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.

With the budget resolution, the clock starts for the rest of the legislative session in Sacramento.  The Assembly and the Senate have until September 14th to pass bills before them and send them to the Governor’s desk for signature.  And obviously the centerpiece of the session is health care reform.  AB8 will be the organ for Democratic legislative leaders and the Governor to come to an understanding about how they want to fix the state’s health care crisis.  And the people are weighing in and saying that their preferred solution has a different bill number; SB 840.

UPDATE by Brian: Here’s the PDF of the relevant health care poll from Field.  Over…

Frank Russo reports:

36% of California voters support a new government run system–like Medicare–up from 24% in last December’s survey. At the same time support for making “reforms with the framework of the current health insurance system, with shared responsibilities by government and individuals” has dropped from 52% to 33%. Reliance on “free market competition to improve the health insurance system” draws only 14%, down from 18% previously.

So after months of all actors in the health care debate talking to their constituents, more people want to see health care for all than a shared responsibility framework that keeps the current for-profit system in place.  And the vast majority want to see something changed over the status quo.  Frank Russo teases this out, and exemplifies why I think the aggressive strategy by groups like the California Nurses Association has moved the goalposts:

Only eight short months ago in December 51% of California voters described themselves as satisfied with the current system. That number has dropped to 28% while those responding that they are dissatisfied has risen to 69% from 44% previously. The numbers who are very satisfied with what we have now has dropped to 7% from 13% previously and those who say they are “very dissatisfied” is now the largest response with 42%, up from 20% in that category before.

Table 4 in the poll shows the direct correlation of dissatisfaction with the health care system and those who want single payor. It also shows that the largest proposition of Democrats (47%) and “non-partisan/others” (39%) support single payor, while for Republicans the largest response is to reform the current system with insurance and “shared responsibility” (37%).

While it is not surprising that 55% of “liberals” support single payor, perhaps one of the more salient points of the Field Poll is that self described “middle-of-the-road” voters are split between these two options at 34% apiece and with only 10% saying they want to rely on a free market approach. While 31% of “conservatives” support the free market approach, 35% want to reform the current insurance system and 19% even support single payor.

This focus on not-for-profit health care has made reform of the current system completely reasonable, EVEN TO CONSERVATIVES.  Change is now demanded rather than sticking with the status quo.  Of course, Republicans are not needed to pass health care reform.  But they still have to vote on it, and so this can be a significant club to beat Republicans with in the next election, on the biggest domestic policy issue facing Americans.

As for how this will effect the actual legislation, it’s clear that this ups the pressure for SOME reform.  Democratic leaders should be emboldened by this, and should hold firm on the positive amendments that have already been added to the bill:

AB8, the Democratic plan, has been undergoing some work under the hood. Several amendments will hopefully be made to increase the affordability of health care, among those include a prescription dug purchasing pool that will have about 3-4 million participants. That will make it 2-3x larger than CalPERS. There is also talk of creating a public insurance program that everyone will be able to participate in. This is similar to a few of the Democratic presidential contenders plans to ensure there is an affordable option for health insurance for all residents. These amendments will be considered in hearings over the next few weeks.

It’s obvious that the public wants as progressive a proposal as possible.  The consequences of failure to reach a compromise are bad for everyone, but especially the governor.  He’s staked his entire year on this.  So let’s see a health care reform discussed out in the open so that everyone in the state knows where the main actors stand.

And the FIRST thing the Governor can do is to call the President and tell him to stop this campaign to deny children health care.  The onerous new S-CHIP rules must be abandoned.  If the Governor is serious about providing health care for all Californians, he must stand up to the President and live up to that responsibility.  DFA has started a campaign on this; you can call the Governor and tell him:

“President Bush’s new rules which reduce the availability of the Children’s Health Insurance Program for uninsured kids must be repealed. Governor Schwarzenegger must call President Bush today and demand a complete rollback of the new rules. Can I count on the governor to stand up for our kids?”

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

When Iowans want ethanol, presidential candidates leap to it.  When the state’s largest paper calls for guaranteed healthcare on the single-payer model…well, we’ll just have to see how that riles up the candidates.  The Des Moines Register did just that today.  Momentum is building.  Money quote:

What we hope {Michael Moore’s “SiCKO”} does: Spur Americans, at long last, to demand a system that covers everyone, while providing greater quality and reining in costs.

The best option for doing that: a government-financed system, much like Medicare, which covers America’s senior citizens. That wouldn’t be “socialized medicine.” Under Medicare, seniors still choose their doctors, and doctors don’t work for the government.

Barack Obama is soliciting health care policy ideas.  I’m going to email him the Des Moines register editorial.

Meanwhile the Des Moines Register finds that Blue Cross/Blue Shield literally have no shame.

In today’s New York Times, {sub. req’d} Paul Krugman slams FOX News for implying national healthcare causes terrorism.  If you remember Katrina, you know that our dysfunctional healthcare system is actually a major security vulnerability for this nation.  Krugman sums it up:

The only things standing in the way of universal health care are the fear-mongering and influence-buying of interest groups. If we can’t overcome those forces here, there’s not much hope for America’s future.

The Wall St. Journal finds that state plans to require employers to provide health insurance are illegal.  They’re right.  So why are politicians in California and other states still out there pushing them?

How to make a killing in the healthcare field?  Dr. Prem Reddy found where to start: restrict patient access to care.  Scary.

We should all follow NBC News’ story on Iraq and military medicine.  The U.S. is going to be working with our soldiers for many, many years as a result of the war.

John Conyers is an American hero.

And finally..is SiCKO Psycho?

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

Cross-posted at Daily Kos and MyDD.

During Schwarzenegger’s special election, the California Nurses Association received a great deal of attention for aggressive politics after Ahnold talked of “kicking their butts.” This year is no different with the nurses taking aggressive tactics to the battle for Proposition 89 – The Clean Money and Fair Elections act.

How aggressive? Well how many initiative campaigns get reviewed by the industry website All Hip Hop?

Now CNA is (literally) rolling out six mobile phone bank buses, with 24 lines a piece and wrapped in signage. This will allow the ability to drive to hospitals for shift changes and let nurses easily phone bank before or after shifts.

The San Francisco Chronicle’s John Wildermuth wrote:

Hit the road with the nurses for Prop. 89

With modern politics now tied to focus groups, tracking polls, TV attack ads and the other oh-so-serious — and often oh-so-boring — accouterments of California elections, there’s almost no time for good, old-fashioned political stunts that at least added a little life and personality to the voting business in years past.

The exception: The California Nurses Association, which is out on the hustings backing Proposition 89, the campaign finance initiative. CNA members on Wednesday afternoon opened the union’s “Get On the Bus,” campaign, which will put nurses on six colorfully decorated buses driving across the state promoting Prop. 89. […]

Earlier this month, it was street theater in Sacramento, as Prop. 89 backers joined a Jack Abramoff impersonator to string a million dollars in phony money from a lobbyist’s office to the headquarters of the California Chamber of Commerce, which is opposed to the measure.

They’ve also brought a guy dressed as Batman to a number of their events and even projected a 40-foot “Bat-signal” on a building where Gov. Arnold Schwarzenegger was having a fundraiser.

They’re also probably the only campaign to have its own rap song the three-and-a-half minute “About Time for 89,” written and performed by Colette Washington: “It’s about time for Prop. 89, what’s going on in Sac Town is blowin’ my mind…”

Check out a new video where Colette performs at the launch of Get on the Bus. Big Pharma and Big Oil and Big Money may be able to spend whatever it takes to preserve the perverse status quo, but creativity and hard work are our slingshot in this David vs. Goliath battle. Get on Board!

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