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Since 1987, Physicians for a National Health Program has advocated for reform in the U.S. health care system. A large part of our work involves educating health professionals, and others, about the benefits of a single-payer system - including fewer administrative costs and providing comprehensive health insurance for all residents of the United States.
PNHPWW October 17th Meeting
John Geyman, MD, joined us via the internet from his home in Friday Harbor to describe his just-released book "TrumpCare: Lies, Broken Promises, How It Is Failing, and What Should be Done." It's four goals are: 1) to describe TrumpCare; 2) show how it is failing patients, families, taxpayers, and the nation: 3) describe the growing crisis is health care in this country; and 4) to compare the only two real alternatives before us - continuance of TrumpCare or moving to single-payer Medicare for All. Also, John compared HR 676 and S 1804 and gave us his thoughts about their relative strengths and weaknesses.
Dr. Geyman is Professor Emeritus at the University of Washington School of Medicine in Seattle. He has spent 25 years in academic medicine as Chairman of the UW Department of Family Medicine and was founding editor of The Journal of Family Medicine. He is Past President of PNHP and a PNHPWW Board Member. He has now written more than 12 books that are indispensable for understanding the roots of our health care crisis, its current condition, and what must be done to achieve a just and sustainable replacement.
The meeting can be viewed on our YouTube channel at - https://youtu.be/gl1OKCxcUMs
(There were venue hookup problems with the first four minutes of the audio - good thereafter)
Copies of "TrumpCare" are available at cost for $15 plus shipping, while supplies last, at email@example.com
Dr. Geyman's recent books:
Common Sense: US Health Care at a Crossroads in the 2018 Congress (pamphlet_
Crisis in US Health Care: Corporate Power vs. Tho Common Good looks at how, over the last 60 years, our health care system got to be where it is now - how it changed from a system devoted to patient care to one devoted to maximizing revenues.
The Human Face of Obamacare - Promises vs. Reality and What Comes Next shows the human face of the ACA as the stories of real patients and their families best illustrate continuing problems of our health care system. It also shows how many of the promises made by the Obama administration have not been kept.
How Obamacare is Unsustainable - Why we need a Single-Payer Solution for All Americans documents where the ACA fails and the fix we need.
Health Care Wars - How Market Ideology and Corporate Power Are Killing Amercians examines how our market-based system benefits the 1% at the grave expense and suffering of the 99%.
"Breaking Point - How the Primary Care Crisis Endangers the Lives of Americans" documents the crisis in primary care in the US and what we must do about it.
John's Web Site
Kip Sullivan, JD
Kip Sullivan, JD, is a health policy expert recognized nationally for his expertise and substantial contributions to the health policy literature. He earned a law degree at the Harvard School of Law.
Kip joined us by the internet from his home in Minnesota. He gave a clear presentation of problems with pay-for-performance/value payment mechanisms for providers, ACO’s, and his concern about potential "updating" changes that might be made to HR.676 when it is reintroduced in the 2019 House of Representatives, possibly incorporating some features of Bernie Sanders' S.1804 as described in its Section 611b. You can see Kip's slides and watch the meeting video by clicking the links below (a few technical video glitches, but the audio is clear).
Video of PNHPWW September 19th Monthly Meeting - https://youtu.be/2ko9zIlb6fs
Kip's slideshow - download "Analysis of 'payment reform activities' authorized by S.1804"
Kip's paper - A critique of Section 611(b) in Bernie Sanders’ “single payer” bill
NBC News - interview with Rep. Pramila Jayapal on the new House Medicare for All Caucus and PAC, and her thoughts on updating HR.676 and S.1804
Introductions – Sherry Weinberg, President PNHPWW - 15 attending in person, 5 via internet
Coordinator’s Report – David McLanahan, Coordinator, PNHPWW
Email list – 1182
Web Site - August 2018 – 1508 unique visitors
September 11th - HCHR-WA Meeting - discussion on upcoming legislative district candidate forum
September 25 - UfSP Meeting - 7:15pm, Swedish/Cherry Hill, SECC Rm C - discussion on moving National Improved Medicare for All forward - probably without a Congressional champion
October 17 - PNHPWW Monthly Meeting - 7:30pm, Swedish/Cherry Hill
November 9 - 11 - PNHP Annual Meeting - San Diego - "Tearing Down Barriers to Care." Four or five PNHPWW members will attend.
November 17 - Health for All - WA Annual Meeting - hold the date - Horizon House, Seattle
November 21st - PNHPWW Monthly Meeting - Report on PNHP Annual Meeting in San Diego
PNHPWW August 15th Monthly Meeting
"Community House Calls/Interpreter Services Harborview Medical Center"
For our August 15th meeting were privileged to have four members of the the Community House Calls/Interpreter Services program at Harborview Medical Center tells us about this very valuable program and lead the discussion. Lea Ann Miyagawa - MN. RN, Nurse Manager, and three Cultural Mediator team members - Salma Musa (Somalian), Kim Lundgreen (Vietnamese) and Jose Mayorga (Spanish) presented brief cases illustrating how they facilitate underserved patients to interact with and overcome barriers to health care.
You can watch this very informative and moving video on YouTube - https://youtu.be/V_LQf-fqmyw
PNHPWW June 20th Monthly Meeting
Rachel described HR 6097 and led the discussion. David Loud, Jim McDermott's staff who worked on similar bill & helped with HR 6097 also lent his expertise to the discussion. After Representative Pramila Jayapal was elected, she selected Rachel to be her CD7 District Director.
HR 6097 facilitates states to combine several federal health care funding streams if the state offers a comprehensive universal health care plan that guarantees all residents of their state are covered. The benefits provided by states have to be equal or greater than what beneficiaries receive now.
This bill is opposed by some single payer advocates supporting National Improved Medicare for All (HR 676) but not state universal plans for reasons discussed during the meeting. You can watch the meeting on the PNHPWW YouTube channel
Links here to full text of the billanda letter to Rep. Jayapal's colleagues, section-by-section summary and FAQ's
"Moving Toward Single Payer"
Community Town Hall
The regular PNHPWW May Monthly Meeting was held in conjunction with a Town Hall programmed and sponsored by the Students for a National Health Program - UW Chapter (SNaHP-UW) and co-sponsored by PNHPWW and Health Care for All - WA.
1) Aaron Katz, MPH, School of Public Health; 2) David McLanahan, MD, Co-founder and Coordinator of PNHPWW; 3) Anirban Basu, PhD, UW Professor of Health Economics; 4) Bevin McLeod, the Healthcare for All-WA Program Director; 5) Christopher Wong, MD UW Medical Center or Harborview
You can watch the forum here on YouTube
PNHPWW April 18th Meeting
"Homelessness and Healthcare"
Jacqueline Martin and George Sidwell
Vendors, Real Change Newspaper
PNHPWW March 21st Meeting
"The I-1600 Initiative Campaign"
Interim Campaign Director, Whole Washington
Georgia Davenport of the Whole Washington organization talked about their campaign to pass a ballot initiative Initiative I-1600 that would create the Whole Washington Health Care Trust that would run a new universal health care program, housed within the state Department of Health.
Senate and House Testimony on State "Single Payer" bills
Jan 16th - PNHPWW President Sherry Weinberg testifies for Senate Hearing on SB5701 - The Apple Care Trust
PNHPWW February 21st Meeting
PNHPWW January 17th Meeting
This documentary film explores the problem of extreme drug prices in the US and how drug costsimpacts on the public, on businesses and the overall US economy. It makes an effective business case for realizable change, digging deeply to answer key questions. You can watch the film by clicking here - https://fixithealthcare.com/big-pharma-movie/?
"Big Pharma" was produced by Richard Master, the producer of "Fix It: Health Care at the Tipping Point."
We were fortunate to have pharmacist Ronnie Shure with us to comment on the film and lead the discussion.
Considering the continuing bad news at the about the current state and future threats to our health care system, it was very nice to hear some good news about an influx of dedicated, socially conscious physicians who work for health care for all.
PNHPWW November 15 Meeting
Report on PNHP Annual Meeting in Atlanta
At this meeting PNHPWW and SNaHP-UW members who attended discussed their impressions of the weekend and gave reports on the high points of the workshops they attended.
The PNHPWW APM weekend events got high marks from the attendees. If you were unable to be there for the Saturday evening meeting at Kane Hall, you will appreciate the energy and enthusiasm generated by watching video of speakers George Lakey and Carol Paris, MD, PNHP President, and the panel discussion that included John Geyman, MD. You can watch the event from start to finish including the greeting by Congresswoman Pramila Jayapal and the awarding of the John Geyman Health Justice Advocate Award to Don Mitchell, MD, Past-President of PNHPWW.
Still working to make our PNHPWW social media more useful. Please submit/share important info, articles, events to/on our Facebook site - https://www.facebook.com/pnhpww
PNHPWW YouTube channel - https://www.youtube.com/channel/UCx_TkWg9tFnCKGnO9F-iEeQ -
National single payer coalitions:
1) HOPE - Health Over Profit for Everyone – http://healthoverprofit.org; Facebook - https://www.facebook.com/HealthOverProfit.org/; Twitter - https://twitter.com/H_O_P4E
Launched Feb 1st. focused on organizing for national SP legislation HR676. Initiated by Margaret Flowers, Kevin Zeese and others. Website with valuable information about advocacy and events. Holds regular national conference calls at 9 pm Eastern/6 pm Pacific. These calls are open to everyone, but you must register to receive a number.
CLICK HERE TO REGISTER FOR THE CALL.
These calls will provide political updates, educate about National Improved Medicare for All, discuss strategy and plan actions to change the political culture in the United States so that NIMA is the only politically viable solution.
2) Campaign for Guaranteed Healthcare - launched on 1-26-17 by Healthcare-Now! – “a fight back coalition that will carry out a nationally-coordinated, large-scale and militant campaign to fight for single-payer healthcare”. https://campaignforguaranteedhealthcare.org
Whole Washington is new single-payer organization in WA. It is “a grassroots coalition of healthcare professionals, activists and organizers with a common belief that healthcare is a human right, and Washington should be doing more to provide the best level of care to all residents.” It is working on a ballot initiative to bring single-payer healthcare to Washington State. For info - https://wholewashington.org
Facebook - https://www.facebook.com/WholeWashington/
There are 15 Annual PNHP Meeting slideshows of the plenary presentations and workshops that you can review and use the information for local activities, presentations, LTE’s etc. You can see the list of slideshow topics with links to them by clicking here.
Suggested Reading : “Health Reform in the Trump Era: A Big Step Back, But Possibilities for Bigger Steps Forward” – Woolhandler and Himmelstein , Nov 16, 2016.
This powerful documentary that takes a look at how our health care system is damaging our economy, suffocating our businesses, discouraging physicians, and negatively impacting on the nation's health while remaining unaffordable for a third of US residents.
Film producer Richard Master, founder and owner of MCS industries, produced the film. He faces relentless annual cost increases to provide health insurance for his employees. "Fix It" is a result of his journey to find a solution to the dysfunctional US healthcare system.
10-Point Plan to Stop Trump and Make Gains in Justice and Equality (word - PDF) - George Lakey
Rand Study - "A Comprehensive Assessment of Four Options for Financing Health Care Delivery in Oregon" - PDF
Washington Post article by PNHP’s Himmelstein and Woolhandler - “Repealing the Affordable Care Act will kill more than 43,000 people annually - The impact of Republicans' war on Obamacare is likely to be worse than anyone expects”
The Public Option is Back - Don McCanne's Comments - Sept 16, 2016
Structural Racism and Supporting Black Lives — The Role of Health Professionals - NEJM, October 12, 2016
Affordable Care Act: imploding and beyond repair - John Geyman. MD - The Hill, Oct 21, 2016
The updated Physicans Proposal was released May 5th via the American Journal of Public Health. Several PNHP leaders were involved in the writing. More than 2,200 physicians have endorsed it so far, including 111 in Washington State. You can download the PNHP press release here The full text is available here and PNHP has released a Summary and Fact Sheet.
Statement by Steffie Woolhandler, M.D., M.P.H., on Physicians’ Proposal for Single-Payer Health Care, May 5, 2016
Long before Senator Sanders’ entered the presidential race, my colleagues and I – Dr. Gaffney, Dr. David Himmelstein, and Dr. Marcia Angell (the former editor-in-chief of the New England Journal of Medicine) – convened a blue ribbon panel of doctors to develop a plan that would fix the glaring problems that our patients continue to face despite the Affordable Care Act (ACA).
Twenty-seven million Americans are still uninsured and that number is not expected to fall. Tens of millions with insurance face sky-high copayments and deductibles that would bankrupt them if they were seriously ill. And many more have narrow network plans that won’t cover care at top cancer hospitals or academic medical centers – even when they offer the best option for life saving care.
Meanwhile, profit-driven insurers and hospital chains increasingly dominate health care. And insurers’ growing demands for documentation wastes doctors and nurses time, and saps their morale. While these trends predated the ACA, the law fueled merger- mania, and added bureaucratic complexity and cost.
The alternative we developed (which has been endorsed by more than 2,200 physician colleagues) calls for radical change; a single-payer national health program.
Our plan would cover everyone for all medically necessary care, without copayments or deductibles. And it would guarantee Americans the right to choose any doctor or hospital.
Our nation can readily afford this if we replace today’s wasteful patchwork of insurance plans with a streamlined single-payer system. My colleagues and I have documented the enormous bureaucratic costs of the current system in research published in the most respected medical journals, including the New England Journal of Medicine, the JAMA, The American Journal of Public Health and Health Affairs.
Today, private insurers take 12.3 percent of total premiums for their overhead; only 88 cents of every premium dollar reaches a doctor, hospital or pharmacy. And insurers inflict massive paperwork on doctors and hospitals, forcing them to spend one- quarter of their total revenues on billing and administration.
In contrast, insurance overhead is only 1.8 percent in Canada’s single-payer system, about the same as overhead in Medicare. And Canadian hospitals have administrative costs less than half those of their U.S. counterparts. That’s because Canadian hospitals are paid annual global budgets, like fire departments, instead of billing separately for each Band-Aid and aspirin tablet. And billing is simple and inexpensive for Canadian physicians.
Overall, a single payer would save between $400 billion and $500 billion annually by trimming administrative spending to Canadian levels. Moreover, as in other nations, the single payer could use its purchasing power to lower drug prices, saving tens of billions more each year. These savings could fully cover the new costs of the coverage expansions we propose, a conclusion in keeping with past estimates by the Government Accountability Office, the Congressional Budget Office, and private consulting groups (including one owned by UnitedHealthcare).
We have the resources needed to provide excellent care for all Americans; an abundance of hospitals and sophisticated equipment; superbly trained doctors and nurses; prodigious research output; and generous health care funding. Yet only thoroughgoing reform can realize the healing potential that is currently thwarted by our dysfunctional health care financing system.
Dr. Woolhandler is an internist in the Bronx, a professor of public health at the City University of New York at Hunter College, and a lecturer in medicine at Harvard Medical School, where she previously served as a professor of medicine. She co-founded Physicians for a National Health Program, a nonpartisan organization that advocates single-payer reform.
New Students for a National Health Program at University of Washington
Students for a National Health Program at the University of Washington (SNaHP-UW) brings the movement for universal healthcare through a national single-payer system to campus. SNaHP-UW seeks to educate and organize undergraduate and graduate students from health science, law, economics, political science, and beyond to add their voices to the growing chorus of healthcare professionals and students calling for healthcare for all.
PNHPWW member Mark Hickling has produced a 12 minute video describing the US health care system and those of other developed nations in a down-to-earth way that we can use in our advocacy with friends and family. This video is great for opening a meeting or houseparty.
The information You Need to Remain Up-To-Date on Health Care Reform:
Sign up for Don McCanne's Quote of the Day
For invaluable daily current health care reform information and analysis read PNHP Senior Staff Policy Analyst Don McCanne's Quote of the Day
Listserve free subscription http://two.pairlist.net/mailman/listinfo/quote-of-the-day
Opinion and Information
"Fixing Obamacare: Move to Single Payer" - Joe Martin - Seattle Times LTE - 4-2-15
“What Happened in Vermont: Implications of the Pullback from Single Payer” - Steffie Woolhandler, MD, and David Himmelstein, MD, -Jan, 2015
“Lesson On The Struggle For Health Care As A Human Right: What happened in Vermont where a so-called single payer proposal died?”- Margaret Flowers, MD, in Populare Resistance, Jan 2015
Backgrounder on the Trans-Pacific Partnership and Healthcare - Margaret Flowers, MD
Stephen Kemble, MD - The Business Case for Single Payer - March, 2014 Powerpoint
Dr. Arnold Relman, Outspoken Medical Editor, dies at 91" - New York Times obituary
Health Care for All Oregon Speakers Resources - Powerpoints, Tips, References, Logistics, Friedman & other videos
Why Oncologists Should Support Singe-Payer National Healthy Insurance - Ray E. Dragon, MD and Lawrence H. Einhorn, MD
10 Things Unions Need to Look Out for When Bargaining Under Obamacare - Labor Campaign for Single Payer Healthcare
A Perspective on the Relationship between State and National Single Payer Work.doc - Steffie Woolhandler and David Himmelstein- PDF
Obstacles to State Based Reform: Vermont - slideshow - Dr. Marvin Malek
Immigrants and the Human Right to Health Care - National Economics and Social Rights Initiative
People of Color and the Human Right to Health Care - National Economics and Social Rights Initiative
Women and the Human Right to Health Care - National Economics and Social Rights Initiative
Obamacare and the New Deal - Michael Lind, Comment Don McCanne
What Kind of a Problem is the ACA Rollout for Liberalism - Michael Konczal
Strategy and Creativity for Grassroots Power (video) - Bill Moyer, Backbone Campaign
A close look at ACA Exchanges-Paul Criag Roberts
Funding HR 676: The Expanded and Improved Medicare for All Act - How we can afford a national single-payer plan - Gerald Friedman, Phd
Peter Bohmer's notes on Social Movements - Word.doc - PDF
Roadmap to State Single Payer - Public Citizen
ACA vs Single Payer - Accessibility, Affordability, Cost Control - PNHPWW
Real Danger of Obamacare: Insurance Company Takeover of Medicine - Nomi Prins
Some thoughts on What's Ahead - Drs. Steffie Woolhandler and David Himmelstein
It's Time for Single Payer - Dr. James C. Mitchiner
Will Pay for Performance Backfire?; Insights from Behavioral Economics - Woolhandler and Ariely
Medicare Overpayments to Private Plans, 1985 - 2012 - Hellander. Woolhandler, Himmelstein
The Nuts and Bolts of Medicare Premium Support Proposals - Kaiser Foundation
Committee Responsibilities - Health Care for All Oregon
Minnesota Single Payer Economic Study - The Lewin Group
Funding a National Single-Payer System - Gerald Friedman - Prof Economics, U. of Massachusetts-Amherst
"Occupy" and US Health Care - Dr. Mary Obrien
The Wyden-Ryan Plan: Deja-vu All Over Again - Uwe Reinhart
Sustaining the Movement for the 99% - Steering Committee of the Labor Campaign for Single-Payer
A Difficult Pill to Swallow - Margaret Flowers, MD
Privatize Medicare? No Thanks! - Dr. James Mitchner
Why won't Corporate America Support Single Payer Medicare for All - Mark Dudzic
Ryan turns Knife on Medicare, Medicaid - Dr. Margaret Flowers
Pay Much Attention to the Insurers Behind the Curtain - Wendell Potter
Medicare for All is the Solution - Robert Reich
Stop the Bipartisan Assault on Medicare - Support the People - Claudia Chaufan
What Happened to Social Justice in Health Care Reform? - Arthur Sutherland
What You Can Do To Help:
*Join the Campaign to Pass HR 676 and HR 1200
by sending an email to firstname.lastname@example.org. We'll keep you posted with important updates and actions
*Write an Op-Ed or Letter to the Editor
You can find tips, templates and examples by clicking here
*Speak out about the single-payer solution
Educate yourself about single-payer using the resources & materials -here and here. Bring materials and talk to your church, labor, community or other group about the singlepayer solution.