June, 25 2015, 11:15am EDT
'Subsidies Upheld, but Health Needs Still Unmet': Doctors Group
Although the Supreme Court has upheld the premium subsidies under the Affordable Care Act, the law remains incapable of remedying the U.S. health crisis, physician group says
WASHINGTON
Physicians for a National Health Program, an organization of 19,000 doctors who support single-payer national health insurance, released the following statement today:
Today's decision by the Supreme Court in King v. Burwell to uphold the Affordable Care Act's premium subsidies in about three dozen states will spare more than 6 million Americans the health and financial harms associated with the sudden loss of health insurance coverage.
For that reason alone the decision must be welcomed: Having health insurance is better than not having coverage, as several research studies have shown.
That said, the suffering that many Americans are experiencing today under our current health care arrangements is intolerable, with approximately 35 million people remaining uninsured, a comparable number underinsured, and rapidly growing barriers to medical care in the form of rising premiums, copayments, coinsurance and deductibles, and narrowing networks.
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The unfortunate reality is that the ACA, despite its modest benefits, is not a remedy to our health care crisis: (1) it will not achieve universal coverage, as it will still leave at least 27 million uninsured in 2025, (2) it will not make health care affordable to Americans with insurance, because of high copays, deductibles and gaps in coverage that leave patients vulnerable to financial ruin in the event of serious illness, and (3) it will not control costs.
Why is this so? Because the ACA perpetuates a dominant role for the private insurance industry. Each year, that industry siphons off hundreds of billions of health care dollars for overhead, profit and the paperwork it demands from doctors and hospitals; denies care in order to increase insurers' bottom line; and obstructs any serious effort to control costs.
In contrast, a single-payer system - an improved Medicare for All - would achieve truly universal care, affordability, and effective cost control. It would put the interests of our patients - and our nation's health - first.
Single payer is simple: everyone in the U.S. would be covered for all medically necessary care in a single program financed by equitable taxes.
By replacing multiple private insurers with a single, nonprofit agency like Medicare that pays all medical bills, we would save approximately $400 billion annually by slashing the administrative bloat in our current private-insurance-based system. That money would be redirected to clinical care. Copays, coinsurance and deductibles would be eliminated.
Further, such a single, streamlined system would be able to rein in costs for medications and other supplies through the system's strong bargaining clout - again, to our patients' benefit.
A single-payer system would also be legally robust.
Because of the ACA's administrative complexity and flaws - largely reflecting its accommodation to the private health insurance industry and other corporate, profit-oriented interests in U.S. health care - it is particularly vulnerable to the kind of legal challenge we saw today.
Our patients, our people and our national economy cannot wait any longer for an effective remedy to our health care woes. The stakes are too high. We need to move beyond the administratively wasteful, complex and inadequate ACA to a more fundamental, rational single-payer national health program.
Contrary to the claims of those who say we are "unrealistic," a single-payer system is within practical reach. The most rapid way to achieve universal coverage would be to improve upon the existing Medicare program - which is celebrating its 50th anniversary this year, showing it has stood the test of time - and expand it to cover people of all ages. There is legislation before Congress, notably H.R. 676, the "Expanded and Improved Medicare for All Act," which would do precisely that.
What is truly unrealistic is believing that we can provide universal and affordable health care in a system dominated by private insurers and Big Pharma.
The American people desperately need a universal health system that delivers comprehensive, equitable, compassionate and high-quality care, with free choice of provider and no financial barriers to access. Polls have repeatedly shown an improved Medicare for all, which meets these criteria, is the remedy preferred by two-thirds of the population. A solid majority of the medical profession now favors such an approach, as well.
We pledge to step up our work for the only equitable, financially responsible and humane cure for our health care ills: single-payer national health insurance, an expanded and improved Medicare for all.
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
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Police Violently Arrest University of Texas Students Protesting Genocide in Gaza
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Around 40 peaceful pro-Palestine protesters were arrested Monday on the campus of the University of Texas at Austin as police once again violently cracked down on student-led demonstrations against their school and country's complicity in Israel's genocidal assault on Gaza.
UT students and allies are calling for not only an end to the Gaza genocide but also a suspension of U.S. military aid to Israel and the university's divestment from Israeli investments. Protesters chanted slogans including "We are being peaceful, you are being violent!", "There is no riot here, why are you wearing riot gear?", and "Let them go!" as state troopers aided by local and campus cops dragged, hauled, and even wheeled targeted individuals into custody.
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Police commanders eventually ordered officers to retreat from the UT campus, sparking a tremendous cheer from demonstrators, who followed and tried to block a bus loaded with arrested protesters.
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#WATCH | On International Criminal Court's (ICC) investigation into Israel's conduct in Gaza, White House press secretary Karine Jean Pierre says, "...We don't believe is in the ICC jurisdiction in this situation. We do not support the investigation. And I think that kind of… pic.twitter.com/du8NpEtLxj
— ANI (@ANI) April 29, 2024
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The exchanges followed reporting that the Israeli government, in partnership with the U.S., is "making a concerted effort to head off" possible arrest warrants from the ICC targeting Netanyahu as well as Israeli Defense Minister Yoav Gallant and Israel Defense Forces (IDF) Chief of Staff Herzi Halevi.
Citing two unnamed Israeli officials, Axiosreported that Netanyahu on Sunday asked Biden to help prevent the ICC from issuing warrants. A spokesperson for the White House National Security Council told the outlet that "as we have publicly said many times, the ICC has no jurisdiction in this situation and we do not support its investigation."
Neither Israel nor the United States is a party to the Rome Statute of the International Criminal Court, the treaty that established the tribunal, but Palestine accepted its jurisdiction over alleged crimes committed "in the occupied Palestinian territory, including East Jerusalem," in 2015.
The ICC formally launched its war crimes investigation in the occupied Palestinian territories in 2021, long before the IDF began its ongoing retaliation for the Hamas-led attack October 7 on Israel. The probe includes crimes going back to June 13, 2014.
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Mark Kersten, an assistant professor at the University of the Fraser Valley, responded: "Now a Democratic senator is threatening the ICC's very existence if it does what it was created to do: Impartially and independently investigate international crimes, without fear or favor. I hope this grotesque threat and atrocity-denialism is roundly condemned."
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