Should government mandate the purchase of for-profit insurance products, backed up by threats to garnish wages or place a lien on homes?  Or should we move to a guaranteed healthcare system modeled on the single-payer financing that is working in Taiwan, Canada, and most of Europe?  

This very interesting debate is happening simultaneously at the national and state levels-because mandated insurance is the top priority of the insurance industry, and they’re pushing it everywhere they can.  

We’ll take a look below…cross-posted at the National Nurses Organizing Committee/California Nurses Association’s Breakroom Blog, as we organize for GUARANTEED healthcare on the single-payer model.

In California, Arnold Schwarzenegger and most of the state’s insurers have lined up with Assembly Speaker Fabian Nunez to push a mandate law through.  Its future is uncertain.  

At the Presidential level, Sens. Clinton and Edwards are attacking Sen. Obama for declining to endorse their mandate.  Obama rightly argues that people don’t have health insurance not because they don’t want it, but because they can’t afford it.  A difficult argument to make in a sound-bite world, but the right one.

The big Schwarzenegger/Nunez healthcare compromise is going for a hearing and a vote before the Senate Health Committee tomorrow.  No doubt the insurance lobbyists are working overtime to call in their chits.  At least one paper, the San Jose Mercury News, argues the Governor is “misplaying” his hand and “making a bad bet” with his healthcare bill.  Agreed.  They state:

The governor’s proposed budget cuts, which will do considerable damage to a health care system already in crisis, are only exacerbating the political challenge of passing his reforms.

(This editorial has one major factual error-saying that insurance corporations oppose the Schwarzenegger/Nunez bill.  In fact, major CA insurer but one is backing the bill.)

New American Media, a coalition of ethnic news sources, lists the top 5 Reasons ABX11 is a sham, and even reps from the insurance industry thinks it could go down.

Meanwhile, Massachusetts residents are learning what it’s like to live where the purchase of junk insurance is mandated by the power of the state: it’s a kick in the groin:

THE NEARLY 300,000 Massachusetts residents who signed up for health insurance under the state’s new initiative are in for a rude awakening. They may now have some form of coverage, but many of them, even the very poor who used to get free care, are going to be socked with steep medical bills.

Simultaneously, the mandate debate continues to roil the Presidential.  I’ll point out what Sen. Obama won’t–that an individual mandate is the top priority of the insurance industry right now, and that it will end our chance to achieve guaranteed, single-payer healthcare, by giving insurance companies more power and degrading group purchase of insurance.

And Ian Welsh just wants everyone to repeat after him: single-payer is cheaper than what we’ve got now (or would get under mandates.)

Lets not forget that small businesses across the country are being forced into bankruptcy by predatory insurance corporations protecting their huge health insurance profits.  We want more of that?

UPDATE: Please keep an eye out for the announcements from several major California unions that they oppose ABX1.1!

(more pics, courtesy of the Edwards campaign, at this photo set.)

John Edwards has generated a bit of notoriety today for smacking down Barack Obama’s suggestion that Ronald Reagan can be credibly seen as a model of change.  Edwards didn’t mention any of this today at a rally before hundreds (I’m really no good at judging crowd size, but there were a lot of people there) in downtown Los Angeles at the SEIU Local 721 headquarters, but he did have some choice words for another actor-turned-politician.

On the flip…

The speakers prior to Edwards included members of the Los Angeles City Council, Herb Wesson and Richard Alarcon (Janice Hahn was also in attendance).  All of them made a straight electability argument for Edwards’ candidacy, which was a little jarring (especially because Edwards did not do so).  Wesson even added “I don’t care who’s the first this or the first that, I want the best candidate to lead our country.”

(Wesson also asked “When was the last time California mattered in the Presidential primary, and I yelled “1968 and 1972,” but I don’t think he heard me.  Incidentally, given that three of the intervening races between now and then weren’t competitive, that was only 5 primaries ago.)

Edwards, however, stuck to the facts, and his powerful argument for why he should be President.  He offered the same policy shifts on Iraq (all combat troops out in 12 months), health care (universal coverage mandated for every American, mental health, preventive and long-term care included), global warming (80% reductions in emissions by 2050, no new nuclear or coal-fired power plants), defending the Constitution (ending Guantanamo, torture, rendition, and illegal spying), poverty (expanded social aid and an increase of the minimum wage to $9.50 indexed to inflation), and labor (fair trade and tax policy, the Employee Free Choice Act, no scab hiring, strong support for unions).  But I want to cite two moments that deviated from the script.

First, Edwards has been discussing the sad case of Nataline Sarkysian, the 17 year-old from Glendale who was denied a liver transplant by her health insurer CIGNA, and died shortly after the company reversed the decision.  This time, Sarkysian’s parents were on stage with Sen. Edwards, and when he related that tragic story, I couldn’t help but watch Nataline’s mother choke up.  It was affecting, it hit you right in the gut.  And when Edwards said, in respect to the health insurers, “Are you telling me we should sit down at the table with these people?  Never!  I don’t want to be their President,” it was undeniably moving.

Second, Sen. Edwards obviously did his homework before the rally.  He brought up the California budget crisis, and the austere across-the-board cuts proposed by Gov. Schwarzenegger.  It’s fair to say that he wasn’t a fan.  Here’s his comments (a paraphrase):

I spent a day earlier this year with an SEIU health care worker… the people she cares for need her.  The last thing this or any state needs are cuts to that kind of health care.  The last thing you need are cuts to K-12 education.  Does anybody believe that we are spending too much on K-12 education in this country?

It’s fantastic to have Edwards still in the race.  He’s obviously an underdog at this point, and he willingly acknowledged that, saying that he’s going up against “two hundred-million-dollar candidates.”  The compression of the primary calendar will make it very difficult for him to get his message out to the February 5 states.  Yet he said to the assembled crowd of several hundred that “you have the ability to send a message and build a grassroots movement, a wave across this state and across this country.”  There’s no question that Edwards has driven the policy agenda throughout this race, and his bold strain of populism and unabashed liberalism is sorely needed in Washington.  However, sadly, even some of his most ardent supporters were making the case for Edwards to stay in the race to horde delegates and extract something from the eventual winner, rather than a case for him winning.

A neat postscript: Cate Edwards, the Senator’s daughter, was on hand, and after the speech she was chatting with Mimi Kennedy of PDA, our local election reform activist here in LA.  Minutes later, I saw Cate with something written on her bag: “Bradblog.com”.  Progress is slow, but it’s happening.

Okay, this is an extraordinary photo of a beyond-the-pale moment: Steve Maviglio, the Deputy Chief of Staff to Fabian Nunez, the Speaker of the California Assembly, directing Capitol police to arrest an un-insured patient for speaking to the media about healthcare reform.  That’s Maviglio on the far right, and Jerry Flanagan from ConsumerWatchDog in the middle.

Conversations with press like this happen every day, every hour in the Capitol; it’s why the building exists.

But I guess most conversations aren’t on the subject of the insurance industry’s number one priority-which is to pass an “individual mandate” law.  And most conversations don’t happen as a gigantic fake healthcare reform bill seems to be careening to an ugly defeat.

Which is why most conversations don’t end with patients being cited for a misdemeanor.

We’ll tell what happened and why, below

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

It’s a good news-bad news situation.

The bad news is that the insurance industry has convinced some politicians on their payroll to hop aboard the individual mandate train, and pass a law requiring every person in the state to buy one of their products-no matter the cost or the quality.  The train’s rolling here in California, for a test run, before it goes national.

The good news is this bill is about to collapse, and this could well end this nasty little trend in healthcare reform, and open the door to replacing insurance companies altogether with universal, non-profit, single-payer coverage.  The kind that works in every other industrialized democracy.

Meet Ron Norton.  He’s on the far left in the picture, looking confused as to why Speaker Nunez thinks he’s a threat to the Capitol.  He’s been victimized by the Mitt Romney plan in Massachusetts, which is the basis for the Schwarzenegger, Clinton, and other individual mandate plans…and here’s what he’s got to say:

I’m Ron Norton, an adjunct professor of radiology and an administrator at a Quinsigamond Community College in Worcester, Massachusetts. But like 66% of our community college teachers, I’m considered an independent contractor and don’t get health insurance.

“After a few years of making about $21,000, I made closer to $40,000 last year because I’m also doing an administrative job. Under the Massachusetts insurance law my family won’t get subsidy because even though my wife has health insurance with her employer, her income is counted against my eligibility.

“Her small employer doesn’t offer family insurance. I imagine lots of California families are in the same situation.

“I’m 47 and have no health problems but the cheapest individual plan available in Massachusetts is $234 a month. That’s 6.8% of my salary. That “cheap” plan has a $2,000 per person pushing the cost up to 12.7% of my gross salary. Even if I bought the policy I still wouldn’t have affordable health care, and the number of doctors is very limited.

“I have a daughter, and it gets much worse if I want to insure her. The cheapest plan for the two of us is $440 a month, $5280 a year. That’s 11.6% of my income alone. The cheapest medium-range plan – without the huge deductibles – is $632 a month, nearly 20% of my own salary.

Details, details.  Doesn’t he know how much money these insurers have paid politicians to support their bill?

Hopefully, and apparently, not enough, as Capitol rumors are abounding now that the Schwarzenegger-Nunez bill is DOA.  Some reasons why:

First-the California Nurses Association has begun major advertising against it.  People generally people trust RNs more than insurance companies on healthcare issues.

Second-It’s becoming clear that voters don’t like this particular mandate. (Warning; .pdf, of poll.)

Third-California’s in a heap of budget trouble, and now is not the right time for multi-billion dollar public subsidies to already-profitable insurance corporations.

Fourth-the “insiders’ coalition” is breaking apart.  I mean, who really deep down likes insurance corporations?

Fifth-Mitt Romney’s Massachusetts plan is emerging as a total loser.

We might a few more arrests along the way, but we can see the light, and build a template for stopping fake healthcare reform and winning guaranteed healthcare. Or, as we sometimes call it, CheneyCare.

Everybody in, nobody out, nothing less.

Howdy all,

Just want to let you know about our new radio ad campaign against the fake healthcare reform bill.  It will be running statewide throughout January, as the Senate considers whether to weigh in on the side of patients or the big insurance corps.

It’s based on the very interesting parallels between the national debate and the California debate for healthcare.  Like the proposals of some politicians nationally, both Republican and Democratic, the Schwarzenegger-Nunez deal has at its heart an individual mandate.

The ad quotes Sen. Obama noting “some folks who said that it’s not possible to provide universal health care coverage unless there’s a mandate._ Their essential argument is the only way to get everybody covered is if the government forces you to buy health insurance. If you don’t buy it, then you’ll be penalized in some way….The reason people don’t have health insurance is because they can’t afford it.”

Under the Schwarzenegger-Nunez deal, ABX1.1, insurers would gain millions of new customers and hundreds of millions in additional profits while failing in its promise of solving the state’s healthcare crisis, says CNA/NNOC.  Supporters of the bill include seven of the state’s biggest insurers: Kaiser Permanente, Health Net, PacifiCare, Blue Shield, Cigna, and Molina Health Care–for very obvious reasons.

“Individual mandates are not a humane or sound health care policy. Californians desperately want real healthcare reform, but AB x11 is not it,” said Zenei Cortez, RN, a member of the CNA/NNOC Council of Presidents.   “Sadly, AB x11 is a prescription for more financial risk, denial of care, and heartache for California patients.  As patient advocates, RNs will continue working to defeat ABX1.1.”

The ad also calls on Californians to join with nurses in working for genuine healthcare reform, such as SB 840, a bill that will be heard in the California Assembly later this year. The ad may also be heard at www.guaranteedhealthcare.org

The full text of the ad reads:

(voice over) The nurses of California agree with Senator Barack Obama: the government shouldn’t punish people who can’t afford health insurance. _

(Sen. Obama) I know that there have been some folks who said that it’s not possible to provide universal health care coverage unless there’s a mandate._ Their essential argument is the only way to get everybody covered is if the government forces you to buy health insurance. If you don’t buy it, then you_ll be penalized in some way. _And the reason people don’t have health insurance is because they can’t afford it.

(voice over) So why are Gov. Schwarzenegger and Assembly Speaker Nunez proposing a law, AB x 11, to force you to buy insurance which would pad the pockets of the insurance companies? AB x 11 is not the path to the universal healthcare we so desperately need. Don’t let the politicians force you to buy insurance you can’t afford and which won’t help you when you’re sick.

Join California nurses in calling for real healthcare reform.

Go to guaranteedhealthcare.org.

Paid for by the California Nurses Association which is responsible for the content of this ad. Not authorized by any candidate or candidate’s committee.

From Nataline Sarkisyan to Angela Dispenza to ten-year-old Preston, we all deserve the kind of care that Dick Cheney has.

Pre-existing condition?  No problem.  Guaranteed healthcare?  Of course.  Heartless insurance bureaucrats meddling in medical decisions?  No way.  A single standard of quality care?  Nothing less will do.  

But why just Cheney?  Why not everyone?

Want to sign up for it?

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

Activist nurses around the country are going to take the case for CheneyCare directly to the Presidential candidates this year-but we need your help.  Go sign up.  We’ll send nurses in scrubs to carry the petition on your behalf to every member of Congress and Presidential candidate from both parties.  Patients need to keep pressure on politicians to really fix the healthcare system and ensure guaranteed healthcare for all Americans.

Nurses are running ads about CheneyCare today in major newspapers across the country.  As the Presidential race swings into high gear, it’s time for the pateints’ revolt to match it, and display the kind of intensity and organization that will force the politicians to listen to us-and not the insurance donors.  It’s time for the patients’ revolt, and Dick Cheney, and the care he receives but we don’t, is the perfect symbol to make it happen.  Take a look at the full ad, today in the New York Times, Wall St. Journal, and USA Today.

In case you missed it, The Wall St. Journal noted:

Vice President Dick Cheney would “probably be dead by now” if not for his federally funded health care, according to an eye-catching ad calling for universal health care that will run…in newspapers. The ad is union-funded by the California Nurses Association and its national arm, the National Nurses Organizing Committee, which represents 75,000 nurses.

You know you’ve succeeded when this happens:

The vice president’s office said the ad isn’t worth more than a no comment. “Something this outrageous does not warrant a response,” said Megan Mitchell, a spokeswoman for Cheney.

We are building a grand coalition.  

And the insurance industry?  Well, who really likes them except for the politicians whose pockets they line?

(Tragically, the girl in question, Nataline Sarkisyan, died yesterday evening after this diary was posted. nyceve at Daily Kos has more about the netroots’ role in forcing CIGNA to capitulate. – promoted by Robert in Monterey)

I am pasting a release below about the Dec. 20 “Patient’s Revolt” that forced heartless CIGNA corporation to approve the liver transplant that could save the life of 17-year-old Nataline Sarkysian.

It’s been an emotional day involving hundreds of people, but there are a couple of lessons I want to take away.

First–we have power.  We shouldn’t be afraid to use it.  A unique coalition of the California Nurses Association/National Nurses Organizing Committee, a union, together with netroots and the Armenian Community shamed a global insurance corporation into doing the right thing.

Second–we shouldn’t have to do this…and every candidate pushing to mandate individuals purchase insurance products from the likes of CIGNA, who would still be in the business of profiting through the denial of care, should think long and hard.  Are the CIGNA’s of the world really the people who should control our healthcare dollars?

Here is the full release.  Highlights:

CIGNA CAPITULATES TO PATIENT REVOLT

Following Massive Protest, Insurer Authorizes

Transplant for 17-year-old Nataline Sarkysian

CNA/NNOC-Sponsored Protest Sparks Flood of Calls from Across U.S.

In a stunning turn-around, insurance giant Cigna has capitulated to community demands, and protests that the California Nurses Association/National Nurses Organizing Committee helped to generate, and agreed to a critically needed liver transplant for Nataline Sarkysian, a 17-year-old girl in the intensive care unit at UCLA Medical Center.

A national web of friends and family of Nataline, CNA/NNOC registered nurses, doctors, members of the Armenian community, healthcare advocates and netroots supporters pitched in on an unprecedented national day of action on Nataline’s belief.  

The centerpiece of the protests was an impassioned rally today sponsored by CNA/NNOC with the substantial help of the local Armenian community that drew 150 people to the Glendale offices of Cigna. Hundreds of phone callers clogged the lines of Cigna offices around the country, all demanding that Cigna reverse its prior denial of care.  

“This is an incredible turnaround generated by a massive outpouring around the country that proves that an enraged public can make a difference and achieve results,” said CNA/NNOC Executive Director Rose Ann DeMoro. “Cigna had to back down in the face of a mobilized network of patient advocates and healthcare activists who would not take no for an answer.”

The netroot protest was organized by Eve Gittelson an influential health policy blogger who writes on Daily Kos as nyceve, and many of the calls were also the product of work by the Armenian National Committee.

“Natalie is now seriously ill and still has significant hurdles in her fight for her life, but thankfully our combined voices and protests have finally given her and her family hope,” said Geri Jenkins, RN, a member of the CNA/NNOC Council of Presidents who works in a transplant unit at the University of California San Diego Medical Center.

“However, it is deplorable and appalling that CIGNA needed to have hundreds of people pounding on their doors and besieging them with calls to take the humanitarian step they should have done long before today,” said Jenkins who spoke at the Glendale rally.

Nataline’s mother, Hilda Sarkisyan, expressed her profound thanks to CNA/NNOC. “We couldn’t have done this without you helping us to stand up against this insurance company and forcing them to finally do the right thing. It is not right in this country for it to take a rally, a protest, and a major press conference to get an insurance company to listen.”

“Every politician who thinks the answer to our healthcare crisis is more insurance should stop and think about Nataline Sarkysian,” said DeMoro. “Insurance is not care. Paying for insurance coverage is not the same as assuring you will receive appropriate care, even when recommended by a physician as it was for Nataline. Insurance corporations profit by denying care to the sick, and that is no way to run a humane healthcare system.”

DeMoro said that CNA/NNOC will continue to encourage patient protests and publicize stories about insurance companies’ denial of care, as it has all year through its www.guaranteedhealthcare.org web site, while pressing for real healthcare reform “that takes medical decisions out of the hands of insurers and places them where they belong, in the hands of healthcare professionals and their families.”