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Update on Single Payer from Dr. Margaret Flowers

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My guest is Dr. Margaret Flowers, congressional fellow of Physicians for a National Health Program [PNHP]. Welcome back to OpEdNews, Margaret. Republican lawmakers, fresh from their November victory, are pledging to move immediately in the new Congress to dismantle the health care law that President Obama gave so much attention to. What's your take on that?


photo credit: Mark Almberg, PNHP

Thank you for inviting me back, Joan. As you know, Physicians for a National Health Program does not support the new health law. Overall we find that it does more harm than good by further privatizing our health care and failing to address the fundamental problems of rising health care costs and lack of access to care for tens of millions of people. That said, we find the Republican plans to dismantle the health law reprehensible given that they are willing to remove what coverage was gained under the law and offer no effective alternative to our growing health care crisis.

The Republican calls to repeal the law are mere political posturing and will not succeed. In fact the health industries, which contributed more heavily to Republican campaigns in the last election cycle than to Democrats, do not want the full law repealed. The Republicans will more likely succeed in defunding portions of the bill and relaxing regulation of the health insurance industry. This will escalate our health care crisis.

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The health law passed in 2010 has already begun to unravel as the Department of Health and Human Services has had to issue multiple waivers excusing businesses and insurance companies from complying with provisions in the law that they refused to meet. A large part of the increase in coverage under the law was based on an expansion of Medicaid, however, states are facing severe budget deficits which will prevent them from implementing the expansion. Republican efforts will likely accelerate the unraveling.

This is why PNHP and the many other organizations which advocate for single payer/improved Medicare for All continue to push forward in educating and building the grassroots voice for single payer. We recognize that our health care problems have not yet been appropriately addressed or solved.

There are millions of us out there who share your concern about the current health care crisis. But this is a little tricky. Those of us who feel that the law passed was less than stellar need to fight back against its repeal, its unraveling or being whittled away altogether by Republicans or strained state budgets. At the same time, we need to be agitating for something that will really do the job. That's a little complicated. And voters and the public in general have had a notoriously short attention span. How do you channel that very real public distress to bring about meaningful and positive change?

As you are aware, civil unrest in this nation is growing. It is an expression of the very real public distress that you mention. Although information about this unrest is largely censored from the mainstream media, we see that non-union workers and anti-poverty movements are growing as are more organized actions such as the prison protests in Georgia, nurses' strikes and the veteran-led antiwar civil resistance. This type of unrest is to be expected if we look at what happens historically in nations which experience such severe wealth inequalities as we have in the United States.

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Some of the civil unrest is turning to violence. In the absence of constructive and nonviolent avenues for social change and as unemployment, lack of access to health care, homelessness and poverty grow, the level of violence may increase. This is why, now more than ever, we must educate, organize and engage in actions that change the balance of power away from corporate interests and to the needs of people.

There are three important principles that will guide effective action. First, our movements, whatever the issue, must be independent of political parties. The Republican and Democratic parties are both controlled by concentrated corporate power. There are some differences between those parties but overall they serve corporate power and not the people. We must be willing to hold all legislators accountable to act on behalf of people even if that means that they lose a few elections until the shift occurs. And independence also includes the media. We will have to make our own media because mainstream media is also controlled by corporate interests.

Second, we must be clear about what we ask for and that is where education comes in. We have the solutions to all of our problems. For health care it is a national single payer health system. For unemployment and the environment, it is investment in green jobs and ending oil and coal dependence. For the economy, it is developing sustainable local economies and ending Wall Street bailouts. And so on. We must educate the public through local events and independent media about these solutions.

And third, we must be uncompromising in our demands. We are too often willing to accept partial or non-solutions to our problems because we are told that what we want is politically infeasible. When we look at health care, we are constantly told that single payer is not politically feasible. We have heard this for decades. However, the legislation that passes which is politically feasible fails to be feasible from a practical standpoint. It simply doesn't work. The number of un-insured continues to grow and soaring health care costs are destroying our families and businesses. At some point, we have to realize that we determine what is politically feasible because we hold the power of the vote. We must learn to use that power.

Of course, these are difficult times and many of us are struggling. However, each of us can contribute in some way. We can weaken corporate power by supporting local goods and services. We can educate ourselves and those around us. We can donate to non-profits. We can expose injustice that we see and work with others in our community to end it. We can treat each other with love and respect so that we model what we want to see for others. And for those who are able, we must join together and engage in acts of strategic non-violent resistance.

It is important to realize that work for peace and for social and economic justice is all related. The various movements need to join together in our actions to create a healthy, prosperous and just country. For me, this means that we must organize large acts of non-violent resistance together that focus on weakening corporate power and letting legislators know that business as usual cannot continue. This is why I joined the veterans in their action against war at the White House in December. I believe as we continue to educate, organize and act, more people will join us in any way they can.

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Wow, Margaret! This is a lovely, well fleshed-out plan of action, with something for everyone. What can you tell us about specific efforts going on now at the state level for single payer? We don't hear much about it through the corporate media so it feels like nothing is happening.

Yes, Joan. There is a lot happening at the state level when it comes to single payer. Currently, twenty states have single payer health bills in some phase of the legislative process.

As you may know, California has passed a state single payer bill twice in 2006 and 2008. I just returned from a large health professional student-led march, rally and lobby day at the state capital in Sacramento. The California single payer coalition is continuing to move forward to pass single payer and have it signed by the new Governor. California faces such a serious budget crisis that I was told the legislature will be basing their cuts on what will result in the least number of lives lost.

We are particularly enthusiastic this year about Vermont. They are poised to pass a single payer health bill this legislative session. The state hired Dr. William Hsaio from Harvard to design their health system. He has designed health systems for five countries, the most recent being the single payer system in Taiwan. The new governor of Vermont, Peter Shumlin, ran on a strong single payer platform. And, of course, Vermont has Senator Sanders, who has been a long time proponent of single payer.

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Joan Brunwasser is a co-founder of Citizens for Election Reform (CER) which since 2005 existed for the sole purpose of raising the public awareness of the critical need for election reform. Our goal: to restore fair, accurate, transparent, secure elections where votes are cast in private and counted in public. Because the problems with electronic (computerized) voting systems include a lack of (more...)
 

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