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Single Payer Health Care Reform for America

Why it's time for single payer in America
by

Frank Erickson

on 2 December 2015

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Transcript of Single Payer Health Care Reform for America

What It Is What It Isn't
The Financial Argument
The Moral Argument
The Homeland Security Argument
What can we do?
Why do we need reform?
Right now we have a 'Pay or Die' non-system that is financially toxic
Single Payer
Health Care Reform
in America

Profits over People is immoral and counterproductive
Write, call, fax the White House, your Representatives and Senators - state and federal!
Support Single Payer Health Care for All!
Single payer consideration gets blocked
by the health insurance industry and others in 2009:
Plan B - State by State
Plan A - Federal
http://www.pnhp.org/sites/default/files/docs/2011/HB3510.pdf
Keeping single payer off the table made some doctors
May 7, 2009 9:33
March 14, 2011 7:34
May 19, 2009 3:25
August 20, 2009 4:38
Oregon
2011

Vermont
May 31, 2011 2:31
April 26, 2011 6:29
May 10, 2011 6:25
- the first state to try to implement single payer reform - April 26th, 2011
- introduced single payer bill HB 3510 - died in committee
- but at least they allowed some public 'courtesy' testimony.
Unlike Maine, committee members did not ask any questions.
May 18, 2011 2:30
April 22, 2011 3:07
http://www.healthcare-now.org/
http://www.pnhp.org/
Feasibility study, public awareness campaign planned to convince more legislators
to support single payer before the next submission...in 2013

http://www.thelundreport.org/resource/single_payer_system_continues_to_draw_interest_in_oregon#comment-4392
MAHD took it on the road in rallies across the country in 2009,
then in California and throughout Oregon in 2011
California, Maryland, Minnesota, Pennsylvania, and Wisconsin considered state single-payer bills in 2010.
http://www.pnhp.org/news/2010/september/side-by-side-comparison-of-state-single-payer-bills
The Organizational Argument
We can do this!
{ Outcomes }
National electronic medical records, national licensing, and national regulation provide inherent organizational value, efficiency and economy of scale.
America wants this!
It is time to get involved!
Frank A. Erickson, M.D. prezi first completed 8/17/2011 - updated continuously
special acknowledgments to Mike C. Huntington, M.D., Cosimo Storniolo, M.D., YouTube and prezi.com
Be prepared to call in and express your support when bills are to be voted on!
3 Questions, 9 Answers
- Sam Metz, MD
John Conyers, Jr.
Movies were made:
March 18, 2009 1:35
The First Follower phenomenon
May 26, 2009 3:06
Health, Money and Fear
August 28, 2009 48:00
$2.5T Health Care Factory
June 28, 2009 6:56
As of October 2011, California has passed single payer bills twice - both vetoed by the Governor.
February 2, 2012 - S.B. 810 the California Universal Care Act failed to pass by 3 votes...
Dr. Hank Abrons, president of PNHP-California, said there was a distinct surge in disinformation about single payer – particularly its impact on the state budget – just prior to the vote.
California -
learn more - click on the links:
U.S. Congress switchboard: 866-220-0044 The White House switchboard: 202-456-1111
Wendell Potter
Get involved in the Oregon Single Payer Campaign

There are many ways to get involved with the Oregon Single Payer Campaign!
Below is a list of people who are heading up teams that could use your time, talent, and expertise!

fundraising: Terry Rogers, ibuterry@aol.com
volunteers: David Young, dtwoyoungone@yahoo.com
speakers bureau: Michael Huntington, mchuntington@comcast.net
communications: Joanne Cvar, cvar@peak.org

Other ways to get connected and involved:
Nurses for single payer: Betsy Zucker, betsy@vpservices.com
Physicians for National Health Program, Portland: Peter Mahr, peter.n.mahr@gmail.com
Corvallis contact: mchuntington@comcast.net
Health care for all Oregon: Mark Lindgren, marklindgren2@comcast.net
Health Care for All - Oregon: http://www.hcao.org
Health Care for All - Oregon Education Fund: http://www.hcaoef.org
Jobs with Justice Healthcare Committee: (meets every third Tuesday, 6025 E. Burnside, Portland):
For more info call: 503-236-5773
Learn more fast: http://www.pnhp.org/facts/single-payer-faq#what-is-single-payer

http://en.wikipedia.org/wiki/Single-payer_health_care#State_proposals
http://phsj.org/luxury-care-concierge-care/
http://phsj.org/universal-health-caresingle-payer-system/
More background:
http://owshealthcare.wordpress.com/
Occupy Wall Street is joining the cause:
http://www.thevacuum.org/
http://www.pnhp.org/sites/default/files/docs/2011/783_Woolhandler-Himmelstein_719-730.pdf
Health Care Reform 2.0 - Why the Affordable Care Act won't work and why we need single payer:
"About 23 million people will remain uninsured nine years" into ACA's existence, according to PNHP.
15 December 2011 pt 1/6 10:02
15 December 2011 pt 2/6 9:52
15 December 2011 pt 3/6 9:39
15 December 2011 pt 4/6 9:42
15 December 2011 pt 5/6 8:53
15 December 2011 pt 6/6 6:38
http://www.namesofthedead.com/
Mary Gerisch from the Vermont Worker's Center
speaking in Pendleton, Oregon, December, 2011
- "How We Won Health Care for All" in Vermont:
"It's like Martin Luther King said*. We aren't trying to change the heart.
We're trying to restrain the heartless. Isn't that what government is all about?"
- Warren Buffet, TIME, January 23, 2012

*Morality cannot be legislated but behavior can be regulated. Judicial decrees may not change the heart, but they can restrain the heartless. - Dr. Martin Luther King, Jr.
Reform Health Care
It's "a tapeworm in America," one that cuts competitiveness far more than taxes do.
- Warren Buffet - TIME, January 23, 2012
Commentary:
Healthcare for All!
Michael Dembrow, D-Portland
on HB 3510 -
Oregon House Health Care Committee
Mary Gerisch
December 15, 2011 0:07
December 15, 2011 11s
What about Cost?
December 15, 2011 1:06
The Public Good
December 15, 2011 1:03
Choose
whom to leave out
Human Rights Trump
Technical Arguments
December 15, 2011 2:01
The Five Principles of the
Human Rights Framework
December 15, 2011 3:37
Notice to presenters: YouTube videos may take up to a minute to load depending on speed of internet access. Please be patient and be ready to fill the time with other messages to your audience as the videos are loading. Practice zooming out to see more selections to click on to skip parts you don't need to show for your audience. Know that some YouTube video links may go bad or the video may be removed without notification and may not be available at the time of your presentation. It is worthwhile to do a practice run before the real thing.
Be sure to use the Prezi tutorials to show you how to navigate with arrow keys if you do not have a scroll wheel mouse or trackball. Keep OS and plug ins up to date for best performance.
http://www.counterpunch.org/2008/05/06/america-s-pay-or-die-health-care-system/
What Happened?
October 5, 2009 33:49
Ralph Nader Sums it Up
Wendell Potter
Rachel Maddow
David Pakman
Senator Sanders
http://www.singlepayeraction.org/
Dr. Paul Hochfeld
September 3, 2009 1:41
Dr. Joseph Eusterman
September 3, 2009 1:43
Dr. Robert Seward
September 3, 2009 2:20
Dr. Mike Huntington
September 3, 2009 1:28
What about the Public Option?
Dr. Samuel Metz
September 3, 2009 1:58
Dr. Paul Hochfeld
September 3, 2009 0:46
And what does the public have to say?
Dr. Penny - audience member
September 3, 2009 1:34
Mad As Hell Doctors
Audience in Sequim, WA
September 3, 2009 0:16
http://www.youtube.com/playlist?list=PLC4A6A496E5E0E805&feature=plcp
Mad as hell minutes (testimonials):
more stories:
http://www.iwatchnews.org/2012/01/23/7948/analysis-park-city-vantage-point-puts-tragedy-american-health-care-vivid-relief?utm_source=iwatch&utm_medium=social_media&utm_campaign=twitter
Half-pipe champion Sarah Burke dies $550,000 in debt to University of Utah Hospital for nine days of treatment. Bill would have been $0 in her native Canada.
Dennis Kucinich added a Single Payer
Amendment to PPACA, but it didn't survive...
July 21, 2009 9:59
HR676 ignored, PPACA debate begins
Single Payer offers
Technical Economy of Scale
Who supports Single Payer in Oregon?
AFGE Local 2157
Alliance for Democracy
Community Alliance of Tenants
CWA Local 7901
Elders in Action
Fellowship of Reconciliation
Health for All-Oregon
Jobs with Justice -Portland
Jobs with Justice - Central Oregon
Jobs with Justice - Southern Oregon
Laborers Local 483
Mad As Hell Doctors
Mid-Valley Health Care Advocates
Move-On -Portland
NALC Branch 82
National Association of Social Workers, Oregon
Oregon Action
Oregon Alliance for Retired Americans
Oregon Education Association
Oregon Latino Health Coalition
Oregon Nurses Association
PNHP Corvallis
PNHP Portland
PNHP Eugene
Rural Organizing Project
SEIU Local 49
Sisters of the Road
The Tree Institute
Woman with insurance and job loses house when diagnosed and treated for lung cancer.
http://www.northjersey.com/news/137841618_Medical_debt_puts_more_at_risk.html
Photo / Video Petitions (by Zipcode) started in February, 2012 in Oregon:
The Public Option gets proposed,
then dumped...
September 3, 2009 0:59
Health Care: A Human Right
May 19, 2009 5:13
On the front of the Oregon state capitol building
are these quotes from Plato's Republic:
- from 2,000 years ago, the foundation of American democracy
The Truth About Health Care Reform
http://www.everydaycitizen.com/2009/06/apparently_were_not_getting_mu.html
Maryland 2012 legislation in progress
The current versions of the Maryland Health Security Act of 2012 are as follows (3/7/2012):

Senate Bill 206:
http://mlis.state.md.us/2012rs/billfile/sb0206.htm

House Bill 1015:
http://mlis.state.md.us/2012rs/billfile/hb1015.htm
http://www.md.pnhp.org/docs/Maryland-single-payer-study.pdf
http://news.yahoo.com/medical-bills-wreck-credit-even-paid-off-183216201.html

In 2010, 30 million Americans were contacted by collection agencies for unpaid medical bills. Even if paid off, the resulting reduction in scores on credit reports often have serious negative financial consequences because of the perceived lower level of creditworthiness.

Imagine this occurring with a health care financing system that provides first dollar coverage, as with a single payer national health program. It wouldn't. Bill collectors would be joining insurance administrators in trying to find more productive occupations that would provide greater value for our nation.

- - Don McCanne, PNHP March 8, 2012
Due to volume, this section has been moved to:
http://prezi.com/e2vng-mdmo6a/health-care-for-all-oregon/
January 2012: The above groups (more added since) have united to form

Health Care for All - Oregon

www.hcao.org
PPACA passes - signed into law March 23rd, 2010

The law retains the existing payment and employee-based for-profit insurance model, adds 43 million mandated new customers and leaves out 23 million uninsured, according to the Congressional Budget Office.

Some of the more egregious practices of the insurance industry are reined in, but they are free to raise prices and change policies as they wish.

States were given the option to request waivers from PPACA if they could provide their own administration of health care systems with as good or better patient protection.
March 2012 PPACA Update
The Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) have updated estimates of the budgetary effects of the health insurance coverage provisions of the Affordable Care Act (ACA).
CBO finds that instead of 23 million individuals being left uninsured, as the CBO previously predicted, it is now estimated that 26 to 27 million will have no insurance at all.

So now we finally have passed health reform legislation, but what have we actually accomplished? Higher costs, deterioration in the protection afforded by insurance, and projected uninsured rates close to those when we began this whole process. - Don McCanne, PNHP 3/14/2012

http://www.cbo.gov/sites/default/files/cbofiles/attachments/03-13-Coverage%20Estimates.pdf
There is such a disparity between what we spend in America and what other countries spend on health care that some have suggested allowing Medicare and Medicaid patients to get their care overseas:

Free Trade in Health Care - The Gains from Globalized Medicare and Medicaid
Dean Baker and Hye Jin Rho October 2009
Center for Economic and Policy Research

http://www.cepr.net/documents/publications/free-trade-hc-2009-09.pdf
The Pope wants universal health care:
http://www.catholicnews.com/data/stories/cns/1004736.htm
March 9, 2009 10:49
Why Single Payer is 'Off the Table'
Canadians like their
universal health care system!
The Healthcare Movie Trailer
July 16, 2011 1:39
July 16, 2011 1:38
The Healthcare Movie trailer
Ted Kennedy on health care
April 3, 2008 4:18
Maine 2010
- Took testimony from William Hsaio, PhD
on what he did for Taiwan and Vermont
and asked questions about what it would
mean for Maine to try single payer.
Part 6 of 6
19 October 2010 4:43
Part 5 of 6
19 October 2010 14:47
Part 4 of 6
19 October 2010 15:06
Part 3 of 6
19 October 2010 14:51
Part 2 of 6
19 October 2010 14:53
Part 1 of 6
19 October 2010 14:56

Being uninsured and under-insured in America
continues to be deadly

Pre full Obamacare - 48,000 preventable deaths per year

Post full Obamacare - 30,000 preventable deaths per year by 2022

Update 2012 and beyond
http://www.pnhp.org/news/2012/september/despite-slight-drop-in-uninsured-last-year’s-figure-points-to-48000-preventable-
March 22, 2013 2:33
Publicly Financed, Privately Delivered Universal Health Care
Oregon 2013
HB 2922 Affordable Health Care for All Oregon Plan Act submitted with 23 cosponsors -
- hearing scheduled for May 13th
HB 3260 submitted to authorize a study of
funding options for universal health care in Oregon - no cost to taxpayers -
- hearing on April 5th. PASSED HOUSE HEALTH CARE COMMITTEE - on to Ways and Means Committee...SIGNED by Governor Kitzhaber - now waiting for funding!
Instructions for using this Prezi presentation.
This clever audiovisual presentation first conceived and constructed by Frank Erickson M.D. of Pendleton, Oregon can help all of us learn/remember what we need to know in order to reach good decisions about health care reform in the United States and Oregon. The program is like a self-guided tour through a library of documents, PowerPoint slides, and video clips that can help you explain to others the urgent need for healthcare reform that will take us well beyond the Patient Protection and Affordable Care Act -PPACA (Obamacare) and Oregon’s Transformation Healthcare Legislation
(Coordinated Care Organizations[CCOs]).
The easiest way to use this program is to take it step-by-step by using the forward or backward arrows at the bottom of the display screen or by right clicking over the display screen and clicking on “Next ” or “Previous”. If you do not have time to take the complete tour and want to scout ahead for items of interest, you can use your thumb wheel on your mouse or otherwise zoom in and out by placing your mouse over the right edge of the display screen and using the zoom buttons. You can “gain altitude” above the program and then zoom in on items of interest. Sometimes you may get portions of audio clips coming in at unexpected times; this is due to a minor flaw in the program. You can also fast-forward or fast-backward by dragging a small white-ringed blue circle that will appear as you hover the cursor over the line just above the two arrows at the bottom of the display screen.
If you would like to copy slides you can take a screenshot with your Mac OS Shift-CMD-4 or a free downloadable program such as Screen Hunter. Doctor Erickson periodically updates slides; if you have a reference to more current information than what you see on a given slide please contact Doctor Erickson at dr_erickson@mac.com or Mike Huntington at mchuntington@comcast.net.
http://hcao.org & http://hcaoef.org
For more info see historical prezi: http://prezi.com/4w6hyrbpwxrc/timeline-of-american-health-care-reform-since-1812/?kw=view-4w6hyrbpwxrc&rc=ref-4207008
Health Reform Explained Video:
"Health Reform Hits Main Street"
September 17, 2010 9:04
Links to Part I and Part II of "Financial Toxicity" article:

http://www.cancernetwork.com/practice/content/article/10165/2126986#

http://www.cancernetwork.com/practice/content/article/10165/2137348#
Finances treated as part of disease process by Oncologists:
Mary Gerisch - Vermont Worker's Center
Why not
?
Why We Need Universal Health Care
Luke Mitchell's article "Sick in the Head"
February 2009 Harper's
Why America won't get the health care system it needs.
It's called "cherry-picking"
Mad As Hell
http://www.pnhp.org/sites/default/files/Funding%20HR%20676_Friedman_7.31.13_proofed.pdf
HR 676 if passed would save billions:
and by the way - - single payer is good for business...

All federal and state studies of the economic impact of single payer health care reform show significant savings...

http://www.pnhp.org/facts/single-payer-system-cost
Single Payer Health Care for PA and US: Let's Talk Economics
Dr. Gerald Friedman - Harvard Economist 18:42
https://en.wikipedia.org/wiki/Single-payer_health_care
Frequently asked questions about HB 3260, a study of Oregon’s health care financing options

Where is the full text available for reading?
The full text is posted on the website of the Oregon State Legislature as House Bill 3260 at: https://olis.leg.state.or.us/liz/2013R1/Measures/Text/HB3260/B-Engrossed

When was the study enacted? Governor Kitzhaber signed HB 3260 into law August 1, 2013.

Who will conduct the study? The bill requires the Oregon Health Authority to select a third party to conduct the study.

Who will pay for the study? The study will be funded publically if Governor Kate Brown signs the funding bill, HB2828 which passed in the Senate on July 6th, 2015

How much will it cost? $300,000.

When will results be presented to the legislature? The study will take approximately 18 months.

Who can answer questions about this study? Please contact Samuel Metz, MD at HB3260@samuelmetz.com or (503) 754-1329.

HB3260 FAQ
IF AIR TRAVEL WORKED LIKE HEALTH CARE 7:00
Ted Kennedy On Health Care 1978 1:32
Keep up with the latest developments in Oregon:

http://prezi.com/e2vng-mdmo6a/health-care-for-all-oregon/
May 27th, 2007 2:25
April 28th, 2007 4:21
October 28, 2009 9:16
http://hc-reform.com/2014/07/12/we-are-all-underinsured/
We Are All
Underinsured!
September 24, 2014 8:35
Harry Smith, 91 y/o WWII veteran discusses why England's NHS is needed

Rally on the Capitol Steps February 11, 2015

HB2828 to provide funding for HB3260 makes it out of committee 2/23/15; passes Senate 7/6/15!


SB631 Health Care for All Oregon Plan has 27 co-sponsors - hearings planned in March 2015

Oregon 2015
HB2828 SIGNED BY GOVERNOR KATE BROWN ON 7/20/15!!!
Costs:
We pay more and get less!
Cost Shifting /
limiting access effects
PPACA (Obamacare)
Consider Canada
For-Profit Effect
Medical bill
Bankruptcy
Consider
Single Payer financing
Single payer health care
HR676 - Everybody In, Nobody Out
Sicko - movie trailer
Names of the Dead
Morbidity
Mortality
Finance
What would Warren do?
Life or Debt
For Presenters:
Instructions:
PNHP-Oregon Join Us YouTube
Sep 5, 2014 1:06
2016?
Bernie on Health Care

11/20/15 4:01
What Haunts a Police Officer of 30 Years?
Suicides Due to Medical Debt
12/18/14 3:19
Full transcript