to pay! For more on this aspect of the story, check out this article at the California Progress Report, as well as Julia Rosen’s piece here.

Environmental efforts

While two important environmental bills apparently delayed until next year’s session, a major breakthrough has occurred on the water/flood control scene. A package of bills reflecting a compromise has been reached which will address the uncontrolled development on flood-prone lands in the Central Valley region without imposing moratoriums on construction or impeding local economic growth. The dam on overhauling the state’s antiquated and ineffective approach to flood protection and water planning appears to have been broken—-or so the claims go. For an analysis of what this compromise looks like, click here for the SacBee article and here for the California Progress Report’s coverage.

Sadly, two other key environmental bills that we’ve been touting haven’t made it through the process this year. One is Senator Alan Lowenthal’s  SB974, an important bill to clean up the air near the ports of California– Long Beach , L.A. and Oakland . For more on this story,please visit our blog: http://speakoutca.or…

The other is Senator Joe Simitian’s SB 412, which would require that California establish the need for LNG plants before allowing them to be built in the state. Seems like a no-brainer, but this bill got in the cross-hairs of end-of-session wrangling between the Senate and Assembly. While Speak Out California has been urging the leadership to move this bill back onto the floor for a vote, we’re still waiting. If you would like to help by sending emails to Speaker Nunez, go to our action alert to sign up here.  We’ve also blogged here on this issue: http://speakoutca.or…

For more information about the successes and failures of other measures, California Report’s chief Frank Russo has done a yeoman’s job of covering them here.

Civil Rights push for gay marriage and workforce equity

The Governor will see AB 43, Mark Leno’s gay marriage bill back on his desk again this year. For the second time, the Legislature, on a strictly party-line vote, has passed this measure and will likely see the governor veto it again. This is a hard sell, with the Governor having ducked the measure last year, saying the Court should decide. The Supreme Court turned around and said the legislature should decide. Well, they have. Governor?

Two measures that we’ve been following on our weblog over the past few weeks have now passed both houses and are on their way to the Governor’s desk. The first, AB 437, by Assemblymember Dave Jones, ensures that victims of pay discrimination continue to have a fair opportunity to seek redress in the courts. The measure clarifies that the time period for alleging pay discrimination claims runs from the date of each payment of a discriminatory wage.

The second, AB435 by Assemblymember Julia Brownley, addresses workplace discrimination against women. The measure extends the statue of limitations for an employee in order to file a civil action against an employer for wage discrimination and also extends the time period that an employer is required to maintain wage and job classification records.

Click here for more on both these measures.

Initiatives on the move

Without a doubt, the most talked-about initiative this week is the transparent attempt by the Republican party to co-opt California’s 55 electoral votes in order to swing the next presidential election back to them. The initiative is couched in pleasant and reasonable language; talking about fairness and every vote counting, etc. But there is nothing fair about this initiative, designed to replace California’s winner-take-all system of handing all its electoral votes to the state’s popular vote winner (as is done in 48 other states) with a system that gives electoral votes by congressional district popular vote. Bottom line: In a state where the Reps have about a snowball’s chance of winning, this measure, if passed, would send them home with about 20-22 of the state’s 55 electoral votes. It is a cynical and serious plot to keep the White House, even though they haven’t really WON the presidency since 1988.

The Dems are rightly, crying foul here. This past week, National Democratic Party Chair, Howard Dean called this, “just another Republican attempt to rig an election.” Check out the San Francisco Chronicle article here. Unless enough people know about this ploy, the measure will likely qualify for the ballot and cost the Dems between $10-20 million to kill it, moving money from places it would otherwise be spent for democratic candidates and issues. Likely exactly what the Reps had in mind when they pulled this stunt. Smells a lot like Karl Rove is still alive and well.

When we reported last week’s edition of While California Dreams, it appeared that the Term Limits/Extension initiative might not make it onto the ballot because it appeared to lack the required number of signatures. Seems this was a false alarm-as two counties reconsidered their counting techniques, recounted, and decided that the signatures qualified after all. A collective sigh of relief was purportedly heard emanating from the Capitol as current, otherwise termed-out legislators still stand to gain additional years if this measure passes.

This event may very well lead to additional ballot measures. The conventional wisdom goes that Schwarzenegger’s support is either necessary or very helpful to get the term-limits/extension measure passed, but he won’t play ball unless a redistricting measure is also included, which will take the ability to configure legislative districts out of the hands of the legislature. Without such a measure, there is concern that the Gov. might even oppose the desired term-limits/extension measure, thus likely condemning it to fail. Speaker Nunez is purported to be scurrying hard to put an initiative together that will meet the Gov’s requirements, while Senator Perata has made it clear it won’t get by the Senate if it also includes putting Congressional redistricting into the hands of an outside body. The key question is whether such a compromise is in the offing and whether it flies with the Gov. No answer on that one yet.

As we reported last week, Senator Perata’s advisory initiative is on the governor’s desk. Perata wants the people of California to be able to weigh in on the war in Iraq and let the President and Congress know whether we want an immediate withdrawal of our troops. The vote was predictably along party-lines and the odds are that the Gov. will veto it along the same party line. But the problem for the Governor “of the people”, as he likes to define himself, is that he can’t argue that the people shouldn’t have a chance to express their opinion on this measure, without being labeled a hypocrite. Don’t bet on seeing this reach the ballot, however. There’s very little upside for the Gov in signing the measure to send it to the ballot. He’s too good a politician not to realize this.


The Rest of the Story

Our blogging offerings for the week:

End of Session Drama Begins

Senate Bill 974- The Art of the Possible

To read and comment on these entries, just go to: www.speakoutca.org/weblog/

With only a few days left in the first year of this legislative session, there will be a mad-dash to end the year on an upbeat of legislative accomplishment. This is also the time when good intentions and bad bills can wreak havoc on our state so we’ll be watching bills carefully and sounding the alarm if we think there are concerns that you might want to express to the legislature or the Governor when these measures get to his desk.

We welcome your comments and suggestions and hope you will send this newsletter to your friends and other like-minded progressives. Urge them to sign up to Speak Out California and keep the progressive voice alive!

Until next week,

Hannah-Beth Jackson and the Speak Out California Team

Arnold Schwarzenegger, Health Care

Voters: Thumbs Down on Nunez-Schwarzenegger Healthcare Deal

1 Comment

Speaker Fabian Nunez went to the LA Times editorial board last week to tell them about the big plans he and Arnold Schwarzenegger are dreaming up: to take their hasty, half-cooked, gift-to-the-insurance-industry-masquerading-as-a-healthcare-reform-plan straight to the voters as a ballot initiative next year.

Not so fast.  A new poll release today by the California Nurses Association/National Nurses Organizing Committee finds considerable unease among the California public over the Schwarzenegger-Nunez plan.  Voters don’t want a bad bill just for the sake of having a bill; they don’t want a bill born from a dirty political deal; and they don’t want a bill that simply won’t work.  All of which adds up to trouble for the healthcare deal currently known as AB 8.  It would likely start out under 50% in the polls, and face an uphill struggle that would only get harder as voters learn about the opposition from the state’s nurses and healthcare activists.

The tragedy here is that these politicians are playing games while we have a historic opportunity to rid our healthcare system of the insurance industry that is poisoning it.  Sen. Sheila Kuehl’s SB 840 is based on the very systems that are succeeding in every other industrialized democracy in the world. 

This is a high-stakes issue not just for patients in California, but also for the future direction of the movement for healthcare reform around the country.  Fortunately, voters have smelled the rat.…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.

Greenberg Quinlan Rosner surveyed 700 voters on behalf of the California Nurses Association about the Schwarzenegger-Nunez healthcare plan.  The toplines:

More than two-thirds of California voters – a margin of 68 percent to 25 percent – said they prefer “making sure we pass healthcare reform that gets it right and improves the system, and not take the risk of passing bad legislation.”

More worrisome for the prospects of a ballot initiative:

In the Greenberg Quinlan poll, when provided a favorable description of AB 8, a plurality, but not a majority, of voters said they supported the bill, by a 49-40 percent.
But once voters were told of serious flaws in the bill, opposition rose to 50 percent while support fell to just 35 percent. And, when told it was opposed by nurses, opposition climbed further to 57 percent while support fell to just 25 percent.

Any ballot initiative that starts under 55% support is likely to lose.  But if voters had the option of voting for real reform, things might be different:

By contrast, by a huge margin of 70 percent to 21 percent, voters said they would be willing to pay more for a health plan that covered everyone, had no co-pays or deductibles, wasn’t attached to one’s job, and guaranteed choice of doctor or hospital. That’s the approach reflected in Sen. Sheila Kuehl’s SB 840 single-payer bill.
Further, that approach won support among voters across political lines, by Democrats, 77-13 percent; independents, 72-20 percent; and Republicans 60-32 percent.

And, of course, ethical concerns are key here:

Two-thirds of the voters, 67 percent, said they would have a less favorable opinion of their legislator if they learned he or she was supporting AB 8 “for political reasons” to seek Gov. Schwarzenegger’s backing for the term limits initiative, to 15 percent who said they would have a more favorable opinion.

In case you missed the LA Times story Saturday about the grand Nunez-Scwharzenegger deal here it is:

“I think we’re on the verge of doing something huge,” Nuñez told The Times’ editorial board Friday.

The plan would require all Californians to have insurance and would give subsidies to those unable to afford coverage. It would also address the problems of the private insurance market

In other words, Californians would be driven into the arms of the for-profit insurance industry exposed in Sicko.  And despite the line above, there is no way to make this equation affordable-as the Massachusetts mandate mess made clear.

And don’t miss healthcare hero Sen. Sheila Kuehl’s explanation for why magical thinking won’t fix our healthcare mess.

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.

Health Care

10 Million Healthcare Activists on Labor Day

Do not underestimate the power of the labor movement’s recent endorsement of a “Medicare for all,” guaranteed healthcare system…this labor day the AFL CIO will work to turn its 10 million members into 10 million healthcare activists.  Yep, that’s a lot of folks…and they can have a huge impact.  They’ll be joined by the National Nurses Organizing Committee/California Nurses Association.  We’ll take a look at this below, along with the burgeoning healthcare CREDIT crisis, the new healthcare census data, and the good news from California as Schwarzencare is on life support…The national fight for healthcare is heating up, just as we appear to be blocking the insurance industry proposals flying around Sacramento.

…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.

10 million organized advocates is just what this healthcare crisis needs.  From the AFL:

We are ready to act on our belief that in America, no one should go without health care.

And yes, it will continue into 2008:

Americans are ready for real change, and union members will make the 2008 elections a mandate on health care. We will hold candidates for office at every level accountable to progressive reform and elect a president and a Congress pledged to get the job done.

Joining this campaign are nurses from across the country, through the NNOC/CNA:

“Polls show that healthcare is the top domestic priority for Americans with more and more families struggling with health insecurity and fears for the future,” noted CNA/NNOC Executive Director Rose Ann DeMoro, a national Vice President of the AFL-CIO and a member of its Healthcare Reform Policy Committee.

CNA/NNOC, DeMoro said, “will work actively with other AFL-CIO unions on the campaign and press the issue with legislators and with the 2008 Presidential and Congressional candidates. CNA/NNOC recently ran a series of ads in Iowa, urging top Democrats to support a Medicare for all approach, which the Washington Post called one of the “winners” of a recent Democratic debate in Iowa.

Meanwhile, a new Kaiser Family Foundation reinforces the point that voters want genuine healthcare reform, now.

The New York Times reminds us why we fight:

millions of consumers have arranged financing through more than 100,000 doctors and dentists that offer a year or more of interest-free monthly payments…as the price of health care continues to rise and big lenders pursue new areas for growth, this type of medical financing has become one of the fastest-growing parts of consumer credit, led by lending giants like Capital One and Citigroup and the CareCredit unit of General Electric.

Good news!  Schwarzencare in California is wounded and dying…denying insurance companies the chance to seek their talons deeper into our medical system.  In the words of healthcare hero Sen. Sheila Kuehl:

While the governor and Democratic leaders insist they want a deal on health care, one lawmaker has concluded that failure might be the best option.  “I hope that none of these ill-conceived, quickly thrown together plans will pass this year,” said state Sen. Sheila Kuehl, the Santa Monica Democrat who chairs the Senate Health Committee and advocates a single-payer system. “Because really, that is not good for California.”

And the Sac Bee notes that the more Schwarzenegger and other politicians hustle for their insurance industry donors…the more voters support guaranteed healthcare on the single-payer model:

Gov. Arnold Schwarzenegger and other political leaders have been telling Californians for the past eight months that the state’s health care delivery system is broken….A new statewide poll indicates that the message has resonated strongly, but ironically, voters aren’t embracing the relatively moderate approaches that Schwarzenegger and Democratic legislative leaders propose and are leaning, instead, toward a state-managed “single-payer” system that he has rejected. 

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.

Arnold Schwarzenegger, Health Care

Crunch Time For Healthcare Reform

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Dan Weintraub notes that legislative leaders are meeting today with the governor about the future of healthcare reform.  Here’s his thumbnail sketch:

The Republican lawmakers have been pretty clear about their opposition to mandates and taxes, which both the Democrats and the governor have as the centerpiece of their plans. But if you leave the Republicans out, then a pay-or-play employer mandate appears to be the only option that can pass on a majority vote, and the governor says he opposes that narrow approach. It looks as if they are going to have to regroup and think about taking the issue to the ballot with a different tax structure, no employer mandate and a broad coalition of support…

We know that Sen. Perata has been subdued about the chances for anything happening this year.  And we know that anything resembling a fee will be written off by the no-new-taxes Republicans, even when the governor is attempting to rally support for a fee structure that allows hospitals to get federal money for every dollar they put into an insurance pool.  The other major stumbling block is the fact that Republicans and business interests will almost certainly sue the state over whatever proposal is passed into law, either for violating the ERISA statute that prevents states from regulating employer-based plans, or for imposing fees on businesses that would require a 2/3 vote in the legislature.  That will happen no matter what gets passed, and yet nobody talks about it.

over…

(To me that’s a good thing; employer-based healthcare ought to be severed in favor of something more flexible and more portable.  Otherwise more of the problems will exist with people not feeling able to leave jobs because they need to keep their insurance.  You also get this annoying tactic of resisting a truly universal system by arguing “If my employer doesn’t give me dental care, nobody should have it.”  Employers may need to pay into a system, but it should not be employer-based; that’s a relic of a system from the 1940s, and it’s bad for employees and competitiveness.)

It’s clear that the eyes of the nation are upon California as they attempt to deal with the healthcare crisis.  At precisely the right time, the Census Bureau reported a major increase in the nation’s uninsured, to 47 million, including 600,000 new children.  As I’ve said for a while, if the governor really wants to pass something this year he needs to speak up about the effort to cripple any effort at S-CHIP expansion, which is something his health care proposal relies upon heavily.  Today New York Governor Eliot Spitzer came out strongly against this morally misguided blockage by the Bush Administration to insure all children; Schwarzenegger has had little to say on this since June, when he called it one of his top federal priorities.

The prospects for a legislative solution are very up in the air right now, so anyone that believes reforming the system must begin now might want to apply some pressure on their represenatives in Sacramento.